Emergency
RSSArticles
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The Next Pandemic: Hospital Management
More than 5 years after the H1N1 pandemic of 2009, this paper examines the history of pandemics’ impact in the United States and worldwide, their likely impact in the near future, the current state of preparedness of United States hospitals, and special considerations for hospital operations during a pandemic.
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Meningitis Update
MONOGRAPH: There are several etiologies of meningitis, but it's most often due to an infectious process.
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Does Atrial Fibrillation Portend a Worse Prognosis in the ICU?
In this prospective, observational cohort study, both new-onset and recurrent atrial fibrillation were associated with increased hospital mortality, especially in patients without sepsis.
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Nutrition in the ICU: The Controversy Continues
When comparing critically ill patients who receive standard enteral feeding vs permissive underfeeding, there is no difference in 90-day mortality.
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Is Optimizing Respiratory Muscle Function During Mechanical Ventilation an Illusion?
Rapid loss in diaphragmatic thickness during the first week of mechanical ventilation is common and associated with higher levels of ventilator driving pressure.
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Is Less More Or Is More Less?
ABSTRACT & COMMENTARY: Here are details on oxygen saturation goals in the mechanically ventilated.
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Reducing Daily Chest Radiographs in the ICU
Quality improvement protocols can reduce the number of chest radiographs in the ICU without compromising care.
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ED Evaluation and Management of Mammalian Bites, and Snake and Spider Envenomations
As a consequence of their playful and curious nature, children not uncommonly present to the ED with bite injuries; in fact, more than half of bite victims in the ED are children. Although envenomations are infrequent, the relatively high dose of venom per body weight in a young child can lead to significant effects. This article will discuss the key clinical features and management of bites from dogs, cats, and humans, as well as envenomations from snakes and spiders. Although not exhaustive, this review will provide a framework for the care of children who have sustained a bite or possible envenomation.
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Don’t Overlook Patient’s Relevant Medical History
Important details could make the difference between life and death.
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Experts: Wait-time Guarantees Could Get EPs Sued
Benefits exist, but practice must be implemented carefully and thoughtfully.