Emergency
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Prophylactic Post-Extubation Noninvasive Ventilation May Benefit Select Obese Patients
In this post hoc analysis, the use of noninvasive ventilation alternating with high-flow nasal cannula post-extubation decreased the risk of reintubation and death in obese and overweight patients at high risk for reintubation.
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Management of Right Ventricular Failure in the Critically Ill
This review will outline the management of right ventricular failure in the critically ill. -
Neurologists Add Nuance to Palliative Care Definition
Position paper authors underscore the importance of care goals discussions with patients and families throughout the disease course, not just at end of life.
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Report: Anxiety, Depression Up Significantly Among U.S. Children 2016-2020
Even before the onset of the COVID-19 pandemic, mental health conditions among Americans age 3 to 17 years were trending negatively.
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Identifying and Managing MIS-C
Pediatric SARS-CoV-2 infections are mild compared to adult infections. However, MIS-C, which typically develops four to six weeks after the initial infection, may be severe and characterized by multiorgan dysfunction resulting from hyperinflammation. This article includes critical information regarding MISC-C recognition and management.
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Managing Migraine in the Emergency Department
When a patient with a self-identified migraine presents to the emergency department, the emergency physician is tasked with sorting through the history to ensure that the diagnosis is correct, to reasonably exclude other causes of an acute headache, initiate treatment, assess the response, and make an appropriate disposition for the patient, with referral to primary care or specialists as needed. This article will focus on the acute treatment of migraines in the emergency department.
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Recommendations Target Making Improvements in U.S. Organ Transplant System
The authors aimed for equity, transparency, and efficiency.
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Physician Turnover Costs Millions in Excess Healthcare Spending
Each time a physician leaves his or her practice, that can lead to more than $86,000 in extra costs during the following year.
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Time-to-Disposition Delays Are Possible if Patient Is Seen Early
Recent study findings reflect the different types of work occurring during an ED shift. At the beginning of a shift, providers prioritize seeing new patients and initiating workups. At the end of a shift, providers transition to following up on lab or imaging results, and making decisions on whether to admit or discharge.
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Noncompliance with Sepsis Measures Used to Prove Care Was Negligent
Along with growing general awareness, there are several positive developments in ED sepsis care, including laboratory tests helpful in diagnosing sepsis cases that have improved substantially. Also, there are new biomarkers of sepsis that are promising, and new molecular tests allow a lab to identify blood-borne infections in hours instead of the days formerly required for blood cultures to grow.