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An ED physician, like any health care provider, can be sued for wrongful death whenever there is evidence that medical malpractice has caused a patient's death.
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Carried out in four ICUs in the Netherlands, this study evaluated the effects of a serum lactate-guided resuscitation protocol during initial management of critically ill patients with elevated lactate levels, as compared to standard management not guided by serial lactate measurements.
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Intensive care unit (ICU) survivors experience various morbidities that can limit long-term recovery. One of the most common problems, neuromuscular weakness, has been
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Extubation is defined as removal of the endotracheal tube. The decision to extubate is usually based on three considerations: 1) need for invasive respiratory support; 2) patency of the upper airway; and 3) ability to clear secretions from the lower respiratory tract.
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In this issue: Rivaroxaban may be dabigatran's first competitor; a new way to measure non-adherence to medication therapy; FDA Actions.
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Burn injuries account for half a million visits to the emergency department each year and present numerous challenges in management. The spectrum of burn injuries is immense, ranging from simple first-degree burns with no sequela to third-degree burns with hypermetabolic response. In addition, pediatric patients add unique challenges to providing optimal care.
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You have just taken sign-out when a nurse comes up to you and says that there is a 64-year-old man in the critical bay who took an overdose of his medications. The patient has a history of hypertension, atrial fibrillation, and depression. The patient is lethargic but arousable, and reports he took about 40 tablets of immediate-release metoprolol three hours ago in an attempt to "end it all." The nurses are starting IV lines, checking vitals, and putting the patient on the monitor. You wonder, "Is it too late for gastric decontamination? If he is symptomatic, which therapy will I try first, and what are my options?"
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Acetaminophen (known as paracetamol outside the United States) is the most commonly used analgesic in the world, usually considered to be safe and benign.
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Desai and colleagues carried out a comprehensive review of published studies on long-term complications among survivors of critical illness in an attempt to find common characteristics and themes that might be used in developing strategies for preventing or mitigating them.
