Predicting Long-Term Complications After Sepsis-Associated Acute Kidney Disease
Sepsis is the most commonly identified risk factor for acute kidney injury (AKI), according to...
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CID2004
Photographing Patients
As phones turned into cameras, HIPAA created national standards to protect a patient’s sensitive health information, including their image, from being disclosed without consent. We can capture anything easily…but are we allowed...
Read MoreMechanical Power Variation Rate Is Risk Factor for ICU Mortality
The 24-hour mechanical power (MP) variation rate is an independent risk factor for ICU mortality among patients with acute respiratory failure (ARF) with elevated MP, according to a study published in BMC Pulmonary Medicine. To...
Read MoreObesity May Up ICU LOS, Mortality for Patients With COVID-19
High BMI is associated with a higher risk for death and prolonged length of stay (LOS) in the ICU among patients with COVID-19, according to a study published in PLOS ONE. Researchers used data from the Swedish Intensive Care...
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Integrity in Medicine
It takes a special person to care for people during their most vulnerable states, to keep intimate...
Read MoreIn Conspiracy We Trust
There are increasing calls to discipline or de-credential doctors who are spreading anti-vaccine, anti-mask, and other pandemic misinformation. While statistics show that 96% of US physicians are vaccinated, a handful repeatedly...
Read MoreCOVID-19 Vaccines Prevent Critical Care Visits in High-Risk Populations
COVID-19 vaccines are eff ective against SARSCoV-2 infection requiring hospitalization, ICU admission, and emergency department (ED) or urgent care clinic visits, even in populations disproportionately aff ected by SARS-CoV-2...
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Racial/Ethnic Disparities in Severe Influenza-Associated Disease
Racial and ethnic disparities exist in the rates of severe influenza-associated disease among US...
Read MoreAssessing MRSA Risk in the Surgical Intensive Care Unit: Who Warrants Empiric Therapy?
Data showing an increase in prevalence of MRSA and other multi-drug resistant organism (MDRO) infections in ICU patients suggests that antimicrobial resistance continues to increase in this population As a measure of...
Read MoreOur Healthcare System May Be Failing, But It Isn’t Broken
I ’ve stood in front of conferences before and made my case: Our healthcare system is per- fect. “A perfect system? Ours?” I’ll hear people murmuring, “He’s a little bit crazy.” For decades, critics of the US healthcare system...
Read MoreWomen Have Higher Illness Severity Scores than Men at ICU Admission
Women tend to have higher illness severity scores at ICU admission, according to a study published in the Journal of Critical Care. Women also appear to have higher risk-adjusted mortality than men at ICU discharge and at 1...
Read MoreTime-Limited Trials May Reduce Non-Beneficial ICU Care
A structured approach helps ICU clinicians align treatment with family goals and values. Time-limited trials (TLTs)—an approach to planning and prioritizing ICU efforts for critically ill patients—clarified goals and values of...
Read MoreCOVID-19–Related ICU Workforce Shortage Projected to Push Hundreds of US Counties Into Crisis
By September 15, 2021, 15.5% of US counties are anticipated to experience hospital workforce staffing strains because of COVID-19 hospitalizations, with an estimated 320 counties needing to implement crisis workforce strategies...
Read MoreDocs on a Plane: Obligations in In-Flight Emergencies?
It’s your first real vacation in 2 years and the cabin loudspeaker comes on: “Is there a doctor on board?” Now what? Ethically, if you can help, you should help, but there is no duty to an ill or injured passenger to compel your...
Read MoreVery Old Patients Vs Old Patients Have Slightly Higher ICU Mortality Risk
Very old ICU patients suffer from a slightly higher ICU mortality rate compared with old ICU patients, according to a study published in Frontiers in Medicine (Lausanne). However, despite the statistically significant...
Read MoreDiuretic Strategies in Patients With Resistance to Loop-Diuretics in ICU
Continuous loop-diuretic infusion and thiazide- or acetazolamide-loop diuretic combinations in- creased urine output significantly in critically ill patients, leading to a negative fluid balance and weight loss, according to a...
Read MoreIdentifying Risk Factors for AKI in the Pediatric ICU
Data indicate that acute kidney injury (AKI) affects one-third of children admitted to a pediatric intensive care unit (PICU) and is related to the development of several complications and poor outcomes. An understanding of the...
Read MorePediatric ICU Admission Linked With Prolonged LOS in Neurology Hospital
Prolonged length of stay (LOS) and increased hospital costs were associated with pediatric ICU admission, multispecialty care, 7- and 30-day readmission, multiple antiseizure medications, and psychiatric disorders/functional...
Read MoreInfection Complications After Trauma Differ by Severity
The effect of infection complications in patients with trauma on in-hospital mortality differs by trauma severity, according to a study published in Scientific Reports. However, the impact of infection on the prognosis of trauma...
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