Starting HIV treatment in ERs may be key to ending HIV spread worldwide

Researchers say they have evidence that hospital emergency departments (EDs) worldwide may be key strategic settings for curbing the spread of HIV infections in hard-to-reach populations if the EDs jump-start treatment and case management as well as diagnosis of the disease.

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Focus points to reduce opioid overdose deaths identified

A new study identifies specific locations where medication and harm reduction services for people with opioid use disorder should be available in order to have the greatest impact on reducing opioid overdose deaths. The data show that more than half of those who died of an opioid overdose in Massachusetts encountered the health care, public health and/or criminal justice systems within the 12 months prior to their fatal overdose.

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Addressing serious illness with a serious question to clinicians

A question: 'Would you be surprised if this patient died in the next month?' — posed to elicit a clinician's overall impression of a patient — produced a strong correlation. If a clinician answered that they would not be surprised, the patient was twice as likely to die in the next month.

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Anesthetic drug sevoflurane improves sepsis outcomes, animal study reveals

Patients with sepsis often require surgery or imaging procedures under general anesthesia, yet there is no standard regimen for anesthetizing septic patients. Of volatile (inhaled) anesthetics, sevoflurane and isoflurane are the most commonly used drugs, despite their undetermined mechanisms of action. A novel study suggests that the type of drug used in general anesthesia could be critical to the survival of patients with sepsis.

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