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Early noninvasive ventilation does not reduce mortality compared with oxygen therapy alone for immunocompromised patients admitted to the intensive care unit with hypoxemic acute respiratory failure. These findings were published online Oct. 7 in the Journal of the American Medical Association to coincide with the annual meeting of the European Society of Intensive Care Medicine

Early Noninvasive Ventilation Doesn’t Cut Mortality in ICU

No reduction in mortality versus oxygen therapy alone for immunocompromised patients
Among patients receiving crystalloid fluid therapy in the intensive care unit

Buffered Crystalloid Solution Doesn’t Cut AKI Risk

Risk of developing acute kidney injury similar with buffered crystalloid, saline
Resistance to the antibiotics clarithromycin

H. Pylori Resistance to Antibiotics Increasing

Bacteria frequently resistant to clarithromycin, metronidazole, levofloxacin
For patients with traumatic brain injury

Hypothermia Doesn’t Cut Intracranial Pressure in TBI

Therapeutic hypothermia plus standard care doesn't improve outcome over standard care alone
The Guidelines International Network has developed principles for disclosure and management of conflicts of interest during the clinical practice guideline development process

Guidelines Developed for Managing Conflicts of Interest

Core principles developed for managing COIs during the clinical practice guideline development process
Upper-limb remote ischemic preconditioning is not beneficial for patients undergoing cardiac surgery

Upper-Limb Remote Preconditioning No Help in Cardiac Sx

Two studies show no significant benefit for patients undergoing elective cardiac surgery
For intensive care unit (ICU) patients with fever due to probable infection

Acetaminophen Given Early Doesn’t Cut ICU Days

No impact on number of ICU-free days in patients with fever due to probable infection
California Gov. Jerry Brown signed "right-to-die" legislation on Monday that will allow the terminally ill to legally end their lives.

California Governor Signs Right-to-Die Bill Into Law

Physicians can now prescribe life-ending drugs to terminally ill
Modification of the traditional Subjective-Objective-Assessment-Plan presentation to consider value can help medical students learn to practice high-value

Modified SOAP Ups Student Awareness of Health Care Costs

Modification of traditional SOAP presentation to include discussion of value helps medical students
In order to minimize risk when practicing telemedicine

Providers Must Understand Legal Limits of Telemedicine

Providers should ensure they hold proper medical license and have medical liability coverage