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Critical Care General

CHEST 2014: Predicting Time to Wean in ARDS

Nov 03, 2014

The Particulars: Studies attempting to identify predictors of weaning outcomes in acute respiratory distress syndrome (ARDS) have had mixed results because they use different ARDS criteria and have he...

CHEST 2014: Adding ECMO to CPR

Nov 03, 2014

The Particulars: Research indicates that less than 50% of sudden cardiac death patients survive with conventional cardiopulmonary resuscitation (CPR), and less than 20% survive to hospital discharge. ...

CHEST 2014: Geriatric Syndromes, ADLs, & Health Status in COPD

Nov 03, 2014

The Particulars: The roles of sociodemographics, lung function, smoking status, and comorbid diseases have been included in models investigating health status and health-related quality of life in pat...

CHEST 2014: A Wrist Activity Monitor for COPD Patients

Nov 03, 2014

The Particulars: Most studies of motion detectors for measuring physical activity in patients with COPD have explored devices placed near the center of the body. Researchers hypothesize that a monitor...

CHEST 2014: CPAP & Sexual Quality of Life

Nov 03, 2014

The Particulars: Previous studies have found that patients who use a continuous positive airway pressure (CPAP) device often feel it makes them less sexually attractive and are therefore less likely t...

CHEST 2014: Trends in ARDS-Related Mortality

Nov 03, 2014

The Particulars: Multiple advances have been made in the treatment of acute respiratory distress syndrome (ARDS) in the past 20 years. However, assessments of ARDS-related mortality during this period...

CHEST 2014: Portable Ventilator Improves Health Status

Nov 03, 2014

The Particulars: A portable noninvasive open ventilation system has been shown in previous research to significantly improve respiratory muscle unloading, dyspnea, and exercise tolerance. The impact o...

CHEST 2014

Nov 03, 2014

New research is being presented at CHEST 2014, the annual meeting of the American College of Chest Physicians, from October 25 to 30 in Austin, TX.   Meeting Highlights Portable Ventila...

Social Media Tips for Doctors

Oct 28, 2014

Recently, I was asked for personal advice on using Twitter. There are many articles out there that say we (physicians) don't know how to properly use social media. Social media can be a very powerful ...

The Impact of Test Fee Knowledge

Oct 24, 2014

Hospital patients and providers are often unaware of the fees that come with most medical services. “The healthcare system is oftentimes not transparent in actual costs for these services,” says L...

An Update on Pulmonary Rehabilitation

Oct 24, 2014

In 2006, the American Thoracic Society (ATS) and European Respiratory Society (ERS) released a joint statement on pulmonary rehabilitation, a comprehensive, interdisciplinary intervention that had bee...

Predicting COPD-Related Mortality in the Elderly

Oct 24, 2014

About 10 years ago, researchers validated the BODE index—which stands for BMI, airflow obstruction, dyspnea, and exercise capacity—as a prognostic mortality risk tool for patients with COPD (Table...

More & More Nurses

Oct 13, 2014

Growth in the nursing workforce between 2000 and 2008 to 2010 outpaced the growth of the United States population. ...

IDWeek 2014: Reducing Rates of Antibiotic-Resistant Pneumonia

Oct 10, 2014

The Particulars: The United States government’s Healthy People 2020 initiative set a goal of reducing antimicrobial-resistant invasive pneumococcal disease from 9.3 to 6.0 cases per 100,000 children...

Who Broke The American Healthcare System?

Oct 01, 2014

Healthcare is a hot topic in the media these days. Yet, few people are satisfied with the way it is working. Many claim that the American healthcare system is broken. Patients are increasingly frustra...

What's the Point of Medical Licensing?

Sep 22, 2014

A surgeon emailed me the following:. OK, I know this is radical but consider my argument... Medical licensing protects no one and costs physicians hundreds to thousands of dollars each year. If...

Patient Preferences on Boarding

Sep 19, 2014

Crowding in the ED has been well-established as a problem that poses a threat to public health. Studies show that ED and hospital crowding leads to ambulance diversions, medical errors, delayed care, ...

Medicine 2064

Sep 17, 2014

Medicine 2064 With Dr. Daniel Kraft Curing half of the world's known cancers, granting movement to the paralyzed, preventing Alzheimer's. Visionary medical expert Dr. Daniel Kraft believes all ...

Drug Wars in the Exam Room

Sep 16, 2014

As physicians, we have all been faced with patients inappropriately looking for prescriptions for controlled substances. Some are looking to abuse them and some to divert them for profit. It is often ...

Clinical Questions at the Point of Care

Aug 13, 2014

Since the 1980s, studies have shown that clinicians frequently raise questions during patient encounters in all healthcare settings. These studies have suggested that although questions arise frequent...

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