Health Economics: National Health Expenditures
- 2015 US National Health Expenditures are reviewed.
Latest Updates
Acute Neurologic Events (Cerebrovascular Accidents, Subarachnoid Hemorrhage) and Complications
- Severity scoring, such as the National Institute of Health Stroke Scale, intracerebral hemorrhage score, Hunt and Hess and modified Fisher scores, informs acute care, long-term prognosis, and the study of acute cerebrovascular disease.
- Endovascular treatments and minimally invasive surgical techniques are revolutionizing the care of patients with acute stroke, intracerebral hemorrhage, and subarachnoid hemorrhage.
- Early withdrawal of life-sustaining therapies due to expected poor outcome results in a self-fulfilling prophecy; aggressive early care is prudent in all patients with severe stroke.
- Acute and long-term treatment of cerebrovascular disease has transformed to involve a multidisciplinary team composed of physicians from multiple specialties, nurses, physical therapists, and speech therapists.
Initial Management of Life-Threatening Trauma
- Initial volume resuscitation should commence with 1 L isotonic crystalloid solution followed by blood products at 1:1:1 ratio (1 unit packed red blood cells to 1 unit fresh frozen plasma to 1 unit platelets) if the patient is not responsive to the initial fluid bolus.
- In patients with massive hemorrhage or evidence of fibrinolysis, tranexamic acid has demonstrated improved survival if administered within 3 hours of injury.
- Use of resuscitative endovascular balloon occlusion of the aorta may be an important adjunct in the control of life-threatening abdominal or pelvic hemorrhage.
- In cases of external hemorrhage of an extremity, a tourniquet should be used to control bleeding.
Initial Management of Life-Threatening Trauma
- Initial volume resuscitation should commence with 1 L isotonic crystalloid solution followed by blood products at 1:1:1 ratio (1 unit packed red blood cells to 1 unit fresh frozen plasma to 1 unit platelets) if the patient is not responsive to the initial fluid bolus.
- In patients with massive hemorrhage or evidence of fibrinolysis, tranexamic acid has demonstrated improved survival if administered within 3 hours of injury.
- Use of resuscitative endovascular balloon occlusion of the aorta may be an important adjunct in the control of life-threatening abdominal or pelvic hemorrhage.
- In cases of external hemorrhage of an extremity, a tourniquet should be used to control bleeding.
Initial Management of Life-Threatening Trauma
- Initial volume resuscitation should commence with 1 L isotonic crystalloid solution followed by blood products at 1:1:1 ratio (1 unit packed red blood cells to 1 unit fresh frozen plasma to 1 unit platelets) if the patient is not responsive to the initial fluid bolus.
- In patients with massive hemorrhage or evidence of fibrinolysis, tranexamic acid has demonstrated improved survival if administered within 3 hours of injury.
- Use of resuscitative endovascular balloon occlusion of the aorta may be an important adjunct in the control of life-threatening abdominal or pelvic hemorrhage.
- In cases of external hemorrhage of an extremity, a tourniquet should be used to control bleeding.
Initial Management of Life-Threatening Trauma
- Initial volume resuscitation should commence with 1 L isotonic crystalloid solution followed by blood products at 1:1:1 ratio (1 unit packed red blood cells to 1 unit fresh frozen plasma to 1 unit platelets) if the patient is not responsive to the initial fluid bolus.
- In patients with massive hemorrhage or evidence of fibrinolysis, tranexamic acid has demonstrated improved survival if administered within 3 hours of injury.
- Use of resuscitative endovascular balloon occlusion of the aorta may be an important adjunct in the control of life-threatening abdominal or pelvic hemorrhage.
- In cases of external hemorrhage of an extremity, a tourniquet should be used to control bleeding.
Group Psychotherapy: Group Therapist Leadership Skills
- Cognitive therapy groups change cognitive processes that interact with behavioral, affective, environmental, and developmental processes.
- Group therapy with eating disorders yielded similar effectiveness individual psychotherapy, self-help, behavioral weight-loss, and pharmacotherapy.
- Group therapy for social anxiety obtained large positive effects with demonstrated equivalence to alternative treatment options
