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The Surviving Sepsis Campaign recently published a revised International Guidelines for the Management of Severe Sepsis and Septic Shock, updating its 2008 guidelines.
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This study shows that adverse effects of endotracheal suctioning, particularly oxygen desaturation and hemorrhagic secretions, are frequent in mechanically ventilated patients, and can be reduced by the implementation of practice guidelines.
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The study was conducted in 26 ICUs that had at least 5 years experience with prone positioning (PP).
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Evidence-based updates in primary care medicine By Louis Kuritzky, MD
Supplement to Clinical Cardiology Alert, Clinical Oncology Alert, Critical Care Alert, Hospital Medicine Alert, Infectious Disease Alert, Neurology Alert, OB/GYN Clinical Alert, Primary Care Reports.
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There was no significant difference in 30-day mortality between the early vs late tracheotomy group.
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Pediatric burns, with all of their challenging aspects, are a common injury faced by emergency medicine physicians. Burn injuries are painful for the patient, distressing to the parent, and often raise some difficult questions for the physician in regard to recognition and assessment of non-accidental trauma and the clinical dilemma of disposition. The authors review the current standard for recognition, evaluation, and management of pediatric burn injuries.
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Traumatic injury remains one of the most important and persistent causes for morbidity and mortality in the United States. The establishment of a trauma team that is available to evaluate and manage trauma quickly and efficiently during the very critical first minutes after the injured patient arrives at the hospital has significantly improved survival and dramatically reduced sequelae from these injuries. An important component of this expedited evaluation has been the recognition of the utility of ultrasound to augment the imaging and triage of the injured patient. In this well-researched monograph, the authors describe this rapidly growing modality and its many applications. All members of the trauma team should be familiar with the indications and limitations of this important trauma tool.
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In this issue: Zolpidem and risk of falls; AVR and anticoagulation; statins in cancer patients; and FDA actions.
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In this study, the authors sought to elicit perceptions of the impact of a rapid response team (RRT) by interviewing care providers.