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To improve patient survival, the emergency physician (EP) must be knowledgeable about current concepts and controversies in the management of patients in shock. No longer can one simply rely on the presence of traditional clinical markers of shock to make the diagnosis. New and innovative monitoring techniques, as well as continually evolving treatment algorithms, are at the forefront of shock research. This article will educate and update the EP on current and future trends in the management of patients in shock. Equipped with this information, the EP more effectively can identify patients in shock, administer the latest evidence-based treatment, and ultimately improve patient outcome.
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Blood pressure reduction in the first 24 hours of stroke onset is independently associated with poor outcome after 3 months.
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In this study, fecal incontinence therapies, including standard care (advice), sphincter exercises, and computer-assisted biofeedback, all led to substantial improvements in continence, quality of life, psychological well being, and sphincter function with no evidence of superiority for biofeedback.
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The ECG and rhythm strip in the Figure were obtained from an elderly woman admitted for an acute stroke. Her neurologic deficit was not progressing, and she was clinically stable at the time of admission to the hospital. No history of smoking. The computer interpreted her rhythm as atrial fibrillation. Do you agree? Should the patient be anticoagulated?
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TZDs and HF in People with Type 2 Diabetes; Exercise Plus Behavioral Management in Patients with AD; Spironolactone in Resistant HBP
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A second biological agent has been approved for the treatment of moderate-to-severe plaque psoriasis.
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Labels on the 10 most frequently used herbs failed to adequately describe the ingredients, provide the correct dose of the herb, or were not interpretable by professional pharmacists.
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The following is a late-breaking trial of the American Heart Association Annual Scientific Sessions held last month in Orlando, Fla. The REVERSAL trial is covered in the pages of Internal Medicine Alert because of the abundant coverage of this issue in the lay press, as well as possible questions your patients may ask regarding this subject.