Early palliative intervention in septic patients reduces healthcare utilization.

Introduction: While the role of palliative care in the emergency department is recognized, barriers against the effective integration of palliative interventions and emergency care remain. We examined the association between goals-of-care and palliative care consultations and healthcare utilization outcomes in older adult patients who presented to the emergency department (ED) with sepsis.

Methods: We performed a retrospective review of 197 patients aged 65 years and older who presented to the ED with sepsis or septic shock.

Biologics in Achilles tendon healing and repair: a review.

Injuries of the Achilles tendon are relatively common with potentially devastating outcomes. Healing Achilles tendons form a fibrovascular scar resulting in a tendon which may be mechanically weaker than the native tendon. The resulting strength deficit causes a high risk for reinjury and other complications.