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A 75-year-old woman with a chief complaint of chest pain is brought to a university emergency department (ED) by a city-run emergency medical systems (EMS) service.
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A prospective, multi-center randomized trial was performed to determine the feasibility of the semirecumbent position (goal, head of bed elevation [HOB] 45°) and its impact on the incidence of ventilator-associated pneumonia (VAP).
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Partial Liquid Ventilation (PLV) with Perfluorocarbon (PFC) has been demonstrated in animal models of acute lung injury to recruit dependent lung regions (the so-called "liquid PEEP" effect), to redistribute blood flow to better ventilated regions, to thus improve gas exchange compared with conventional ventilation, and also to facilitate the clearance of retained secretions.
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In 1976, piehl and brown showed, in a retrospective study, that the prone position improved oxygenation in 5 patients with the acute respiratory distress syndrome (ARDS).
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Can Plavix Add to the Efficacy of Aspirin?; Prevention of Hypertension?; Estrogen Alternatives; FDA Actions
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During the time that emergency medical staff and hospitals have operated under EMTALA, court decisions relating to EMTALA and the rules and regulations promulgated by the Centers for Medicare and Medicaid Services have helped to clarify the ramifications of the law.
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Emergency department (ED) resources are continually strained due to overcrowding. This intensifies during the winter months because of epidemics of viral illness that affect all ages. The very young and elderly populations are at increased risk for significant morbidity and mortality related to viral disease, and as a consequence have higher rates of hospitalization than other age groups.
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Neisseria meningitidis has the dubious distinction of being the last remaining serious bacterial threat to the lives and well being of otherwise healthy Americans. In industrialized nations, the risk of death or serious illness from organisms such as Haemophilus influenzae and Streptococcus pneumoniae has been reduced greatly by the development of vaccines against these encapsulated organisms.
