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Nutrition is a controversial topic, perhaps because with only minimal effort it is possible to find seemingly credible people advocating for totally opposite messages. In the realm of public media, it is even worse.
Despite public confusion, reviewing the evidence relating nutrition to health and disease yields more clarity than most people realize.
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Treating pain in the ED is relatively straightforward if the cause is obvious like a broken leg or acute myocardial infarction for which there is clear evidence for the diagnosis. Treating pain is somewhat more problematic when there is no diagnostic test. So it is with headaches, especially the severe migraine types.
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Lyon and colleagues performed a retrospective cohort study of the relationship between insurance status and 30-day mortality, as well as the use of five common ICU procedures, among 138,720 adult patients admitted to ICUs in Pennsylvania in fiscal years 2005 and 2006.
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Prasad and associates conducted a retrospective cohort study of associations between internal medicine trainee exposure to mechanical ventilation protocols and their performance on questions related to this topic on the critical care board-certifying examination.
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In this issue: New indication for rivaroxaban; new study on warfarin testing; medications causing adverse drug events; niacin as an add-on therapy; and FDA actions.
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Hemodynamic monitoring is an essential part of caring for critically ill patients. Critical care providers are regularly faced with the challenge of determining whether a patient is adequately volume resuscitated, and hemodynamic assessments are often the first step in making a proper diagnosis so that other life-saving therapies can be promptly implemented.
