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Emergency physicians (EPs), and physicians in general, have faced enormous tests of their core professionalism and ethical values in recent years. The unionization of resident physicians, the financial pressures of a managed care environment, and the thorny role of the pharmaceutical industry have presented new and difficult challenges for medicine.
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Emergency practitioners must be well versed in the management of diabetic emergencies. New-onset diabetes discovered on presentation to the emergency department (ED) is not an infrequent occurrence.
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Most large hospitals today have dedicated icu nutritionists who make nutritional recommendations for every critically ill patient admitted.
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Health care workers are expected to practice without error, an ideal that in reality does not occur. In fact, errors occur more frequently that we would prefer.1-3 Because the likelihood of adverse events tends to increase with the severity of illness and complexity of care, the risk for errors is especially high in critical care settings.
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For patients who required > 48 hours of mechanical ventilation, daily routine chest radiographs and films obtained based on clinical indications produced similar outcomes.
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In this retrospective review of 33 patients with bilateral pleural effusions who had the fluid on both sides tapped, the cause of the effusions was most often cardiac disease and seemed to be the same on both sides in every case.
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In this study, the effect of endotracheal suctioning-induced alveolar derecruitment was studied. The study population consisted of 9 sedated and paralyzed patients with acute lung injury.
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Most large hospitals today have dedicated icu nutritionists who make nutritional recommendations for every critically ill patient admitted. Though some physicians remain skeptical of studies that support using early, aggressive enteral or parenteral nutritional support to improve patient outcomes, leaders in nutritional research say that those studies which failed to indicate positive effects were improperly conducted.
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In this retrospective review of 33 patients with bilateral pleural effusions who had the fluid on both sides tapped, the cause of the effusions was most often cardiac disease and seemed to be the same on both sides in every case.