Children with H1N1 influenza are more likely to have neurologic complications compared to those with non-N1H1 seasonal influenza.
In this study from 120 hospitals in the Project IMPACT database, the presence of hyperoxia (arterial PO2 300 mm Hg or higher) in the first 24 hours after resuscitation from cardiac arrest was associated with a worse in-hospital mortality than either normoxia or hypoxia.
Indications for surgical or interventional management in acute type B aortic dissection (ABAD) include malperfusion syndromes, progression of dissection, and aneurysm expansion.
There is no medical therapy for aortic stenosis (AS), and balloon aortic valvuloplasty (BAV) has sub-optimal long-term results.
Cardiogenic unilateral pulmonary edema is unusual and, if it is the presenting manifestation of heart failure, diagnosis and appropriate treatment may be delayed.
You have just taken sign-out when a nurse comes up to you and says that there is a 64-year-old man in the critical bay who took an overdose of his medications. The patient has a history of hypertension, atrial fibrillation, and depression. The patient is lethargic but arousable, and reports he took about 40 tablets of immediate-release metoprolol three hours ago in an attempt to "end it all." The nurses are starting IV lines, checking vitals, and putting the patient on the monitor. You wonder, "Is it too late for gastric decontamination? If he is symptomatic, which therapy will I try first, and what are my options?"
