Critical care medicine
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Critical care medicine · Jun 2012
Review Meta AnalysisDelirium screening in critically ill patients: a systematic review and meta-analysis.
Despite its frequency and impact, delirium in critically ill patients is poorly recognized. Our aim was to systematically review the accuracy of delirium screening instruments in critically ill patients. ⋯ The Confusion Assessment Method for the Intensive Care Unit was the most specific bedside tool for the assessment of delirium in critically ill patients. However, there was significant heterogeneity of the results. These findings were largely obtained in research settings, and the low sensitivity of the Confusion Assessment Method for the Intensive Care Unit in routine, daily practice may limit its use as a screening test.
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Critical care medicine · Jun 2012
ReviewTreatment of acute coronary syndrome: part 2: ST-segment elevation myocardial infarction.
Familiarize clinicians with recent information regarding the diagnosis and treatment of ST-segment elevation myocardial infarction. ⋯ Patients with ST-segment elevation myocardial infarction benefit from prompt reperfusion therapy. Adjunctive antianginal, antiplatelet, antithrombotic, beta blocker, angiotensin-converting enzyme inhibitor, and statin agents minimize ongoing cardiac ischemia, prevent thrombus propagation, and reduce the risk of recurrent cardiovascular events.