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CME
A 34-Year-Old Pregnant Woman with Acute Severe Abdominal Pain
A 34-year-old woman presents to the ED with a 2-hour history of severe abdominal pain, 2 episodes of light-headedness, and loss of consciousness. She is about 6 weeks pregnant; the pain started suddenly the morning of presentation. What is the diagnosis?
Clinical Case, August 2008
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What's the Impact of Air Bags After Trauma?
Commentary on a study on the impact of air bags on trauma, published May 2008 in the Journal of the American College of Surgeons.
Expert Viewpoint, August 2008
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Eating Right After Surgery -- Tricky or Treat?
Commentary on a study about whether eating right after surgery is safe, published May 2008 in the Archives of Surgery.
Expert Viewpoint, August 2008
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Topical Negative Pressure Wound Therapy -- Is it Justified?
Commentary on a study of whether negative-pressure wound therapy is justified, published May 2008 in the British Journal of Surgery.
Expert Viewpoint, August 2008
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Retooling for an Aging America
Harvey V. Fineberg, MD, President, Institute of Medicine, Washington, DC, discusses the impact of the "baby boomer" generation on medicine.
Expert Viewpoint, August 2008
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CME/CE
Cases from AHRQ WebM&M: The Inside of a Time Out
The Joint Commission Universal Protocol requires a final "time out" just prior to the surgery or procedure regardless of where it is being performed. Are you taking the time?
Article, August 2008
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Relationship Between Preventable In-Hospital Deaths After Coronary Artery Bypass Graft Surgery: Commentary from F1000
In this important study, a third of all deaths after CABGS were preventable. Now it's time to find out the causes.
Journal Article, August 2008
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The See-Through Doctor: Sitting Naked in the Exam Room
Michael Millenson, President of Health Quality Advisors and the Mervin Shalowitz, MD, Visiting Scholar at Northwestern University's Kellogg School of Management, discusses physician transparency.
Editorial, August 2008
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CME/CE
The Last Hours of Living: Practical Advice for Clinicians
Clinical concerns in the last hours of living include managing feeding and hydration, changes in consciousness, delirium, pain, breathlessness, and secretions. Learn what to expect and what to do.
Clinical Review, August 2008
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Serum D-Dimer and Aortic Dissection
Rapid and accurate detection of aortic dissection is critical to managing patients with chest pain or suspected ACS in the ED. Are serum D-dimer levels a safe and effective measure to "rule out" AD?
Expert Viewpoint, August 2008
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CME/CE
Hyperemesis and Epigastric Pain in a 27-Year-Old Man
A 27-year-old man presents to the ED with a 2-day history of hyperemesis with hematemesis. The patient drank 21 cans of beer 3 days ago; his history reveals that he has vomited 30 times in the past 24 hours. What is the underlying etiology?
Clinical Case, August 2008
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Implementation of a Restrictive Transfusion Protocol Reduces the Need for Allogeneic Blood Transfusion in Proximal Humerus Fracture Repair Without Affecting Patient Outcome: Preliminary Observations
This study evaluated the influence of two transfusion protocols on ABT requirements in patients undergoing hemiarthroplasty surgery for proximal humerus fracture.
Journal Article, August 2008
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CME
Secondary Stroke Prevention (Slides With Transcript)
Slide/Lecture Presentation, August 2008
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Hospitals We Can't Afford to Lose
Emily Friedman, an independent health policy and ethics analyst, discusses the passing of our most needed hospitals.
Editorial, August 2008
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Endothelin Antagonist Trial in Mildly Symptomatic Pulmonary Arterial Hypertension: The EARLY Study
The EARLY study is the first randomized, double-blind, multicenter, placebo-controlled clinical trial to study the role of endothelin receptor antagonism on disease progression in early-stage PAH.
Expert Viewpoint, July 2008
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CME/CE
An 8-Day-Old Boy With Tachypnea and Difficulty Feeding
An 8-day-old boy is brought to the ED by his parents for a rapid breathing rate and decreased feeding. His vital signs are significant for a respiratory rate of 70 breaths/min and a heart rate of 296 bpm. What is shown on the EKG?
Clinical Case, July 2008
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CME
Society of Hospital Medicine (SHM) 2007-2008 Productivity and Compensation Survey
SHM '08: The latest survey on the state of hospital medicine, still gaining in importance.
Conference Coverage, July 2008
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CME
The Triple Aim and the Future of Quality Improvement
SHM '08: Don Berwick, MD, the President and CEO of the Institute for Healthcare, blasts the current quality of care in the United States and offers a new challenge -- the Triple Aim.
Conference Coverage, July 2008
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Will America Enact National Health Insurance in 2009?
Quentin Young, MD, National Coordinator, Physicians for a National Health Program and Chairman, Health and Medicine Policy Research Group, Chicago, Illinois, predicts universal coverage in 2009.
Editorial, July 2008
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Series of Tall T Waves (I)
Are the tall T waves indicative of hyperkalemia or myocardial ischemia, or are they simply a normal variant?
Clinical Case, July 2008