The Importance of Accurate Glucose Monitoring in Critically Ill Patients

The Importance of Accurate Glucose Monitoring in Critically Ill Patients

Critically ill patients are not found just in intensive care units, but throughout the hospital: emergency departments, post-anaesthesia care units, operating rooms, and many other environments now care for the critically... read more

Is Tranexamic Acid Going to CRASH the Management of TBI?

Is Tranexamic Acid Going to CRASH the Management of TBI?

In the recent CRASH-3 randomized trial, early administration of tranexamic acid (TXA) was associated with a non-significant reduction of head injury-related 28-day mortality in patients with isolated traumatic brain injury... read more

Preoperative Risk and the Association between Hypotension and Postoperative AKI

Preoperative Risk and the Association between Hypotension and Postoperative AKI

Adult patients undergoing noncardiac surgery demonstrate varying associations with distinct levels of hypotension when stratified by preoperative risk factors. Specific levels of absolute hypotension, but not relative... read more

No Bleeding Required: Anemia Detection via Smartphone

No Bleeding Required: Anemia Detection via Smartphone

Biomedical engineers have developed a smartphone app with the aim of non-invasive detection of anemia. Instead of a blood test, the app uses photos of someone's fingernails taken on a smartphone to determine whether the level... read more

The Post-injury Inflammatory State and the Bone Marrow Response to Anemia

The Post-injury Inflammatory State and the Bone Marrow Response to Anemia

The pathophysiology of persistent injury-associated anemia is incompletely understood, and human data are sparse. Objective: To translate pre-clinical findings by characterizing injury-associated anemia among critically ill... read more

The Dark Sides of Fluid Administration in the Critically Ill Patient

The Dark Sides of Fluid Administration in the Critically Ill Patient

The administration of intravenous fluids is probably the most frequently initiated therapy in critically ill patients. With very few exceptions, such as severe congestive heart failure, IV fluids are considered as a safe... read more

Evidence-Based Guidelines to Eliminate Repetitive Laboratory Testing

Evidence-Based Guidelines to Eliminate Repetitive Laboratory Testing

Routine daily laboratory testing of hospitalized patients reflects a wasteful clinical practice that threatens the value of health care. Choosing Wisely initiatives from numerous professional societies have identified repetitive... read more

Eltrombopag Added to Standard Immunosuppression for Aplastic Anemia

Eltrombopag Added to Standard Immunosuppression for Aplastic Anemia

Acquired aplastic anemia results from immune-mediated destruction of bone marrow. Immunosuppressive therapies are effective, but reduced numbers of residual stem cells may limit their efficacy. In patients with aplastic anemia... read more

EM-Critical Care: Aortic Dissection

EM-Critical Care: Aortic Dissection

Thoracic Aortic Dissection A difficult to diagnose, uncommon, and potentially fatal condition: Emergency Medicine at its finest!   Let’s talk about a patient we think see every day in the ED. A man comes in complaining... read more