How I Went from Pulmonary Diagnostics and Wellness to System Lung Coordinator

How I Went from Pulmonary Diagnostics and Wellness to System Lung Coordinator

Main Line Health is a multi-hospital health system serving patients in Philadelphia, PA, and its western suburbs. The system has been recognized as among the best in the region by U.S. News & World Report. In 2017, it was... read more

Criteria for Selecting COVID-19 Patients for Lung Transplantation

Criteria for Selecting COVID-19 Patients for Lung Transplantation

In May 2020, a team led by thoracic surgeon Konrad Hoetzenecker of the Department of Surgery of MedUni Vienna and Vienna General Hospital performed a lung transplant on a 44-year-old patient who had been seriously ill with... read more

Guidance on COVID-19 Clinical Care and Treatment by Specialty

Guidance on COVID-19 Clinical Care and Treatment by Specialty

We are providing these links as part of our support to members seeking specialty advice for specific medical conditions, particularly those outside their own specialty. The situation is a fast-evolving one, and while we will... read more

Promoting Evidence-Based Practice in ARDS

Promoting Evidence-Based Practice in ARDS

There is a dearth of literature addressing interventions to improve implementation of evidence-based practices in acute respiratory distress syndrome (ARDS). Existing interventions to improve clinician knowledge and facilitate... read more

Addressing Hospital-Acquired Hypoglycemia

Addressing Hospital-Acquired Hypoglycemia

Findings suggest that ensuring a consistent 30-minute window between POC BG measurement and meal delivery enabled nursing staff to perform timely POC BG measurements and administer a more optimal mealtime insulin dose. Increasing... read more

Validation of Sputum Gram Stain for Treatment of CAP and HCAP

Validation of Sputum Gram Stain for Treatment of CAP and HCAP

The usefulness of sputum Gram stain in patients with community-acquired pneumonia (CAP) is controversial. There has been no study to evaluate the diagnostic value of this method in patients with healthcare-associated pneumonia... read more

Optimal Needle Position for Decompression of Tension Pneumothorax

Optimal Needle Position for Decompression of Tension Pneumothorax

Tension Pneumothorax (TP) can occur as a potentially life-threatening complication of chest trauma. With the risk of respiratory and cardiac arrest, an immediate temporizing intervention for this condition is required by... read more

ACEP Task Force on Septic Shock Should Replace the Surviving Sepsis Campaign

ACEP Task Force on Septic Shock Should Replace the Surviving Sepsis Campaign

The critical care community has long been plagued by a series of antiquated, overbearing guidelines created by the Surviving Sepsis Campaign (SSC). The campaign was originally sponsored by Eli Lilly and Edwards Life Sciences,... read more

Johns Hopkins Nursing Evidence-Based Practice

Johns Hopkins Nursing Evidence-Based Practice

Johns Hopkins Nursing Evidence-Based Practice: Model and Guidelines has proven to be one of the most foundational books on EBP in nursing. This fully revised third edition builds on the strength of the first two editions... read more

Guidelines on Myocardial Infarction, Novel Therapeutic Targets in Post-infarction Remodelling

Guidelines on Myocardial Infarction, Novel Therapeutic Targets in Post-infarction Remodelling

This Focus Issue on ischaemic heart disease contains the ‘2020 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation: The Task Force for the management... read more

Effect of intubation timing on clinical outcomes of critically ill patients with COVID-19

Effect of intubation timing on clinical outcomes of critically ill patients with COVID-19

The synthesized evidence suggests that timing of intubation may have no effect on mortality and morbidity of critically ill patients with COVID-19. These results might justify a wait-and-see approach, which may lead to fewer... read more

Timing of Intubation in Patients With COVID-19

Timing of Intubation in Patients With COVID-19

The timing of intubation in hypoxemic patients with COVID-19 has been hotly debated. Early in the pandemic, there was a push to intubate early, driven by the effort to reduce transmission of the virus. With time, high-flow... read more

Monitoring tissue oxygenation index using near‐infrared spectroscopy during pre‐hospital resuscitation

Monitoring tissue oxygenation index using near‐infrared spectroscopy during pre‐hospital resuscitation

In this pilot study, we demonstrated the feasibility of ∆TOI as a dynamic value rather than single static value among OHCA patients in a pre-hospital setting. ∆TOI can be considered as a predictor of return of spontaneous... read more

Early Mobilization of Patients Receiving Vasoactive Drugs in Critical Care Units

Early Mobilization of Patients Receiving Vasoactive Drugs in Critical Care Units

Evidence determining specific doses of vasoactive drugs that would allow safe mobilization of patients in critical care is lacking. The criteria that have been used to determine the eligibility to mobilize patients on vasoactive... read more