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The successful repair of congenital heart diseases has led to an increase in the incidence of pediatric dysrhythmias. The presentation of dysrhythmias can be a diagnostic challenge to clinicians, and is especially difficult since most children present with vague and nonspecific symptoms such as "fussiness" or "difficulty feeding."
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Surrogate decision makers rated communication as good but could not answer questions about resuscitation status or the care their family member was receiving.
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As of early 2008, a minority (about 17%) of physicians have a basic or extensive electronic health record (EHR) system. Those who use electronic health records believe they improve the quality of care, and tend to be primary physicians, those practicing in large groups, hospitals, or medical centers, and those located in the western region of the United States.
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The atrial fibrillation and congestive heart Failure (AF-CHF) trial was designed to test the hypothesis that a treatment strategy that involved rhythm control would be superior to rate control in patients with heart failure and left ventricular systolic dysfunction.
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The findings of this retrospective study of 825 patients hospitalized with COPD exacerbations indicate that the use of beta blockers in such patients is not harmful and may actually be associated with reduced mortality.
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In this study, 750 severely ill patients requiring initial hemodialysis were randomized to receive either jugular or femoral vein catheterization. Jugular catheterization significantly increased the incidence of catheter colonization in patients with body mass index (BMI) < 24.2, whereas jugular catheterization decreased the incidence in patients with BMI > 28.4. Across all BMI strata, there was no significant difference in catheter-related blood stream infections in patients who underwent femoral vs jugular catheterization.
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Many odors are noxious, but few are as repellent as the foul smell of massive hematochezia. Everybody in the emergency department knows something is wrong. Once you get past the smell, you realize you often have a very ill patient with a complex medical history and underlying comorbidities. Disposition decision is often easy ("ADMIT"), but to whom and where?
