id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-262623-lmf2h6oc	Light, R. Bruce	Plagues in the ICU: A Brief History of Community-Acquired Epidemic and Endemic Transmissible Infections Leading to Intensive Care Admission	2009-01-31		.txt	text/plain	7817	318	42	In addition to the HIV pandemic, the smaller epidemic outbreaks of Legionnaire's disease, hantavirus pulmonary syndrome, and severe acute respiratory syndrome, among many others, points out the potential risk associated with a lack of preplanning and preparedness. In the late 1970s, emergency rooms and ICUs throughout North America began to see an increasing number of young menstruating women presenting with a previously little-known syndrome characterized by sudden onset of a high fever, often associated with vomiting and diarrhea, quickly followed by severe hypotension. At the beginning of the epidemic, most patients presenting for care with HIV/AIDS and Pneumocystosis were severely ill with diffuse pneumonia and hypoxemic respiratory failure and many died, 80%-90% in most centers, prompting widespread debate about whether such patients should even be admitted to ICU for mechanical ventilatory support.	./cache/cord-262623-lmf2h6oc.txt	./txt/cord-262623-lmf2h6oc.txt