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American Family Physician December 15, 2004 McCullough & Arora	Diagnosis and Treatment of Hypothermia Although hypothermia is most common in patients who are exposed to a cold environment, it can develop secondary to toxin exposure, metabolic derangements, infections, and dysfunction of the central nervous and endocrine systems.
Nursing September 2011 Jacqueline Harden	Take a cool look at therapeutic hypothermia Therapeutic hypothermia may help prevent or minimize neurologic impairment in certain patients after cardiac arrest. This article takes a look at when TH is used and how to care for patients who are undergoing this intervention.
American Journal of Nursing July 2008 Kiekkas et al.	Physical Antipyresis in Critically Ill Adults Nurses use a variety of methods to cool critically ill patients, even though there are no guidelines for the treatment of temperature elevation in this population.
American Family Physician June 1, 2005 James L. Glazer	Management of Heatstroke and Heat Exhaustion Heat exhaustion and heatstroke are part of a continuum of heat-related illness. Both are common and preventable conditions affecting diverse patients.
Nursing October 2010 Jeff Strickler	Traumatic hypovolemic shock: Halt the downward spiral This article discusses the causes, treatments, and nursing care for patients with traumatic hypovolemic shock.
American Family Physician June 1, 2002 Randell K. Wexler	Evaluation and Treatment of Heat-Related Illnesses Although athletes are commonly thought to be most at risk for heat illnesses, children and the elderly are particularly vulnerable. It is important to be vigilant for heat illnesses because they occur insidiously but progress rapidly.
Nursing May 2012 Fay Mitchell-Brown	Malignant hyperthermia: Turn down the heat An inherited disorder, malignant hyperthermia is a life-threatening reaction to certain common inhalational anesthetic agents or the depolarizing skeletal muscle relaxant succinylcholine in susceptible people.
Nursing April 2010 Powers & Burchell	Sepsis alert: Avoiding the shock Early recognition of sepsis and early goal-directed therapy can sometimes halt the progression of sepsis to severe sepsis and septic shock. Rapid response and aggressive care can improve patient outcomes in a critical situation.
Nursing June 2010 Linda Laskowski-Jones	Summer emergencies: Can you take the heat? This article will review the most common summertime hazards, describe frontline emergency care interventions, and advise commonsense prevention strategies.
American Journal of Nursing November 2011 Christine L. Cutugno	The 'Graying' of Trauma Care: Addressing Traumatic Injury in Older Adults Evidence-based strategies for managing trauma and its complications in this population.
Nursing March 2009 Mary G. McKinley	Recognizing and Responding to Acute Liver Failure By quickly recognizing the signs and symptoms of acute liver failure, you can help your patient improve his odds of surviving this often-deadly condition.
Nursing March 2011 Ali & Gray-Vickrey	Limiting the Damage From Acute Kidney Injury This article will discuss your role in early detection and management of AKI with an emphasis on care for older adults.
Nursing October 2009 John J. Gallagher	Taking aim at ARDS Among many complications that threaten a critically ill patient is a potentially fatal syndrome of lung inflammation and injury: acute respiratory distress syndrome.
Nursing May 2008 Dawn M. Christensen	Extreme Heart Makeover: Understanding Mechanical Circulatory Support Learn about ventricular assist devices and total artificial hearts and how they affect patient care.
American Journal of Nursing June 2007 Baugh et al.	Wounds in Surgical Patients Who Are Obese Surgery, whether bariatric or not, puts this population at risk. Review the basics of prevention and care.
American Journal of Nursing May 2012 Benson et al.	Original Research: The Effects of Active Warming on Patient Temperature and Pain After Total Knee Arthroplasty Total knee arthroplasty is a procedure with associated risks of inadvertent perioperative hypothermia and significant postoperative pain. Hypothermia may affect patients' experience of postoperative pain, although the link is not well understood.
Nurse Practitioner July 2008 Lynn A. Kelso	Cirrhosis: Caring for Patients with End-stage Liver Failure Caring for patients with end-stage liver disease can be very challenging for NPs.
Nursing November 2011 Jeanne Held-Warmkessel	Taming Three High-Risk Chemotherapy Complications A review of three common chemotherapy-associated complications that can be serious enough to require hospitalization: febrile neutropenia, chemotherapy-related nephrotoxicity, and chemotherapy-related enterotoxicity.
Nursing August 2010 Bartley & Shiflett	Handle older trauma patients with care Your comprehensive understanding of how age-related changes can affect outcomes during and after trauma will help your patients recover to the fullest extent possible.
Nursing January 2010 Susan Simmons	Guillain-Barre syndrome: A nursing nightmare that usually ends well GBS is the leading cause of acute flaccid paralysis; its most common presentation is characterized by ascending, symmetric paralysis that usually affects the cranial nerves and the autonomic nervous system.
American Family Physician July 15, 2000 Mitchell S. King	Preoperative Evaluation The purpose of a preoperative evaluation is not to "clear" patients for elective surgery, but rather to evaluate and, if necessary, implement measures to prepare higher risk patients for surgery...
Nursing March 2010 Peg Gray-Vickrey	Gathering pearls of knowledge for assessing older adults If you attended nursing school more than 10 years ago, you may have received limited education about gerontological nursing. But as baby boomers age, this is becoming an increasingly important area of nursing practice.
Nursing Management May 2011 Kirsten Drake	SCIP core measures: Deep impact In August 2005, the SIP project grew to become a multiyear, national quality partnership of organizations called the Surgical Care Improvement Project, or SCIP, with the goal of decreasing surgical complication by 25% by 2010.
Nursing December 2010 Teresa E. Hills	Determining brain death: A review of evidence-based guidelines No true standardization of brain death criteria is accepted nationwide, and procedures and protocols vary significantly among facilities.
American Journal of Nursing January 2010	Life-Support Interventions at the End of Life: Unintended Consequences Nurses need to be knowledgeable life-support interventions at the end of life and able to communicate what they know about those consequences to patients, family members, and others on the health care team, leading to better decision making at this difficult time.
American Family Physician October 15, 2002 Mahesh Krishnan	Preoperative Care of Patients with Kidney Disease Preoperative attention to common medical problems that occur in patients with impaired renal function can lower some surgical risks.
Nursing March 2009 Kate J. Morse	Focusing on the Surgical Patient with Cardiac Problems Learn about the latest guidelines for assessing cardiac risk and protecting his heart during noncardiac surgery.
Nursing February 2010 Daniel A. Hussar	New Drugs 2010, PART 1 In this article, you'll learn about 16 new drugs.
Nursing January 2009 Susan Gallagher Camden	Shedding Health Risks with Bariatric Weight Loss Surgery More obese patients are turning to bariatric weight loss surgery, which is proving its worth by decreasing or eliminating dangerous comorbidities of obesity. Here's how to help prepare your patient for surgery and care for her afterward.
Nursing Management July 2010 Lois Welden	Transfusion confusion Over the past decade, literature has indicated that liberal use of blood transfusions results in poor clinical outcomes in the majority of critically ill patients.
Nursing February 2012 Duncan et al.	Early warning systems: The next level of rapid response Cardiac arrests in hospitals are usually preceded by observable signs of deterioration, which often appear 6 to 8 hours before the arrest occurs.
American Family Physician October 1, 2000 Richard J. Ackermann	End-of-life Care Withholding or withdrawing life-sustaining therapies is ethical and medically appropriate in some circumstances. This article summarizes the American Medical Association's Education for Physicians on End-of-life Care curriculum module on withholding or withdrawing therapy...
American Family Physician June 15, 2002 A. Kesh Hebbar	Management of Common Arrhythmias: Part II. Ventricular Arrhythmias and Arrhythmias in Special Populations Patients with established heart disease and premature ventricular complexes have a higher likelihood of developing ventricular tachycardia or fibrillation.
Nursing Management December 2010 Raso & Gulinello	Creating Cultures of Safety: Risk Management Challenges and Strategies The role of the nurse manager in directing patient care and influencing change from a risk perspective is paramount to success.
AboutSafety December 18, 2000	Heat In The Industrial Workplace Changes in both climatic conditions and industrial workplace practices have come to create greater heat- and fatigue-related problems than ever before.
Managed Care December 2004 Adler & Schukman	The Role of Managed Care In Patient Safety & Error Reduction Patient safety and medical errors have become the focus of increasing attention from the public, policymakers, and accreditation agencies. Managed care organizations clearly are important stakeholders in this issue.
American Family Physician June 15, 2002 Kathy Soch	Diary from a Week in Practice Asking teenaged patients about sensitive subjects... A resident takes charge of a patient with queit confidence and skill... Never a more important house call... etc.
Food Processing June 2011	MRO Q&A: What Economical Processes are Available to Eliminate Salmonella Components? Generally speaking, salmonella growth is inhibited at temperatures below 4.4 Degrees C (40 degrees F) and salmonella is killed at temperatures above 60 degrees C
American Family Physician July 15, 2001 Marc Tunzi	Can the Patient Decide? Evaluating Patient Capacity in Practice
American Family Physician October 1, 2006 Kavan et al.	A Practical Guide to Crisis Management Physicians often are required to assist patients in crisis. An estimated 4% of visits to primary care physicians involve psychiatric or social crises.
This Old House Katelin Hill	Little Ways to Save Big on Your Heating Bill Here are three changes you can make this winter that yield worthwhile returns.
Seasoned Cooking February 2005 Michael Fick	Beating Winter Health Hazards Winter offers health hazards everywhere. Here are some tips to make your winter easier wherever you live, be it north, south, east or west.
Fast Company August 8, 2011 Hans Villarica	Beat The Heat (And Save Energy): Show Some Leg! Using the apparel industry's insulation measure, we calculated energy savings based on turning a building's AC or heat down by those degrees.
American Journal of Nursing October 2007 Levensky et al.	Motivational Interviewing: An Evidence-Based Approach to Counseling Helps Patients Follow Treatment Recommendations This article will help nurses learn how to use motivational interviewing to encourage patients to adhere to treatment recommendations.
American Family Physician October 1, 2005 Crane, Wittink & Doukas	Respecting End-of-Life Treatment Preferences Research suggests that families are the best sources of patients' values and preferences, and that patients will more likely choose a loved one to make future decisions for them than someone who might best articulate their wishes.
This Old House Joseph D'Agnese	Eight Homeowners Save Over $12,275 on Energy How? By putting power-saving technologies to work inside their homes. Read on to see if you can do the same.
InternetNews July 7, 2010	IBM Testing Hot Water to Cool Servers IBM researchers in Switzerland are standing server cooling on its head, using water as warm as 140 degrees to cool processors that have an unusually high safe operating temperature.
American Family Physician November 15, 2005 Haas et al.	Management of the Difficult Patient All physicians must care for some patients who are perceived as difficult because of behavioral or emotional aspects that affect their care. Specific communication techniques and greater patient involvement in the process of care may enhance the relationship.
Wired September 22, 2008 Lore Jsoberg	The Cold, Hard Data of Soda Ice Temperature, cost, and benefits of using varying levels of ice in your soda.
American Family Physician October 1, 2000	AAFP Core Educational Guidelines Recommended Core Educational Guidelines For Family Practice Residents...