Safe, cost-effective management of patients presenting to the emergency department (ED) because of chest pain compatible with myocardial ischemia continues to present a major clinical challenge. Current standards mandate rapid institution of proven therapy for reduction of mortality and morbidity in patients with acute coronary syndromes. However, in most patients presenting to the ED with ches...

With an aging U.S. population and a declining physician supply, the care of critically ill patients will soon be reaching a level of crisis. At the same time, the evidence continues to mount in support of intensivist staffing to improve both patient outcomes and resource utilization in intensive care units (ICUs). Whereas the vast majority of medical and surgical ICUs are staffed by physicians ...

BACKGROUND Cardiovascular diseases such as acute coronary syndrome and myocardial infarction are often accompanied by severe anxiety over the likelihood of death. Cortisol has been known as a stress hormone. However, there are controversies about the effect of massage therapy on blood cortisol level. Furthermore, no study is available on the difference between massage applied by a nurse special...

of Day’s talk “An Intensive Coronary Care Area in Action.” His Los Angeles audience listened to the Kansas City cardiologist describe his unit and watched “a color motion picture of the area showing the equipment and its use.”24 The college’s journal published the text of his talk in October. Recalling the California meeting, Day explained that Corday “saw the possibilities of the idea and beca...

of Day’s talk “An Intensive Coronary Care Area in Action.” His Los Angeles audience listened to the Kansas City cardiologist describe his unit and watched “a color motion picture of the area showing the equipment and its use.”24 The college’s journal published the text of his talk in October. Recalling the California meeting, Day explained that Corday “saw the possibilities of the idea and beca...

Critical Care Unit (CCU) beds are a limited resource and in increasing demand. Studies have shown that complex head and neck patients can be safely managed on a ward setting given the appropriate staffing and support. This retrospective case series aims to quantify the CCU care received by patients following total laryngectomy (TL) at a District General Hospital (DGH) and compare patient outcom...

AIM To evaluate the prevalence of Sleep Apnea-Hypopnea Syndrome (SAHS) in patients who were admitted with Acute Coronary Syndrome (ACS) to the Coronary Care Unit (CCU) and the clinical predictors of SAHS in patients with ACS and to compare the results of the simple sleep test (SST) with polysomnography (PSG). METHODS This was a prospective study that included patients who were admitted to the...

By means of ambulance records, the current state of medical services for the treatment of acute myocardial infarction (AMI) was investigated in Chiba City and Ichihara City, Japan. From all patients transported by ambulance personnel in 1992 (n=31,191), 388 patients who were admitted within 2 weeks after the onset were studied. Types of admitting institution, diagnoses, medical treatments and p...