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While youre waiting for three physicians to return your calls about their patients in your ED, you anxiously watch the clock and realize that if they dont call before leaving the office, they arent likely to call until tomorrow. Dont you have enough to worry about without trying to track down dozens of physicians all the time?
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The EDs at St. Charles Mercy in Oregon, OH, and St. Anne Mercy in Toledo have adopted a streamlined triage system to shorten waiting times, and managers report that it has been very effective without compromising patient safety.
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A project that started out as a response to post-9/11 bioterrorism fears is turning out to have much more practical everyday applications, say two ED managers who have pioneered the use of a system that monitors for unusual patterns or patient surges. While still valuable for detecting terrorist attacks, the system can reveal more mundane but useful information in any ED, they say.
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These were some other key findings from the diversion study released recently by the Center for Studying Health System Change (HSC) in Washington, DC.
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Few clinical situations place intensive care practitioners in a more uncomfortable position than does treating patients of the Jehovahs Witness faith. The faith-based refusal of autogenous or allogenic blood transfusions conflicts with the typical life-saving intent implicit in the critical care environment. However, it is our obligation to have a basic level of understanding of the set of beliefs that leads to the choice to refuse this specific set of life-saving therapies, while accepting other aspects of modern medical care.
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Antibiotics Associated With Cancer Risk; Topiramate Effective Against Migraine; Statin Therapy For Heart Failure; FDA Actions.
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Mortality among patients with advanced cirrhosis who required intubation and mechanical ventilation was related more to the derangement of liver function than to the severity of critical illness as assessed by APACHE II or SAPS.
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GEMINI Trial; CAMELOT Trial; INVEST Trial; The Dangers of Vitamin E; FDA Actions.
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The primary objective of this study was to determine whether patients receiving mechanical ventilation who tolerate kinetic therapy have better pulmonary function than patients treated with standard turning. A secondary objective was to assess the cost-effectiveness of kinetic therapy.