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As hospitals struggle to comply with aspects of the Emergency Medical Treatment and Labor Act (EMTALA), one thorny issue is whether patients can be transferred from an ICU of one hospital to the emergency department of another hospital, based on an accepting physicians request.
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Despite measures taken following the resurgence of TB cases in the late 1980s and early 1990s, many health care workers still poorly understand respiratory isolation procedures, says Kevin P. Fennelly, MD, MPH, researcher at the Center for Emerging Pathogens of the New Jersey Medical School in Newark.
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Recent reports from Paris that scores of patients developed aplastic anemia after receiving eprex, the oxygen therapeutic drug known generically as erythropoietin (EPO), have some stateside researchers puzzled.
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Reversible myocardial dysfunction may be much more common in critical illness than has been generally appreciated.
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Synopsis: In this small study, differences in the respiratory rate to tidal volume ratio (RTVR) after 1 hour of spontaneous breathing with ATC were a good predictor of whether patients would remain extubated or require reintubation. But was it really better than other tests?
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The FDA has mandated a Black Box warning for all estrogen and estrogen/progestin products for use by postmenopausal women. The new warnings are based on analysis of data from the Womens Health Initiative (WHI) study that was published July 2002.
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Synopsis: Physicians rated the quality of ICU care higher than nurses, and these health care providers opionions did not correlate with those of patients. Patients perceived satisfaction with their care waas rated higher by physicians than by either nurses or patients.
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In the United States, physicians trained in internal medicine provide a substantial portion of the care of critically ill patients.
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Synopsis: There was no overall benefit to a rhythm control strategy. Therefore, rate control should be considered a primary therapeutic option, and rhythm control, if elected, may be abandoned early if not fully satisfactory.