Sliding with the sines - fatal hyperkalemia: A case report.

Background: Classic electrocardiographic manifestations of hyperkalemia starting with peaked symmetrical T-waves are widely recognized in daily clinical practice but little evidence is documented how quickly it can evolve in real-time.

Case Summary: An elderly diabetic and hypertensive male presented with acute renal failure and rhabdomyolysis. He experienced cardiac arrest with moderate hyperkalemia despite medical treatment and hemodialysis.

Reduction of Distress and Attrition in a 6-Week Psychoeducational Group: A Pilot Study.

The distress and unique needs of AYAs (adolescent/young adults) with an oncology diagnosis have been well explored and documented in the literature. However, effective means of reducing distress and meeting needs has been more elusive. This study explored the impact of a 6-week psychoeducational pilot group on AYA distress.

Improvements in lower-limb muscle strength and foot pressure distribution with foot care in frail elderly adults: a randomized controlled trial from Japan.

Background: Abnormalities in the feet and toenails are common among the elderly and may increase the risk of falls. This study aimed to investigate the changes in toe-gap force, knee-gap force, foot pressure distribution, the ability to perform activities of daily living, subjects' feelings and behaviors, and physical function resulting from daily lifestyle modification and foot care.

Methods: The study participants included 74 elderly adults (mean age 80.

Evaluation of Surgical Instruments With Radiofrequency Identification Tags in the Operating Room.

Background: Surgical instrument retention and instrument breakage compromise surgery quality and lead to medical malpractice. We developed an instrument tracking system that could alert surgeons to instrument retention during surgery and monitor instrument use to reduce the risk of breakage.

Methods: This prospective, experimental clinical trial included 15 patients undergoing inguinal hernia surgery or lumpectomy under general anesthesia at Saiseikai Kurihashi Hospital.

"Call 911" STEMI protocol to reduce delays in transfer of patients from non primary percutaneous coronary intervention referral Centers.

Primary percutaneous coronary intervention (PPCI) is the preferred method of reperfusion for ST-segment elevation myocardial infarction (STEMI), if it can be performed in a timely manner by an experienced interventional cardiologist at a high volume STEMI Receiving Center. However, an estimated 50% of STEMI patients present to STEMI Referral Centers without PPCI capability. Transfer of STEMI patients for PPCI has been shown to improve outcomes as compared with fibrinolysis given at the presenting hospital.

One for all: combining management across hospitals.

When affiliated hospitals combine nursing management of certain units, challenges can arise. Learn how to address potential obstacles and how to benefit from the new arrangement.

Ureteral injury in gynecologic surgery: a ten-year review in a community hospital.

Objective: Our purpose was to review and analyze ureteral injuries incidental to gynecologic surgery in a community hospital.

Study Design: During the study period from Jan. 1, 1983, through Dec.

Modified retropubic cystourethropexy. II.

In 1986 we published a preliminary report describing a modification for bladder-neck suspension in the treatment of urinary stress incontinence. From 1982 through 1989 135 surgical procedures were performed. Long-term follow-up of these patients is now presented.

Breast cancer detection: experience in a suburban community.

Six hundred sixty-nine breast biopsies performed at the Methodist Hospital of Southern California and the Arcadia Outpatient Surgery Center during 1987 and 1988 were reviewed. Three hundred twenty-eight biopsies were performed for clinical indications (lump, thickening, or nipple discharge). Three hundred forty-one biopsies (51%) were performed because of mammographic abnormalities and required preoperative x-ray localization.