Examining Mechanical Chest Compressions

Mechanical chest compression (CC) during cardiopulmonary resuscitation (CPR) with AutoPulse or LUCAS devices has not improved survival from cardiac arrest. Cohort studies suggest risk of excess damage. Therefore, Koster et... read more

Examining Mechanical Chest Compressions

Clinical Impact of COPD on Non-cystic Fibrosis Bronchiectasis

Clinical impact of chronic obstructive pulmonary disease on non-cystic fibrosis bronchiectasis. A study on 1,790 patients from the Spanish Bronchiectasis Historical Registry. Patients with BE related to COPD have the same... read more

Clinical Impact of COPD on Non-cystic Fibrosis Bronchiectasis

Doctors frustrated that electronic records steal time from patients

Researchers asked doctors licensed to practice in Rhode Island the question: How does using an EHR affect your interaction with patients? They got an earful. Most who responded complained that electronic records undermined... read more

Doctors frustrated that electronic records steal time from patients

Patients with postoperative delirium more likely to suffer dementia

Delirium is common in elderly hospitalized patients, affecting an estimated 14 - 56% of patients. It frequently manifests as a sudden change in behavior, with patients suffering acute confusion, inattention, disorganized... read more

Patients with postoperative delirium more likely to suffer dementia

Effect of Obstructive Sleep Apnea Treatment on Renal Function in Patients with Cardiovascular Disease

Obstructive sleep apnea (OSA) is associated with impaired renal function, but uncertainty exists over whether OSA treatment can influence renal outcomes. Objectives: To determine the effects of continuous positive airway... read more

Effect of Obstructive Sleep Apnea Treatment on Renal Function in Patients with Cardiovascular Disease

Link Between Diabetes and Hospital Readmission Rates

Patients with diabetes have higher rates of hospital readmission compared with patients without diabetes, according to a pilot study published in Clinical Diabetes and Endocrinology. In the first study, the readmission rate... read more

Link Between Diabetes and Hospital Readmission Rates

Efficient Organization of ICUs with a Focus on Quality: The Non-Physician Provider

Adequate staffing in ICUs is an increasing problem worldwide. We would like to elaborate on staffing problems that arise in ICUs across Europe, including the Dutch situation. This staffing problem is caused by the increased... read more

Efficient Organization of ICUs with a Focus on Quality: The Non-Physician Provider

Role of Preventability in Redefining Failure to Rescue Among Major Trauma Patients

Failure to rescue (FTR) is defined as death after a major complication and has been adopted as a measure of quality in surgical patients. Current definitions of FTR are limited because they do not account for the influence... read more

Role of Preventability in Redefining Failure to Rescue Among Major Trauma Patients

Reducing Brain Injury After Cardiac Arrest

Therapeutic hypothermia (TH) (32-34°C for 24 hours) should be mandatory practice for patients who are comatose after being resuscitated from out-of-hospital cardiac arrest, if the initial cardiac rhythm is either pulseless... read more

Reducing Brain Injury After Cardiac Arrest

How to Beat Burnout

Burnout takes a toll on physicians, their patients, and their practices. Short visits, complicated patients, lack of control, electronic health record stress, and poor work-home balance can lead to physicians leaving practices... read more

How to Beat Burnout

Targeted Temperature Management and Neurologic Outcome After Out-of-Hospital Cardiac Arrest

In this randomized clinical trial enrolling 355 adults with out-of-hospital cardiac arrest, there was no significant difference in favorable neurologic outcome at 6 months for those treated for 48 hours (69%) vs 24 hours... read more

Targeted Temperature Management and Neurologic Outcome After Out-of-Hospital Cardiac Arrest

Effects of Polymyxin B Hemoperfusion on Mortality in Patients With Severe Sepsis and Septic Shock

Several studies have reported a survival benefit for polymyxin B hemoperfusion treatment in patients with severe sepsis and septic shock. However, recently, a propensity-matched analysis and a randomized controlled trial... read more

Effects of Polymyxin B Hemoperfusion on Mortality in Patients With Severe Sepsis and Septic Shock

Enhancing the Usability of Systematic Reviews by Improving the Consideration and Description of Interventions

The importance of adequate intervention descriptions in minimizing research waste and improving research usability and reproducibility has gained attention in the past few years. Nearly all focus to date has been on intervention... read more

Enhancing the Usability of Systematic Reviews by Improving the Consideration and Description of Interventions

Web-based ICU Communication Improves Patient Experience and Outcomes

Researchers at Brigham and Women's Hospital (BWH) have developed a web-based program that uses team communication and engagement to improve patient experience and outcomes. The study enrolled 1,075 ICU patients and provided... read more

Why are doctors plagued by depression and suicide?

Suicide among medical students and doctors has been a largely unacknowledged phenomenon for decades, obscured by secrecy and shame. Now, it’s beginning to emerge from the shadows. More than 62,000 people, many of them medical... read more

Reduced Risk of Acute Exacerbation of COPD after Bariatric Surgery

Obesity is common among individuals with chronic obstructive pulmonary disease (COPD) and associated with increased COPD morbidities. However, little is known about the impact of weight reduction on COPD-related outcomes... read more

Reduced Risk of Acute Exacerbation of COPD after Bariatric Surgery

Preoperative Cognitive Performance and Delirium Associated With Future Dementia in Older People After Cardiac Surgery

Delirium after cardiac surgery commonly, occurs in 25–67 percent of patients. Delirium is a neuropsychiatric syndrome characterized by a change in cognition fluctuates, develops over a short period of time and has an underlying... read more

Preoperative Cognitive Performance and Delirium Associated With Future Dementia in Older People After Cardiac Surgery

In Treating Sepsis, Questions About Timing and Mandates

The question of whether Rory's Regulations save lives isn’t asked or answered in the recent study. Sepsis deaths were already decreasing in the United States before the mandate, and determining its contribution to... read more

In Treating Sepsis, Questions About Timing and Mandates