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Critical Care

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  • Computerized Medical Databases in the ICU

    Measuring the quality of a complex service like critical care that combines the highest technology with the most intimate caring is a challenge. Recently, consumers, clinicians, and payers have requested more formal assessments and comparisons of the quality and costs of medical care.
  • Benefits of Ethics Consultation When Life-Sustaining Treatments are Unlikely to be Beneficial 

    In this randomized control trial, Schneiderman and Associates evaluated the effect of an intervention, namely, an ethics consultation, on several variables associated with the care of patients eventually dying in the ICU.
  • Approaching the Child with a Vasculitis: Piecing Together an Accurate Diagnosis

    Although vasculitic diseases generally are uncommon in the pediatric population, early recognition of processes that do occur is important to prevent sequelae. The authors provide a comprehensive review of the most common vasculitic diseases in children, with an emphasis on diagnostic clinical features, key laboratory studies, and appropriate therapy.
  • Full December 2003 Issue in PDF

  • Full December 1, 2003, Issue in PDF

  • Sourcebook Guides You Through Final EMTALA Rule

    EMTALA: The Essential Guide to Compliance from Thomson American Health Consultants, publisher of Emergency Medicine Reports, explains how the changes to EMTALA will affect emergency departments and off-campus clinics. In-depth articles, at-a-glance tables, and Q-and-As on real-life situations are presented, and key differences between the "old" EMTALA and the new changes are succinctly explained,
  • SARS Audio Program Updates Guidelines

    What would happen today if a patient with suspect or probable SARS were admitted to your hospital? To help you prepare for the threat, Thomson American Health Consultants offers the upcoming audio conference: The Resurgence of SARS: Why your hospital may not be as prepared as you think, on Dec. 9, from 2:30-3:30 EST. Let our experts help you answer that and many other critical questions with practical tips and solutions to detect first cases and protect other patients and health care workers.
  • Full December 15, 2003, Issue in PDF

  • Shock: Beyond the "Golden Hour"

    To improve patient survival, the emergency physician (EP) must be knowledgeable about current concepts and controversies in the management of patients in shock. No longer can one simply rely on the presence of traditional clinical markers of shock to make the diagnosis. New and innovative monitoring techniques, as well as continually evolving treatment algorithms, are at the forefront of shock research. This article will educate and update the EP on current and future trends in the management of patients in shock. Equipped with this information, the EP more effectively can identify patients in shock, administer the latest evidence-based treatment, and ultimately improve patient outcome.
  • Trauma Reports Supplement - Delayed or Missed Diagnoses: Avoiding these Pitfalls in the Trauma Patient

    Emergency department physicians must be vigilant to accurately assess, rapidly stabilize, and appropriately transport a severely injured patient to the level of trauma care the patient requires. Instead of viewing missed injuries as occurrences that result from inexperience or incompetence, strategies to minimize the occurrence of missed injuries and the resulting consequences are needed. All aspects of a trauma system must work together to improve patient care.