Emergency
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Education, Training Needed to Combat Human Trafficking
Experts note there is plenty of crossover between the opioid epidemic and what healthcare providers see in terms of trafficking, further complicating rescue.
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Hospitals Use Aggressive Tactics to Combat Clostridium Difficile Infections
Although there is some evidence that the incidence of such infections finally may be leveling off nationally, one analysis shows that treatment-resistant forms of the infection have risen sharply.
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What U.S. Healthcare Workers Learned From the Ebola Crisis
With a global pandemic still posing a serious threat to American lives, frontline providers must prepare and drill constantly to protect themselves and the public health.
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The Great Mimicker: Thyroid Emergencies
Thyroid disease is relatively common, but most often is a benign disease with little clinical significance in the emergency setting. However, even a small insult can disrupt this system and throw the regulation out of control, resulting in the secretion of too much or too little thyroid hormone. Both of these situations can result in the thyroid emergencies thyroid storm and myxedema coma.
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Failure to Wean From the Ventilator: Is Pleural Effusion the Culprit?
The authors of a multicenter, prospective cohort study did not find an association between the presence of moderate or large pleural effusion and ventilator weaning failure.
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Functional Outcomes After Receiving Life-sustaining Therapy in the ICU
Among patients who have spent at least three days in an ICU and required even brief mechanical ventilation and/or vasopressor support, almost half are dead and only one-third return to their baseline at six months. Several factors present on the first day of admission are associated with not returning to baseline status.
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Thrombocytopenia in the Critically Ill
Thrombocytopenia is not only a pathologic entity, but the severity of thrombocytopenia and the recovery time of the platelets often predicts outcome, including overall mortality of ICU patients. Critically ill patients with moderate and severe thrombocytopenia demonstrate higher ICU and hospital mortality. If the recovery is delayed beyond day four, several studies have demonstrated higher morbidity and mortality.
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Emergency Management of Rabies Exposure
Rabies is an uncommon disease with a very high fatality rate. Recognition of a potential exposure and effective prophylaxis are critical in prevention of this devastating disease. The authors review recognition of suspicious bites/exposures, clinical presentation of rabies, and utilization of effective prevention strategies.
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Hospital-run Urgent Care Center Is Subject to EMTALA
ED staff need training to ensure compliance.
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ED Care Difficult to Defend if Patient Died Shortly After Discharge
Such cases are ‘every emergency physician’s greatest fear.’