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Concussion laws often require evaluation to be done by a particular class of health care provider one trained in the evaluation and management of a concussion, says William M. McDonnell, MD, JD, an associate professor of pediatrics in the Division of Pediatric Emergency Medicine at University of Utah in Salt Lake City.
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Family members of patients recovering from critical illness may experience psychological problems, including anxiety, depression, and post-traumatic stress disorder (PTSD). Jones and colleagues reasoned that provision of an ICU diary, written in everyday language by ICU staff, would be beneficial to family members by providing an explanation of daily events and opportunity for expression of feelings and contribution to the plan of care.
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The cuff-leak test (CLT) was performed prospectively in this study using the volume technique whereby the difference between inspired and expired tidal volume before and after cuff deflation is used to detect the presence of laryngeal edema and the likelihood of developing post-extubation stridor.
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Doernberg and colleagues sought to determine whether receipt of doxycycline was associated with protection from development of Clostridium difficile infection (CDI) in hospitalized patients being treated with ceftriaxone, a known high-risk antibiotic for CDI.
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In this issue: Dementia and benzodiazepines; effectiveness of omega-3 fatty acid and Ginkgo biloba supplements; and FDA actions.
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As more patients are surviving critical illness, there is documentation of serious cognitive, physical, and psychiatric consequences arising from lengthy ICU stays in these patients.