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In this meta-analysis, Quiroz and colleagues attempted to identify all English-language reports published since 1990 that included at least 3 months of follow-up in patients clinically suspected of having pulmonary thromboembolism (PTE), whose CT angiograms were negative and who did not receive anticoagulant therapy.
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A growing body of literature describes an association between packed red blood cell (pRBC) transfusions and nosocomial infections.1,2 Shorr and colleagues set out to add to this by investigating the relationship between pRBC transfusions and bloodstream infections (BSI) in a large heterogeneous population of ICU patients.
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What to do with the Cox-2s; Can Mucomyst Prevent CIN?; Benzodiazepines and Medicare Coverage; FDA Actions
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Development of a Bronchopleural Fistula (BPF) in a patient receiving mechanical ventilation is a serious complication that causes concern on the part of caregivers and often prompts a variety of changes in management.
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The authors of this issue point out that 3-11% of malpractice dollars paid are disbursed for wound-related cases. Although wound infections may occur despite proper wound care, the detection of tendon or nerve injuries as well as joint violations requires a higher index of suspicion. This months review of wound management and its pitfalls serves the reader well by keeping the practitioner attentive to the potential problems of wound care.
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Pertussis, or whooping cough, was first described in the 16th century, and the causative agent was isolated in 1906. Nonetheless, pertussis remained a major cause of morbidity and mortality among ch ildren well into the 20th century.
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Probably one of the most difficult tasks facing an ED manager is preparing a fast-moving staff for a review by the Joint Commission on Accreditation of Healthcare Organizations. Most ED staffs thrive in an ever-changing environment and focus attention on what matters most in the next 30 minutes, certainly not the next 30, 60, or 90 days. So whats a manager to do?
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With new surge capacity standards from the Joint Commission on Accreditation of Healthcare Organizations, EDs are finding that their preparation for any type of patient surge translates into preparation for the infectious patients specifically targeted in the new standard (IC.6.10), which says, As part of emergency management activities, the organization prepares to respond to an influx, or the risk of an influx, of infectious patients.
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New York City may have a reputation as a fast-paced metropolis where most people are too busy to give you the time of day, but the ED at Jack D. Weiler Hospital, one of three EDs in Bronxs Montefiore Medical Center, has won over patients with an approach focused on friendliness and TLC.