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This concise review makes a compelling case for a change in the healthcare workers behavior. Helpful hints including increasing the use of alcohol-based formulations to reduce the time constrains are provided throughout the article.
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In late-onset VAP, survival improved and costs decreased using initial coverage with 3 antibiotics. Mini-BAL did not improve survival, but decreased costs and antibiotic usage.
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Rhabdomyolysis is defined as injury to skeletal muscle resulting in breakdown of muscle tissue with subsequent leakage of intracellular contents, including myoglobin, potassium and other electrolytes, creatine phosphokinase, and other muscle enzymes.
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In this well-designed, double-blind, controlled study, investigators in Australia randomized 229 patients with severe traumatic brain injury and hypotension to receive either HTS or isotonic saline fluid administered in the pre-hospital setting.
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The electrocardiogram in the Figure was obtained from a 68-year-old man admitted to the intensive care unit for a drug overdose. In view of his ECG, what vital sign needs to be checked? How many ECG findings consistent with this patients clinical condition can you identify?
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The authors have tackled a common problem in the emergency department: finding the most effective phenytoin-loading technique.
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Most emergency medicine textbooks agree that human bite wounds, as well as dog and cat bite wounds, require antibiotic prophylaxis in addition to usual wound care practices. This study from the University of Maryland challenges this belief, and attempts to define a group of human bites at low risk of infection that do not require any antibiotic prophylaxis.
