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Thomson American Health Consultants is offering "Imminent Smallpox Vaccinations in Hospitals: Consequences for You and Your Facility," a 90-minute audio conference Wednesday, Dec. 11, from 2-3:30 p.m., EST.
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The final part of this three-part series focuses on diagnosis and management of hand infections and deep tissue injuries. Guidelines for patient evaluation, surgical consultation, and initial antibiotic therapy, when indicated, are provided.
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Health care providers are understandably concerned about the legal climate in which they live, observes Marshall B. Kapp, JD, MPH, professor in the department of community health at Wright State University School of Medicine in Dayton, Ohio. But ICU physicians can rest easier than many. Even though malpractice cases abound, the reality is that very few medical malpractice claims or other adverse legal actions happen due to thoughtful decisions to withhold or withdraw treatment for dying patients in the ICU.
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With the health care penny being squeezed dry its not unexpected that nurses report they are unable to provide quality of care consistent with professional standards in todays hospitals, says Julie Sochalski, RN, PhD, professor of nursing at the University of Pennsylvania School of Nursing.
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Intravascular catheters are an essential component of the practice of critical care medicine. These devices are used to deliver life-sustaining intravenous fluids, antibiotics, parenteral nutrition, blood, and blood products, and to monitor the hemodynamic status of critically ill patients.
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One year later: Emergency department response to biological terrorism, part II - smallpox, viral hemorrhagic fevers, tularemia, and botulinum toxins
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Among the many electrocardiographic findings indicative of acute coronary syndromes, the emergency physician must be familiar with the characteristics of the pre-infarction stage of coronary artery disease known as Wellens syndrome.
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Ultrasound guidance (USG) for the placement of central venous catheters (CVC) has been recognized as a helpful adjunct in anesthesia and surgical literature since 1984, but has received little notice in the emergency medicine (EM) literature. To clarify the EM role of this emerging technique, Miller and colleagues compared USG to the traditional landmark technique for insertion of CVC in ED patients without obtainable peripheral access.
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The 12-lead ECG shown in the Figure was obtained from a 50-year-old man with new-onset chest pain. In view of a negative prior history of coronary disease, what might cardiac catheterization show?