Authors' conclusions: Current evidence does not support routine use of intravenous magnesium sulfate in all patients with acute asthma presenting to the emergency department. Magnesium sulfate appears to be safe and beneficial in patients who present with severe acute asthma.
Johns Hopkins Hospital is back on top. After spending 21 years as the country's best hospital, according to U.S. News & World Report, Johns Hopkins Hospital relinquished its crown to Massachusetts General Hospital in Boston in 2012. This year, the roles have reversed yet again.
Massachusetts stands out as the No. 1 Best State for health care, by all these measures â Hawaii No. 2. Among the other top-10 states for health care are some of the smallest, including New England neighbors New Hampshire, Vermont and Rhode Island. The top states also include the biggest of all â California â as well as Midwestern Minnesota and Northwestern Washington state.