Here are what the editors at HealthDay consider to be the most important developments in Critical Care for July 2018. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Rapid Improvement of Dilated Cardiomyopathy With Anakinra

TUESDAY, July 31, 2018 (HealthDay News) — In a report published online July 31 in the Annals of Internal Medicine, doctors describe the case of a patient with dilated cardiomyopathy who experienced rapid clinical improvements with use of anakinra, the recombinant form of the endogenous antagonist for the interleukin-1 receptor.

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Few Published Programs Address Medical Trainee Mistreatment

TUESDAY, July 31, 2018 (HealthDay News) — There are very few published descriptions of programs that address the mistreatment of medical trainees, according to a review published online July 27 in JAMA Network Open.

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Odds of Death Up With Medium-, Large-Caliber Firearms

TUESDAY, July 31, 2018 (HealthDay News) — There is a correlation for firearm caliber with likelihood of death from gunshot wounds, according to a study published online July 27 in JAMA Network Open.

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Medical Boards May Contribute to Mental Health Stigma for Doctors

MONDAY, July 30, 2018 (HealthDay News) — Existing policy has been amended to encourage licensing boards to require disclosure of physical or mental health conditions only when these would negatively impact a physicians’ ability to practice medicine, according to an article published in the American Medical Association’s AMA Wire.

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Teen Boy Suffers Serious Burns After ‘Hot Water Challenge’

MONDAY, July 30, 2018 (HealthDay News) — An Indianapolis teen suffered serious burns after his friends poured boiling hot water on him as part of fad called the “Hot Water Challenge.”

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Four Strategies Help Doctors Make Personal, Professional Gains

MONDAY, July 30, 2018 (HealthDay News) — In an article published in Physicians Practice, four strategies are presented to help physicians make personal and professional gains.

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CDC: Homicides by Firearm on the Rise in the United States

FRIDAY, July 27, 2018 (HealthDay News) — Gun murders are on the rise in the United States and are the most common type of murder, according to a QuickStats report published in the July 27 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.

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Risk of Heart Failure Up in ALVSD Patients With Diabetes

FRIDAY, July 27, 2018 (HealthDay News) — For patients with asymptomatic left ventricular systolic dysfunction (ALVSD), those with diabetes have increased risk of heart failure development and hospitalization, according to a study published in the June issue of Diabetes Care.

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Readmission Rate 19.2 Percent After Acute Exacerbation of COPD

FRIDAY, July 27, 2018 (HealthDay News) — The rate of 30-day index readmissions after acute exacerbation of chronic obstructive pulmonary disease (AECOPD) is 19.2 percent, according to a study published in the July issue of the Annals of the American Thoracic Society.

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2002 to 2014 Saw Hike in AMI Rate in Pregnancy, Puerperium

FRIDAY, July 27, 2018 (HealthDay News) — Acute myocardial infarction (AMI) occurred in one of every 12,400 hospitalizations for those hospitalized during pregnancy and the puerperium, according to a study published online July 18 in the Mayo Clinic Proceedings.

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Assessing, Improving Patient Satisfaction Cuts Malpractice Risk

THURSDAY, July 26, 2018 (HealthDay News) — Assessing and improving patient satisfaction can help physicians avoid being sued for malpractice, according to an article published in Physicians Practice.

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Use of 2017 ACC/AHA Guidelines Would Increase HTN Prevalence

THURSDAY, July 26, 2018 (HealthDay News) — Adoption of the 2017 American College of Cardiology (ACC)/American Heart Association (AHA) hypertension guidelines would increase the proportion of 45- to 75-year-olds labeled as having hypertension in the United States and China, according to a study published online July 11 in The BMJ.

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Reducing Computers in Rounds May Cut Communication Barriers

THURSDAY, July 26, 2018 (HealthDay News) — Reducing the number of computers on wheels in a surgical intensive care unit can reduce barriers to communication during patient presentations, according to a research letter published online July 18 in JAMA Surgery.

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Prehospital Plasma Cuts Mortality Risk in Hemorrhagic Shock

THURSDAY, July 26, 2018 (HealthDay News) — Prehospital administration of thawed plasma during air medical transport results in lower 30-day mortality compared with standard-care resuscitation in injured patients at risk for hemorrhagic shock, according to research published in the July 26 issue of the New England Journal of Medicine.

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Daily BCX7353 Cuts Rate of Hereditary Angioedema Attacks

THURSDAY, July 26, 2018 (HealthDay News) — A small-molecule inhibitor of plasma kallikrein, BCX7353, results in a significantly lower rate of hereditary angioedema attacks compared with placebo, according to a study published in the July 26 issue of the New England Journal of Medicine.

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Insurers May Be Underpaying Doctors

THURSDAY, July 26, 2018 (HealthDay News) — Insurance companies sometimes underpay doctors the contracted amount for a service or procedure, according to an article published in Medical Economics.

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Steroid Abuse Put 60-Year-Old Bodybuilder in the Hospital

THURSDAY, July 26, 2018 (HealthDay News) — In a report published online July 23 in BMJ Case Reports, doctors present the case of an amateur weight-lifter who developed non-ischemic cardiomyopathy after using anabolic-androgenic steroids (AAS).

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Tools, Methods of RCTs Can Be Adapted to Real-World Settings

WEDNESDAY, July 25, 2018 (HealthDay News) — Use of appropriate statistical methodology can allow for the synthesis of data collected as part of traditional clinical trials with real-world data, according to an Ideas and Opinions piece published online July 24 in the Annals of Internal Medicine.

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VA MISSION Act May Up Costs, Lower Vet Health Care Quality

TUESDAY, July 24, 2018 (HealthDay News) — The Veterans Affairs Maintaining Internal Systems and Strengthening Integrated Outside Networks (VA MISSION) Act may increase costs and reduce quality of health care for veterans, according to an Ideas and Opinions piece published online July 24 in the Annals of Internal Medicine.

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Medical Organizations Must Address Sexual Harassment

MONDAY, July 23, 2018 (HealthDay News) — Medical institutions and organizations need to ensure there are proactive interventions to transform the workplace in order to address sexual harassment and discrimination, according to an article published in the American Medical Association’s AMA Wire.

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FDA Warns Against Risks of Contaminated Synthetic Cannabis

MONDAY, July 23, 2018 (HealthDay News) — Users of synthetic marijuana products and health care providers should be aware of the risk of bleeding associated with contamination of synthetic cannabinoid products with brodifacoum, according to the U.S. Food and Drug Administration.

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Increased Coverage in States With Medicaid Expansion

FRIDAY, July 20, 2018 (HealthDay News) — Coverage rates and access to care are significantly higher in states with Medicaid expansion, compared with non-expansion states, according to a study published in the July issue of Health Affairs.

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Patients Care About the Clothes Doctors Wear

THURSDAY, July 19, 2018 (HealthDay News) — Patients do in fact care what doctors wear, according to a study recently published in BMJ Open.

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Seven Strategies Can Help Practices Manage Staff Time Off

WEDNESDAY, July 18, 2018 (HealthDay News) — Several strategies can be implemented to help address management of staff time off, allowing mutual respect for the employee and employer requests, according to an article published in Medical Economics.

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Trials Supporting FDA Approval of Breakthrough Drugs Examined

TUESDAY, July 17, 2018 (HealthDay News) — Pivotal trials supporting U.S. Food and Drug Administration approvals granted Breakthrough Therapy designation often lack randomization, double-blinding, and control groups, according to a research letter published in the July 17 issue of the Journal of the American Medical Association.

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Alternative Payment Models Should Include Precision Medicine

TUESDAY, July 17, 2018 (HealthDay News) — The American Medical Association has committed to working to integrate precision medicine into alternative payment models (APMs), according to an article published in the association’s AMA Wire.

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FDA Establishes New Task Force on Drug Shortages

TUESDAY, July 17, 2018 (HealthDay News) — In a recent statement, U.S. Food and Drug Administration Commissioner Scott Gottlieb, M.D., announced the formation of a new drug shortages task force to thoroughly explore the reasons why drug shortages remain a persistent challenge.

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Adoption of EHR Linked to Reduction in Mortality Rates

MONDAY, July 16, 2018 (HealthDay News) — Adoption of electronic health records (EHRs) is associated with a reduction in mortality rates in U.S. hospitals, according to a study published in the July issue of Health Affairs.

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Factors Identified That Affect Resuscitation Teams’ Success

MONDAY, July 16, 2018 (HealthDay News) — Successful resuscitation teams share common, core elements that are associated with better in-hospital cardiac arrest (IHCA) outcomes, according to a study published online July 9 in Circulation.

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Physician Burnout Tied to Higher Risk of Medical Errors

MONDAY, July 16, 2018 (HealthDay News) — Physician burnout, fatigue, and work-unit safety grades are independently associated with medical errors, according to a study published online July 9 in the Mayo Clinic Proceedings.

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Virtual Assistants Not HIPAA Compliant

FRIDAY, July 13, 2018 (HealthDay News) — Virtual assistant programs like Google Assistant, Siri, and Alexa are not yet in compliance with the Health Insurance Portability and Accountability Act (HIPAA), warns an article published in Medical Economics.

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Cutting Insurance Eligibility Ups Peds Hospitalization Cost Burden

FRIDAY, July 13, 2018 (HealthDay News) — Reducing public insurance (Medicaid and the Children’s Health Insurance Program) income eligibility limits would result in large numbers of newly ineligible pediatric hospitalizations, according to a study published online July 9 in Pediatrics.

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Gender Bias in Medicine Has Far-Reaching Consequences

FRIDAY, July 13, 2018 (HealthDay News) — Overlooking women in medicine can have far-reaching consequences, according to a perspective piece published in the June 14 issue of the New England Journal of Medicine.

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AMA Aims to Boost Affordability of ACA Marketplace Plans

THURSDAY, July 12, 2018 (HealthDay News) — The American Medical Association (AMA) House of Delegates has adopted policy to increase the number of people who obtain coverage through the Affordable Care Act (ACA) by making marketplace plans more affordable.

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2001 to 2015 Saw Decline in Self-Employment in Health Care

THURSDAY, July 12, 2018 (HealthDay News) — From 2001 to 2015 there was a decrease in the percentage of health care professionals who are self-employed and a decrease in the earning gap between self-employed and employed health care professionals, according to a study published online July 12 in JAMA Network Open.

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Asthma, Uncontrolled Asthma Associated With Risk of A-Fib

THURSDAY, July 12, 2018 (HealthDay News) — There is a correlation for asthma and lack of asthma control with the risk of atrial fibrillation (AF), according to a study published online July 11 in JAMA Cardiology.

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Peer-Led Education Helps Physicians Save Time With EHRs

THURSDAY, July 12, 2018 (HealthDay News) — A peer-based education program can improve the efficiency of electronic health record (EHR) use, according to an article published in the American Medical Association’s AMA Wire.

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USPSTF: Evidence Lacking for Nontraditional CVD Risk Factors

WEDNESDAY, July 11, 2018 (HealthDay News) — The U.S. Preventive Services Task Force concludes that there is currently insufficient evidence to assess the benefits and harms of adding nontraditional risk factors to traditional cardiovascular disease (CVD) risk assessment in asymptomatic adults. These findings form the basis for a final recommendation statement published online July 10 in the Journal of the American Medical Association.

Final Recommendation
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FDA Requires Safety Label Changes for Fluoroquinolones

WEDNESDAY, July 11, 2018 (HealthDay News) — The U.S. Food and Drug Administration has strengthened current warnings in the prescribing information about fluoroquinolone antibiotics causing significant decreases in blood glucose as well as mental health side effects.

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Safety Announcement

USPSTF: Evidence Lacking for ABI for PAD Screen in Asymptomatic

WEDNESDAY, July 11, 2018 (HealthDay News) — The U.S. Preventive Services Task Force (USPSTF) concludes that there is currently insufficient evidence to assess the benefits and harms of screening for peripheral artery disease (PAD) with the ankle branchial index (ABI) in asymptomatic adults. These findings form the basis of a final recommendation statement published in the July 10 issue of the Journal of the American Medical Association.

Final Recommendation
Evidence Report
Editorial

AMA Calls for Inclusive Family, Medical Leave Policies

TUESDAY, July 10, 2018 (HealthDay News) — The American Medical Association (AMA) calls for inclusive family and medical leave policies to support lesbian, gay, bisexual, transgender, and queer (LGBTQ) workers who care for relatives, spouses, and partners.

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International Group Develops Best Practices for Drug Packaging

TUESDAY, July 10, 2018 (HealthDay News) — Nine new drug labeling and packaging guidelines have been developed with an aim of reducing medication errors, according to a report published in Drug Topics.

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Recent Years Have Seen U.S. Military Reinventing Trauma Care

TUESDAY, July 10, 2018 (HealthDay News) — The U.S. military has reinvented trauma care, offering hope for changing approaches to health care, according to a blog post published online July 3 in Health Affairs.

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Error Rate 7.4 Percent in Speech Recognition-Assisted Notes

TUESDAY, July 10, 2018 (HealthDay News) — The error rate in speech recognition (SR)-assisted documentation is 7.4 percent, according to a study published online July 6 in JAMA Network Open.

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Red Cross Issues Nationwide Call for Blood Donations

MONDAY, July 9, 2018 (HealthDay News) — Following a blood shortage triggered by the Fourth of July holiday week, the American Red Cross has called for donations of all blood types, but especially type O.

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Doctors Usually Empathetic in Pediatric ICU Care Conferences

MONDAY, July 9, 2018 (HealthDay News) — Physicians frequently respond with empathy during pediatric intensive care unit care conferences, though their responses are often buried within other data or missed, according to a study published online July 6 in JAMA Network Open.

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IT Solutions for Easier EHRs Save Physicians Time, Burnout

FRIDAY, July 6, 2018 (HealthDay News) — Yale Medicine is effectively targeting electronic health record (EHR) use and functionality as a way to improve physician job satisfaction and reduce burnout, according to an article published in the American Medical Association’s AMA Wire.

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Hospitals Face $218B in Federal Payment Cuts From 2010 to 2028

THURSDAY, July 5, 2018 (HealthDay News) — Cumulative reductions in federal payments to hospitals from 2010 to 2028 are estimated to reach $218.2 billion, according to a study commissioned by the Federation of American Hospitals and the American Hospital Association (AHA).

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Patient Complaints Mainly About Rudeness, Rushing, Reproach

THURSDAY, July 5, 2018 (HealthDay News) — Understanding patients’ complaints about practice can be instructive for physicians, according to an article published June 6 in Physicians Practice.

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Patients Comfortable With Doctors Having Tattoos, Piercings

THURSDAY, July 5, 2018 (HealthDay News) — Patients do not appear to mind if doctors have tattoos or piercings, according to a study published online July 2 in the Emergency Medicine Journal.

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Follow-up Lacking for Women With Severe Maternal Morbidity

MONDAY, July 2, 2018 (HealthDay News) — Women in New Zealand who experienced severe maternal morbidity (SMM) often do not receive information, an offer of support, or a follow-up appointment before their hospital discharge, according to a study published in the June issue of the International Journal of Gynecology & Obstetrics.

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