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Emergency physicians deal with anticoagulation on a daily basis. We have all dealt with the bleeding patient on anticoagulants.
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Carbon monoxide poisoning is a treatable condition when recognized prior to devastating consequences. Early on, carbon monoxide (CO) poisoning may be subtle and elusive, with vague, nonspecific symptoms that may be inappropriately contributed to other conditions.
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The evaluation of the ill traveler must include a detailed travel history in addition to the traditional past medical, surgical, and family history. It is paramount to include the extent of travel preparation and review immunizations and compliance with prophylactic medications.
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Non-healing wounds represent a significant cause of morbidity and mortality for a large portion of the adult population. Wounds that fail to heal are entrapped in a self-sustaining cycle of inflammation. Treatments are aimed at the underlying cause of the wounds.
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A few weeks ago a technical representative of one of the leading ICU ventilator manufacturers gave an "in-service" presentation to the leaders of the respiratory care department at my institution.
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In an attempt to clarify criteria for diagnosing adrenal insufficiency in patients with severe sepsis and septic shock, this group of French investigators serially performed both the cosyntropin stimulation test and the metyrapone stimulation test in 2 cohorts of such patients, and compared the findings with those from concurrent ICU patients without sepsis as well as a group of healthy volunteers.