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Most of us dread the chief complaint of weakness. This nonspecific symptom engenders a differential that ranges from malingering to fatal, from psychiatric to cancer. The finding of demonstrable muscle weakness helps, but then leads to a confusing set of relatively rare diagnoses.
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A new generation of physicians is reinvigorating the field of cardiac arrest research. I am grateful that two of the experts in this area have written this issue of EM Reports. After reading this, I anticipate you will place these principles into practice.
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A multicenter, randomized, double-blind, placebo-controlled trial of hydrocortisone replacement in patients with septic shock found no mortality benefit in those patients with inadequate baseline response to corticotropin stimulation.
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There is an increased risk of future cancer as a consequence of performing repeated CT scans, and the younger the patient at the time of scanning, the greater the subsequent risk.
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Exposure to small turtles has lead to a multistate outbreak of Salmonella paratyphi B var. Java infections. This MMWR report summarizes the epidemiologic and laboratory investigation conducted by CDC and state and local health departments since the first reported illness on 5/4/07.
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Risk prediction algorithms for non-cardiac surgery and therapeutic trials have focused on the prevention of myocardial ischemic events.
