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In this issue: Escitalopram for menopausal hot flashes, rifaximin for IBS without constipation, herpes zoster vaccination, antiepileptics drugs and fracture risk, and FDA Actions.
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The authors set out to determine whether daily bathing of patients with 2% chlorhexidine gluconate (CHG)-impregnated cloths could reduce central line-associated bloodstream infection (CLABSI) rate by at least 30% in a surgical ICU where CLABSI rates were above National Healthcare Safety Network averages.
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Successful shared decision-making requires three key elements: identifying patient preferences, clearly explaining pertinent medical information, and developing consensus around a treatment plan.
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Aspirin overdose may be thought by some to be an "old" problem. While there are many other pain relief products on the market, and aspirin is generally avoided in children, aspirin overdose remains a serious problem.
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When a patient presents at Frankfort (KY) Regional Medical Center with neurological symptoms, a "code neuro" is called. In addition to ED staff jumping into action, the lab, radiology, and additional nursing help are alerted.
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Unless they are return patients, it's a rare event for ED providers to see the individuals they treat after they've been discharged.
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How's this for a turnaround? A few years ago, patient satisfaction levels in the three EDs of the Cambridge (MA) Health Alliance were in the lowest decile in Massachusetts, and now they are consistently in the top quartile.
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"It's too bad someone didn't give you thrombolytics, because you probably wouldn't be paralyzed now."
