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Failure to diagnose ischemic stroke is a common allegation in claims against emergency physicians (EPs) even in emergency departments (EDs) at Primary Stroke Centers, according to Gary Mims, JD, a partner at Sickels, Frei and Mims in Fairfax, VA.
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There is actually surprisingly little the emergency physician (EP) can do to influence the outcome of most stroke cases, according to Marc E. Levsky, MD, a board member of the Walnut Creek, CA-based The Mutual Risk Retention Group.
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In a series of recent decisions, the states appellate and supreme courts diluted application of the clear and convincing gross negligence standard installed by Georgias tort reform statute, and they have also advanced exceptions to the law that allow plaintiff attorneys to circumvent the legislatures intended tougher standards required to prove medical malpractice.
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Patients on mechanical ventilation who were managed with both conservative fluid administration and aggressive diuresis weaned faster, had significantly more ventilator-free days, and experienced reduced incidences of both ventilator-associated complications and ventilator-associated pneumonia.
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This short-term crossover study showed that in the first hour after extubation, patients were less dyspneic and had lower respiratory and heart rates while breathing oxygen via high-flow nasal cannula than with a conventional non-rebreathing mask.
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Acute renal failure (ARF) necessitating renal replacement therapy (RRT) is a common complication in the ICU, and one associated with high mortality and demand on clinical resources.
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High-quality chest compressions are the most important factor in CPR rate, depth, timing, recoil, and without interruption.
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