Critical Care
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Ethical Considerations for Trauma-Informed Care
Use the tenets of trauma-informed care by realizing the widespread effects of trauma; recognizing signs and symptoms; responding by including knowledge about trauma in policies, procedures, and practices; and avoiding retraumatization.
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Cirrhosis and Infections
Infections in patients with cirrhosis are frequent and potentially lethal, with pneumonia associated with the highest risk for mortality.
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Outcomes of COVID-19-Associated Acute Myocarditis
In a review of COVID-19-associated acute myocarditis, investigators learned it is a rare complication that can occur without concomitant pneumonia, and frequently presents as cardiogenic shock. With supportive therapy, the short-term mortality rate is low.
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A Fluid Bolus Peri-Intubation Does Not Prevent Cardiovascular Collapse
In this randomized pragmatic clinical trial, a peri-intubation intravenous fluid bolus administered to critically ill adults undergoing tracheal intubation with positive pressure ventilation did not significantly reduce the risk of cardiovascular collapse.
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COVID-19 Infection Course Worse in Patients Receiving Anti-CD20 Treatment
In this retrospective cohort, patients receiving anti-CD20 treatment had worse clinical outcomes, including mortality, in addition to longer durations of infectivity and higher rates of relapse.
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Using Biomarkers to Predict Traumatic Brain Injury Outcomes
Measuring proteins on day of injury could help improve current predictive models.
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No Long-Term Differences in Outcomes with Higher vs. Lower Oxygenation Targets in Patients with Severe Hypoxemia
In this one-year follow-up to the HOT-ICU trial examining higher vs. lower oxygenation targets for patients with hypoxemic respiratory failure, there were no differences in mortality or quality of life measurements between groups.
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Is There a Role for Aspirin for the Treatment of Acute Respiratory Distress Syndrome?
Based on this randomized, placebo-controlled Phase II trial, further research still is required to determine if aspirin therapy is beneficial for the treatment of acute respiratory distress syndrome, since aspirin did not improve oxygenation index or other respiratory physiologic markers.
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Optimal Blood Pressure Targets in Different Shock States
This review will discuss the different shock states and the suggested BP targets for the different subsets of patients.
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Ethics Plays Important Role in Response to Abortion Ruling
As healthcare professionals process the clinical, legal, and even personal implications of the recent Supreme Court decision to allow states to restrict abortion access or ban it entirely, ethicists play an important role.