Neurology
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Reducing Pain on Chest Tube Removal
Casey and colleagues compared the effects on pain, level of consciousness, and vital signs of 2 different doses of remifentanil and placebo for removal of chest drains after cardiac surgery in 60 patients. -
Dead Space Fraction as a Prognosticator in ARDS
Raurich and colleagues studied 80 patients with acute respiratory distress syndrome (ARDS) to determine whether the alveolar dead-space fraction (VD/VT, the proportion of each breath that does not participate in gas exchange) was a predictor of ultimate survival. The patients were ages 18 years or older, acutely ill in the investigators' ICU, and met the current international diagnostic criteria for ARDS. -
Daily Reminders and Earlier Removal of Central Venous and Urinary Catheters
This study from a surgical ICU in a french university hospital sought to determine the effect on catheterization duration of a daily reminder notifying physicians that the patient had a central venous catheter (CVC) or urinary tract catheter (UTC) and asking whether there was continued need for that catheter. -
Critical Care Alert June 2010 Issue in PDF
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Geriatric Psychosocial Issues in the Emergency Department
So many elderly patients in the ED are lonely, often troubled by depression, victims of abuse, or facing end-of-life decisions. The emergency physician often is called upon to handle these concerns. -
Emergency Medicine Reports - Full May 10, 2010 Issue in PDF
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Emergency Medicine Reports - Full May 10, 2010 Issue in Streaming Audio/Downloadable MP3 Format
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Primary Care Reports - Full May 2010 Issue in PDF
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Supplement: Health Care Reform Update
Health care clinicians and organizations likely will find that the new health care reform bill's positive features outweigh its drawbacks, experts say. -
Clinical Briefs in Primary Care Supplement