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Burns may range from a minor injury from a brief contact with hot water to a life-threatening, devastating injury. Burns may be obvious or subtle depending on the mechanism and type of force producing the injury. The early recognition and aggressive management of even the smallest burn makes a significant impact on the outcome of each individual patient, especially in terms of function.
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The ACC/AHA guidelines recommend perioperative beta blockers for those already on them, patients undergoing vascular surgery, or those having intermediate- to high-risk surgery with established coronary heart disease, or at high risk of having it. However, recent studies have shown no beneficial effect of perioperative beta blockers and potential for harm.
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Optimal management of transmural myocardial infarction (MI) depends on rapid reperfusion of the occluded infarct artery. Therefore, accurate early diagnosis is the cornerstone of initial patient assessment in the emergency department.
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In this large epidemiology study using a previous survey and 2004 Medicare data focusing on serious infections in the ICU, hospitals with dedicated ICU clinical pharmacists had lower ICU mortality rates, shorter ICU stays, and reduced charges.
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This open-label, multicenter trial showed that treatment of MRSA ventilator-associated pneumonia with linezolid was associated with non-statistically significant improvements in microbiologic cure, clinical cure, survival, duration of mechanical ventilation, and ICU length of stay when compared to therapy with vancomycin.
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With the largest cohort and longest follow-up yet reported, this prospective single-center study found that implementing a rapid response team reduced codes outside the ICU but had no effect on either hospital-wide code rates or overall patient mortality.
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