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Links between new-onset atrial fibrillation and mortality suggest that the condition may serve as a measure of cardiac dysfunction during sepsis, according to a study published in the Annals of the American Thoracic Society. The Sepsis-3 task force defines sepsis as life-threatening organ dysfunction in response to infection, which is evaluated using the Sequential Organ Failure Assessment (SOFA) score. Currently, the SOFA score measures cardiac dysfunction using blood pressure and vasopressor dose only. Read More
Electronic health record systems are adding extra pressure to physicians, causing burnout. A career as a physician has traditionally been considered to be among the best vocations that talented students can pursue. That may no longer be the case. All too many doctors report that they are unhappy, frustrated and even prepared to leave the profession. That should worry all of us. The physician burnout crisis is likely to affect our quality of care and our access to health care providers. Read More
Although the prevalence of dyspnea was at least as high as that of pain, the detection and treatment of moderate to severe dyspnea were more inconsistent than for pain among critically ill patients in the ICU, according to data published in the American Journal of Respiratory and Critical Care Medicine. This study was undertaken as a result of concerns harbored by directors of the medical ICU at NewYork-Presbyterian Hospital about the lack of detection and proper management of dyspnea in the ICU. Read More
Because dementia can trigger some challenging behaviors such as aggression and catastrophic reactions, restraints have been used at times in the past to help prevent injuries to that person or others around them. Fortunately, as a society and medical community, we've become more aware of the anxieties and agitation that restraints produce, as well as the increased risk of injuries with their use. In facilities, restraint use now is extremely limited. Read More