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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.
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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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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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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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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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Balk JL. Calcium and magnesium for prementrual syndrome. Altern Ther Women's Health 2004;6(5):33-36.
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If your hospital is not classified as a long-term care hospital (LTCH), you may not be paying attention to the questions being asked by the Centers for Medicare & Medicaid Services (CMS) and some politicians about the need for this level of care. But rehab advocates say you should, because the debate over long-term care ties in with the 75% rule.
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The verdict is in on lift teams at Tampa (FL) General Hospital: They save money and backs. They win kudos from nurses. Theyre here to stay.
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Myth: Patients wont like being transferred with lift equipment. They prefer the hands-on touch of nursing staff.
