Critical Care
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Physicians Might Discuss Medical Aid in Dying, Providing the Service Could Be Another Matter
Considered one of the most controversial subjects in medicine, some physicians might talk with patients about medical aid in dying, but providing the service could be a different story — for several reasons, both ethical and practical.
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Social Isolation, Older Adults, and Mortality Post-ICU
Social isolation among older adults admitted to the ICU was associated with worse disability burden and higher one-year mortality rates after critical illness.
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Acute Trauma Care in the Era of SARS-CoV-2
COVID-19 has affected every aspect of medical care. The authors discuss modifications of trauma care to protect both patients and providers.
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Palliative Care Guidelines Call for Equipping Frontline Providers to Meet Growing Need
As the U.S. population ages, there is a growing need for clinicians skilled in primary palliative care. Such skills include the ability to assess for need, engage in advance care planning discussions, and provide appropriate care for symptom management that aligns with patients’ wishes. Considering the volume of patients who access care through EDs annually, experts note emergency clinicians often are in position to provide primary palliative care to those with serious or life-threatening conditions.
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Social Isolation Among Older Adults Is Associated with Higher Rates of Disability and Mortality Post-ICU Stay
In this observational cohort study drawn from the National Health and Aging Trends Study, social isolation among older adults admitted to the intensive care unit was associated with greater disability burden and higher one-year mortality rates after critical illness.
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Invasive Aspergillosis Is an Independent Predictor of Mortality in Mechanically Ventilated Patients with SARS-CoV-2 Infection
This multicenter cohort study found a high incidence of invasive aspergillosis in mechanically ventilated patients with SARS-CoV-2 pneumonia.
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Vasopressin and Steroids Increase Likelihood of Return of Spontaneous Circulation with Unclear Longer-Term Effects
In this multicenter, randomized clinical trial, the combination of vasopressin and methylprednisolone improved the rate of return of spontaneous circulation in patients with in-hospital cardiac arrest but had no significant effect on longer-term outcomes.
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Practice Guidelines for Difficult Airways
The American Society of Anesthesiologists has released updated guidelines on the management of the difficult airway.
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Rural Patients Still Lack Palliative Care Access
Funding and resources are needed to improve palliative care access and delivery and prevent health disparities within rural communities.
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Efficacy of Neuroinvasive Goal-Directed Therapy in Hypoxic Ischemic Brain Injury After Cardiac Arrest
This retrospective observational study found the suggestion of favorable neurological outcomes at six months among out-of-hospital cardiac arrest patients who received interventions to optimally manage intracranial pressure and brain tissue oxygenation compared to standard care.