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Pneumococcal vaccine protects older adults from developing pneumococcal bacteremia but does not prevent community-acquired pneumonia (CAP), according to a new study from Group Health Cooperative in Seattle.
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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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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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Jaber and colleagues report a series of 112 intubations of patients in their multidisciplinary ICU in Montpellier, France, during a 14-month period. Every ventilated patient underwent a cuff-leak test prior to extubation, and the incidence of post-extubation stridor was determined.
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Providing a universal consent form to patients, proxies, and staff increased the frequency with which consent was obtained without compromising understanding of the process.
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Of 100 keyboards in 29 clinical areas tested for bacterial contamination, 95% were positive for microorganisms, including one with vancomycin-resistant Enterococcus.
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