Emergency
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Shocking Nurse Arrest Prompts Discussions About Working With Police Officers
Hospital workers and law enforcement officers often drill together, and they generally work cooperatively to ensure safety and security. Consequently, while disputes are not unheard of, the well-publicized arrest of a Utah nurse who refused to comply with a police detective’s request for a blood sample is a reminder that frontline providers must be well-versed in how to handle such requests.
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Detailed Preparation Helped Miami Hospital Staff Withstand Hurricane Irma
While Hurricane Harvey was submerging much of southeast Texas with flood waters, another monster storm was aiming for Florida, and hospitals there were preparing for what forecasters said would be a historic hurricane in terms of size and the potential for damage.
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Hurricane Harvey Pushed Southeast Texas Hospitals to the Limit
With several medical facilities in southeast Texas affected by the historic storm, Franklin, TN-based IASIS Healthcare pooled its resources, shuttled in relief staff from hospitals in other states, and found creative ways to reach hospitals surrounded by flood waters.
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Hemodynamic Monitoring Modalities in the Emergency Department
Hemodynamic monitoring is a very important component in effectively resuscitating critically ill patients. Various methods of hemodynamic monitoring not only give the physician an idea of the patient’s overall pathophysiology, but can alert the physician to acute changes.
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Joint Arthrocentesis in the Emergency Department
The ability to rapidly recognize infection, as well as distinguish inflammatory arthropathy from infection, crystal arthropathy, and osteoarthritis, makes arthrocentesis a valuable and sometimes essential emergency medicine procedure.
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Angiotensin II Raises Blood Pressure in Patients with Vasodilatory Shock
Infusion of recombinant angiotensin II improved blood pressure control in patients with vasodilatory shock already receiving conventional vasopressors.
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Spontaneous Breathing Trials and Occam’s Razor
Different ventilator modes used for a spontaneous breathing trial affected a patient’s work of breathing (WOB) variously and differed regarding WOB measured after extubation. The clinical relevance of these differences is uncertain.
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Intensive Care Enteral Nutrition in 2017
Enteral nutrition, defined as any method of feeding that uses the gastrointestinal (GI) tract (including oral feeding), usually refers to the delivery of nourishment to the GI tract through a tube. Nutrition is of utmost importance for patients suffering from a critical illness, and EN is a mainstay of nutrition in the ICU. Malnutrition and nutritional risk are common in patients admitted to the ICU. The presence of critical illness causes the body to enter a catabolic state, putting patients at risk of development or worsening of malnutrition. The Society of Critical Care Medicine and the American Society for Parenteral and Enteral Nutrition have published and revised joint guidelines to offer evidence-based recommendations for how best to feed critically ill patients.
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Pediatric Airway Management
Pediatric patients frequently present with respiratory complaints. Fortunately, most children respond well to simple medical interventions. Understanding a child's anatomic and physiologic differences is critical to effectively preventing respiratory failure and stabilizing a child when it occurs.
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EP Defendants Need Forensic IT Experts to Explain EMRs
A recent malpractice lawsuit against an EP alleged that a patient coded and spent two weeks in an ICU because he received a medication to which he was allergic. Since the electronic medical record (EMR) clearly documented the patient’s allergy to the medication, at first glance, it looked as though the EP had made a colossal mistake. However, this was not the case.