Emergency
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Massachusetts hospitals try to stem overdose deaths
Hospitals in Massachusetts have implemented a plan that instructs emergency providers to develop an approach to screen for substance abuse, provide brief intervention, and arrange appropriate referrals for patients who have an active substance use disorder or are at risk for developing such a problem.
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New opioid prescribing guidelines favor non-opioid alternatives
Citing a quadrupling of opioid prescriptions in recent years, the guidelines nudge providers to do more to combat the epidemic of overdose deaths.
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Sounding the Alarm About Suicide Risk
The Joint Commission urges universal screening and increased efforts to link at-risk patients to appropriate care.
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Acute Hepatitis in the Emergency Department
MONOGRAPH: Viral and drug-induced hepatitis are the most common causes of acute liver failure in adults.
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Apneic Oxygenation During Intubation for Respiratory Failure
Use of apneic oxygenation with a high-flow nasal cannula during endotracheal intubation for acute respiratory failure is no better at preventing arterial oxygen desaturation than usual care using pre-oxygenation.
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Does Acetaminophen Help Febrile Patients with Infection?
Scheduled intravenous acetaminophen lowers temperature but does not affect ICU-free days, mortality, length of stay, or adverse events in patients with sepsis.
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What is the Best Rate Control Agent for Patients with Sepsis and Atrial Fibrillation?
Beta-blockers may be associated with better outcomes in patients with sepsis and atrial fibrillation.
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Dyspnea and Asynchrony During Mechanical Ventilation
Breathing is the primal sensation of postnatal life, the disturbance of which produces the most profound sense of dread.
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Fluids and Electrolyte Management, Part 2
MONOGRAPH: A clinician's guide to the management of electrolyte disorders and common metabolic acid-base disorders.
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Will Plaintiff Attorney Sue EP, or Decide Claim Is Unwinnable?
ED chart can prevent — or inflame — litigation.