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In this issue: Depression and pregnancy, new vaccine recommendations from the CDC, cortico-steroids and/or antivirals for Bell's palsy, rasagiline and Parkinson's disease, and FDA Actions.
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After initial trials showed a mortality benefit from the use of insulin drips and tight glucose control in the ICU, subsequent studies have shown mixed results and, in some cases, increased mortality and episodes of hypoglycemia.
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Delirium is a common and serious disorder in ICU patients, with up to 87% incidence in some ICU populations. Studies have shown that delirium is associated with higher costs and complication rates, namely increased ventilator days and longer hospital stays.
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Peek and colleagues have recently published the long-awaited and much-discussed results of the CESAR trial (Conventional ventilatory support vs Extracorporeal membrane oxygenation [ECMO] for Severe Adult Respiratory failure), a British study that has been underway for nearly a decade.
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This issue is the second part of a discussion about severe traumatic brain injury (TBI).
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The electrocardiogram (EKG) and x-ray of a chest pain patient in his mid-50s were both normal when examined by the treating ED physician. However, the physician's shift ended before the patient's lab results were back. Based on the test results that were back, the oncoming ED physician discharged the patient as "chest pain, non-cardiac." Several hours later, the lab results came back with critical values.
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Anyone recently considering an elective medical procedure knows that physicians' efforts in obtaining proper informed consent have become increasingly elaborate.
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The federal government, through the Emergency Medical Treatment and Active Labor Act (EMTALA), as well as some states such as California and Florida, mandates hospitals and physicians to provide medical services to anyone presenting to the hospital's emergency department (ED). Why shouldn't governmental liability protections, such as immunity and/or damage limitations, apply to providers of emergency services?
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