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

Emergency Medicine Journal

The objective of this study is to evaluate outcomes of reversal with these agents in patients with isolated traumatic brain injuries (TBI). Primary outcome includes rate of mortality/hospice at hospital discharge. Secondary outcomes include a composite of serious hospital complications. vs 26.1%; p<0.005).

Hospice 74
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Friday Reflection 43: The Absence of Reassuring Counterfactuals in Clinical Medicine

Sensible Medicine

KN is a 90-year-old man I visit at an inpatient hospice. When the medical outcomes of my patients are bad, I am sometimes haunted by the lack of a counterfactual. Sitting with him in hospice I wonder whether, if we had treated him, he’d be home, cancer free, with years left to live. Two years later, I am not so sure.

Hospice 97
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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. Patients treated with combination of hydrocortisone-fludrocortisone (47.2%) had lower adjusted absolute risk difference 3.7% compare with hydrocortsone group (50.8%).

Hospice 40
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Medicare FWA Compliance Training

American Medical Compliance

Our Continuing Medical Education (CME) program is committed to enhancing the knowledge, skills, and professional performance of healthcare providers to improve patient care outcomes. First, Medicare Part A provides hospital insurance, covering inpatient hospital stays, skilled nursing facility care, hospice, and some home health services.

Hospice 52
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End-of-Life Care Principles Training

American Medical Compliance

The hospice physician is in charge of the dying patient’s care, although coordination with an interprofessional healthcare team is essential. Numerous studies have shown that improved patient outcomes result from keeping all members of the healthcare team updated on the state of patients and any changes to those statuses.

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Issue #1: The Latest in Critical Care, 5/8/23

PulmCCM

Read in JAMA Functional outcomes after survival from critical illness , and the constellation of disabilities and dysfunction now termed post-ICU syndrome, are finally getting more attention. Nursing home patients were no more likely to enter hospice after hospitalization than their community dwelling counterparts.

Stroke 52
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Friday Reflection 24: I Would Rather Go Back in Time

Sensible Medicine

1] Would the outcomes be different? He had declined hospice care until the end and would not even accept “do not resuscitate” status. From a professional standpoint, there is no question that my answer to the final question would be, “the past.” Would some of the people still be here? My reasoning is two-fold.