Seeing the Present Through the Past
As an MD-PhD candidate, now in the second year of a history of medicine PhD, I often reflect on the role of history in the medical school classroom and at the bedside. Medical history is a useful way to understand the roots... read more
Rapid Bedside Evaluation of Seizures in the ICU by Listening to the Sound of Brainwaves
The Ceribell EEG System enabled rapid acquisition of electroencephalography (EEG) in patients at risk for non-convulsive seizures and aided clinicians in their evaluation of encephalopathic ICU patients. The ease of use and... read more
Nutrition in Surgery Podcast
Changing Care to Improve Surgical Outcomes. In this mini-series of six podcasts sponsored by Abbott Nutrition, the DCRI's Paul Wischmeyer, MD, EDIC, welcomes distinguished scientists and clinicians from the U.S. and the U.K.... read more
Optimum Chest Compression Point for CPR in Children Revisited Using a 3D Coordinate System Imposed on CT
The optimum chest compression site (P_optimum) in children is debated: European Resuscitation Council recommends one finger breadth above the xiphisternal joint, whereas American Heart Association proposes the lower sternal... read more
The combination of procalcitonin and C-reactive protein or presepsin alone improves the accuracy of diagnosis of neonatal sepsis
The combination of PCT and CRP or presepsin alone improves the accuracy of diagnosis of neonatal sepsis. However, further studies are required to confirm these findings. A total of 28 studies enrolling 2661 patients were... read more
Feasibility and Perceptions of PICU Diaries
The use of ICU diaries in the PICU setting is feasible and perceived as beneficial by families of critically ill children. Future studies are needed to better understand if PICU diaries may objectively improve psychologic... read more
Do State Regulations on Nurse Staffing Make a Difference in ICU Outcomes?
In the recent issue of Critical Care Medicine, Law and colleagues published an evaluation of the impact of changes in Massachusetts state regulations mandating that nurse staffing levels on critical care units be set at 1:1... read more
Pocket Medicine: The Massachusetts General Hospital Handbook of Internal Medicine
Under the direction of Marc S. Sabatine, MD, MPH, Professor of Medicine, Harvard Medical School, Pocket Medicine provides the key information a clinician needs for the initial approach and management of the most common inpatient... read more
Dear NRA, I’m a doctor. My lane? I sit in this chair when I tell parents their kids are dead
Seems like a little thing, but I did this in response to a tweet by the National Rifle Association, asserting that doctors should "stay in our lane" instead of studying or making recommendations when it comes to gun violence.... read more
Burnout in Intensive Care: How Can We Improve?
The risk of burnout in intensive care is high, there is a great need to look after ourselves and each other to enable us to effectively care for our patients and to be part of not only an effective team but also an enjoyable... read more
Medical Device Rules Need Drastic Change To Protect Patients
Urgent and drastic changes to the rules around medical devices, such as pacemakers, are needed to protect patients, according to the Royal College of Surgeons. It wants a register of every device in every patient set up so... read more
Sedation and Neurodevelopmental Outcomes in PICU
As little as 30 minutes of exposure to anesthetic and sedative agents may adversely affect the developing brain. Safe, humane management of critically ill infants requires the use of sedative agents, often for prolonged periods.... read more
Delirium in Critical Illness: Haloperidol vs Ziprasidone?
Delirium is defined as an acute disorder of consciousness which can occur in up to 80% of mechanically ventilated ICU patients. This acute cognitive dysfunction is associated with prolonged hospital stay, increased mortality,... read more
