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Most (83%) patients/surrogates stated they preferred full code status but only 4% could identify the components of CPR; 16% stated preferences that differed with the medical record.
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Standard therapy for bacterial meningitis in children is probably overkill but it is risky to cut back in resource-rich countries.
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This randomized study of low-tidal-volume ventilation during and after cardiac surgery, in comparison to ventilation with tidal volumes of 10 mL/kg predicted body weight, showed no differences in median ventilation time but higher rates of extubation by 6 and 8 hours postoperatively and fewer reintubations in the low-tidal-volume group.
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Using an algorithm based on score and chest X-ray when appropriate, the overall sensitivity for the detection of aortic dissection was 96%.
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In recent months, Escherichia coli O104:H4 has infected more than 4,000 people and caused 880 cases of hemolytic uremic syndrome (HUS) in Europe, with the majority of cases reported in Germany and with more recent outbreaks in France and Switzerland. Travelers should implement food hygiene precautions to prevent infection when visiting Europe.
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In this issue: Medication poisonings in children; rosuvastatin vs atorvastatin for atherosclerosis; saw palmetto for prostate symptoms; using atypical antipsychotics for off-label indications in adults; and FDA actions.
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Saddle pulmonary embolism (SPE) is defined as the presence of a thromboembolus located at the bifurcation of the main pulmonary artery.
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This was a prospective, randomized, controlled, multicenter trial that took place between 2007 and 2010 at seven ICUs in Belgium. Inclusion criteria were evidence of nutritional impairment or significant risk for it (measured using a validated and standardized nutritional risk screen questionnaire) and age > 18 years.
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To determine the risk of potentially unintended discontinuation of common, evidence-based medications for chronic disease, Bell and colleagues examined administrative records for 12 years (19972009) for all hospitalized patients and all outpatient prescriptions in Ontario, Canada.