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Mortality among patients with advanced cirrhosis who required intubation and mechanical ventilation was related more to the derangement of liver function than to the severity of critical illness as assessed by APACHE II or SAPS.
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GEMINI Trial; CAMELOT Trial; INVEST Trial; The Dangers of Vitamin E; FDA Actions.
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The primary objective of this study was to determine whether patients receiving mechanical ventilation who tolerate kinetic therapy have better pulmonary function than patients treated with standard turning. A secondary objective was to assess the cost-effectiveness of kinetic therapy.
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Adverse events and hospital deaths are common, and when these are combined, a large proportion of deaths are deemed preventable. Are there organizational approaches we can adopt in the ICU that will create a safer place?
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Influenza takes an enormous toll on humanity with respect to mortality, hospitalization, and medically attended illness. Despite the licensure of antiviral medications, immunization is the best control measure of influenza. Because patients eligible for influenza vaccine frequent EDs, health care providers working in this arena should offer the vaccine or appropriately recommend and refer patients following current guidelines to sites where the vaccine is obtainable.
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Its a frightening combination: A severe vaccine shortage, more than 80 million Americans at high risk for flu complications, and a nationwide ED overcrowding crisis. These three factors mean that emergency nurses could be faced with the prospect of the perfect storm a surge of critically ill flu patients and no resources to care for them, warns Arthur Kellermann, MD, chairman of the department of emergency medicine at Emory University School of Medicine in Atlanta.
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When caring for patients with respiratory symptoms, do you always require them to put on surgical masks and perform hand hygiene? It is vital to require patients to practice respiratory etiquette and for staff to use droplet precautions, urges Maryann Gierloff, RN, MSN, CIC, infection control facilitator at Northwest Community Hospital in Arlington Heights, IL.
