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In this study, scala and colleagues compared the clinical outcomes of patients with acute respiratory failure due to COPD exacerbations and different degrees of altered levels of consciousness.
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Investigators at the university of amsterdam performed an extensive review of articles, retrieved via Medline, that reported ICU outcomes in very elderly patients.
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More than 20 years ago, case reports appeared in the literature describing a neuromuscular abnormality that developed as a consequence of critical illness.
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While patient simulators can clearly be used to assess the performance of ED staff in pediatric trauma cases, they also can be used to improve their performance in these cases. Thats what the ED at Cincinnati Childrens Hospital Medical Center has been doing since May 2002.
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The bad news: Nearly three-quarters of ED physicians may experience depression at some point in their careers, and nearly half consider harming themselves. The worse news: Nearly half of those with such problems do not seek treatment.
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Two significant process changes at Methodist Willow-brook Hospital in Houston, have led to dramatic improvements in efficiency, says its ED management team. Consider the following:
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Conventional wisdom among emergency medicine professionals is that the various sizes of the EDs in the United States, when placed in a bar chart, would look like a bell-shaped curve; that is, the greatest number of EDs would be found among the mid-sized EDs, or those with 25,000-30,000 visits per year.
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At Baylor All Saints Medical Center at Fort Worth (TX), the ED managers werent taking any chance of being unprepared when the accreditation surveyors showed up for a regular unannounced survey.
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A recent North Carolina study showing hospital EDs failed to properly stabilize seriously injured children during trauma simulations is a sign of a larger national problem with EDs being ill-prepared to handle pediatric trauma patients, reports Elizabeth A. Hunt, MD, MPH, assistant professor of anesthesiology and critical care medicine at Johns Hopkins Childrens Center in Baltimore.
