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With advances in diagnostic modalities and shunting procedures, children with hydrocephalus now do amazingly well. Unfortunately, not only do these children get common childhood illnesses, but they also may develop life-threatening complications from their shunting devices that have very similar clinical presentations to common childhood diseases. To effectively and efficiently manage these children, the emergency physician must have a clear understanding of the technology used and of the potential risks and complications that may develop.
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With their variable and unpredictable results, bites and stings can be vexing for the ED physician to assess and treat. The purpose of this paper is to provide an overview for treatment of the most important bites and stings encountered in the United States. Due to the popularity of the exotic pet trade, some non-native species now commonly held in captivity in private homes in the United States also will be discussed, especially when specific anti-venom is available.
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Amoxicillin-Clavulanate vs Ciprofloxacin; AD Therapy and Cognitive Function; LDL Lowering in CHD Patients; FDA Actions.
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Over the last decade there has been a growing trend from an open to a closed model of ICU care delivery. The open model is an ICU where day-to-day management decisions are made by an admitting physician with the assistance of consultants. The admitting physician may be any member of the medical staff and need not necessarily have any particular expertise in the provision of critical care services.
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CPAP may decrease the incidence of endotracheal intubation and other severe complications in patients who develop hypoxemia after elective major abdominal surgery.
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This single center observational cohort study reveals that ARDS survivors have persistent neurocognitive, psychiatric and quality of life impairments at 2 years.
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This 3-year cohort surveillance study of all adult patients admitted to ICUs in one region found that they were common (developing in 6.5% of patients, or 9.6 UTIs per 1000 ICU days) but did not contribute independently to mortality.
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In this in-depth examination of 111 patients at a center in the original ARDS Net low-tidal-volume study, patients managed with 6 mL/kg or less did not require more sedation during the first 48 hours than those managed with tidal volumes of 12 mL/kg.
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Given the importance of acute bacterial rhinosinusitis (ABRS), a commonly encountered outpatient infection, this article attempts to outline in evidence-based detail what the authors conclude to be optimal, risk-stratified, empiric treatment recommendations. In addition, this review identifies key clinical findings, resistance patterns, risk factors, coexisting conditions, and other clinical triggers supporting referral of patients with ABRS to an otolaryngologist for more invasive i.e., multimodal surgical and more intensive antimicrobial management strategies.