Adding exercise physiologists to ICUs can improve mobility and patient outcomes, according to the experience of three medical-surgical ICUs at Baylor St. Luke’s Medical Center in Houston. The addition of exercise physiologists was studied as part of a larger bundle of interventions intended to improve the quality of care for ICU patients.
There are several distinct trajectories of recovery after acute respiratory failure. The group with the highest physical function consisted primarily of younger women who experienced less continuous sedation time and shorter ICU length of stay.
A systematic review and meta-analysis incorporating more than 500,000 subjects revealed that moderate to vigorous physical activity is associated with a significant reduction in development of Parkinson’s disease; this relationship is most pronounced in men.
Domestic violence and abuse is a national and global healthcare problem with massive consequences, affecting men, women, and children. Awareness, recognition, and resource allocation, in addition to trauma management, is an important aspect of emergent care of the trauma patient possibly injured in a domestic violence incident.
A large meta-analysis including data from more than one million subjects and 16 studies revealed that specified levels of moderate-intensity physical activity can significantly lessen the health risks of sedentary lifestyles.
In addition to a requirement for in-house practitioners to undergo testing at age 75 and older to be credentialed or re-credentialed, Sinai Hospital in Baltimore also has developed a comprehensive two-day program for surgeons who are referred to them by any facility for more extensive testing of cognitive and physical skills or capabilities.
With more highly evolved and readily available technology at our fingertips, it is sometimes tempting to let the echocardiogram sort out the abnormal heart sounds we detected, or allow the pelvic ultrasound to inform whether the uterus is enlarged, or short-cut parts of the physical exam we anticipate to be unlikely sources of pertinent information.