Mortality of Patients on Mechanical Ventilation: One-Minute Journal Club

I have a question for you. I hope you answer it honestly.Now that ICU admissions are incredibly low from you-know-what we can take a look back and dig through the ashes to see what could we have done better.Recently, data was published from a certain institution where they reported that they had only 40% mortality …

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corticosteroids cardiac arrest

Corticosteroids and Cardiac Arrest: One-Minute Journal Club

After a patient suffers a cardiac arrest event, should we be giving them corticosteroids?This is not something I do currently in my practice so I am intrigued by these data.There's a ton of nuance to this brand new systematic review and meta-analysis so please read it for yourself.This is not medical advice. Hat tip to …

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OHCA access

Access in Out-Of-Hospital Cardiac Arrest (OHCA): Which is Best? IV or IO?

A patient had a cardiac arrest in the field, aka OHCA (outside of hospital cardiac arrest).Our trusty EMS (emergency medical services) teams who we all really appreciate show up at the scene.Access to administer life-saving medications need to be obtained.Should they attempt to obtain IV (intravenous) access?Or should they attempt to obtain IO (intraosseous) access?There …

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RT burnout

RT’s Have Suffered Burnout, Too.

I have posted data regarding nursing burnout.Many times I receive feedback that Respiratory Therapists (RT) are suffering from burnout, too.It wasn't that I was ignoring RT's, but rather this hadn't been studied.That doesn't mean that there isn't significant RT burnout.Recently, there was a study published on the matter titled "Burnout among Respiratory Therapists and Perception …

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haldol icu

Haldol (Haloperidol) in the ICU: One-Minute Journal Club

Haldol is an antipsychotic that we frequently use in the ICU for delirium.But the truth is that the data behind using it is not as robust as we would like.Earlier today, there was a paper published in the NEJM that attempted to find its effects on delirium.Hat tip to the authors. Read these data for …

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insanity

Insanity.

There are very powerful people who do not want us to be informed.There are people who do not want us to have the ability to have different thoughts.Several days ago I posted research that was conducted in Boston.Research that I found concerning. Research that many experts find concerning.Knowing that the powers-that-be use very powerful technology …

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appreciating nurses

Appreciating Our Nurses: Role of the ICU Physician

The last couple years have been challenging for all health-care personnel.Improving morale is something that I have worked on substantially in my practice. Many of us could do more in appreciating our nurses. Nurse retention is a problem everywhere.I am married to an ICU nurse for some additional context.A paper looking at this was published …

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pancreatitis fluids

Resuscitation in Acute Pancreatitis: IV Fluids

A paper regarding to acute pancreatitis was published in the New England Journal of Medicine on 15 September of 2022. It is titled "aggressive or moderate fluid resuscitation and acute pancreatitis". Hat tips to the authors. I would tell you to read this article for yourself but, unfortunately, it is hidden behind the pay wall …

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