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Undifferentiated shock in trauma should be assumed to be hemorrhagic until proven otherwise. Hemorrhage represents 30-40% of mortality from trauma and may require significant volume to resuscitate.
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A dramatic improvement in door-to-balloon times for STEMI patients is one example of how John Dempsey Hospital at the University of Connecticut Health Center in Farmington, CT, is using checklists and other tools for standardization to improve safety and care.
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The first cases of Middle East Respiratory Syndrome coronavirus (MERS-CoV) have turned up in the United States.
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To get a larger, more holistic view of the patient flow process, a multidisciplinary improvement team at Childrens Hospital of Philadelphia (CHOP) developed a five-domain patient flow scorecard.
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Concussion and mild traumatic brain injury have a risk of serious short- and long-term sequelae.
Concussion is a trauma-induced alteration in mental status, which does not necessarily involve loss of consciousness.
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This pilot study reports that dexmedetomidine might be the sedative of choice for less ill mechanically ventilated ICU patients who take antidepressant medications at home.
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Hospital-based infection surveillance experts nationwide participated in a survey to access the level of agreement in diagnosing ventilator-associated pneumonia by evaluating six identical case studies. The level of agreement between participants was poor.
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In this large observational study in four hospitals with a standardized rapid response system, among patients with an initial team activation who were not immediately transferred to the ICU, those with one or more additional activations during the hospitalization were more likely to need ICU care and had both longer hospital stays and higher mortality.
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In this prospective study of older ICU patients (mean age, 67 years), frailty as assessed by a simple scale was present in one-third and was strongly associated with increased risk of adverse events, morbidity, and mortality.
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After caring for patients with Clostridium difficile infection, nearly 25% of health care workers were found to have hand contamination with C. difficile spores.