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Early prophylactic placement of a vena cava filter compared with no placement of a filter after major trauma does not result in a reduced incidence of symptomatic pulmonary embolism or death at 90 days

PE, Death Not Reduced With Early Vena Cava Filter Placement

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Findings seen in severely injured patients with a contraindication to prophylactic anticoagulation
Exposure of U.S. physicians to work-hour reforms during residency training is not associated with post-training differences in patient mortality

Capping Work Hours in Residency Does Not Impact Outcomes Later

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No differences seen in post-training patient mortality, readmissions, or costs of care
Receipt of more than the average number of electronic health record system-generated in-basket messages is associated with an increased probability of physician burnout

EHR System-Generated In-Basket Messages Linked to Burnout

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Receiving more than average number of messages linked to increased probability of physician burnout
Clinical and laboratory data have been updated for cases that met the clinical criterion for acute flaccid myelitis in the United States during 2018

CDC Updates Data on Cases Meeting Criterion for Acute Flaccid Myelitis

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62 percent of reported cases of acute flaccid myelitis classified as confirmed
Eighteen percent of all emergency department visits and 16 percent of in-network hospital stays have at least one out-of-network charge

Considerable Number of Patients Receive Surprise Hospital Charges

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18 percent of all ED visits, 16 percent of in-network hospital stays have at least one out-of-network charge
More than half of critical care nurses believe sedation is needed to minimize discomfort and distress among patients receiving mechanical ventilation

Many Nurses Believe in Sedation for Comfort of Ventilated Patients

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This is despite clinical guidelines calling for limiting sedation of patients on mechanical ventilation
Shorter rotations in intensive care units can mitigate burnout among physicians

Shorter ICU Rotations Cut Physician Burnout

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Increased job fulfillment, decreased burnout seen for critical care physicians working seven-day rotations

June 2019 Briefing – Critical Care

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Here are what the editors at HealthDay consider to be the most important developments in Critical Care for June 2019. This roundup includes the...
Different infection types

Infections Tied to Subsequent Risk for Acute Ischemic Stroke

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Correlation highest for UTI; smaller-magnitude associations seen for UTI with intracerebral hemorrhage
Medicare Advantage patients have higher risk-adjusted hospital readmission rates than traditional Medicare patients for acute myocardial infarction

Medicare Advantage Patients Have Higher Readmission Rates

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Higher adjusted readmission rates seen for AMI, CHF, pneumonia with Medicare Advantage