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Ouimet and colleagues at Maisonneuve-Rosemont Hospital in Montreal studied 820 consecutive patients admitted to their mixed medical-surgical ICU to determine the incidence of delirium, factors associated with it, and its clinical consequences. The patients were adults who stayed in the ICU more than 24 hours and survived for at least 1 day.
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Ventilator-Associated Pneumonia (VAP) is a major nosocomial infection associated with increased morbidity and perhaps with some attributable mortality. There has been great controversy as to which is the best practical strategy to diagnose and treat VAP.
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In 2000, the Acute Respiratory Distress Syndrome Network (ARDSnet) reported an unprecedented low mortality for ARDS patients ventilated with a tidal volume of 6 mL/kg of predicted body weight (and a plateau pressure ¡Ü30 cm H2O) compared to a tidal volume of 12 mL/kg.
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Citalopram Useful for Depression in CDA Patients;; When to Stop Anticoagulation Before Surgery?;; Drug Warnings: Ranibizumab and Bevacizumab;; Growth Hormone Treatment, More Harm Than Good;; FDA Actions
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Carbon monoxide poisoning is a treatable condition when recognized prior to devastating consequences. Early on, carbon monoxide (CO) poisoning may be subtle and elusive, with vague, nonspecific symptoms that may be inappropriately contributed to other conditions.
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The evaluation of the ill traveler must include a detailed travel history in addition to the traditional past medical, surgical, and family history. It is paramount to include the extent of travel preparation and review immunizations and compliance with prophylactic medications.
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Non-healing wounds represent a significant cause of morbidity and mortality for a large portion of the adult population. Wounds that fail to heal are entrapped in a self-sustaining cycle of inflammation. Treatments are aimed at the underlying cause of the wounds.
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When is an LWOT (left without treatment) rate of 1% not good enough? Apparently, when you are the ED managers at Affinity Medical Center, Massilon, OH, campus. An aggressive new program has further reduced that rate by 37%.
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A "homegrown" web-based tool called Web Emergency Medicine Analysis and Reporting System (WEBEMARS) has enabled ED managers at the 17 departments administered by Livingston, NJ-based Emergency Medical Associates (EMA) to readily access current data on their unit's performance, gaining valuable insights that have led to significant performance improvement.
