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Clinical Characteristics of Patients With 2019 Novel Coronavirus

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Clinical Characteristics of Patients With 2019 Novel Coronavirus

In this single-center case series of 138 hospitalized patients with confirmed 2019 novel coronavirus (2019-nCoV)–infected pneumonia (NCIP) in Wuhan, China, presumed hospital-related transmission of 2019-nCoV was suspected... read more

 
 
Molecular Biology of the SARS-Coronavirus

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Molecular Biology of the SARS-Coronavirus

SARS was the first new plague of the twenty-first century. Within months, it spread worldwide from its “birthplace” in Guangdong Province, China, affecting over 8,000 people in 25 countries and territories across... read more

 
 
Global, Regional, and National Sepsis Incidence and Mortality: 1990-2017

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Global, Regional, and National Sepsis Incidence and Mortality: 1990-2017

Globally, there were an estimated 60.2 million cases of sepsis in 1990 and 48.9 million cases of sepsis in 2017. This change represents a decrease of 18.8%. Of all incident cases of sepsis in 2017, 33.1 million occurred in... read more

 
 
2019 Novel Coronavirus Stakeholder Listening Session Transcript

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2019 Novel Coronavirus Stakeholder Listening Session Transcript

In response to the 2019 Novel Coronavirus (2019-nCoV) outbreak, the federal government is taking steps to protect the country. Within the U.S. Department of Health and Human Services, the Office of the Assistant Secretary... read more

 
 
Lifting the Impenetrable Veil: From Yellow Fever to Ebola Hemorrhagic Fever & SARS

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Lifting the Impenetrable Veil: From Yellow Fever to Ebola Hemorrhagic Fever & SARS

This book tells their communal story, the story of medical history, entomology, vector-borne diseases, virology, epidemiology and related fascinating but little recognized disciplines Interweaving his own personal stories... read more

 

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How Do We Test for Coronavirus?

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How Do We Test for Coronavirus?

Centers for Disease Control (CDC), published methodology for 2019-Novel Coronavirus (2019-nCoV) testing and is currently in the process of applying for an emergency waiver to allow medical-testing facilities to perform these... read more

 
 
Adult Critical Care Medicine

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Adult Critical Care Medicine

This clinical casebook provides a comprehensive yet concise state-of-the-art review of adult critical care medicine. Presented in a case-based format, each case focuses on a scenario commonly encountered with an adult patient... read more

 
 
Ventilatory Support and Mechanical Properties of the Fibrotic Lung Acting as a “Squishy Ball”

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Ventilatory Support and Mechanical Properties of the Fibrotic Lung Acting as a “Squishy Ball”

The management of the patient with lung fibrosis in the ICU is a challenge for the intensivist. The lack of studies defining the mechanical ventilation strategy, and the different underlying etiologies, make it difficult... read more

 
 
WHO Guidelines Regarding Fluid Administration for Coronarvirus Are Dangerously Misguided

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WHO Guidelines Regarding Fluid Administration for Coronarvirus Are Dangerously Misguided

Portions of the current WHO guidelines regarding fluid management are dangerously misguided. The first two recommendations suggest limiting fluid administration in patients with ARDS and patients who aren’t shocked,... read more

 
 
A Team Response to a Potential Killer: Sepsis

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A Team Response to a Potential Killer: Sepsis

Our bodies are very good at fighting infection. The immune system reacts and attacks bacteria and viruses that make us sick. But sometimes the immune reaction is so strong that it damages the body. This is called a septic... read more

 
 
Management of Cardiogenic Shock Complicating Myocardial Infarction – 2019 Update

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Management of Cardiogenic Shock Complicating Myocardial Infarction – 2019 Update

In general, randomized clinical trials in CS are difficult to perform and only three randomized trials adequately powered to detect differences in clinical outcomes achieved completion of the required number of patients.... read more

 
 
Fleisher & Ludwig’s Textbook of Pediatric Emergency Medicine

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Fleisher & Ludwig’s Textbook of Pediatric Emergency Medicine

Fleisher & Ludwig’s Textbook of Pediatric Emergency Medicine has long been acknowledged as the indispensable comprehensive clinical reference on diagnosing and managing emergent health issues in children. Now,... read more

 
 
Expiratory Muscle Dysfunction in Critically Ill Patients

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Expiratory Muscle Dysfunction in Critically Ill Patients

The expiratory muscles are the “neglected component” of the respiratory muscle pump. Rather as the heart does not comprise only a left ventricle, but also a right one, the respiratory muscle pump is much more... read more

 
 
Influence of Head-of-bed Elevation on the Measurement of IVC Diameter and Collapsibility

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Influence of Head-of-bed Elevation on the Measurement of IVC Diameter and Collapsibility

In a population of critically ill patients undergoing goal-directed ultrasound examinations, elevating head-of-bed (HOB) to 30° did not significantly alter inferior vena cava (IVC) measurements or CI. At 45°, however, IVCmax... read more

 
 
Irwin and Rippe’s Intensive Care Medicine

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Irwin and Rippe’s Intensive Care Medicine

With a focus on evidence-based, state-of-the-art information throughout, the eighth edition of Irwin and Rippe’s Intensive Care Medicine offers authoritative guidance to the wide variety of specialty physicians and... read more

 
 
Prone Positioning Monitored by Electrical Impedance Tomography in Patients with Severe ARDS on VV-ECMO

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Prone Positioning Monitored by Electrical Impedance Tomography in Patients with Severe ARDS on VV-ECMO

Prone positioning (PP) during veno-venous ECMO is feasible, but its physiological effects have never been thoroughly evaluated. Our objectives were to describe, through electrical impedance tomography (EIT), the impact of... read more

 
 
Tranexamic Acid Has Nominal Benefit for TBI

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Tranexamic Acid Has Nominal Benefit for TBI

Studies examining the use of tranexamic acid (TXA) inescapably seem to pit our rigorous methodological demons against our practical clinical angels. The CRASH-2 trial randomized 20,211 adult trauma patients presenting to... read more

 
 
Correction and Control of Hyperammonemia in Acute Liver Failure

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Correction and Control of Hyperammonemia in Acute Liver Failure

Continuous renal replacement therapy (CRRT) is associated with reduced ammonia concentrations in acute liver failure patients. This effect is related to greater cumulative dose. These findings suggest that continuous renal... read more

 
 
AKI Epidemiology, Risk factors, and Outcomes in Critically Ill Patients 16-25 Years of Age Treated in an Adult ICU

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AKI Epidemiology, Risk factors, and Outcomes in Critically Ill Patients 16-25 Years of Age Treated in an Adult ICU

Using the KDIGO criteria for both serum creatinine and urine output to define acute kidney injury (AKI), 39.8% of patients between the ages of 16–25 met AKI criteria during admission to an adult tertiary care center, indicating... read more

 
 
Health Coaching to Increase Appropriate Inhaler Use in COPD

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Health Coaching to Increase Appropriate Inhaler Use in COPD

Health coaching may provide a scalable model that can improve care for people living with chronic obstructive pulmonary disease (COPD). Baseline adherence and inhaler technique were uniformly poor and did not differ by study... read more

 
 
Glucose Variability as Measured by Inter-measurement Percentage Change is Predictive of In-patient Mortality in Aneurysmal Subarachnoid Hemorrhage

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Glucose Variability as Measured by Inter-measurement Percentage Change is Predictive of In-patient Mortality in Aneurysmal Subarachnoid Hemorrhage

Reduced glucose variability is highly correlated with in-patient survival and long-term mortality in subarachnoid hemorrhage (aSAH) patients. This finding was observed in the non-diabetic and well-controlled diabetic patients,... read more

 
 
Soluble Urokinase Receptor and AKI

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Soluble Urokinase Receptor and AKI

The authors concluded that high suPAR levels were associated with Acute Kidney Injury (AKI) in various clinical and experimental contexts. This cohort study reports that suPAR was associated with subsequent AKI in several... read more

 
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