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This article originally appeared in the April 2014 issue of Critical Care Alert.
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This article originally appeared in the April 2014 issue of Critical Care Alert.
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This article originally appeared in the April 2014 issue of Neurology Alert.
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In this large prospective study of trauma patients, the most important factor associated with post-traumatic seizures was the presence of alcohol intoxication.
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A large, multicenter clinical trial that compared protocol-based care to usual care for patients presenting to emergency departments with early sepsis and septic shock found no differences in clinical outcomes. However, early recognition and therapy was beneficial and should be the standard of care.
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Compared to manual surveillance methods, an electronic surveillance tool for catheter-associated urinary tract infections had a high negative predictive value but a low positive predictive value.
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Patients on mechanical ventilation who were managed with both conservative fluid administration and aggressive diuresis weaned faster, had significantly more ventilator-free days, and experienced reduced incidences of both ventilator-associated complications and ventilator-associated pneumonia.
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During my final year of interventional cardiology training, a woman in her 60s was brought emergently to the cath lab in cardiogenic shock, with diffuse ST-segment elevations.
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Ascites, gastrointestinal hemorrhage, hepatic encephalopathy and bacterial infections are common complications experienced by patients with cirrhosis. Traditionally, when a cirrhotic patient experiences one of these complications and develops worsening liver function, he or she is diagnosed with acute on chronic liver failure.
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In an earlier study of early decompressive hemicraniectomy for large middle cerebral artery strokes, the same investigators demonstrated reduced mortality without increasing the risk of very severe disability among patients ≤ 60 years of age.
