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Urinary tract infections (UTIs) are a potential cause of fever in the pediatric patient. Early testing and a timely diagnosis are critical to avert complications and potential scarring of the kidneys. Complication rates in children younger than 90 days of age are 7% and include bacteremia, meningitis, and urosepsis, although a well-appearing infant with a CRP of < 4 mg/dL is significantly less likely to develop complications. The authors present a concise review of the current status of the diagnosis and management of pediatric UTIs.
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Influenza is possibly the most widespread and well known of infectious diseases. Seasonal epidemics can be found on all continents, and no age segment of the population is untouched.
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This prospective, single-center study reported that critical care perceived to be futile is common, is associated with certain patient factors, and can be quite costly.
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Results from a large, multinational study indicate that ICU patients worldwide experience moderately intense pain, most commonly from chest tube removal, wound drain removal, and arterial line insertion.
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Despite intense research on respiratory muscle physiology and patient-ventilator interfacing, this knowledge has not been integrated into a comprehensive approach toward managing the respiratory muscles in critical illness. This special feature describes the complex array of issues complicating such an endeavor.
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In recent years, intensive care units (ICUs) have made considerable progress in eliminating central line-associated bloodstream infections (CLABSIs); however, there is still ample room for improvement on infection-control practices in other settings like the ED, where high volumes, patient acuity, crowding, and other factors can interfere with infection-control practices.
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Some EDs are noticing unexpected decreases in volume that began in the latter half of 2013. The impact has been particularly evident in the Midwest and Northeast, where there has been record cold weather, but observers are concerned that other factors could be playing a role as well.
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First phase of imaging revisions goes into effect on July 1
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Researchers at the Johns Hopkins National Center for the Study of Preparedness and Catastrophic Event Response (PACER) in Baltimore, MD, have unveiled three new web-based tools that hospitals, EDs, and public health authorities can use to help them prepare for surges related to disasters, epidemics, and seasonal flu outbreaks.
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