Recommended in Critical Care

  • Clinical Essentials from Ann Allergy Asthma Immunol
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Is asthma a risk factor for coronary heart disease?

Up to half of CHD-related events occur in patients who lack conventional risk factors.

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  • Clinical Essentials from MMWR Morb Mortal Wkly Rep
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  • FULLTEXT

MMWR: fentanyl involved in majority of opioid overdose fatalities

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  • Clinical Essentials from J Am Coll Cardiol
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First-ever syncope guidelines from ACC/AHA/HRS cover what to do for the fainting patient

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  • Clinical Essentials from N Engl J Med
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Stroke: do EVT benefits hold up after 2 y?

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  • Clinical Essentials from Am J Med
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Are you asking your recently discharged critical care patients if they're taking amiodarone?

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  • Clinical Essentials from Mayo Clin Proc
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In-hospital “stress hyperglycemia” raises type 2 diabetes risk

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  • Clinical Essentials from Chest
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Morphine in HF patients in ED is linked to increased 30-d mortality

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  • Clinical Essentials from Stroke
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Prophylactic anticoagulation rx’d to Afib patients in the ED is linked to decreased mortality

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  • Clinical Essentials from Heart
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Insult to injury: traumatic ICH increases Afib risk

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Professional Essentials

  • US Professional News

Cancer hype gives false hope to patients, families

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  • US Professional News

Chicago trauma physicians, nurses cope with compassion fatigue

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  • US Professional News

Female physicians make 27% less than men

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  • US Professional News

Practices should maintain policy on abusive behavior by physicians

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  • Patients Will Be Asking

Why does my heart race when I drink?

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  • Patients Will Be Asking

Is saturated fat that bad?

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New in Critical Care

  • Clinical Essentials from J Am Heart Assoc
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RAS inhibitors are linked to better outcomes but do not prevent Afib post-MI

All-cause mortality reduction is good news, but there is no reduction in new-onset Afib.

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  • Clinical Essentials from JAMA
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Norepinephrine in short supply is linked to increased mortality from septic shock

The most common substitute when norepinephrine is not available is phenylephrine.

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  • Clinical Essentials from J Am Coll Cardiol
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Tolvaptan doesn’t yield early dyspnea improvement in acute HF despite inducing rapid weight loss

This hospitalized HF patient population experienced no early improvements with the drug.

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  • Clinical Essentials from Crit Care Med
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New-onset Afib undetected in 1 in 12 ICU patients

Afib detected in 1 in 5 ICU patients overall.

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  • Clinical Essentials from Neurology
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Poststroke infection linked to hyperglycemia

Hyperglycemia has previously been linked to poor stroke outcomes, but the underlying mechanism is unclear.

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  • Clinical Essentials from World J Surg
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Depression after trauma may be blocked by beta-blockers

Depressive symptoms are common after trauma, and beta-blockers could benefit by impairing memory of traumatic events.

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  • Clinical Essentials from FDA
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FDA issues second safety alert regarding off-label use of balloon angioplasty

The agency cautions against using these devices to treat autonomic dysfunction.

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  • Clinical Essentials from Hypertension
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Continuing prestroke antihypertensives does not affect outcomes

Meta-analysis of 2 studies homing in on individual patient data finds no benefit.

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  • Clinical Essentials from J Stroke Cerebrovasc Dis
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TriAGe+ score: a new stroke diagnostic tool for patients with vertigo/dizziness

Vertigo and dizziness are common in ED patients and can have cerebrovascular causes.

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  • Clinical Essentials from Chest
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Bleeding and anticoagulants: lower mortality with DOACs, lower transfusion rate with warfarin

Overall blood product use and amount was about the same between them, however.

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  • Clinical Essentials from Crit Care Med
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Redefining 'first medical contact' may alter mortality risk paradigm in community-acquired sepsis

First medical contact among most modifiable risk factors in community-acquired sepsis mortality.

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  • Clinical Essentials from Cochrane Database Syst Rev
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Cochrane: molecular assays may expedite clinical management of neonatal sepsis

Diagnosis, management of neonatal sepsis optimized by molecular testing "add-ons."

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  • Clinical Essentials from J Burn Care Res
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New algorithm helps identify burn patients at critical risk for septic shock/organ failure

The algorithm is simple but still requires validation.

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  • Clinical Essentials from Eur Respir J
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Asthma linked to increased risk for DVT, PE

Risk for DVT with PE was increased by more than 60% in patients with asthma.

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