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  • Calling ED Boarding a Public Health Crisis, ACEP Pushes Policymakers to Act

    Too many EDs are bursting at the seams with patients who have been admitted but languish in the emergency setting for hours, days, or even weeks before they are moved to an inpatient bed. That is the message the American College of Emergency of Physicians is urgently sending to policymakers, saying the situation with ED boarding has become a public health crisis.

  • Treatable Causes of Rapidly Progressive Dementias

    Many cases of rapidly progressive dementia are caused by prion diseases and have no effective treatments. But, with the greater awareness of the presentation for autoimmune encephalitis, these disorders make up an increasing percentage of presenting cases and can be aggressively and successfully treated. The STAM3P score helps to identify potentially treatable cases of this disorder.

  • Pediatric Burn Care: Strategies for Identification and Treatment

    Pediatric burn injuries, especially minor, are an essential part of caring for children. Classification of the depth of injury, recognition of nonaccidental trauma, and appropriate care are all critical aspects of management. The authors comprehensively review pediatric burn care.

  • Apixaban Dose in Atrial Fibrillation Patients with Chronic Kidney Disease

    A large nationwide health systems database study comparing 5 mg apixaban vs. 2.5 mg twice daily in patients with stage 4/5 chronic kidney disease not on dialysis shows that the 5 mg dose increases the risk of bleeding compared to 2.5 mg without any improvement in the risk of stroke, systemic emboli, or death.

  • Has the Pandemic Increased the Likelihood of Bioterror?

    Has the global disruption and widespread death caused by SARS-CoV-2 made biological pathogens a more compelling and/or attainable goal by bioterrorists? There are differing views on this question, although all can agree that this is the last thing healthcare workers need to deal with.

  • Slow-Wave Sleep and Risk of Dementia

    In this long-term observational study of sleep efficiency in the Framingham Heart Study population, researchers found a strong correlation between a decline in duration of slow-wave sleep during aging and the risk of incident dementia from all causes. However, a direct cause-and-effect relationship cannot be determined from this observational study.

  • Peak SARS-CoV-2 Viral Loads Delayed

    In an effort to characterize the hypothetical utility of rapid COVID-19 antigen kits, the authors of this study examined cycle threshold values in symptomatic adults infected with SARS-CoV-2 relative to the onset of symptoms.

  • Sleep Woes Are a Work Problem, but HCWs Must Be Proactive

    Sleep disturbance is an all-too-common problem for healthcare workers, particularly if caused by alternating work shifts from day to night. While the workplace system is the primary driver of insomnia, there are steps healthcare workers can take to reduce the effects, which can be considerable. But has the pendulum swung too far?

  • Who Benefits Most from Tirzepatide Among Patients with Type 2 Diabetes?

    Females, patients of white or Asian race, younger patients, and those taking metformin benefit the most from treatment with tirzepatide.

  • New Normal in Occupational Health: Telework, Equity, Humility

    What is the post-pandemic “new normal” in occupational health? Changes that seem here to stay for employee health professionals and their colleagues include telework and telehealth.