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July 2015 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 July 2015. This roundup includes the...
An experimental Ebola vaccine appears highly effective

WHO: ‘Ring’ Vaccination for Ebola Very Promising

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Initial trials in Guinea show 100 percent effectiveness; larger trials are planned
The American Medical Association is encouraging clinicians to share their perspectives on electronic heath records and the meaningful use program.

AMA Wants Doctor Input on EHRs, Meaningful Use

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Doctors encouraged to share stories, e-mail Congress members
From 2014 to 2024

U.S. Health Spending Projected to Rise 5.8 Percent By 2024

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Increase due to ACA coverage expansions, faster economic growth, population aging
Physicians report that patient safety is often at risk during the emergency department admission handoff process due to ineffective communication. The findings were published online July 22 in the Journal of Hospital Medicine.

Docs Report Patient Safety Often at Risk in ER to Inpatient Handoff

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Both ER, inpatient physicians say patient safety is at risk during handoff
Continuous and intermittent administration of β-lactam antibiotics are similarly efficacious for patients with severe sepsis

Outcomes Equal for Continuous, Intermittent β-Lactams in Sepsis

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No differences in ICU-free days, 90-day survival, organ failure-free days, bacteremia duration
The majority of hospitalists believe that routinely assessing dyspnea severity would enhance their clinical decision making and positively affect patient care

Routine Dyspnea Severity Assessment Could Aid Care

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Regular appraisal in cardiopulmonary disease patients would aid hospitalists' decision making
The 2015 version of the American Board of Internal Medicine maintenance-of-certification program is expected to generate considerable costs

2015 MOC Program Expected to Cost $5.7 Billion Over 10 Years

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Time costs account for 90 percent of maintenance of certification costs, estimated at $5.1 billion
The recently developed RAPID score

RAPID Score Validated for Prognosis of Pleural Infections

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Recently developed score is valid for identifying mortality risk through five years in diverse cohort
For polytraumatized patients

Early Surgery Tied to Increased Mortality in Polytraumatized

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High mortality rates in patients with concomitant severe thoracic trauma and low initial Hb