Connecticut medicine
-
Connecticut medicine · Jun 2014
Geriatric emergency medicine service: a novel approach to an emerging trend.
Many studies have described benefits to patients from geriatric care in the emergency department (ED), yet few geriatric emergency departments exist nationally. As our nation ages and health care financing for these patients becomes more complex, it will be crucial for hospitals to develop ED services that address the needs of our sickest and frailest patients. In this article, we report on our experiences using advanced practice registered nurses (APRNs) embedded in an established ED. ⋯ Strong executive support for geriatric services has established our hospital as a local leader in geriatric emergency medicine. The program is fiscally neutral and serves a frail vulnerable population. We have improved healthcare for our seniors and believe this model of geriatric emergency care can easily be replicated nationally.
-
Connecticut medicine · Jun 2014
Biography Historical Article Classical ArticleThe crisis in general practice. 1964.
-
Connecticut medicine · May 2014
Case ReportsSevere babesiosis presenting as acute respiratory distress syndrome in an immunocompetent patient.
Babesiosis is a tick-borne illness caused by the intraerythrocytic parasite Babesia microti. Adult respiratory distress syndrome (ARDS) is a complication of B. microti infection and generally presents later in the course of the disease. We present a case of babesiosis presenting with ARDS. ⋯ The patient was treated with atovaquone and azithromycin for seven days and was successfully extubated on day four of hospitalization. He continued to clinically improve and was discharged home four days later. The case highlights the importance of physicians being aware of the manifold ways in which babesiosis can manifest.