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What is likely to be a more powerful morale booster than a pat on the back from your manager? A sincere compliment from a colleague.
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Imagine a middle-aged woman who seems a bit nervous and whose hands are shaking slightly. Would you suspect alcohol withdrawal syndrome in this patient? If not detected quickly, the patients symptoms could quickly become life-threatening.
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In this substudy of the ENTIRE-TIMI 23 trial (enoxaparin tenecteplase-tPA with or without glycoprotein IIb/IIIa inhibitor as reperfusion strategy in ST-segment elevation MI), 483 patients with STEMI were randomized to receive various treatment arms of fibrinolysis, glycoprotein inhibitor, and heparins, followed by immediate
angiography to assess reperfusion.
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Federal agencies and professional societies currently recommend that patients with community-acquired pneumonia (CAP) receive their initial dose of antibiotics within 8 hours of hospital arrival. The Centers for Medicare and Medicaid Services conducted this study to explore further associations between timing of initial antibiotic doses and clinical outcomes.
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All emergency physicians should be quite familiar with the use of succinylcholine for neuromuscular blockade to facilitate endotracheal intubation.
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Accurately measured in the supine patient, normal cerebrospinal fluid (CSF) opening pressure is typically between 150-200 mmH20.
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The ECG in the Figure was obtained from a 41-year-old woman with chest pain of suspected cardiac etiology. The tracing shows complete right bundle-branch block. How many additional ECG findings of potential concern can you identify that may be relevant in view of this patients clinical history?
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Folate Therapy and In-Stent Restenosis and Coronary Stenting; Quinapril Reduces Markers of Oxidative Stress in the Metabolic Syndrome; Donepezil in Patients with Alzheimers; Effect of the Dietary Approaches to Stop Hypertension Diet and Reduced Sodium Intake on Blood Pressure Control; Methylprednisolone, Valacyclovir, or the Combination for Vestibular Neuritis; Improved Plasma Glucose Control, Whole-Body Glucose Utilizations, and Lipid Profile on a Low-Glycemic Index Diet in Type 2 Diabetic Men.
