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March 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 March 2019. This roundup includes the...
Nasopharyngeal microbiota seem to serve as a valid proxy for lower respiratory tract microbiota in lower respiratory tract infections among children

Nasopharyngeal Microbiota Could Help Diagnose Pediatric LRTIs

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Research suggests nasopharyngeal microbiota can be valid proxy for lower respiratory tract microbiota
The rates of compression-only cardiopulmonary resuscitation (CPR) and standard CPR arrival of emergency medical services increased and are associated with improved survival over no CPR

Rates of CPR Before EMS Arrival Increased From 2000 to 2017

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Compression-only, standard CPR have increased, linked to doubled survival rates versus no CPR
Uninsured patients and Medicaid beneficiaries with acute pulmonary diseases have higher odds of interhospital transfer

Discharge, Interhospital Transfer Varies With Insurance Status

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Uninsured patients more likely to be discharged, transferred versus privately insured patients
Physicians with one or more paid malpractice claims are more likely to leave practice or shift into smaller practice settings

Doctors With Malpractice Claims More Likely to Leave Medicine

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Physicians with five or more malpractice claims more than twice as likely to go into solo practice
One-fifth of infants born with a birth weight less than 400 g survive to 18 to 26 months' corrected age

Infants Born Weighing <400 g Who Survive at Risk for Severe Morbidity

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One in five infants born at <400 g survives, but neurodevelopmental impairment common
Team leaders who wear a blindfold during pediatric resuscitation simulation-based training show improved leadership skills compared with standard training teams

Blindfolding Leader Improves Pediatric Resuscitation Training

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After five simulations, improvement in leadership skills was twice as high in blindfold group as in control group
Night work during pregnancy seems to confer an increased risk for miscarriage

Risk for Miscarriage Increased With Night Work During Pregnancy

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Two or more night shifts during previous week tied to miscarriage risk after pregnancy week 8
The 2019 healthiest community in America is Douglas County

Douglas County, Colorado, Ranked as Healthiest Community

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Seven of top 20 communities were in Colorado; nearly all adults in these counties exercise
Aspiration is as effective as the traditional stent retriever approach for clot removal in patients presenting with large-vessel occlusion stroke

Aspiration Noninferior to Stent Retriever for Clot Removal

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Direct aspiration is equally effective for large-vessel occlusion stroke, with lower device costs