Articles Tagged With:
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Federal Title X Funding Decimated for Many Providers
A shockwave rocked Title X programs on March 30, when the federal government’s latest round of funding left many facilities with huge budget shortfalls. The Biden administration had reversed the gag rule and asked Congress for more Title X funds. Yet, when Title X funding was announced, many programs received the worst cut in their history with the program. -
Is the Canadian Syncope Risk Score Valid?
Researchers found the Canadian Syncope Risk Score accurately predicts which patients are low risk for discharge. However, since it is largely driven by the physician’s final risk classification at ED discharge, the score’s clinical utility is uncertain.
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Anticoagulation Therapy in Octogenarians with Atrial Fibrillation
In patients age 80 years and older with atrial fibrillation who were not considered for oral anticoagulants because of serious comorbidities, one-quarter of the recommended daily dose of edoxaban was superior to placebo for preventing thromboembolic events.
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Outcomes of COVID-19-Associated Acute Myocarditis
In a review of COVID-19-associated acute myocarditis, investigators learned it is a rare complication that can occur without concomitant pneumonia, and frequently presents as cardiogenic shock. With supportive therapy, the short-term mortality rate is low.
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Sodium Restriction in Chronic, Stable Heart Failure Patients
A study of a low-sodium diet for chronic, stable heart failure patients after one year showed no difference in hard clinical outcomes, but the degree of sodium restriction was modest.
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Oral Anticoagulation Falls Short as Default Treatment Post-TAVR
In patients without an indication for anticoagulation undergoing transcatheter aortic valve replacement, treatment with edoxaban did not significantly affect the incidence of leaflet thrombosis as detected by CT scans.
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Bony Knee Injuries in Pediatric Patients
The knee is the most commonly injured joint in pediatric patients, with approximately 2.5 million sports-related knee injuries seen in the emergency department annually. Although the most commonly diagnosed injuries are sprains, strains, and cutaneous wounds, fractures can cause the most profound injuries with the greatest long-term deficits.
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Mayo Clinic Reduces Propofol Waste to Zero
A propofol disposal initiative at Mayo Clinic reduced the number of full propofol bottles in an ICU waste bin to zero, successfully addressing drug diversion at the facility. Initially, 44.1% of propofol bottles in waste bins were full before the intervention. The effort was replicated in other units where propofol use is common — and diversion is tempting. -
Drug Diversion: A Risk to Patients, Health Workers, and the Institution
Drug diversion is an ongoing problem for healthcare organizations. In identifying diverters, leaders are protecting patients and mitigating their institution’s substantial liability risk. -
Nurse Conviction for Medical Error Roils Patient Safety, Nursing Groups
Patients became less safe on March 25, when former registered nurse RaDonda Vaught was convicted of negligent homicide and sentenced to prison for giving a patient a fatal dose of the wrong medication, medical and nursing groups emphasized.