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Lead II rhythm strip from a patient with palpitations? What would you do?
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An outbreak of dengue fever in northeastern Kenya has recently sickened at least 5,000 people.
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Most patients with ST-elevation myocardial infarction (STEMI) present to hospitals that are not capable of percutaneous coronary intervention (PCI).
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Venous thromboembolism (VTE) prophylaxis interventions in gynecologic surgery are meritorious, supported by Level 1 evidence and the subject of multiple guidelines, including those published by the American College of Obstetricians and Gynecologists. However, new evidence suggests nearly one-third of women undergoing hysterectomy in this country still receive no VTE prophylaxis, placing thousands of women at unnecessary risk for preventable morbidity.
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In a nationally representative sample of U.S. hospitals, reported routine use of daily interruption of sedation for mechanically ventilated patients was associated with the presence of a leadership emphasis on safety culture, receptivity of the staff to practice change, and participation in a collaborative to prevent health care-associated infections. There was no association with the number of hospital beds or with the presence of a medical school affiliation.
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Based on the findings of this meta-analysis of seven randomized controlled trials, early (7 days after intubation) or late (any time after 7 days) tracheostomy placement did not alter clinical outcomes in study patients, including no differences in mortality, incidence of ventilator-associated pneumonia, duration of mechanical ventilation, ICU stay, hospital stay, or sedation.
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Good news: Results of a cross-sectional analysis of young women interviewed as part of the National Survey of Family Growth who received recommended vaccinations to prevent human papillomavirus (HPV) infection found no association between HPV vaccination and risky sexual behavior.
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Since 2001, the United States has not gained traction in reducing the rate unintended pregnancy. Research indicates that of the 6.7 million pregnancies in 2006, nearly half (49%) were unintended.
