In this before-after study in a surgical ICU, addition to the daily physician worksheet of a red box requiring the checking of "yes" or "no" to continued need for central venous and urinary catheters was associated with a significant reduction in the duration of catheterization.
Early antibiotic administration was associated with reduced likelihood of death, mechanical ventilation, and readmission (but increased risk of Clostridium difficile infection) among patients hospitalized for acute exacerbations of COPD.
An analysis of more than 1 million persons in Alberta, Canada, showed that laboratory reporting of estimated glomerular filtration rate (GFR) beginning in 2004 resulted in more referrals to nephrologists, but no apparent improvement in outcomes.
Patients with dementia and their physicians face the difficult decision to cease driving with little solid evidence to guide them.
In the absence of contraindications, metformin is the preferred initial treatment for most patients with type 2 diabetes (DM2). Unfortunately, monotherapy is unlikely to maintain adequate glycemic control, requiring additional treatment.
Women who used proton pump inhibitors had a modestly increased risk of spine, forearm or wrist, and total fractures, but not hip fractures.
The ECG shown above was obtained from a 47-year-old woman with atypical chest pain. Is there more going on in this tracing than just the conduction defect?