Recent Features

Neck Manipulation & Stroke Risk

Neck Manipulation & Stroke Risk | Feature

A scientific statement from the American Heart Association has found that manipulating the neck may lead to cervical dissection, a type of arterial tear that can lead to stroke. Healthcare providers are urged to inform patients of this association before they undergo neck manipulation.

Making the Case for Meningococcal Disease Prevention

Making the Case for Meningococcal Disease Prevention | Opinion Article

While relatively rare, meningococcal disease is a serious cause of morbidity and mortality, even when it is managed with state-of-the-art therapy. Meningococcal disease is often hard to diagnose in its early stages because it typically presents with only fever and malaise.…

Recommendations for Transcatheter Valve Programs

Recommendations for Transcatheter Valve Programs | Feature

A consensus document offers guidance on developing and maintaining a transcatheter mitral valve therapy program. It is intended to help providers and institutions establish the core competencies and technical skills that are needed to adequately perform these procedures.

Diagnosing Stroke in the ED

Diagnosing Stroke in the ED | Feature

Studies suggest that there are missed opportunities to diagnose cerebrovascular causes for stroke symptoms. “While traditional stroke symptoms are rarely missed,” says David E. Newman-Toker, MD, PhD, “clinicians can sometimes overlook or discount non-specific symptoms, such as dizziness or headache.”

Quantifying Misdiagnoses

In the journal Diagnosis, Dr.…

CPR Knowledge & Performance in the ED

CPR Knowledge & Performance in the ED | Feature

Among medical students and ED personnel with current CPR certification, there appears to be a need for improvement in the performance of some important technical aspects of CPR. More frequent reinforcement of CPR guidelines may be needed to ensure consistent, effective performance.

Reducing Post-Op VTE Complications

Reducing Post-Op VTE Complications | Opinion Article

At Boston Medical Center, researchers learned in 2009 that their institution was a high outlier for postoperative venous thromboembolism (VTE). Their data were derived from the American College of Surgeons’ National Surgical Quality Improvement Pro­gram (ACS NSQIP) database. “After recognizing this fact,” says David McAneny, MD, “we implemented a standardized intervention for reducing postoperative VTE complications.”

The intervention used standardized electronic physician orders to specify early postoperative mobilization and to mandate individualized VTE risk stratification for all patients.…

Health-Related Web Searches: Examining Quality

Health-Related Web Searches: Examining Quality | Opinion Article

Most adults in the United States seek health information online, and many report that these searches influence their health-related decisions. About two-thirds of people who obtain health information online begin their inquiries through popular search engines. “The potential problem with this approach is that patients may receive inaccurate or misleading results from these queries,” says Christopher A.…

Recommendations on Cardiac Imaging Radiation

Recommendations on Cardiac Imaging Radiation | Opinion Article

The development of cardiac imaging technologies has revolutionized cardiovascular medicine by allowing for routine, non-invasive assessments of myocardial perfusion and anatomy. “Despite these advances, little evidence exists regarding the impact of radiation exposure on cardiac patients,” says Andrew J. Einstein, MD, PhD.…

The “July Effect” & ED Length of Stay

The “July Effect” & ED Length of Stay | Opinion Article

Throughout the medical community, the “July effect” or “July phenom­enon” is a well-known entity in which it is believed that the month of July is a poor time to be cared for in the hospital because trainee doctors are beginning their new roles.…

Telemedicine Adoption in the ICU

Telemedicine Adoption in the ICU | Feature

Although there has been a substantial expansion in the number of hospitals adopting ICU telemedicine, rates have slowed down in more recent years, with fewer new installations. Efforts are needed to facilitate adoption of ICU telemedicine in more hospitals and in small, rural medical centers.

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