As evidence builds of more long-term effects linked to concussion, a nationwide study led by scientists at UCSF and the University of Southern California has found that more than half of the patients seen at top-level trauma centers may fall off the radar shortly after diagnosis, placing in jeopardy treatments for these long-term effects.
Many patients treated in the emergency department for mild traumatic brain injury (TBI) don't receive educational materials at discharge or see clinicians for follow-up care.
Data from the 2014 Ebola virus outbreak at two Sierra Leone facilities reveal daily usage rates for disinfectant and personal protective equipment, informing future outbreaks, according to a study published May 24, 2018 in the open-access journal PLOS ONE by Michaela Mallow of International Medical Corps in Los Angeles, Calif., and colleagues.
National guidelines assume that all patients who're diagnosed with clinical sepsis in an emergency department will be admitted to the hospital for additional care, but new research has found that many more patients are being treated and released from the ED for outpatient follow-up than previously recognized.
Because of a known association between elevated lactate levels and increased mortality, sepsis guidelines mandate that lactate levels should be tested soon after the onset of sepsis. A new study in the journal CHEST® found that a significant proportion of patients with suspected sepsis do not have their lactates measured within the recommended timeframe. These patients experienced delayed antibiotic therapy and IV fluid administration, as well as increased risk of in-hospital death.
The controversial Severe Sepsis and Septic Shock Early Management Bundle study adds weight to the belief that early lactate measurements can make a big difference. This follow-up study found a two percent increase in mortality for each hour of delay in patients with an abnormal lactate value.
Some examples of the persistence of incompletely resolved issues in asthma management are: 1) misdiagnosis -- with the related complex consequences --, especially in children population and, 2) poor control of the disease. Also related factors as suboptimal medical management , poor education and health literacy of patients, poor adherence and elevated costs for patients and healthcare systems are some other factors that need urgent implementation.
When George Brooks at UC Berkeley first began investigating lactate, or lactic acid, sports physiologists saw it as a muscle poison that lowered performance. His research over decades has reversed that picture, showing that it is the body's way of revving up for exercise or to fight disease. Clinicians are now planning clinical trials to use lactate to treat traumatic brain injury and a host of illnesses, including heart attacks, inflammation and swelling.
Families of critically ill hospital patients report higher satisfaction with clinician communication and a better perception of patient-centered care when the care team uses a low-cost strategy involving intensive emotional support and frequent meetings.
Medical students seldom learn much about the real-life problems (hunger, joblessness, addiction) their patients face outside the clinic walls. Yet, these problems are at the root of poor health in many low-income communities. An article published today describes a new course which apprentices medical students to community health workers (CHWs) in inner city Philadelphia. CHWs are trusted laypeople who come from the local community, hired and trained by healthcare organizations to support high-risk patients.