Emergency medical services (EMS) providers may be less likely to transport elderly patients to a trauma center, according to the results of a retrospective analysis reported in the August issue of Archives of Surgery.
Aspiration of Gastric Contents in Sudden Infant Death Syndrome Without Cardiopulmonary Resuscitation Krous HF, Masoumi H, Haas EA, Chadwick AE, Stanley C, Thach BT J Pediatr. 2007;150:241-246
This study attempted to shed light on whether gastric contents are likely to be found in infants who died of sudden infant death syndrome (SIDS). Previous pediatric literature had not been clear on this question, mostly because SIDS victims who had cardiopulmonary resuscitation (CPR) performed were included in previous case series. Infants who underwent CPR may have gastric contents reflux and enter the respiratory tract owing to chest compressions. Therefore, it has been unclear whether gastric contents found in the respiratory tract of SIDS victims were present as part of the primary event or as a result of the resuscitation attempts.
Association Between Critical Care Physician Management and Patient Mortality in the Intensive Care Unit Levy MM, Rapoport J, Lemeshow S, et al Ann Intern Med. 2008;148:801-809
Critically ill patients admitted to intensive care units (ICUs) are thought to benefit from more intensive healthcare delivery from nurses, physicians, and other providers (eg, critical care pharmacists).[1-15] The authors examined data from Project Impact, including 101,832 patients from 123 ICUs in 100 US hospitals. The primary results show that patients cared for by critical care physicians were sicker than other patients and underwent more procedures. Notably, hospital mortality rates were higher for patients managed by critical care physicians, even after adjustment for severity of illness and other factors that may have influenced the probability of being cared for by a critical care physician. The authors concluded that hospital mortality was higher for patients managed by critical care physicians than those who were managed otherwise, and that additional studies are needed to confirm these results and clarify the responsible mechanisms.
One of the most interesting developments in American healthcare in the past decade is the emergence of hospitalists: internists whose sole job is to manage hospitalized patients, and who never venture into the more traditional outpatient setting.
Abstract In black-spot poison ivy dermatitis, a black lacquerlike substance forms on the skin when poison ivy resin is exposed to air. Although the Toxicodendron group of plants is estimated to be the most common cause of allergic contact dermatitis in the United States, black-spot poison ivy dermatitis is relatively rare.
Wide fluctuation in blood glucose levels in critically ill patients is a predictor of mortality in those patients, suggests a study presented here at the American Thoracic Society 2008 International Conference.
By Will Boggs, MD Transfusion factors and patient characteristics contribute to the risk of acute lung injury (ALI) following blood transfusions in critically ill patients, according to a report in the November 1st issue of the American Journal of Respiratory and Critical Care Medicine.
"Critically ill patients, their families, and physicians need to be aware that life support therapies such as blood transfusions or ventilators, while often necessary and life-saving, are not without risks," Dr. Ognjen Gajic told Reuters Health. "Our study suggests that specific transfusion factors have an important role in many critically ill patients who develop acute lung injury in the intensive care unit."
Note: Information based on brochure developed by Project Heartland -- A Project of the Oklahoma Department of Mental Health and Substance Abuse Services in response to the 1995 bombing of the Murrah Federal Building in Oklahoma City. Project Heartland was developed with funds from the Federal Emergency Management Agency in consultation with the Federal Center for Mental Health Services.
FDA has cleared for marketing the first respirators to be used by the public during public health emergencies, such as an influenza pandemic. Called the 3M Respirator 8612F and 8670F, these products will be available without a prescription.