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This cost-effectiveness analysis based on available published data suggests that the routine use of maximum sterile barriers for central venous line insertion would reduce the incidence of line-related infections and save both money and lives.
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This prospective, randomized trial evaluated the role of early percutaneous tracheostomy in critically ill adults projected to require more than 14 days of mechanical ventilation. They found significant reductions in ICU length of stay, the incidence of ventilator-associated pneumonia, and mortality.
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This issue is the second installment of a two-part series on evaluation and management of sexual assault in the emergency department. Part I of the series covered initial ED care, physical exam, and evidence collection. This issue will cover laboratory analysis, pharmacotherapy, disposition, follow-up, documentation, and court testimony.
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The fifth vital sign, pulse oximetry, routinely is used in every emergency department throughout the country to determine the baseline oxygenation of a patient in respiratory distress, to assess a patients response to therapeutic decisions, and to monitor a child during a conscious sedation or resuscitation. It is important to understand how the device functions and the limitations of this routinely used technology.
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There have been multiple advances in evaluation and management of kidney stones in recent years. This article will provide the emergency physician with an understanding essential for timely diagnosis, management, and disposition of kidney stones in the ED.
