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Critical Care

Study fails to show benefit of adding vitamin C to treatment of septic shock

A study recently published in the Journal of the American Medial Association aimed to examine if a treatment combination of vitamin C, hydrocortisone, and thiamine would lead to a “rapid resolution of septic shock”...

Promoting safe use of parenteral anticoagulants

Nurses can take the lead in preventing harm related to heparin administration. Takeaways Parenteral anticoagulants require appropriate patient teaching to enhance adherence to medication administration. Use of unfractionated heparin/low-molecular weight heparins prevent adverse effects from...
Therapeutic hypothermia after cardiac arrest

Cardiogenic pulmonary edema

Takeaways Cardiogenic pulmonary edema can occur secondary to acute decompensated heart failure. Treatment should focus on reducing preload and afterload. Albert Jones*, age 65, is admitted to the progressive care unit from the emergency department...

A team approach to STEMI treatment protocols

A community hospital’s initiative improves patient outcomes. Takeaways: Few practice guidelines focus on in-hospital ST-elevation myocardial infarctions (STEMIs). Challenges related to inpatient STEMIs include delays in several areas—including recognition, electrocardiogram interpretation, STEMI team or rapid...

The role of adult gerontology acute care nurse practitioners

This growing field offers opportunities in a variety of settings. Your perspective of the nurse practitioner (NP) role may be shaped by the NPs you encounter at work. Perhaps you think that adult-gerontology acute care...

Cystocerebral syndrome

Rapid recognition leads to a quick reversal. Takeaways: Assess the full medical history of patients on admission, including bowel and bladder issues to reduce risk of delirium. Note that conditions other than the primary diagnosis...
sports drills prevent concussions

Adjusting sports drills to prevent concussions

A study in the Journal of Neurosurgery: Pediatrics reports that interventions such as reducing the speed of players engaged in contact, correcting tackling technique, and progressing to contact may be more effective in reducing...

Education improves ED care of children with behavioral special needs

A study in the Journal of Emergency Nursing reports that providing an education module improved the care of children with special health care needs who have behavioral issues. Read more

Nurse spent 28 years collecting medical waste to create a massive medical art mural

Tilda Shalof spent 28 years as an ICU nurse treating some of the sickest people in Toronto. Over the years she collected medicine caps and lids, IV tubes and syringe covers that she turned...

Recognizing risk for increased intracranial pressure

Mary Meyer, a 20-year-old college student, is admitted to the medical unit with flulike symptoms including nausea, vomiting, headache, and fever. Her neck is stiff and sore. She reports feeling increasingly ill over the...

In-bed cycling safe for ICU patients

In-bed cycling starting within the first 4 days of mechanical ventilation is safe and feasible for ICU patients who are hemodynamically stable, according to a study in PLOSOne. Read more

Family satisfaction with ICU care

Emotional/interrelational aspects of care are integral to family member satisfaction with care provided in an intensive care unit (ICU), reports a study in Nursing Research. Read more
ICU

Implementing a mobility program for ICU patients

More than 5 million patients are admitted to intensive care units (ICUs) every year, with survival rates approaching 80%. But when they leave the ICU, many patients experience muscle weakness from bed rest and...