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Four-factor prothrombin complex concentrate versus andexanet alfa for the reversal of traumatic brain injuries

Emergency Medicine Journal

Primary outcome includes rate of mortality/hospice at hospital discharge. After adjusting for severity of TBI and comorbidities with regard to tomortality/hospice, there were 15 (25.4%) patients in the andexanet alfa group and 49 (18.5%) in the 4F-PCC group (OR 1.34; 95% CI 0.67 vs 26.1%; p<0.005).

Hospice 74
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Constipation

EB Medicine

Eckler, MD discuss the March 2024 Emergency Medicine Practice article, Emergency Department Evaluation and Management of Constipation Prevalence and Impact Understanding the Causes Medications That Can Cause Constipation Dealing with Fecal Impaction Understanding Stercoral Colitis Pre-Hospital Care ED History and Physical Exam Diagnostic Studies (..)

Hospice 62
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Personal Stories From Nurse Life on the Road: How Adina Love Lives Up to Her Name

Core Medical Group

Having been a hospice volunteer where she ultimately served for 11 years, Adina applied her compassion and commitment to patient care to the next level by diving into nursing school at age 36. Adina Love is a CoreMedical Group travel nurse who lives in Indiana with her husband and two kids.

Hospice 73
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Friday Reflection 32: The Trauma of Not Dying Alone

Sensible Medicine

Others are transferred to inpatient hospice centers. Home hospice is never an option for someone with no family, no friends, and, often, no home. The decision to begin hospice brought guilt, grief, and relief.  Gunshot wounds, tuberculosis, amputations, protein-calorie malnutrition.

Hospice 111
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Friday Reflection 31: 30 Years and Counting

Sensible Medicine

Sometimes we are initiating hospice; other times the patient is moving to be with family who will take responsibility for end-of-life care. That said, he would not hear about hospice care, telling us, and himself, that he might still regain enough strength for the oncologist to treat him.

Hospice 95
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Norepinephrine, hydrocortisone, and fludrocortisone

Emergency Medicine Education

88275 patients reviewed and in hospital mortality and discharge to hospice as a primary outcome measured. JAMA published a retrospective cohort study among septic patients who received vasopressor (norepinephrine) and hydrocortisone to show if adding fludrocortisone was more effective to this regimen compare with only giving hydrocortisone.

Hospice 40
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Medical Malpractice Insights: Speaking in “Code”

EMDocs

This approach has worked wonders in my own practice and is encouraged by the medical directors of both our hospice and palliative care departments. I don ’ t want to die hooked up to a bunch of tubes and machines.” They agree that the language we currently use when discussing code status isn’t doing us or our patients any favors.