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Cases & Commentaries: APRIL 2008

Medicine

Hospital Medicine

Emergency Medicine

	Antibiotics for URI/Sinusitis—A Simple Decision Gone Bad SPOTLIGHT CASE A woman with symptoms of sinusitis was given two different courses of broad-spectrum antibiotics, neither of which improved her symptoms. Hospitalized for autoimmune hemolysis (presumably from the antibiotic), the patient suffered multiorgan failure and septic shock, and died.
	Commentary by Sumant Ranji, MD
	CME/CEU available

	The Forgotten Drip A man hospitalized for acute intracranial hemorrhage and cerebral edema was continued too long on an intravenous diuretic. He developed severe dehydration, hypernatremia, and renal failure.
	Commentary by S. Andrew Josephson, MD

	The Wrongful Resuscitation Despite having a signed DNR (do not resuscitate) form, an elderly man brought to the emergency department with severe pain was rushed to the operating room for urgent abdominal aortic aneurysm repair.
	Commentary by Joan M. Teno, MD, MS


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Perspectives on Safety

	This month: MRSA and Patient Safety

	•	Methicillin-Resistant Staphylococcus aureus Gary A. Noskin, MD

	•	Connie's Story: A Nurse's Personal Experience with MRSA
		- Watch video (.MOV \| 7.5 MB \| 9:17)

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Patient Safety Network

What's New: Pharmacist-managed medication reconciliation at the time of SNF-to-home transition was associated with a significantly lower mortality rate.

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Did You Know?

In a survey of 1082 practicing physicians, most report having been involved in a medical error.

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