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Early in my career as a respiratory therapist, we had an unusual piece of equipment in the ICU the Birdmobile. This distinctive piece of equipment was a souped-up walker with wheels, to which we added a Bird Mark 7 ventilator, oxygen tanks, and a seat.
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In this study examining both the attainment of nutritional goals and the incidence of complications related to enteral feeding, patients in the medical ICU of a university-affiliated tertiary hospital in Taiwan were randomized to nutritional support via nasoduodenal (ND) vs nasogastric (NG) tubes.
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In 2003, Burns and colleagues published a cochrane review of available studies examining the effects of early direct extubation to non-invasive ventilation (NIV) in adult patients receiving invasive mechanical ventilation for acute respiratory failure.
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We have all heard a story that starts with, "Remember that patient you saw and discharged yesterday? Well, ...." This next series of EM Reports tackles one of the most common subjects of such a story: missed heart attacks.
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This is the second part of the article on atypical presentations of stroke and TIAs. We start with the same patient we introduced last time and discuss the differential diagnosis of his myriad complaints.
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Cervical adenitis, otitis externa, and peritonsillar disease are very common diseases that are seen in the emergency department (ED). Early recognition, appropriate treatment and an awareness of potential complications guide the clinician's treatment decisions.
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Bleeding is a common chief complaint in the emergency department. Recognizing excessive bleeding and treating bleeding disorders may be challenging. Awareness of the differential, diagnostic strategies and treatment options is critical. This article presents a comprehensive approach to the patient with a bleeding disorder.