3 Tools Doctors Can Use to Prevent Burnout
A broad-based study published in the Mayo Clinic Proceedings in 2015 using the Maslach Burnout Inventory (MBI) found that 54.4 percent of all physicians combined were experiencing at least one symptom of burnout, and there... read more
Acute Hyperglycemic Emergencies
As diabetes prevalence increases in the US, critical care nurses need to be familiar with the acute hyperglycemic emergencies they may encounter in the ED or ICU. This article focuses on the diagnosis of, various treatments... read more
Intrathoracic Pressure Regulation Therapy Applied to Ventilated Patients for Treatment of Compromised Cerebral Perfusion from Brain Injury
These data support the notion that active intrathoracic pressure regulation, in this limited evaluation, can successfully augment cerebral perfusion by lowering intracranial pressure and increasing mean arterial pressure... read more
Association of Vasopressin Plus Catecholamine Vasopressors vs Catecholamines Alone With Atrial Fibrillation in Patients With Distributive Shock
In this meta-analysis, the addition of vasopressin to catecholamine vasopressors compared with catecholamines alone was associated with a lower risk of atrial fibrillation. However, findings for secondary outcomes varied.... read more
Lights and Sirens
A true account of going through UCLA's famed Daniel Freeman Paramedic Program—and practicing emergency medicine on the streets of Los Angeles. Nine months of tying tourniquets and pushing new medications, of IVs, chest... read more
Association of ICU Delirium with Sleep Disturbance and Functional Disability After Critical Illness
After adjusting for important covariates, total days of MICU delirium were significantly associated with increased post-discharge sleep disturbance. Delirium incidence showed a trend toward association with increased functional... read more
Mobilization is Feasible in Intensive Care Patients Receiving Vasoactive Therapy
In our ICU, patients mobilized on approximately one-third of vasoactive days. Clinicians should anticipate a higher risk of hypotension during mobilization in patients receiving vasoactive therapy, which may require transient... read more
Time to Add a Fifth Pillar to Bedside Physical Examination
Inspection, palpation, percussion, and auscultation have been the 4 pillars of clinical bedside medicine. Although these basic methods of physical examination have served us well, traditional bedside examination, for a number... read more
Tranexamic Acid For Isolated Penetrating Head Trauma
An aeromedical crew was dispatched to a local emergency department to transport a fourteen year-old female with self-inflicted gunshot wound to the head to a tertiary pediatric trauma hospital. The patient was previously... read more
Identifying Barriers to Nurse-Facilitated Patient Mobility in the ICU
Nurses have limited time for additional clinical activities but may miss potentially important opportunities for facilitating patient mobility during existing patient care. The proposed method is feasible and helpful in empirically... read more
Flu Season May Not Have Peaked, and there’s Another Wave of Severe Infections Underway
Flu activity remains high across the nation, and there's a second wave of severe infections striking some states. There were as many as 26.3 million flu illnesses, 12.4 million medical visits and 347,000 flu hospitalizations... read more
Opioid-Induced Respiratory Depression Risk Prediction Tool
Ludwig H. Lin, MD, and Ashish K. Khanna, MD, FCCP, FCCM, discuss Dr. Khanna's top-rated abstract, Derivation and Validation of a Novel Opioid-Induced Respiratory Depression Risk Prediction Tool, from the Society of Critical... read more
Physician-Level Variation in Outcomes of Mechanically Ventilated Patients
Physicians are increasingly being held accountable for patient outcomes. Yet their specific contribution to the outcomes remains uncertain. Intensivists independently contribute to outcomes of Medicare patients who undergo... read more
Age- and Gender-related Peculiarities of Patients with Delirium in the Cardiac ICU
Our investigation presented a number of associated peculiarities related to gender and age. It was shown that delirium is a severe complication that more often affects men amongst patients < 65 years old and more frequently... read more
