Recommended in Critical Care

  • 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

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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

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  • Clinical Essentials from Cochrane Database of Systematic Reviews
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Antimicrobial stewardship: Cochrane review concludes it works

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  • Clinical Essentials from Medicine (Baltimore)
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Statins lessen in-hospital mortality risk in patients with stroke + Afib

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  • Clinical Essentials from Ann Am Thorac Soc
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Does ICU admission improve outcomes in COPD, HF, or acute MI?

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

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  • Clinical Essentials from BMJ
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Are US patients treated by foreign doctors less likely to die?

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  • Clinical Essentials from J Am Heart Assoc
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ACEi/ARB after discharge for acute decompensated HF linked to better outcomes

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Professional Essentials

  • Patients Will Be Asking

What do you mean, juicing isn't healthy?

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  • Patients Will Be Asking

Why are colorectal cancers on the rise in young people?

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  • US Professional News

Direct primary care could get boost with Republicans

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  • US Professional News

STAT News raises questions about genetic testing firm

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  • US Professional News

California could require doctors on probation to inform patients

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  • US Professional News

Study finds physicians' care similar to NPs, PAs in health centers

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New in Critical Care

  • Clinical Essentials from Am J Emerg Med
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Could heart rate signal the significance of pediatric abdominal pain?

Tachycardia is associated with a greater likelihood that the pain is more than gas.

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  • Clinical Essentials from Open Heart
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For hospitalized HF patients with Afib, tachycardia may be a good sign

Beta-blocker dose and predischarge HR are not related to mortality in HF, Afib.

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  • Clinical Essentials from Aust Crit Care
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Asthma: does noninvasive ventilation improve clinical outcomes in acute exacerbations?

Study evaluates effects on dyspnea, mortality, and length of hospital stay.

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  • Clinical Essentials from Cochrane Database Syst Rev
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Cochrane: no evidence supporting use of high-volume hemofiltration in sepsis

High-volume hemofiltration in sepsis/septic shock does not improve outcomes.

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  • Clinical Essentials from Pediatr Pulmonol
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Enterovirus D-68 often confused with rhinitis in pediatric asthma admissions

Clinicians should familiarize themselves with prognostic indicators for enterovirus D-68.

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  • Clinical Essentials from J Stroke Cerebrovasc Dis
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Stroke: what is the optimum tPA dose for overweight patients?

The recommended weight-based dose is capped at 90 mg.

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  • Clinical Essentials from Early Hum. Dev.
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Diagnosis, management of early-, late-onset pediatric sepsis aided by specific biomarkers

Clinicians may wish to familiarize themselves with biomarker recommendations to guide pediatric sepsis, necrotizing entercolitis.

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  • Clinical Essentials from Heart Vessels
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Inferior vena cava dilation predicts mortality in acute decompensated HF with renal insufficiency

The measure is not a predictor with preserved kidney function.

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  • Clinical Essentials from Resuscitation
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With ventricular fibrillation, increasing defibrillations means decreasing survival

30-d survival falls with each shock administered, but still a change even with >10 shocks.

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  • Clinical Essentials from Am J Surg
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Predictive modeling tools highly sensitive for early sepsis diagnosis vs SIRS criteria

Clinical variables such as temperature and systolic blood pressure are prognostic for sepsis.

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Inequality in infectious disease burden in Australia
  • The Lancet Infectious Diseases
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Inequality in infectious disease burden in Australia

Study may help to better understand the determinants of communicable disease burden.

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Cognitive impairment associated with substantial increase in disability over six months following critical illness | SCCM
  • Conference Essentials
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Cognitive impairment associated with substantial increase in disability over six months following critical illness | SCCM

Cognitive status may help stratify ICU patients for interventions such as mobilization programs.

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Acute ingestions: PICU admission not required in three out of four cases | SCCM
  • Conference Essentials
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Acute ingestions: PICU admission not required in three out of four cases | SCCM

Analysis of 10,300 children was done to determine risk factors for PICU procedures.

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New-onset atrial fibrillation: Impact on mortality in critically ill patients | SCCM
  • Conference Essentials
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New-onset atrial fibrillation: Impact on mortality in critically ill patients | SCCM

In five studies with 43,291 patients, NOAF was associated with significantly higher adjusted in-hospital mortality (OR 1.42).

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