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Uncategorized Published - 9 March, 2015    By - Dr Clemens
Guideline Compliance for Trauma Patients: Room for Improvement

This is important because we all take care of trauma patients. Authors: Shafi S et al., J Am Coll Surg 2014 Aug 219:189 In this study of five trauma centers, compliance with clinical practice guidelines varied widely, and increased compliance was associated with reduced risk for death. To determine if there is an association between […]

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Uncategorized Published - 9 March, 2015    By - Dr Clemens
Extracorporeal Life Support for Refractory Cardiac Arrest in ED Patients

Authors: Johnson NJ et al., Resuscitation 2014 Sep 6; A small registry study adds to the growing body of literature showing feasibility of ECLS. Extracorporeal life support (ECLS) has been used as a rescue strategy for patients who do not respond to standard resuscitation. Investigators report outcomes for 26 adults who received ECLS for out-of-hospital, […]

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Uncategorized Published - 9 March, 2015    By - Dr Clemens
A New Look at Why Surgical Rates Vary

Several years ago, a California study showed that a half-dozen elective surgeries were being performed far more often in Humboldt County than they were in the rest of the state. The procedures included hip and knee replacements, hysterectomies and carotid endarterectomies, a surgery to remove plaque buildup in the carotid arteries. Geographical variation in the […]

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Uncategorized Published - 9 March, 2015    By - Dr Clemens
NSAIDs Are a Major Cause of Anaphylaxis-Related Emergency Department Visits

This is for our chronic pain providers who might order NSAIDS. Published in J Allergy Clin Immunol Pract 2014 Jul/Aug 2:414 Authors: Aun MV et al. Epinephrine is first-line treatment for drug-induced anaphylaxis, but it is underutilized. Anaphylaxis is a life-threatening hypersensitivity reaction that can be allergic or nonallergic. Allergic causes of drug-induced anaphylaxis generally […]

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Uncategorized Published - 6 March, 2015    By - Dr Clemens
Deeper Compressions During CPR Lead to Improved Survival

Authors: Stiell IG et al., Circulation 2014 Sep 24; A large prehospital study found that survival was highest when chest compression depths were between 4.0 and 5.5 cm. In 2010, the American Heart Association (AHA) suggested an increase in the target depth of chest compressions to at least 5 cm. However, there have been no large clinical […]

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