A variety of highly effective agents for primary insomnia are currently available including benzodiazepines, benzodiazepine receptor agonists, and other classes. Agents that impact the benzodiazepine receptors (i.e., either benzodiazepines or benzodiazepine receptor agonists) are controlled substances and have occasional problematic issues such as misuse, diversion, cognitive clouding, and rebound upon withdrawal.
I remember when the Goldman myocardial infarction (MI) algorithm came out, quickly followed by a seven-button hand-held "calculator." It promised to reduce all decision-making regarding ED chest pain patients to seven yes or no questions. But when you looked into the mathematics, if you answered no or negative to all of the questions, it indicated a 4% chance of acute cardiac ischemia. So, what would you do with this information? Could you tell the patient that there was only a 4% chance of a heart attack, so it was OK to go home?
Routine laboratory tests (RLT) and chest radiographs (CXR) are a source of considerable expense in the care of ICU patients.
This study was carried out by the research group on quality improvement of the European Society of Intensive Care Medicine.
The infection control technique of contact precautions is intended to prevent the spread of pathogens by airborne, droplet, or contact transmission.
Investigators at the University of Utah hospital carried out a comprehensive observational study of alarms that sounded in the medical ICU.
