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The INCEPT Study: Impact of Post-Traumatic Cerebral Infarction In the Hospital Senior Patient Rests on the Bed, Nurse in Ward Does Checkup. Recovering Man Sleeping in the Modern Hospital Ward. Post-traumatic cerebral infarction (PTCI) is common after traumatic brain injury (TBI). TBI is a leading cause of mortality and morbidity mostly among young people, but its incidence is also increasing in older people, particularly in high-income countries. The outcome of a TB...
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Violent Attacks Against Emergency Physicians young drunk man gets shirty with an ambulanceman at casualty Violent attacks against emergency physicians remain a problem. While mass shootings at hospitals are quite rare, violent attacks against emergency physicians are becoming too common these days. There have been cases where emergency physicians have been knocked unconscious, physically assaulted, hit, bitten, kicked, and punched by patients. According to a recent ...
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Choosing the Best Blood Pressure Target for Vasopressor Therapy John C. Marshall JAMA 2020; 323: 931-933 Medical research drives innovation and improves outcomes. In cardiology, advances in diagnosis, prevention, and treatment reduced the 30-day mortality fromacutemyocardial infarction from 20% to 12.4% between 1995 and 2014.1 Similarly, for women diagnosed with breast cancer, 5-year survival has increased from74% to 88.5%over the past 4 decades2 in parallelwith ...
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A CT Scanner in Your Pocket? x-ray lung image in tablet computer, stethoscope, medical document on desk of doctor. top view. medical technology concept. Lung ultrasound (LUS) is still a young diagnostic tool. However, its use is growing quite rapidly. LUS is an important component of ultrasound courses around the world. It is also incorporated into many shock and hypoxia assessment protocols. LUS is now included as a part of the examination by the National Board of ...
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Optimal Approach to Fluid Resuscitation for Patients in Shock Treatment of a patient in critical condition in the ICU ward Initial fluid resuscitation practices for patients with haemodynamic shock remain controversial. There is significant variability in these practices, and the impact of this is still poorly understood. Overall, non-patient-centred resuscitation practices, conflicting treatments, variability, and failure to meet targets for initial resuscitation a...
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Oxygen Therapy in Acute Care Medicine service with a critical patient in the ICU. Oxygen therapy is a commonly used strategy in modern medicine. In most situations with declining oxygen saturations, clinicians are quick to use this technique. While effective in the setting of hypoxia, there are, however, some circumstances in which excess oxygen is indiscriminately administered for extended periods. In healthcare, there has been a significant shift from the conce...
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Can the Ultrasound Probe Replace the Stethoscope? Multi-frequency medical device for ultrasound scanner Auscultation is used in most routine examinations of critically ill patients and is considered to be one of the essential components of the clinical examination. Two of the most frequent pathologies encountered in critically ill patients are pulmonary oedema and pneumonia. Both of these conditions often coexist.  In recent years, many clinicians have started to...
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VITAMINS Trial: No Significant Benefit of Vitamin C Cocktail Sepsis is a life-threatening condition that causes nearly one-third to half of all hospital deaths. It is also responsible for more than 5 million deaths worldwide each year. Patients with septic shock are an important subgroup of sepsis. These patients have circulatory and metabolic abnormalities that further increase their mortality risk. New treatments could potentially improve outcomes for such p...
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PEPTIC Trial: Preventing Stress Ulcers in ICU Patients Medicines in the ICU. Medicinal lines next to the bed of the patient Approximately 2.5% of adults acutely admitted to an ICU develop upper gastrointestinal bleeding. 70% of these patients are prescribed stress ulcer prophylaxis. Proton pump inhibitors are the most commonly prescribed drugs as they reduce bleeding risk. However, there are some clinicians who prescribe histamine-2 receptor blockers. But this pract...
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Editorial February 16, 2020 Physician Orders for Life-Sustaining Treatment and Limiting Overtreatment at the End of Life Robert D. Truog, Terri R. Fried JAMA. Published online February 16, 2020. doi:10.1001/jama.2019.22522 In this issue of JAMA, Lee and colleagues1 examine the association between Physician Orders for Life-Sustaining Treatment (POLST), which involve portable medical orders that document treatment limitations for out-of-...
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