Articles Tagged With:
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Annual Survey Reveals Mixed Findings on U.S. Mental Health, Substance Use
Illicit drug use among young Americans declined slightly, but too many people are not seeking proper treatment for various disorders.
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The Capacity Conundrum in Emergency Medicine
A patient’s capacity to give informed consent or to leave the emergency department against medical advice is a topic of great relevance to emergency clinicians. This article discusses the difference between competence and capacity and highlights the four essential elements involved in the assessment of a patient’s capacity.
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Health Advocates, States Push Back Against ‘Public Charge’ Final Rule
Several lawsuits have been filed challenging a move the Trump administration says will protect American taxpayers.
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Regulators Open Door to Transcatheter Aortic Valve Replacement to More Low-Risk Patients
In a landmark move, the FDA has expanded the indications for several transcatheter heart valves.
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Plant-Based Diet Linked to Better Heart Health
New research suggests minimizing animal-based foods in favor of vegetables and fruit could lower risks for heart attacks and strokes.
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Appropriate Cardiac Testing in an Inappropriate World
This two-part series will look at the rationale and causes of inappropriate testing and how to select the best, most appropriate cardiac test for each patient. The first part will focus on the theory of ordering tests and strategies to minimize unnecessary testing while the second part will focus on when and how to select each individual test given the patient's clinical scenario.
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Decision-Making Capacity in the ICU
A multicenter, one-day prevalence, prospective, observational, double-blind study in 19 ICUs revealed that the decisionmaking capacity of ICU patients was widely overestimated by all clinicians as compared with a capacity score measured by the Mini-Mental Status Examination and the Aid to Capacity Evaluation.
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Acute Kidney Injury With Combination Antibiotics in the Critically Ill
In this retrospective study, a short course (24 to < 72 hours) of combination antibiotic therapy with piperacillin-tazobactam and vancomycin was not associated with an increased risk of acute kidney injury among critically ill patients when compared with other β-lactam and vancomycin combinations.
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NOACs vs. Warfarin: What Are the Data in Patients With Traumatic Brain Injury and Intracranial Hemorrhage?
A three-year analysis of a prospectively maintained database with traumatic brain injury patients revealed that novel oral anticoagulant use is associated with increased risk of intracranial hemorrhage progression, neurosurgical intervention, and mortality.
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Early Neuromuscular Blockade in Moderate-to-Severe Acute Respiratory Distress Syndrome
When the early use of a continuous infusion of cisatracurium was compared to contemporary supportive care for moderate-to-severe ARDS, including a light sedation target, high positive-end expiratory pressure, and conservative fluid strategy, there was no difference in 90-day mortality. Patients in the early neuromuscular blockade group more frequently experienced a severe cardiovascular event and ICU-acquired weakness by day 28.