By  | October 30, 2009 |  0
In this retrospective cohort of pre-hospital patients with suspected opiate overdose, the patients in the intranasal group and the intravenous group had about the same mean time to clinical response (20 vs 21 minutes). In patients with no IV access, intranasal naloxone is an effective alternative (abstract)
By  | October 29, 2009 |  0
In this retrospective cohort of US patients, researchers found that the number of cardiac implanted electronic devices increased 12% (from 2004 to 2006), and the number of device infections increased 57% in that same time period. Hospitalists should expect to see an increasing number of device infections, as the number of implantations increase in patients […]
By  | October 29, 2009 |  0
The anti-viral medication Zanamivir (Relenza), should be administered via a diskhaler device, is not supposed to be suspended and dispensed via nebulizer or mechanical ventilation. The FDA has released a report of a pregnant woman with influenza, who died in relation to the use of zanamivir, which was suspended and administered through a mechanical ventilator, and caused […]
By  | October 29, 2009 |  0
In this large retrospective study of out-of-hospital cardiac arrests, researchers evaluated survival before and after the 2005 update to the American Heart Association (AHA) CPR guide. They found a 1.8 greater adjusted odds of survival after 2005. In a convenience sample of EKG strips, they also found improvements in CPR quality, including higher chest compression […]
By  | October 28, 2009 |  0
The FDA has issued an emergency use authorization (EUA) for the IV drug Peramivir in children and adults hospitalized with (suspected or confirmed) H1N1. This drug should be used in patients who have not responded (or are not expected to respond) to oral or inhaled anti-viral therapy, or for which the provider determines that IV […]
By  | October 26, 2009 |  0
Public Policy Contributor Ron Angus writes… And so it begins.  It appears that over the next sixty days the much heralded heath care legislation will finally be molded into a form that can be held up for final inspection before being placed into President Obama’s kiln for the final firing.  If past is prologue, then […]