CDC issues alert about severe bleeding due to synthetic cannabinoids | Omaha hospital opens 2nd PICU due to patient volume | Hospital uses tool to determine risk for chorioamnionitis
April 10, 2018
Critical Care SmartBrief
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Critical Care Update
CDC issues alert about severe bleeding due to synthetic cannabinoids
Ninety-four cases of severe bleeding have been reported in emergency departments in five states due to vitamin K-dependent antagonist coagulopathy following the use of synthetic cannabinoids possibly tainted with the poison brodifacoum, according to an alert from the CDC. The patients' "workup and their response to treatment with fresh frozen plasma and high doses of vitamin K was consistent with long-acting vitamin K-dependent antagonist toxicity," according to the CDC.
Medscape (free registration) (4/6),  The Associated Press (4/5) 
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Omaha hospital opens 2nd PICU due to patient volume
Children's Hospital & Medical Center in Omaha is opening a second pediatric ICU due to patient volume levels that have forced it to divert critically ill children to another hospital. The hospital is constructing a new tower that will include a larger PICU, but it will not open until 2021, so officials addressed the immediate need by leasing space at Methodist Hospital, which is next door and connected by a skywalk.
Omaha World-Herald (Neb.) (4/10) 
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Hospital uses tool to determine risk for chorioamnionitis
Seton Medical Center in Austin, Texas, has used a sepsis calculator for the past year to determine an infant's risk of chorioamnionitis in the womb, which allows physicians to determine if NICU care is required. The hospital said use of the tool has kept about 200 infants from needing NICU care.
KXAN-TV (Austin, Texas) (4/9) 
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The Diagnostic Approach of Patients with Sepsis
Sepsis remains a leading cause of death in America, with over 258,000 deaths annually and over 160,000 of those occurring in hospitals. This educational webinar will focus on the importance of point-of-care and critical care testing in the identification, evaluation, and continued diagnostic support required for the management of patients with sepsis. Click for more information.
Medicine in the News
Report: Hospital M&As may raise patient safety risks
Hospital mergers and acquisitions could lead to significant, unintended patient harm unless steps are taken to mitigate safety risks, researchers wrote in the Journal of the American Medical Association. The researchers created a toolkit to help hospitals identify patient safety risk factors and address potential harms.
Becker's Hospital Review (4/6) 
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Study evaluates physicians' online, institutional reviews
Physicians who receive negative online reviews may not receive negative reviews on formal institutional patient surveys, according to a study in the Mayo Clinic Proceedings. These physicians still often get lower scores on factors outside of their control, compared with doctors who do not get negative online reviews.
Medscape (free registration) (4/6) 
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Learn from leaders in health care innovation
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Trends and Technology
Injectable bandage can help stop bleeding, accelerate wound healing
Researchers at Texas A&M University developed a bandage that uses seaweed extract and nanosilicates to form hydrogels that can be injected into a wound to stop bleeding. The bandage, as described in the journal Acta Biomaterialia, can incorporate a small-molecule drug or large-molecule protein to speed healing, according to researcher Akhilesh Gaharwar.
In-Pharma Technologist (4/4) 
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Character -- the willingness to accept responsibility for one's own life -- is the source from which self-respect springs.
Joan Didion,
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