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Clinical Scenario: A 45-year-old woman with hypertension presents with a productive cough and fever. Additionally, multiple studies demonstrate increased harm with IV antibiotics such as increased rate of diarrhea ( Haran 2014 ), complications from IV placement ( Li 2015 ), and increased length of stay or cost ( Lorgelly 2010 ).
Take Home Points Clinical presentation is very nonspecific; evaluate all patients presenting with back pain for infectious risk factors. MRI is key to diagnosis, obtain this imaging in all patients who raise clinical suspicion Patients with hemodynamic instability and neurologic compromise warrant empiric antibiotics.
The clinical implementation of point-of-care ultrasound is making steady progress. since 2010. POCUS allows for real-time evaluation and administration of treatment, without reliance on facility-based scanning, i.e. radiology departments, and avoidance of unnecessary tertiary care referral is a major benefit, he added.
They retrospectively accessed discharge data from the State Emergency Department Databases for California and Florida for 2007-2010, and then merged the data with information on hospital HIE participation from market research firm HIMSS Analytics. Office of the National Coordinator for Health IT (ONC). "As
REBEL Cast Ep115 – Phenobarbital vs Lorazepam in Alcohol Withdrawal Click here for Direct Download of the Podcast Clinical question : Is a phenobarbital-based or lorazepam-based alcohol detoxification protocol associated with a lower hospital length of stay compared to Ativan for alcohol withdrawal?
2019 Aug; PMID: 30954692 Clinical Question: What is the impact of system factors in the implementation of standard-of-care LPV in critically ill ED patients admitted to the ICU? 2011 Feb 15; Epub 2010 Aug 27. Paper: Owyang CG, et al. J Crit Care. Am J Respir Crit Care Med. PMID: 20802164 Heimberg DH, et al. Spartan Med Res J.
Patient demographics, aneurysm characteristics, surgical procedures, and clinical outcomes were analyzed. infield gross target volume [GTV] within the 60-Gy isodose line and infield clinical target volume [CTV] within the 46-Gy isodose line); marginal, within 2 cm of the 46-Gy isodose line; and distant, all outside the 46-Gy isodose line.
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