Critical care medicine
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Critical care medicine · Jan 2012
Editorial CommentCarboetomidate: will it eliminate the etomidate debate?
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To review the physiology of the regulation and determinants of heart rate and the significance in the management of critically ill patients. ⋯ Heart rate must be interpreted in the context of the patient's overall hemodynamic condition. The prudent physician must ask why is the heart rate high, what will be achieved by lowering the heart rate, and, finally, what are the consequences of lowering the heart rate?
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Critical care medicine · Jan 2012
Review Case ReportsThe rising incidence of intentional ingestion of ethanol-containing hand sanitizers.
To describe a case of intentional ingestion of hand sanitizer in our hospital and to review published cases and those reported to the American Association of Poison Control Centers' National Poison Data System. ⋯ The number of new cases per year of intentional hand sanitizer ingestion significantly increased during this 5-yr period. Although the majority of cases of hand sanitizer ingestion have a favorable outcome, 288 moderate and 12 major medical outcomes were reported in this National Poison Data System cohort. Increased awareness of the risks associated with intentional ingestion is warranted, particularly among healthcare providers caring for persons with a history of substance abuse, risk-taking behavior, or suicidal ideation.