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The Shift: One Nurse, Twelve Hours, Four Patients’ Lives

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The Shift: One Nurse, Twelve Hours, Four Patients’ Lives

Practicing nurse and New York Times columnist Theresa Brown invites us to experience not just a day in the life of a nurse but all the life that happens in just one day on a busy teaching hospital’s... read more

 
 
Electronic Health Records & Preventing Healthcare-Associated Infection

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Electronic Health Records & Preventing Healthcare-Associated Infection

The Health Information Technology for Economic and Clinical Health Act (HITECH), as part of the American Reinvestment & Recovery Act of 2009, was created to accelerate the pace of technology diffusion... read more

 
 
How Doctors Responded After NRA Told Them To “Stay In Their Lane”

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How Doctors Responded After NRA Told Them To “Stay In Their Lane”

If the goal of the National Rifle Association (NRA) was to get doctors’ attention, the Tweet posted recently certainly did its job. The NRA editorial that accompanied the Tweet included the following... read more

 
 
Where Night Is Day: The World of the ICU

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Where Night Is Day: The World of the ICU

Where Night Is Day is a nonfiction narrative grounded in the day-by-day, hour-by-hour rhythms of an ICU in a teaching hospital in the heart of New Mexico. It takes place over a thirteen-week period, the... read more

 
 
PET-CT in Critically Ill Patients: Diagnosing the Unsuspected

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PET-CT in Critically Ill Patients: Diagnosing the Unsuspected

PET-CT precisely detected the deep foci of infection about 48 hours prior to the diagnosis of sepsis. The cases reports suggested the use of this image technique in ICU for patients with sepsis of unknown... read more

 
 
Why Doctors Hate Their Computers

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Why Doctors Hate Their Computers

Something’s gone terribly wrong. Doctors are among the most technology-avid people in society; computerization has simplified tasks in many industries. Yet somehow we’ve reached a point where... read more

 
 
Machine-learning System Could Aid Critical Decisions in Sepsis Care

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Machine-learning System Could Aid Critical Decisions in Sepsis Care

Researchers from MIT and Massachusetts General Hospital (MGH) have developed a predictive model that could guide clinicians in deciding when to give potentially life-saving drugs to patients being treated... read more

 
 
Critical Care Pharmacotherapeutics

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Critical Care Pharmacotherapeutics

Critical Care Pharmacotherapeutics presents information on the fundamentals of critical care practice from a pharmacist’s point of view. This accessible text is an excellent introduction to critical... read more

 
 
Addressing Shortcomings in Infection and Sepsis Treatment Should Be Top of the Priority List

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Addressing Shortcomings in Infection and Sepsis Treatment Should Be Top of the Priority List

Hospitals are increasingly facing the challenge of cutting costs while also improving clinical outcomes. This is certainly true in the infectious disease sector, as unrecognized or ineffectively treated... read more

 
 
The Accuracy of Noninvasive Cardiac Output and Pressure Measurements with Finger Cuff

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The Accuracy of Noninvasive Cardiac Output and Pressure Measurements with Finger Cuff

The finger cuff method provides a reasonable estimate of CO and blood pressure, which does not meet the criteria for clinical interchangeability with the currently used invasive devices. Finger cuff is... read more

 
 
Score for Predicting Ventilator Weaning Duration in Patients With Tracheostomies

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Score for Predicting Ventilator Weaning Duration in Patients With Tracheostomies

A score derived from ventilator settings may help clinicians predict the timing of ventilator liberation in patients requiring prolonged mechanical ventilation. Of 372 patients, 72% were liberated from... read more

 
 
Transient Systolic Anterior Motion with Junctional Rhythm After Mitral Valve Repair in the ICU

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Transient Systolic Anterior Motion with Junctional Rhythm After Mitral Valve Repair in the ICU

This case report shows that junctional rhythm can cause deterioration of SAM, LVOTO, and MR, and can lead to unstable hemodynamics in a patient with right ventricular failure after MVR. Atrial pacing can... read more

 
 
Cost-effectiveness of Procalcitonin Testing to Guide Antibiotic Treatment Duration in Critically Ill Patients

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Cost-effectiveness of Procalcitonin Testing to Guide Antibiotic Treatment Duration in Critically Ill Patients

Although the impact of PCT guidance on total healthcare-related costs during the initial hospitalisation episode is likely negligible, the lower in-hospital mortality may lead to a non-significant increase... read more

 
 
Risk Factors for Avoidable Transfer to a Pediatric Trauma Center Among Patients Age Two Years and Older

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Risk Factors for Avoidable Transfer to a Pediatric Trauma Center Among Patients Age Two Years and Older

Among injured children age two years and older, those with minor head injuries were at greatest risk for avoidable transfer. Many were transferred because of a perceived need for evaluation by a pediatric... read more

 
 
The Patient, The Whole Patient and Nothing But The Patient

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The Patient, The Whole Patient and Nothing But The Patient

In this short opinion piece, career and consumer advisor Belinda MacLeod-Smith challenges us to consider crucial elements of whole patient care, and how they can be impacted by limiting factors. Caring... read more

 
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