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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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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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GEMINI Trial; CAMELOT Trial; INVEST Trial; The Dangers of Vitamin E; FDA Actions.
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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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While assessing a patient, your gut feeling may be that he or she has an alcohol problem. But do you lack the resources to appropriately screen these patients and intervene as needed?
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After suddenly becoming short of breath, a 28-year-old woman in Tuscon, AZ, called 911 and was taken to Carondelet St. Marys Hospitals ED in severe respiratory distress with blood pressure of 250/140. After B-type natriuretic peptide (BNP) testing was done, it was determined the patient was in congestive heart failure (CHF) and nesiritide was given.
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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.
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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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