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News, opinions and meeting coverage in hospital-based medicine.

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Attending Answers Phone at Nurses' Station, Instantly Regrets It

"I didn't know who Nancy was, and it just went downhill from there"

Photo of a mature doctor looking stressed out in a demanding work environment.

Why Work-Life Balance Doesn鈥檛 Always Work in Medicine

We might be doctors, but we have lives

Not OK: When Patients Sexually Harass Physicians

A common yet rarely discussed abuse

Sleep Deprived-Patients in ICU May Fail to Get Off Ventilation

Pathological wakefulness in ICU could predict ventilator dependence

How Best to Monitor Critically Ill Patients?

Continuous surveillance achieved through EHR data could provide key insights

Similar Endotypes Identified for Pediatric ARDS and Sepsis

Shared biology between children with sepsis, respiratory failure could predict mortality risk, study shows

Antibiotics Rx Common, but Variable, in Pediatric ICU

Children given antibiotics were on mechanical ventilation for fewer days

ESC: Restrictive Transfusion Deemed Safe in Cardiac Surgery Patients

Restrictive strategy superior in those ages ≥75, according to TRICS III trial

Study: Hospitals Overuse VTE Prophylaxis

65% of patients in non-ICU wards in Michigan got more than recommended

SCCM: Early Warning System Fails to Reduce Pediatric Hospital Deaths

BedsidePEWS tool did improve early detection of ICU need

Hospital Violence Need Not Be 'Part of the Job'

Tolerance may add to problem, expert says

Novel Feeding Tube May Help Stroke Dysphagia

Electrical pharyngeal stimulation boosted readiness for decannulation

Prolonged Sedation May be Bad for Baby's Brain

Infants exposed to prolonged anesthesia had more MRI signs of brain atrophy

ECMO: A Life Saver for Kids with Near-Fatal Asthma?

Extracorporeal membrane oxygenation is effective, but has high complication rate

Flu Vax May Improve Outcomes in Other Illnesses

Vaccinated patients hospitalized with flu had lower risk of AKI development

Novel Tx for Hepatic Encephalopathy Works Fast

Lowers ammonia level more quickly than standard care, study finds

Hepatitis A Outbreak to Greet IDWeek

Homeless bear brunt of disease; delegates at low risk

DDW 2017: Diversity Will Be Meeting's Strength

Four-society meeting has plenty to offer across and among specialties

Headline-Making Issues at SCCM Congress

EMR hacking, terror, contemporary science on display

New Drug Combo Succeeds in Tx-Resistant UTI, Kidney Infection

Carbavance outperforms Zosyn in phase III trial

SCCM: Technology Poised to Transform Critical Care Medicine

Technology is transforming the treatment of critically ill patients

New Guideline Offers 'Best Practices' for PICC

Multidisciplinary panel aims to provide clarity for PICC management

Predicting Death in Advanced Cancer

Study offers clues to guide clinicians, families about end of life.

Survival Boost from NP/PA Care in ICU?

Association seen versus resident physicians in small study.

More Nurses May Mean Fewer Deaths in ICU

High patient to nurse ratios may lead to more errors and fatal outcomes.

10 Things ICUs Must Do Better

Compassion tops the list by former Society of Critical Care Medicine president.

Vitamin D Blog: No Help in the ICU

Boosting vitamin D levels doesn't help ICU patients.

Now What? DEA Tosses Tramadol in Schedule IV

The Drug Enforcement Administration (DEA) scheduled tramadol as a Schedule IV substance -- whats the big fuss about tramadol that led to this decision by the DEA?

Does Tylenol Protect Kidneys in Sepsis?

SAN DIEGO -- Acetaminophen (Tylenol) for severe sepsis patients improved renal function but gave mixed signals in terms of changes in the expected oxidative injury mechanism, researchers found in a pilot trial.

Missed Doses Cripple Postop DVT Prevention

Missed doses of prophylactic anticoagulation account for much of the deep vein thrombosis that occurs in surgery and trauma patients, a study showed.

How to Replace IV Nitroglycerin in the Shortage

What are the alternatives for IV nitroglycerin in the emergency setting as the shortage saps reserves? Several experts share their thoughts.

10 Ways to Safely Push Ketamine in the ED

A doctor recently took me on a Special K trip, and I enjoyed it immensely.

10 Questions: E. Wesley Ely, MD, MPH

What's the biggest barrier to practicing medicine today? That's just the first of the 10 Questions the 麻豆传媒 staff is asking leading clinicians and researchers to get their personal views on their chosen profession. In this series we share their uncensored responses. Here, answers from pulmonary and critical care expert E. Wesley Ely, MD, MPH.

Honey, Cola May Disrupt Heart

A detailed history of patients with arrhythmia or syncope might need to include their cola intake or the origin of the honey they consume, two case studies suggest.

Is Protein the Key to Fountain of Youth?

The cardiac clocks of aging mice were turned back to a more youthful time when they received a protein taken from the blood of younger mice, researchers found.

On-Call Pay Varies Widely by Specialty

Surgeons commanded more than $1,000 a day for being on-call at the hospital, while primary care physicians reported compensation rates of around $150 a day, according to annually compiled data.

Ricin Deadly, but Not an Effective WMD

It may have been a preferred tool of Soviet hit men, but ricin generally flops as a weapon of mass destruction, several bioterrorism experts told 麻豆传媒.

ACC: Is Chelation Plus Vitamins a Winning Combo?

SAN FRANCISCO -- Vitamins alone won't improve outcomes for patients who've had a heart attack, but they do appear to have additive benefits when given in conjunction with controversial chelation therapy, researchers reported here.

Small Brain Bleeds Not So Bad for Preemies

Low-grade hemorrhage in very premature infants doesn't appear to hurt their early neurodevelopment, a longitudinal study suggested.

Is Pot Smoking a Stroke Trigger?

HONOLULU -- Middle age stroke patients were twice as likely to be pot smokers than healthy middle age controls, researchers found.

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