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After acute coronary syndromes (ACS), patients remain at risk for recurrent cardiovascular events.
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This retrospective, multicenter study found that nighttime intensivist staffing is associated with lower patient mortality only in ICUs that lack mandatory daytime intensivist staffing.
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Hand hygiene was more likely to be performed when the first person entering the room or the attending physician (regardless of order) performed hand hygiene.
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This study of potentially life-threatening changes in patient condition during trips to the radiology department of a large academic medical center found that such events occurred about once a week, involved both ward and ICU patients who had comorbidities and high overall mortality, and were often unanticipated by vital sign changes or other recognized warnings.
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Limited data on the use of high-flow nasal cannula oxygen therapy suggests it is associated with improvement in physiologic parameters.
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In this paper, the authors performed a pharmacoepidemiologic study on the relationship between azithromycin, a frequently used broad-spectrum macrolide antibiotic, and cardiovascular death. The authors analyzed data from the Tennessee Medicaid program.
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Lorcaserin for weight loss; statins and fatigue; treatment-resistant gonorrhea; hydrocodone classification changes; USPSTF recommendations; and FDA actions.
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Scenario: The 12-lead ECG shown above was obtained from a previously healthy 30-year-old man who presented to the emergency department with new-onset palpitations. No prior ECG was available for comparison. The patient was alert and hemodynamically stable at the time this tracing was recorded. What is the rhythm? Is this rhythm likely to respond to adenosine?
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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.
