Mind the GAHP: A novel protocol for improved vascular access in the hypotensive patient.

Background: Obtaining intravenous access in hypotensive patients is challenging and may critically delay resuscitation. The Graduated Vascular Access for Hypotensive Patient (GAHP) protocol leverages intraosseous fluid boluses to specifically dilate proximal veins. This study aims to evaluate the efficacy of GAHP in maximizing venous targets through early distal intraosseous access and a small fluid bolus.

Nontuberculous mycobacterial trends at the Veterans Administration Medical Center in Oklahoma City.

Laboratory culture results, dating back to 1960, were reviewed at the Veterans Administration Medical Center in Oklahoma City. Nontuberculous mycobacterial incidence increased substantially during the 21-year period as tuberculosis incidence decreased. Nontuberculous mycobacteria were found to represent 13.