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  • ACE-Inhibitor Angioedema: How Common? How Serious?

    In this retrospective study from a community teaching hospital in Philadelphia, Sondhi and colleagues identified all patients whose admissions had been assigned the diagnosis code for angioedema during the five academic years starting in 1996.
  • Special Feature: Heparin Use in Acute Coronary Syndromes

    Heparin has been shown to have a profound synergistic effect with aspirin in preventing death, acute myocardial infarction (AMI), and refractory unstable angina.
  • ECG Review: A Three-Beat Run in Lead V1

    The electrocardiogram in the Figure was obtained from a 57-year-old woman with palpitations. Is there a short run of ventricular tachycardia in lead V1? What else may be wrong with the tracing?
  • Bedside Ultrasound to Confirm Pediatric Endotracheal Tube Placement

    Investigators studied the utility of ultrasonography to verify correct placement of the endotracheal tube in patients cared for in a pediatric intensive care unit.
  • Full December 2004 Issue in PDF

  • Are nonprofit hospitals preying on the uninsured?

    To the attorneys, the question of whether nonprofit hospitals are living up to their mission to provide health care to those who cant afford it is purely a consumer-protection question. But to a physician who blew the whistle on one hospital, its much more of a human question.
  • Flu vaccine for HCWs: Compliance, liability issues

    The severe nationwide shortage of killed flu vaccine has put a stop, at least temporarily, to initiatives in some places that would force health care workers to be vaccinated or risk their jobs, but some health care experts warn that the solution advocated by at least one state that health care workers forego the vaccine entirely so that more is available for higher-risk groups could be dangerous to the very people it aims to protect.
  • Hands off or on when it comes to patient care?

    For as long as humans have been taking care of other humans who are sick or hurt, the rendering of solace and physical comfort has been the core from which all other types of aid have grown. But a nurse and ethicist in California says that ignoring the value of giving of solace and comfort amounts to turning away from the prime reason for the practice of medicine.
  • Taking a history on new physician hires

    The new staff physician hired by your hospital has more than just years of experience and clinical fluency under his belt. He also has a conviction for felony drug possession. But if you are in one of 35 states that do not require criminal background checks of physicians, you might not find out.
  • News Briefs

    CDC appoints ethicists to study flu vaccine shortfall; Internet-brokered kidney transplant raises questions; New stiff penalties for violating HIPAA rules.