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In this issue: FDA is reviewing safety of TZDs; SSRI use with tamoxifen; Metformin smells like fish; FDA Actions.
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Passive leg raising (PLR), a rapidly reversible maneuver that simulates rapid volume expansion by putting several hundred milliliters of fluid back into the circulation, has been shown to predict fluid responsiveness in mechanically ventilated patients.
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With increased emphasis on evidence-based medicine during the last dozen years has come the implicit assumption that the availability of more and better evidence on how disease should be diagnosed and managed will lead to better patient care.
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The emergency physician is frequently faced with patients presenting with dental complaints, particularly pain and injury.
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If the term "be prepared" works for the Boy Scouts, it works even better for EDs facing potential surge situations.
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When the Massachusetts legislature outlawed ambulance diversions effective Jan. 1, 2009, dire predictions were made about how overwhelmed the busy EDs would be.
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The ED at Baptist Medical Center in San Antonio has slashed its left without treatment (LWT) rate from a high of 9.5% in spring 2009 to 2.2% at present, thanks to a "split flow" strategy it adopted in August 2009.
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After the first year of a two-year pilot program, the ED and the community health center participants agree that it has been successful in helping Medicaid and uninsured patients find the primary care they need.