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Critical Care

News, opinions and meeting coverage in critical care.

ACC: Folate Supplements Cut Strokes in Hypertension

Hypertensive patients with low blood folate levels gain big benefit.

I, Intern: A Critical Problem in the ICU

One intern wants to close the gap between evidence and practice.

Morning Break: Penis Reduction? Patient Suffering

Health news and commentary from around the Web, gathered by the 番茄社区 staff.

Mixed Results for Low-Dose Statin in Second Stroke

Pravastatin didn't reduce incidence of recurrent stroke, but did offer other benefits.

Stroke Survivors May Face Greater Cancer Risk

Ischemic stroke increased likelihood of cancer within 2 years of the event.

Predicting Death in Advanced Cancer

Study offers clues to guide clinicians, families about end of life.

Hard Drinking in Middle Age Linked to Stroke

F. Perry Wilson, MD, critiques an interesting new study in 150 seconds.

Friday Feedback: When Grief Turns Violent

How should clinicians know and react when family members blame them for adverse outcomes?

Survival Boost from NP/PA Care in ICU?

Association seen versus resident physicians in small study.

More Nurses May Mean Fewer Deaths in ICU

High patient to nurse ratios may lead to more errors and fatal outcomes.

10 Things ICUs Must Do Better

Compassion tops the list by former Society of Critical Care Medicine president.

The Five Best Apps for Echocardiography

Echocardiography is a frequently used tool in the evaluation of a wide range of cardiac diseases.

CardioBuzz: Why Patients Don鈥檛 Take Heart Meds

Faced with patients' instinctive aversion to pills, even after MI, what's a cardiologist to do?

Ebola Diary: On the Ground in Sierra Leone, Part 5

Last installment in a CDC fellow's account of her experiences tracking the spread of the Ebola virus in West Africa.

RSNA: Pituitary May Link Brain Injury and PTSD

Hormone treatment might be useful.

Case Study: Fecal Transplant Clears K. Pneumoniae

Treatment of teenage girl suggests another use for fecal microbiota transplant.

FDA Panel Torn on Watchman Device

Calls the device safe, but splits on its efficacy.

Vitamin D Blog: No Help in the ICU

Boosting vitamin D levels doesn't help ICU patients.

Azithromycin Linked to Belly Blockage in Infants

WASHINGTON -- Infants who received azithromycin (Zithromax) in the early days of life were at an increased risk for developing infantile hypertrophic pyloric stenosis (IHPS), researchers reported here.

C. diff. Differs by Season and Region

WASHINGTON -鈥� March is the month when hospitals see more Clostridium difficile infections, and the Northeast is the region that leads the nation in the difficult to treat infection, researchers reported here.

Ebola Response: Slowed by a 'Perfect Storm' of Setbacks

WASHINGTON -- The world was taken by surprise by the West Africa Ebola outbreak and has been scrambling ever since to catch up, with many setbacks and only a few bright spots in the picture, international experts said at the Interscience Conference on Antimicrobial Agents and Chemotherapy.

Vancomycin May Protect Against C. Diff Recurrence

WASHINGTON -- Prophylaxis with oral vancomycin (Vancocin) appeared to protect at-risk patients from experiencing a recurrence of Clostridium difficile infection, researchers reported here.

ESC: Will CvLPRIT Change Practice?

BARCELONA -- Cardiologists react to findings from the CvLPRIT study, which challenge not only traditional thinking but also existing guidelines from both the U.S. and Europe, all of which say that treating nonculprit arteries in STEMI patients may be harmful.

ESC: Xarelto Safe for Cardioverting Afib

BARCELONA -- Switching atrial fibrillation patients awaiting elective cardioversion to rivaroxaban (Xarelto) was as safe as warfarin in that setting.

Doctor's Memoir Exposes Dark Side of Medicine

Sandeep Jauhar puts his life on stark display to illustrate harmful financial intrusions into medicine in his newest book.

CardioBuzz: Toward the $500 an Hour Physician

In this guest blog, Mark Jay Zucker, MD, JD, an attorney and transplant cardiologist at Rutgers University New Jersey Medical School in Newark, explains why he thinks it's time to talk money.

Now What? DEA Tosses Tramadol in Schedule IV

The Drug Enforcement Administration (DEA) scheduled tramadol as a Schedule IV substance -- whats the big fuss about tramadol that led to this decision by the DEA?

Antibiotics No Help After Gallbladder Surgery

Postoperative antibiotics after gallbladder removal do not reduce the risk of infection, researchers reported.

More Brain Bleeds With Stroke Drug in 'Real World鈥�

BOSTON -- Intracerebral hemorrhage was more common among patients receiving tissue plasminogen activator (tPA) in the real world compared with those in a clinical trial, a small, single-center study showed.

War Wounds: Hearing Loss Tracks Gulf War Vets

Battlefield wounds are often both life-threatening and life-changing, but when hearing is the casualty, the wound is too often undiagnosed or untreated, but a new initiative is underway to change tackle the silent wounds of war.

Does Tylenol Protect Kidneys in Sepsis?

SAN DIEGO -- Acetaminophen (Tylenol) for severe sepsis patients improved renal function but gave mixed signals in terms of changes in the expected oxidative injury mechanism, researchers found in a pilot trial.

The Day My Brother Became a Statistic

My brother would have turned 37 today. Instead, he became a statistic in 1995.

Humans Beat Stroke Scales for ICH Prognosis

PHILADELPHIA -- Physicians and nurses in stroke units more accurately predicted outcomes in patients with intracerebral hemorrhage (ICH) compared with common prognostic scales, a researcher reported here.

CardioBuzz: Is Marijuana Bad for Your Heart?

Whether marijuana actually causes cardiovascular problems remains unclear, a situation that was not necessarily helped by a study based on 35 reports of cannabis-related complications in France, a country with about 1.2 million recreational users.

How To Get Medicare To Cover A Spa Trip

Good news for doctors who think their patients need a trip to the spa: Medicare will reimburse, with only two catches.

Missed Doses Cripple Postop DVT Prevention

Missed doses of prophylactic anticoagulation account for much of the deep vein thrombosis that occurs in surgery and trauma patients, a study showed.

How to Replace IV Nitroglycerin in the Shortage

What are the alternatives for IV nitroglycerin in the emergency setting as the shortage saps reserves? Several experts share their thoughts.

ACC: Metformin No Help in MI Recovery

WASHINGTON -- Metformin started soon after reperfusion in the acute setting didn't help cardiac function recover in nondiabetic heart attack patients, a trial showed.

10 Ways to Safely Push Ketamine in the ED

A doctor recently took me on a Special K trip, and I enjoyed it immensely.

Top 5 Reasons Cardiologists Get Sued

Problems with diagnosis -- failing to make one, making the wrong one, or taking too long to get to one -- lead the list of reasons behind cardiology-related lawsuits, revealed closed claims data from a medical malpractice insurer.

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