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In a cohort of 91 ICU patients without known causes for hemoglobin decline other than blood draws and critical illness, serum hemoglobin levels declined by an average of 0.52 g/dL/d. The decline was more rapid during the first 3 days in the ICU and among patients who were septic.
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In this study of a large nationwide database, mortality during hospitalization for acute exacerbation of COPD was 2.5%, which is substantially lower than that reported in previous studies.
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Inhaled drugs are commonly used during mechanical ventilation. The physiologic effects of bronchodilators delivered by nebulizer or pressurized metered dose inhaler (pMDI) are virtually equivalent.
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Two severely ill patients in the emergency department of your hospital need admission to the ICU, but only one bed is available. Who gets admitted first? Another critical care patient is severely ill, with several coexisting conditions.
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When does critical care become just another emergency department (ED) visit? When you fail to document it properly. You may do all the right things and have a patient in crisis, but if the paperwork isnt done properly, you dont get paid for your efforts.
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Affecting virtually every aspect of our health care system, the stunning growth and rapid integration of hospital-based medicine has affected the practice of both medicine and surgery by significantly modifying the delivery of inpatient, outpatient, and subacute care. This article details the history of hospitalists in the United States by defining the practice of hospital medicine and reviewing the evidence extolling its virtues. Although hospital medicine appears here to stay, work must still be done to address a number of current and future issues facing hospitalists and the health care community embracing them.
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Increase in Blood Glucose Concentration During Antihypertensive
Treatment as a Predictor of Myocardial Infarction; Adverse Drug Events
in Ambulatory Care; Prevention of Hip Fracture by External Hip
Protectors; Rapid MRI vs Radiographs for Patients with Low Back Pain;
Effectiveness of Anticholinergic Drugs Compared with Placebo in the
Treatment of Overactive Bladder; A Randomized Trial of a Low
Carbohydrate Diet for Obesity
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