Acute care surgery service improves outcomes, saves cost

Image: PD  1. Implementation of an acute care surgery service at a non-trauma hospital resulted in improved outcomes and finances and is sustainable over time.  2....

QI methods improve adherence to PALS sepsis guidelines

Image: PD 1. Quality improvement (QI) methodology improved adherence to national pediatric sepsis guidelines and was sustained during the study period. 2. After the QI intervention...

Hemicraniectomy improved survival but not functional status in MCA strokes

Image: PD  1. At 6 months, patients who underwent hemicraniectomy scored better on the Rankin scale, as compared to those who underwent ICU conservative therapy.  2....

Nonleg venous thromboses associated with PE, longer ICU stay

Image: PD 1. Venous thrombosis in the critically ill tended to be incident, proximal, and in the deeper veins of the upper extremities with the...

Mechanical CPR provides no benefit over manual CPR [PARAMEDIC trial]

1. No evidence of improvement in 30-day survival was found with use of LUCAS-2 mechanical compression versus manual compression for cardiopulmonary resuscitation (CPR) of...

Restrictive red blood cell transfusion may decrease risk of infection

Image: PD  1. Transfusion protocols employing restrictive transfusion thresholds demonstrate a decreased risk of infection as compared to those employing morel liberal thresholds.  2. Thirty-eight patients...

Perioperative atrial fibrillation linked to increased long-term risk of stroke

1. Perioperative atrial fibrillation was associated with an increased risk of ischemic stroke 1 year after hospitalization.    2. Noncardiac surgery was associated with a...

Severity of malaria infection may be independent of parasite burden

Image: PD 1. While severe malaria infections occurred during high-densitiy parasitemia, most high-density infections did not result in clinically severe malaria.  2. Prior mild or moderate...

2 Minute Medicine Rewind May 19 – May 26, 2014

Image: PD In this section, we highlight the key high-impact studies, updates, and analyses published in medicine during the past week. Effectiveness of Paliperidone Palmitate vs...

Coronary angiography in asymptomatic patients may lead to inappropriate percutaneous interventions

1. Roughly one quarter of patients who received elective coronary angiography were asymptomatic.  2. Hospitals with higher rates of elective angiography in asymptomatic patients also had...

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