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Critical Care General

Severe Chronic Bronchitis in Advanced Emphysema

Nov 13, 2014

Studies have shown that chronic bronchitis occurs in 18% to 45% of patients with COPD and is associated with a higher risk for exacerbations and hospitalizations as well as an accelerated decline in l...

Transformative Leadership Begins with Self-Development

Nov 10, 2014

If healthcare leaders want to transform our healthcare system so it is truly patient-centered and cost-effective and if we are serious about creating a culture of health in which we are preventing dis...

CHEST 2014: ECMO for Refractory ARDS

Nov 03, 2014

The Particulars: Several reports have shown that survival can improve with the early use of extracorporeal membrane oxygenation (ECMO) in patients with refractory acute respiratory distress syndrome (...

CHEST 2014: A Novel Approach to ED Thoracotomy Training

Nov 03, 2014

The Particulars: Previous studies have shown that ED thoracotomy (EDT) is a rare occurrence and that training general surgery residents in the procedure can be challenging. A hybrid simulation was des...

CHEST 2014: Transthoracic Ultrasound for CAP in the ED

Nov 03, 2014

The Particulars: Data are lacking on the accuracy of transthoracic ultrasound in the diagnosis and follow-up of community-acquired pneumonia (CAP) in the ED. Data Breakdown: For a study, patients w...

CHEST 2014: Predicting Time to Wean in ARDS

Nov 03, 2014

The Particulars: Studies attempting to identify predictors of weaning outcomes in acute respiratory distress syndrome (ARDS) have had mixed results because they use different ARDS criteria and have he...

CHEST 2014: Adding ECMO to CPR

Nov 03, 2014

The Particulars: Research indicates that less than 50% of sudden cardiac death patients survive with conventional cardiopulmonary resuscitation (CPR), and less than 20% survive to hospital discharge. ...

CHEST 2014: Geriatric Syndromes, ADLs, & Health Status in COPD

Nov 03, 2014

The Particulars: The roles of sociodemographics, lung function, smoking status, and comorbid diseases have been included in models investigating health status and health-related quality of life in pat...

CHEST 2014: A Wrist Activity Monitor for COPD Patients

Nov 03, 2014

The Particulars: Most studies of motion detectors for measuring physical activity in patients with COPD have explored devices placed near the center of the body. Researchers hypothesize that a monitor...

CHEST 2014: CPAP & Sexual Quality of Life

Nov 03, 2014

The Particulars: Previous studies have found that patients who use a continuous positive airway pressure (CPAP) device often feel it makes them less sexually attractive and are therefore less likely t...

CHEST 2014: Trends in ARDS-Related Mortality

Nov 03, 2014

The Particulars: Multiple advances have been made in the treatment of acute respiratory distress syndrome (ARDS) in the past 20 years. However, assessments of ARDS-related mortality during this period...

CHEST 2014: Portable Ventilator Improves Health Status

Nov 03, 2014

The Particulars: A portable noninvasive open ventilation system has been shown in previous research to significantly improve respiratory muscle unloading, dyspnea, and exercise tolerance. The impact o...

CHEST 2014

Nov 03, 2014

New research is being presented at CHEST 2014, the annual meeting of the American College of Chest Physicians, from October 25 to 30 in Austin, TX.   Meeting Highlights Portable Ventila...

Social Media Tips for Doctors

Oct 28, 2014

Recently, I was asked for personal advice on using Twitter. There are many articles out there that say we (physicians) don't know how to properly use social media. Social media can be a very powerful ...

The Impact of Test Fee Knowledge

Oct 24, 2014

Hospital patients and providers are often unaware of the fees that come with most medical services. “The healthcare system is oftentimes not transparent in actual costs for these services,” says L...

An Update on Pulmonary Rehabilitation

Oct 24, 2014

In 2006, the American Thoracic Society (ATS) and European Respiratory Society (ERS) released a joint statement on pulmonary rehabilitation, a comprehensive, interdisciplinary intervention that had bee...

Predicting COPD-Related Mortality in the Elderly

Oct 24, 2014

About 10 years ago, researchers validated the BODE index—which stands for BMI, airflow obstruction, dyspnea, and exercise capacity—as a prognostic mortality risk tool for patients with COPD (Table...

More & More Nurses

Oct 13, 2014

Growth in the nursing workforce between 2000 and 2008 to 2010 outpaced the growth of the United States population. ...

IDWeek 2014: Reducing Rates of Antibiotic-Resistant Pneumonia

Oct 10, 2014

The Particulars: The United States government’s Healthy People 2020 initiative set a goal of reducing antimicrobial-resistant invasive pneumococcal disease from 9.3 to 6.0 cases per 100,000 children...

Who Broke The American Healthcare System?

Oct 01, 2014

Healthcare is a hot topic in the media these days. Yet, few people are satisfied with the way it is working. Many claim that the American healthcare system is broken. Patients are increasingly frustra...

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