Neurology
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Hypothermia for Acute Brain Trauma
Therapeutic hypothermia does not result in improved outcomes in patients with traumatic brain injury. -
Mechanical Ventilation: A Marker of the End-of-Life or Loss of Independence for the Elderly?
This study of outcomes among more than 50,000 elderly Medicare beneficiaries found that activities of daily living and mobility had deteriorated substantially more among those who had been hospitalized the previous year, and that only 27% of those who had received mechanical ventilation were alive 1 year after hospitalization. -
Hospital Medicine Alert - Full May 2011 Issue in PDF
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A Risk Factor for Hospital-Acquired Infections: Hand Contamination by Anesthesia Providers
Bacterial transmission to the IV stopcock set was documented in 19/164 cases (11.5%); 47% of these cases were of provider origin and linked to hands of anesthesia providers. -
Predicting Left Main and Triple-vessel Disease in ACS
Patients presenting with acute coronary syndromes (ACS) should be administered dual anti-platelet therapy with aspirin and a thienopyridine, such as clopidogrel. However, some patients are subsequently found to have left main (LM) or multivessel disease (MVD) and require coronary artery bypass graft (CABG) surgery. -
Emergency Medicine Reports - Full April 25, 2011 Issue in PDF
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Vaginal Bleeding in the Nonpregnant Patient
Abnormal uterine bleeding affects females of all ages and is a common complaint in gynecologic practice. An estimated $1 billion annually is spent on direct costs for this diagnosis, with another $12 billion attributed to indirect costs such as health-related supplies and missed employment. -
Critical Care Alert May 2011 Issue in PDF
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Clinical Briefs in Primary Care supplement
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Abstract & Commentary: Acute Respiratory Failure in Chronic Neuromuscular Diseases: ICU Management and Long-Term Outcomes
Flandreau and colleagues at the Hôpital de la Croix-Rousse in Lyon, France, report their experience with patients with chronic neuromuscular disease (CNMD) admitted to their 15-bed medical ICU because of acute respiratory failure (ARF).