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February 1, 2013
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  Critical Care Update 
 
  • Safety program curbs infection rates in NICUs
    The rate of central line-associated bloodstream infection in neonatal intensive care units dropped by 58% in 11 months following participation in the Agency for Healthcare Research and Quality's safety program. The report said the program helped prevent an estimated 131 infections, up to 41 deaths and saved more than $2 million in medical costs. BeckersASC.com (1/25) LinkedInFacebookTwitterEmail this Story
  • Daily antiseptic bathing reduces bacteremia in PICUs
    Patients at pediatric intensive care units who received daily chlorhexidine gluconate baths had significantly lower incidence of bacteremia than patients in the standard bathing protocol group, according to a study in The Lancet. The incidence of skin reactions associated with the antiseptic bathing was 1.2 per 1,000 days, and researchers reported no serious adverse events. DoctorsLounge.com/HealthDay News (1/28) LinkedInFacebookTwitterEmail this Story
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  Medicine in the News 
  • Group releases new stroke care guidelines
    Stroke patients should be given anticlotting drugs and other necessary treatments within one hour of arriving in the emergency department to reduce brain damage and hasten recovery, according to new guidelines developed by the American Stroke Association. To maximize its effectiveness, the clot-busting drug tissue plasminogen activator should be given within four and a half hours after the onset of symptoms, the group said. The guidelines appeared online in the journal Stroke. HealthDay News (1/31) LinkedInFacebookTwitterEmail this Story
  • Survey shows when elderly patients may want ICD deactivated
    A survey of 95 elderly patients with implantable cardioverter defibrillators found 71% would possibly or definitely want the devices turned off under certain circumstances, Yale University researchers said. Their report in the online version of JAMA Internal Medicine found that instances in which patients may want an ICD deactivated included being unable to leave bed, having permanent memory problems, being a burden to family, needing prolonged ventilation and having an advanced untreatable disease. MedPage Today (free registration) (1/28) LinkedInFacebookTwitterEmail this Story
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  Trends and Technology 
  • Researchers say EHRs can guide ICU admissions, resources
    Electronic health records can be used to help evaluate patients for ICU admission, predict risk of death and better allocate critical care resources, according to University of Michigan researchers writing in the New England Journal of Medicine. Dr. Lena Chen said targeted incentives for meaningful use of HIT are needed to get more hospitals to use EHRs to make informed decisions about ICU admission. EHR Intelligence (1/31) LinkedInFacebookTwitterEmail this Story
  • InSpectra device may be critical care prehospital tool
    Hutchinson Technology demonstrated its InSpectra StO2 tissue oxygenation monitor at the SCCM annual meeting, and it could be a predictive prehospital tool for first responders, according to Mike McEvoy, an EMS coordinator who also teaches critical care medicine at Albany Medical College in New York. He says that the InSpectra tool is lightweight and portable and that measuring tissue microcirculation saturation is a good way to predict shock. EMS1.com (1/31) LinkedInFacebookTwitterEmail this Story
  SmartQuote 
Never confuse a single defeat with a final defeat."
--F. Scott Fitzgerald,
American writer


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