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An outbreak of dengue fever in northeastern Kenya has recently sickened at least 5,000 people.
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Most patients with ST-elevation myocardial infarction (STEMI) present to hospitals that are not capable of percutaneous coronary intervention (PCI).
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Venous thromboembolism (VTE) prophylaxis interventions in gynecologic surgery are meritorious, supported by Level 1 evidence and the subject of multiple guidelines, including those published by the American College of Obstetricians and Gynecologists. However, new evidence suggests nearly one-third of women undergoing hysterectomy in this country still receive no VTE prophylaxis, placing thousands of women at unnecessary risk for preventable morbidity.
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In a nationally representative sample of U.S. hospitals, reported routine use of daily interruption of sedation for mechanically ventilated patients was associated with the presence of a leadership emphasis on safety culture, receptivity of the staff to practice change, and participation in a collaborative to prevent health care-associated infections. There was no association with the number of hospital beds or with the presence of a medical school affiliation.
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Based on the findings of this meta-analysis of seven randomized controlled trials, early (7 days after intubation) or late (any time after 7 days) tracheostomy placement did not alter clinical outcomes in study patients, including no differences in mortality, incidence of ventilator-associated pneumonia, duration of mechanical ventilation, ICU stay, hospital stay, or sedation.
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According to the 2010 U.S. Bureau of Labor Statistics (BLS), approximately 3.1 million nonfatal workplace injuries and illnesses were reported in private industry in 2010, an incidence of 3.5 cases per 100 full-time workers. Skin diseases are the most common occupational illnesses, reported at 3.9 per 10,000 full-time workers, ahead of respiratory illnesses, hearing loss, and poisoning.
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This study was a survey of all the physicians and nurses working in 82 adult ICUs on a particular day in 2010. It was conducted by a study group of the Ethics Section of the European Society of Intensive Care Medicine, and the ICUs involved were in nine European countries plus Israel.
