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The purpose of this meta-analysis was to assess the efficacy of subglottic secretion drainage in preventing ventilator-associated pneumonia (VAP). Dezfulian and colleagues performed a comprehensive analysis of randomized trials that have compared subglottic secretion drainage with a standard endotracheal tube care in mechanically ventilated patients.
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In the absence of definitive systematic reviews, and in the presence of evidence for continued widespread administration of low-dose dopamine infusions to critically ill patients for the purpose of preventing renal failure, Friedrich and colleagues performed an exhaustive review of the literature on this subject.
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Stopping Aspirin Before Surgery; The Sponge Returns; Preventing Metabolic Syndrome; FDA Actions
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The emergency department physician is the critical link between the patient and the diagnostic tests, including radiographs, that are ordered. This article provides information on common radiographic errors to help clinicians improve their accuracy, confidence and subsequent patient care.
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With our aging population, emergency medicine practitioners increasingly will face the challenges of care for the elderly in the emergency department. A new report from the Centers for Disease Control and Prevention notes that visits to U.S. EDs reached a record high in 2003 and attributes this rise to increased use by adults, especially those ages 65 and older. Elderly patients have higher risks for presenting to the ED.
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In this study, investigators conducted a large, international, randomized controlled clinical trial (as a part of the CREATE trial) to determine the effect of glucose-insulin-potassium infusion on mortality in patients presenting with acute ST-segment elevation MI.
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Neuroleptic malignant syndrome is a disease process usually occurring in patients who use neuroleptic agents; classically, it is characterized by altered mental status, muscular rigidity, fever, and
autonomic instability.
