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Arnold and colleagues at Barnes-Jewish Hospital in St. Louis performed a 6-year retrospective cohort study of patients with bronchoalveolar lavage (BAL) documented ventilator-associated pneumonia (VAP), diagnosed by accepted clinical and quantitative culture criteria, that was caused by either Pseudomonas aeruginosa (PA) and Acinetobacter baumannii(AB).
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The intensive care unit (ICU) can be immensely stressful for caregivers and can lead to burnout that results from chronic emotional and interpersonal stressors in the environment.
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Although current guidelines recommend delaying neuroprognostication during therapeutic hypothermia following resuscitation from cardiac arrest, this review of 55 consecutive patients so managed found that a "poor prognosis" designation was arrived at during the hypothermia period in most of them, including six patients who were eventually discharged with a favorable neurologic outlook.
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Wunsch and associates describe two patients who suffered respiratory arrest requiring intubation and mechanical ventilation while receiving polymyxin B.
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In this issue: Statins and diabetes risk; new treatment guideline for diabetes; new pertussis vaccine recommendation; antibiotics and rhinosinusitis; fluoroquinolones and cystitis; and FDA actions.
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The benefits of regular physical activity are well known. Encouraging individuals to be active through recreational and competitive athletics while preventing and treating injuries is the role of the sports medicine physician.
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There is perhaps no greater public health passion than that for fighting cancer. There is also perhaps no greater confusion than that surrounding nutrition and cancer. Public "cancer scares" regarding environmental exposures and alternative treatments often capture the public's attention.
