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A new generation of physicians is reinvigorating the field of cardiac arrest research. I am grateful that two of the experts in this area have written this issue of EM Reports. After reading this, I anticipate you will place these principles into practice.
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A multicenter, randomized, double-blind, placebo-controlled trial of hydrocortisone replacement in patients with septic shock found no mortality benefit in those patients with inadequate baseline response to corticotropin stimulation.
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There is an increased risk of future cancer as a consequence of performing repeated CT scans, and the younger the patient at the time of scanning, the greater the subsequent risk.
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Exposure to small turtles has lead to a multistate outbreak of Salmonella paratyphi B var. Java infections. This MMWR report summarizes the epidemiologic and laboratory investigation conducted by CDC and state and local health departments since the first reported illness on 5/4/07.
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Risk prediction algorithms for non-cardiac surgery and therapeutic trials have focused on the prevention of myocardial ischemic events.
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This study of severe sepsis patients showed that intensive insulin therapy does not improve mortality or organ dysfunction, and resuscitating patients with the colloid hydroxyethyl starch is harmful.
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The risk of adverse outcomes in bacterial meningitis can be estimated upon initial patient presentation using six clinical features.
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Intravascular volume expansion has long been advised as an effective temporizing technique for patients with cardiac tamponade prior to drainage of the fluid, but there is little data supporting this practice.