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  • Patients’ spirituality: Should it play a role in their care?

    A nurse checks in on a 72-year-old patient recovering from pneumonia and, after checking her vital signs, asks if theres anything the patient needs. Instead of asking for water or a snack, the patient replies, Will you pray with me? What is the appropriate answer?
  • Full October 2004 issue in PDF

  • Clinical Briefs in Primary Care

    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.
  • Full October 2004 Issue in PDF

  • ECG Review: RBBB — and Something Else?

    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?
  • Special Feature: Interpreting CSF Results

    Accurately measured in the supine patient, normal cerebrospinal fluid (CSF) opening pressure is typically between 150-200 mmH20.
  • Is Low-Dose Succinylcholine a Good Option in RSI?

    All emergency physicians should be quite familiar with the use of succinylcholine for neuromuscular blockade to facilitate endotracheal intubation.
  • Antibiotic Timing for CAP: The 4-hour Rule is Coming

    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.
  • Does the BNP Level Have Prognostic Value in Acute MI?

    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.
  • Fast treatment of alcohol withdrawal can save lives

    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.