Issue #213 - Past Critical Care Newsletter issues
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Brought to you by:
Envision Physician Services
Seeking hospitalists and pulmonary critical care intensivists to join our team at Alaska Regional Hospital, Anchorage, AK
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In this multicenter cohort study of critically ill adults with COVID-19 admitted to ICUs across the United States, higher d-dimer was independently associated with a greater risk of death. The added value of d-dimer in risk... read more
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Experience with clinical cases is key to mastering the art and science of medicine and ultimately to providing patients with competent clinical care. Case Files: Critical Care provides 42 true-to-life cases that illustrate... read more
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In a cohort of critically ill patients with a high prevalence of thromboembolic events, ET was associated with reduced ICU mortality without an increased burden of haemorrhagic complications. This study suggests ET strategies... read more
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Mechanical ventilation may have adverse effects on both the lung and the diaphragm. Injury to the lung is mediated by excessive mechanical stress and strain, whereas the diaphragm develops atrophy as a consequence of low... read more
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This text uses cases to illustrate differential diagnoses of various infectious diseases. Unlike any other book on the market, this book is specifically designed for ease of use and can cater to a variety of medical professionals... read more
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Injury Severity Score (ISS) 08 ≥ 11 and ISS 15 ≥ 12 perform similarly to a threshold ISS 98 ≥ 16 for in-hospital mortality and ICU admission. This confirms studies evaluating mapped datasets, and is the... read more
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Current literature addressing the pharmacological principles guiding glucocorticoid (GC) administration in ARDS is scant. This paucity of information may have led to the heterogeneity of treatment protocols and misinterpretation... read more
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Among patients with moderate to severe traumatic brain injury (TBI), treatment with continuous infusion of 20% hypertonic saline compared with standard care did not result in a significantly better neurological status at... read more
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The idea of using beta-blockers as a treatment for ventricular fibrillation occurred to James Black over 60 years ago. He developed propranolol and cimetidine, among other pharmacologic agents, work for which he won the Nobel... read more
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Seropositivity of IgG antibodies to both SARS-CoV-2 S and N-proteins followed a linear trend reaching approximately 90% positivity at 21 days post-index. The rate of N-protein seropositivity declined at a sharper rate, decaying... read more
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With appropriate attention to detail, it is possible to provide life-saving blood components to aeromedical transport services across a large geographic area with efficient blood component usage, minimal blood wastage, and... read more
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Palliative care consultation for critically ill children in the United States is low. Palliative care utilization is increasing but considerable variation exists across institutions, suggesting inequity in palliative care... read more
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This is the first comprehensive study guide covering all aspects of pediatric critical care medicine. It fills a void that exists in learning resources currently available to pediatric critical care practitioners. The major... read more
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Vasopressors are commonly used in the treatment of shock to support blood pressure, cardiac output, and end-organ perfusion. These agents are associated with risk of serious adverse effects including ischemia (e.g. stroke,... read more
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The use of mechanical circulatory support for patients presenting with cardiogenic shock is rapidly increasing. Currently, there is only limited and conflicting evidence available regarding the role of the Impella (a microaxial,... read more
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Percutaneous ultrasound guided gastrostomy (PUG) is similar in terms of complications to percutaneous gastrostomy tube (PRG) placement and a safe method for gastrostomy tube placement in the critically ill with the added... read more
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We are left with four main scenarios in which arsine gas is produced and/or encountered: aqueous solutions of oxidized arsenic compounds in contact with metals metal arsenides in contact with water/moisture release of arsine... read more
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Population scale sweeps of viral pathogens, such as SARS-CoV-2, require high intensity testing for effective management. Here, we describe “Systematic Parallel Analysis of RNA coupled to Sequencing for Covid-19 screening”... read more
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LATEST CRITICAL CARE PODCASTS
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Every week we scour the web to bring you the latest podcast episodes related to ICU and Critical Care Medicine.
Delirium screening in ICU
Despite increasing focus and the development of international clinical guidelines, delirium in ICU remains an under-recognised issue. The results of a point prevalence study in Australia/New Zealand were discussed in this episode.
Is PID in need of a third antibiotic?
In this episode, we review a potentially practice-changing study. Should we treat PID with three antibiotics?
Does less than 10 units of insulin for hyperkalemia work as good as giving 10 units?
In this episode, I’ll discuss the dose of insulin to use when treating hyperkalemia.
General and COVID-19 ICU triage
Dr. Joseph Nates, Professor, Deputy Chair, and Medical Director of Intensive Care Units at the University of Texas M.D. Anderson Cancer Center discusses intensive care triage and triaging during the COVID-19 pandemic.
How well does Bayesian Vancomycin Monitoring Work in the Critically Ill?
In this episode, I’ll discuss bayesian vancomycin monitoring in the critically ill.
Day In The Life Of A CRNA
The dust has settled, you’ve made it through school, you’ve nailed the dream job… so NOW WHAT? What does a day in the life of a CRNA really look like? While it can feel so far away, it’s vitally important that you get familiar with how you’ll be spending your days.
Penetrating Cardiac Injuries with Dr. Kenji Inaba
Our first in-person interview since the start of the COVID pandemic! Join us for National Stop the Bleed Day as Dr. Kenji Inaba from LAC+USC joins us to discuss management of penetrating cardiac injuries, the Los Angeles County Hospital Emergency Response Team (HERT), and recent updates to the Stop the Bleed campaign.
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