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Atrial fibrillation (AF) is an irregular, disorganized, electrical activity of the atria. It is characterized by uncoordinated atrial activity that leads to inefficient atrial contraction and impaired ventricular filling.
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Several decades ago, two patients arrived in my emergency department with intense vomiting, bronchorrhea, and seizure-like activity. Their symptoms started about 30 minutes after consuming a mushroom stew. The wife considered herself to be an expert in mushroom identification and had picked several species of mushrooms, including a few very large ones with bright red tops. Both patients required intubation and several milligrams of atropine to handle their bronchial secretions. Several hours before, they had eaten a mushroom stew containing mushrooms they had picked that morning.
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"Everyone knows that a patient with a heart rate higher than 90 should be admitted to the hospital."
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Patients have referred to receiving mechanical ventilatory support as, "the most inhumane ever experienced".... While mechanical ventilation is one of the most commonly used treatment modalities in the ICU, this life-saving modality causes great anxiety, distress, and discomfort in patients.
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In this issue: New treatment for prostate cancer; avastin and breast cancer; new CMS disclosure rule; and FDA actions.
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This is a report of a secondary analysis of data from the original Acute Respiratory Distress Syndrome (ARDS) Network low-tidal-volume study, which demonstrated improved survival with ventilator tidal volumes of 6 (vs 12) mL/kg predicted body weight in patients meeting the American-European consensus definition of acute lung injury (ALI) or ARDS.
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The purpose of this article was to apply aviation communication principles and strategies to the field of critical care medicine, particularly crisis communication situations.
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A 12-year-old boy with an unremarkable familial and medical history presents with global aphasia and right hemiplegia 14 days after a streptococcal pharyngeal infection. A neurological examination performed three hours after symptom onset reveals a conjugate gaze deviation to the left, right hemiplegia, hemihypesthesia, and extensor plantar sign. The NIHSS score is 22. Laboratory examinations are normal. A cerebral CT shows a hyperdense left MCA and early signs of infarction in that area.