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Evaluation and Treatment of Adrenal Insufficiency in the Emergency Department
This article addresses the pathophysiology, discusses various clinical presentations, and reviews current evidence-based practices for managing adrenal insufficiency and crisis in the emergency department.
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Policies Can Set Boundaries, Ensure Ethical Discharges
Often, clinicians perceive the discharge plan is focused on the question of “What are we obliged to do?” instead of “What should we do?”
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How Effective Is Ethics? Ask Clinicians, Examine Processes
Researchers found some unexpected variations between the requests for ethics consults and the retrospective reports from the clinicians who made the request.
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Much Common Ground Between Ethics and Hospital Leadership
Increasingly, hospital leaders are recognizing that ethics expertise “can help in the boardroom as well as at the bedside,” experts say.
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Patients With LVADs More Likely to Die in Hospitals
LVADs are becoming increasingly common, and researchers say they expect to see more patients with LVADs dying at home.
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Are Stethoscopes a Vector for Transmission to Patients?
An iconic symbol of medicine, the stethoscope can serve as a fomite to transmit pathogens from patient to patient if infection control procedures are not followed, researchers report. -
Improving Infection Prevention by Reforming IT, Electronic Health Records
The challenge to improve the functionality and ease of appropriate use of electronic health records (EHRs) and health information technology (IT) was recently outlined in a draft document by the Department of Health and Human Services. In submitted comments on the draft, the Association for Professionals in Infection Control and Epidemiology outlined some of the challenges IPs face in dealing with EHRs and IT. -
Study Finds Only 12.8% of Outpatient Antibiotics Appropriate
While hospitals are trying to rein in antibiotic use, outpatient settings are on the frontier of sorts in the effort to stop the rise of multidrug-resistant bacteria and their possible consequence: untreatable infections. -
Study: Many POLST Forms Completed by Surrogates
Surrogate preferences on Physician Orders for Life-Sustaining Treatment forms were 60% less likely to choose “all treatment” than patients who made their own decisions, found a new study.
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NIH Super Sleuths Track Down a Rare Human Pathogen
An outbreak of a rare human pathogen — which was traced to the stagnant water in a newly constructed building a decade earlier — was solved by investigators at the National Institutes of Health Clinical Center using a deep bank of isolates and cutting-edge molecular epidemiology.