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A 3-part intervention (guideline development, computerized order templates, and education) led to an overall 17% reduction in test ordering without a change in clinical outcomes.
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Sleep was more fragmented during ventilation with PSV than A/C in a small group of critically ill patients studied with polysomnography.
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The recognition of non-accidental injury is critical for a pediatric
trauma patient. In the year 2000, almost 3 million reports of child
abuse were made to social service agencies. Forty-four percent of the
fatalities were children younger than 1 year of age. Not only are these
statistics alarming, but they point out the need for emergency
department and trauma physicians and nurses to recognize non-accidental
injury and aggressively protect the children who seek our medical
expertise and protection.
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Although spinal injuries occur infrequently, a delay in the detection of thoracolumbar trauma may have devastating consequences for a child. It is critical that the emergency physican be familiar with injury patterns that may result in this type of injury.
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When does critical care become just another emergency department (ED) visit? When you fail to document it properly. You may do all the right things and have a patient in crisis, but if the paperwork isnt done properly, you dont get paid for your efforts.
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Two severely ill patients in the emergency department of your hospital need admission to the ICU, but only one bed is available. Who gets admitted first? Another critical care patient is severely ill, with several coexisting conditions.
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Inhaled drugs are commonly used during mechanical ventilation. The physiologic effects of bronchodilators delivered by nebulizer or pressurized metered dose inhaler (pMDI) are virtually equivalent.