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Penetrating and Blunt Cardiac Trauma

Penetrating and blunt cardiac trauma are serious causes of morbidity and mortality. Presentation for blunt cardiac trauma may be subtle and nonspecific, challenging the clinician to make a timely diagnosis.

Trauma Reports - Full March/April 2012 Issue in PDF

Assessment and Management of Migraine Headaches in the Emergency Department

Treating pain in the ED is relatively straightforward if the cause is obvious like a broken leg or acute myocardial infarction for which there is clear evidence for the diagnosis. Treating pain is somewhat more problematic when there is no diagnostic test. So it is with headaches, especially the severe migraine types.

Abstract & Commentary: Insurance Status and ICU Outcomes

Lyon and colleagues performed a retrospective cohort study of the relationship between insurance status and 30-day mortality, as well as the use of five common ICU procedures, among 138,720 adult patients admitted to ICUs in Pennsylvania in fiscal years 2005 and 2006.

Clinical Briefs in Primary Care supplement

Abstract & Commentary: Does the Use of Protocols in the ICU Interfere with Learning?

Prasad and associates conducted a retrospective cohort study of associations between internal medicine trainee exposure to mechanical ventilation protocols and their performance on questions related to this topic on the critical care board-certifying examination.

Pharmacology Watch: Rivaroxaban Now Approved for Stroke Prevention

In this issue: New indication for rivaroxaban; new study on warfarin testing; medications causing adverse drug events; niacin as an add-on therapy; and FDA actions.

Special Feature: Update on Hemodynamic Monitoring in 2012

Hemodynamic monitoring is an essential part of caring for critically ill patients. Critical care providers are regularly faced with the challenge of determining whether a patient is adequately volume resuscitated, and hemodynamic assessments are often the first step in making a proper diagnosis so that other life-saving therapies can be promptly implemented.