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An ED doctor on a SWAT team? Its not as crazy as it sounds. If you visited Augusta, GA, youd see it all the time. For the past several years, the department of emergency medicine at the Medical College of Georgia has had a thriving Tactical Emergency Medicine Support (TEMS) program that includes a formal working relationship with three local SWAT teams.
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Want to cut your diversion hours down to zero? Thats exactly what Hoag Memorial Hospital Presbyterian in Newport Beach, CA, has done by instituting its emergency saturation triage, or Code EST. When Code EST was implemented in July 2000, diversion hours were about 130 monthly.
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Do you want to dramatically improve ED communication? Try this innovative idea: two-way radios.
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So youve worked long and hard at putting an effective plan in place to respond to emergency incidents, and your feel youre as prepared as you can possibly be. Then, the attorney general comes on the TV and says theres an increased threat of a terrorist attack as we approach the fall presidential campaign, and we all need to be better prepared. You look at the tube in frustration and say, But Ive done everything I can! . . . But have you?
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Breast Cancer and the Use of Statins; Warnings Issued for IBS Drugs; FDA Actions
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Several factors are considered to be associated with the development of nosocomial infections in the ICU. Among them, indwelling devices that directly contact the blood and mucosal membrane such as the central venous catheter, urinary tract catheter and endotracheal tube are considered to be the most responsible risk factors in the development of nosocomial infections.
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Among 56,250 British ICU patients, hospital mortality rates were higher among those admitted on the weekend or at night, but the differences disappeared when confounding by illness severity and other aspects of case mix were eliminated.
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This concise review makes a compelling case for a change in the healthcare workers behavior. Helpful hints including increasing the use of alcohol-based formulations to reduce the time constrains are provided throughout the article.
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In late-onset VAP, survival improved and costs decreased using initial coverage with 3 antibiotics. Mini-BAL did not improve survival, but decreased costs and antibiotic usage.