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Among 56,250 British ICU patients, hospital mortality rates were higher among those admitted on the weekend or at night, but the differences disappeared when confounding by illness severity and other aspects of case mix were eliminated.
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Several factors are considered to be associated with the development of nosocomial infections in the ICU. Among them, indwelling devices that directly contact the blood and mucosal membrane such as the central venous catheter, urinary tract catheter and endotracheal tube are considered to be the most responsible risk factors in the development of nosocomial infections.
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Breast Cancer and the Use of Statins; Warnings Issued for IBS Drugs; FDA Actions
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"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.
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Some 20 trials dedicated to the pursuit of more rapid and more complete reperfusion have been published in the last few years, and sorting through the literature can be dizzying. The following article will highlight the major recent developments in AMI reperfusion therapy. It will accent which of the many therapeutic options currently are considered acceptable, and present treatment guidelines for the emergency physician faced with the patient who presents to the emergency department with acute ST elevation MI.
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The emergency physician plays a key role in the management of HIV. Emergency physicians encounter all phases of the illness, from counseling patients on safe sex practices to treating the medical complications of chronic immunosuppression. Despite all of the recent advances, HIV infection and AIDS remain challenging and continually evolving diseases. In this issue of Emergency Medicine Specialty Reports, the authors provide a comprehensive update on the diagnosis and clinical management of HIV infection and its complications.
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Although pediatric cardiac diseases infrequently are seen in the emergency department (ED), early diagnosis and aggressive management is critical. Most importantly, the clinician must include these diseases in their differential and have a thorough understanding of typical and atypical presentations for congenital heart disease, dysrhythmias, myocarditis and pericarditis. Any child who has a clinical presentation suggestive of cardiac disease, must receive appropriate diagnostic testing and timely referral to optimize the childs outcome. The authors provide a thorough, focused review of the most commonly encountered cardiac diseases in the ED and key aspects to stabilization.