Critical Care
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Head-elevated Positioning May Decrease Complications of Emergent Tracheal Intubation
In emergent intubations, a position in which the angle of the back was > 30 degrees above the horizontal (head-elevated) position was associated with fewer complications than intubations performed in the supine position, but the study has several limitations.
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ICU Capacity Strain
ICUs are faced with the challenge of continuing care delivery under conditions of increasing strain that's tough to get a handle on.
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Blast Injuries
Explosions occur in a variety of settings and have multiple causes. All emergency healthcare providers need to be aware of and prepared for blast injury patterns and the hazards that can be associated with blast incidents.
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Potatoes Increase Risk of Type 2 Diabetes Mellitus
Few would question the recommendation to increase daily vegetable intake. Yet, an important question arises — are all vegetables created equal?
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Why We Can’t Allow Physical Exam Skills to Languish
With more highly evolved and readily available technology at our fingertips, it is sometimes tempting to let the echocardiogram sort out the abnormal heart sounds we detected, or allow the pelvic ultrasound to inform whether the uterus is enlarged, or short-cut parts of the physical exam we anticipate to be unlikely sources of pertinent information.
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Nitrate Therapy Shows Possible Harm in Heart Failure with Preserved Ejection Fraction
In heart failure with preserved ejection fraction, the use of isosorbide mononitrate was associated with a nonsignificant decrease in physical activity level, and no improvement in symptoms or quality of life.
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Does Finding the Portal of Entry of Bacteria in Infective Endocarditis Matter?
A comprehensive, systematic search for the portal of bacterial entry in infective endocarditis is frequently successful and affords an opportunity to prevent recurrent episodes.
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Does the Use of Saline vs Buffered Crystalloid Reduce Risk of Acute Kidney Injury in ICU?
The use of a buffered crystalloid compared with saline did not reduce the risk of acute kidney injury in patients receiving crystalloid fluid therapy in the ICU.
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Effects of a Rapid Response System Driven by Real-time Automated Clinical Alerts
The addition of an automated real-time clinical deterioration alert system to a rapid response system had marginal effects.
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Apneic Oxygenation During Intubation for Respiratory Failure
Use of apneic oxygenation with a high-flow nasal cannula during endotracheal intubation for acute respiratory failure is no better at preventing arterial oxygen desaturation than usual care using pre-oxygenation.