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
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
Emergency Medicine Reports - Full May 10, 2010 Issue in Streaming Audio/Downloadable MP3 Format
Primary Care Reports - Full May 2010 Issue in PDF
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