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Identifying and managing agitated pediatric patients in the emergency department (ED) can be stressful and challenging for patients, families, and providers.
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AIDS- and HIV-related infections have changed significantly over the last decade. Although the overall incidence has declined, young adults have shown an increase in AIDS, with 50% of all new HIV infections in this age group. Many of these new HIV infections are in patients who are late presenters. These patients have received less care and are more likely to have unknowingly transmitted the infection. Routine screening identifies patients earlier, decreases the stigma associated with HIV testing, and increases the likelihood of future testing during risky behavior periods. The authors review the current role of the ED provider in identifying and managing patients with potential HIV.
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Bacteria were present on the cell phones of all hospital clinicians studied, with potentially pathogenic microorganisms isolated from 29% of them. Contamination with pathogens was found more commonly with smart phones than with non-smart phones, and by multivariable analysis no other factor was associated with this difference.
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This study reports a correlation between the degree of abnormalities on high-resolution chest CT and both restrictive pulmonary dysfunction and poorer health-related quality of life among survivors of acute lung injury.
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Chronically critically ill patients who receive care in either acute care ICUs or in long-term acute care hospitals have similar 1-year survival rates. However, long-term acute care hospitals incur a higher overall cost, due to higher Medicare reimbursement rates to these facilities.
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A recruitment maneuver (RM) is the technique of briefly increasing alveolar pressure to levels in excess of what normally is recommended to reopen collapsed peripheral airways and alveoli so that both resting lung volume, or functional residual capacity (FRC), and oxygenation are restored.1
