Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
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The General Internal Medicine (GIM) Care Transformation Initiative implemented at one of four teaching hospitals in the same city resulted in improved efficiency of in-hospital care. Whether it had beneficial effects upstream in the emergency department (ED) is unclear. ⋯ Although the GIM Care Transformation Initiative was associated with substantial reductions in ED LOS for patients admitted to GIM wards at the intervention hospital, it resulted in only minor changes in overall ED LOS and no appreciable changes in ED crowding metrics.
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Randomized Controlled Trial
The Effect of Nebulized Albuterol on Serum Lactate and Potassium in Healthy Subjects.
The objectives were to determine if nebulized albuterol causes an increase in the serum lactate level compared to placebo and, secondarily, to confirm that albuterol decreases serum potassium levels compared to placebo in patients with normokalemia. ⋯ Nebulized albuterol increases lactate levels and decreases potassium levels in healthy adults.