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Take Note – December 2007

Previous pneumonia vaccination reduces ICU admissions Among adults hospitalized for pneumonia, those who’ve been vaccinated against the disease are less likely than unvaccinated patients to...

Family presence during resuscitation: The in’s and out’s

When the family wants to be with the patient, this advice will help you guide the conversation and manage the situation.

Putting the breaks on pulmonary edema

I.V. fluids should help a dehydrated patient, but for one with a history of atrial fibrillation and coronary artery disease, they could contribute to pulmonary edema. For Grace Johnson, quick assessment and action staved off a poor outcome.

To sleep, perchance to heal

Sleep doesn't come easily for ICU patients. Many suffer chronic sleep deprivation, which can raise stress levels, depress immune responses, and impair wound healing. To help them sleep, some ICU's are enforcing regular quite times.

So you want to be an emergency nurse?

How to get going in this exciting specialty.

Sepsis signposts: Can you spot them?

Sepsis can show up in any setting. So even if you don't work in a critical care unit, you need to know how to detect it. This article describes warning signs that should arouse your suspicion.

Halting postpartum hemorrhage

When excessive blood loss during delivery threatens a mother's life, quick assessment, effective interventions, and expert aid from the rapid response team maneuver her postpartum course back onto a normal track.

Ogilvie’s syndrome: No ordinary constipation

A patient complains of bloating, abdominal tenderness, and constipation. Nothing unusual? Maybe. But if you're too quick to dismiss these symptoms, you could be overlooking a serious condition called Ogilvie's syndrome.

During an emergency: Be safe!

Thousands of accidental chemical spills and leaks take place in this country each year. Providing nurses with adequate first-receiver training can help ensure that we can care for contaminated patients without endangering ourselves.

Persevering against pediatric pulmonary hypertension

Despite recent gains in treating pulmonary arterial hypertension, a cure is a long way off. Diagnosis and therapy can be tricky, and prognosis remains poor. Still, there are ways nurses can help slow disease progression and improve quality of life for a child with this condition.
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Take Note – July 2007

On-line video-based course on emergency preparedness   The need for better coordination between governmental agencies and hospitals became apparent after 9/11 and again after Hurricane Katrina....

Detect compartment syndrome in time

Early recognition and action can save a limb.

Reducing ambulance diversions without compromising care

How one community hospital dealt with the twin problems of a saturated emergency department and ambulance diversions.

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