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Thus, most hospitals in my county have limited on-site or in-house behavioral or psychiatric resources; most patients are assessed in the emergency department (ED) and then transferred to mental health crisis centers or, if available, inpatient psychiatric units. The most common question by the accepting provider is, "Is this patient medically cleared?"
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Apixaban could soon join the anticoagulation market; Chinese herbs for flu; chronic medication and discontinuation after hospitalization; and FDA actions.
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This report is from the ARISTOTLE trial, which was just reported at the recent European Society of Cardiology meeting in Paris. Apixaban is a new direct oral factor Xa inhibitor with a favorable pharmacokinetic profile.
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Emergency physicians are often required to adeptly manage patients with unique and challenging clinical problems. This is a two-part paper to provide the emergency physician with a clear, concise review of troubleshooting tubes and lines. Part I will deal with central venous catheters and tracheostomies. A later edition will deal with feeding and nephrostomy tubes.
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Atrial fibrillation (AF) is an irregular, disorganized, electrical activity of the atria.1 It is characterized by uncoordinated atrial activity that leads to inefficient atrial contraction and impaired ventricular filling, which leads to hemodynamic and mechanical functional impairments.
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It has been customary to ask patients on warfarin, once controlled and stable, to return on a monthly basis for recheck.