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The American Heart Association reports that there are approximately 310,000 annual cases of out-of-hospital (OOH) cardiac arrest. In 20-38% of these persons, the initial rhythm is ventricular fibrillation or pulseless ventricular tachycardia (vfib/tach).
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In 2002, esteban et al reported the results of an ambitious study, enrolling a prospective cohort of consecutive adult patients in 361 ICUs in 20 countries who received mechanical ventilation for more than 12 hours during the month of March 1998.
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This prospective cohort study examined the epidemiology and outcomes of patients with intra-abdominal hypertension (IAH).
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Increasing the possibility of hospital outbreaks via undiagnosed cases, measles infection has hit the United States at epidemic levels this year. More measles cases were reported in the first seven months of 2008 than during the same period in any year since 1996, according to the Centers for Disease Control and Prevention.
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Editor's note: Peter J. Pronovost, MD, PhD is a professor in the departments of anesthesiology and critical care, surgery, and health policy and management at the Johns Hopkins University School of Medicine.
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If infection preventionists can work their way out of the current wilderness of change, there is some feeling they may be poised for a leadership role in a health care system becoming painfully aware of the power of prevention.
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Joint Commission Resources (JCR) has launched a "Flu Vaccination Challenge" this season targeting health care workers, but organizers only underscored the current woeful situation in setting the immunization goal.