Metabolic-based Biomarkers Have Potential to Triage Children with Sepsis

Metabolic-based Biomarkers Have Potential to Triage Children with Sepsis

A new study has validated potential biomarkers for a sepsis-triage model to distinguish sepsis patients requiring care in the pediatric intensive care unit (PICU) from sepsis identified in the pediatric emergency department... read more

What It’s Like in Pediatric Critical Care

What It’s Like in Pediatric Critical Care

As a medical student, do you ever wonder what it's like to specialize in pediatric critical care? Meet Joanna Kuppy, MD, a critical care pediatrician and assistant professor of pediatrics at Rush University Medical Center,... read more

A New Bill Introduced in the House Would Protect Millions of Health Care Workers

A New Bill Introduced in the House Would Protect Millions of Health Care Workers

A group of House Democrats introduced a bill to help protect millions of nurses and other health care workers from the high rates of violence they experience on the job. The new bill, called the "Workplace Violence Prevention... read more

The Patient, The Whole Patient and Nothing But The Patient

The Patient, The Whole Patient and Nothing But The Patient

In this short opinion piece, career and consumer advisor Belinda MacLeod-Smith challenges us to consider crucial elements of whole patient care, and how they can be impacted by limiting factors. Caring for someone with ongoing,... read more

Intensive Care Medicine in 2050: The Future of ICU Treatments

Intensive Care Medicine in 2050: The Future of ICU Treatments

It's unlikely that any of the three of us will still be around, but we can imagine how our children would describe their experience if they were admitted to the ICU in 2050. Here is what they might say: "The hospital is definitely... read more

Transient Systolic Anterior Motion with Junctional Rhythm After Mitral Valve Repair in the ICU

Transient Systolic Anterior Motion with Junctional Rhythm After Mitral Valve Repair in the ICU

This case report shows that junctional rhythm can cause deterioration of SAM, LVOTO, and MR, and can lead to unstable hemodynamics in a patient with right ventricular failure after MVR. Atrial pacing can resolve SAM, LVOTO,... read more

Improving Hospital Survival and Reducing Brain Dysfunction at Seven California Community Hospitals

Improving Hospital Survival and Reducing Brain Dysfunction at Seven California Community Hospitals

The evidence-based ABCDEF bundle was successfully implemented in seven community hospital ICUs using an interprofessional team model to operationalize the Pain, Agitation, and Delirium guidelines. Higher bundle compliance... read more

Can probiotics be an alternative to chlorhexidine for oral care in the mechanically ventilated patient?

Can probiotics be an alternative to chlorhexidine for oral care in the mechanically ventilated patient?

In this multicentre study, we could not demonstrate any difference between Lp299 and CHX used in oral care procedures regarding their impact on colonisation with emerging potentially pathogenic enteric bacteria in the oropharynx... read more

The Impact of Frailty on ICU Outcomes

The Impact of Frailty on ICU Outcomes

Functional status and chronic health status are important baseline characteristics of critically ill patients. The assessment of frailty on admission to the intensive care unit (ICU) may provide objective, prognostic information... read more

Antipsychotic Prescribing Patterns During and After Critical Illness

Antipsychotic Prescribing Patterns During and After Critical Illness

In this study, antipsychotics were used to treat nearly half of all antipsychotic-naïve ICU patients and were prescribed at discharge to 24% of antipsychotic-treated patients. Treatment with an atypical antipsychotic greatly... read more

Differences in attitudes towards end-of-life care among intensivists, oncologists and prosecutors in Brazil

Differences in attitudes towards end-of-life care among intensivists, oncologists and prosecutors in Brazil

There is great variability in end-of-life care and the legal context may interfere with decisions on limitation of medical treatment. In Brazil, end-of-life care was initially regulated in 2006, but legal controversies still... read more

The Precogs Take On Sepsis

The Precogs Take On Sepsis

It seems like every week there’s another publicized instance of our impending replacement by artificial intelligence. Big Data, they say, is going to free us of the cognitive burdens of complex thought while maximizing... read more

The impact of age on the innate immune response and outcomes after severe sepsis/septic shock in trauma and surgical ICU patients

The impact of age on the innate immune response and outcomes after severe sepsis/septic shock in trauma and surgical ICU patients

Aged, critically ill surgical patients have greater organ dysfunction and incidence of adverse clinical outcomes after sepsis. Biomarker profiles suggest an immunophenotype of persistent immunosuppression and catabolism.... read more