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Whether urban, suburban, or rural in location, every emergency department manages the victims of gunshot wounds, some more frequently than others. It is essential to follow the principles of the management of penetrating trauma and not get distracted by impressive wounds.
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Penetrating and blunt cardiac trauma are serious causes of morbidity and mortality. Presentation for blunt cardiac trauma may be subtle and nonspecific, challenging the clinician to make a timely diagnosis.
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Hemodynamic monitoring is an essential part of caring for critically ill patients. Critical care providers are regularly faced with the challenge of determining whether a patient is adequately volume resuscitated, and hemodynamic assessments are often the first step in making a proper diagnosis so that other life-saving therapies can be promptly implemented.
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In this issue: New indication for rivaroxaban; new study on warfarin testing; medications causing adverse drug events; niacin as an add-on therapy; and FDA actions.
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Prasad and associates conducted a retrospective cohort study of associations between internal medicine trainee exposure to mechanical ventilation protocols and their performance on questions related to this topic on the critical care board-certifying examination.
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Lyon and colleagues performed a retrospective cohort study of the relationship between insurance status and 30-day mortality, as well as the use of five common ICU procedures, among 138,720 adult patients admitted to ICUs in Pennsylvania in fiscal years 2005 and 2006.
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To examine the association between being placed in contact isolation and delirium, Day and colleagues at the University of Maryland Medical Center reviewed administrative data on all patients admitted during a 2-year period ending in 2009.
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Lemyze and colleagues studied a simple bedside procedure for detecting expiratory airflow obstruction in intubated, mechanically ventilated patients.
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This study was a survey of all the physicians and nurses working in 82 adult ICUs on a particular day in 2010. It was conducted by a study group of the Ethics Section of the European Society of Intensive Care Medicine, and the ICUs involved were in nine European countries plus Israel.