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This study examined outcomes for 3494 adult patients who experienced clinical deterioration that triggered a medical emergency team (MET) activation over a 2-year period.
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In this issue: Aspirin and cancer prevention; rivaroxaban for pulmonary embolism; new rhinosinusitis practice guidelines; and FDA actions.
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This study from Portugal addresses an important gap in managing patients who have been extubated after an episode of acute respiratory failure facilitating the clearance of airway secretions to avoid the necessity of reintubation.
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The purpose of this study was to use data from the multi-institutional APACHE IV database (Cerner Corporation) to compare characteristics of and outcomes for patients who were readmitted to the ICU and those who were not readmitted after ICU discharge; to identify risk factors for ICU readmission; and to examine case-mix adjusted outcomes for patients with and without ICU readmission.
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Case 1. Lily is a 23-year-old female nursing student who presented after losing consciousness. Lily was watching an EM nurse clean a wound for eventual suturing.
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Classically, pneumonia is defined as an infection of the lung parenchyma. However, worldwide, a variety of definitions exist, including fever, hypoxia, a constellation of other clinical symptoms, and radiologic findings. In pediatric and adolescent populations, early diagnosis will assist emergency department (ED) physicians with correctly managing and subsequently avoiding potential morbidity and mortality of this common infectious disease.
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Foreign body ingestion is a common problem, especially in children younger than 3 years of age. Fortunately, most cases have uneventful outcomes, but the potential for a devastating complication exists. Button batteries are particularly dangerous, and timely and appropriate management is critical. This article comprehensively reviews pediatric foreign body ingestions.
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While human immunodeficiency virus (HIV) infection no longer carries the death sentence it once did, it still carries an enormous cost both in terms of financial burden for treatment as well as the social and medical issues associated with long-term disease.
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I see many patients brought by EMS from motor vehicle collisions and ground level falls. The majority arrive with a rigid cervical collar placed by the EMTs or paramedics because of neck pain or a concern about possible cervical spine injury based on the mechanism of injury. If the patient did not have initial pain, most will have developed pain by the time of arrival because of their placement in a rigid cervical collar and on a hard backboard.
