Critical Care
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An Assessment of Hospital-Acquired Infections in Critically Ill SARS-CoV-2-Infected Patients
This retrospective analysis of prospectively collected data showed that critically ill patients with SARS-CoV-2 infection are at increased risk for hospital-acquired infections.
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Treatment and Follow-Up of Acute Pulmonary Embolism: A Multidisciplinary Team Approach
This article will review management of pulmonary embolism based on risk stratification, with an emphasis on the role of a Pulmonary Embolism Response Team as well as appropriate follow-up.
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Most PICU Clinicians Report Moral Distress During COVID-19 Pandemic
Ethicists should join rounds on various units, routinely conduct multiprofessional team debriefing sessions within departments and units, and offer educational workshops on ethical frameworks.
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Medical Residents Know Little About Surrogate Decision-Making Laws
Ethicists can educate clinicians about how to identify appropriate decision-makers and the roles proxies and surrogates ought to play in patient care. Equally important is ensuring providers know where to go for help if such questions arise.
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Infectious Complications Carry Ethical Implications for End-of-Life Care
Many assume antibiotics are a simple solution to infectious complications, which is not always the case. Clinicians must explain the downstream effects of traumatic injuries and ICU care to families in detail so they can see how each bump in the road will affect the patient.
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Ethical Considerations When Nurses Perform ‘Slow Codes’ at End of Life
On some occasions, limited resuscitation efforts occurred without the family’s knowledge. Not all resuscitation measures are medically beneficial, and clinicians often must decide in the moment if they are clinically appropriate to perform.
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Venomous Bites
Humans increasingly invade the environments of venomous creatures. The authors provide a review of venomous creatures and what acute care providers need to manage the patients affected by them.
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‘STRAUMA’ Protocol Activates Care for Patients with Concurrent Symptoms of Stroke, Trauma
Researchers designed STRAUMA specifically for patients who exhibit symptoms of stroke and show visible signs of trauma. Typically, EMS activates the protocol, but other emergency providers can call for it after an appropriate patient has presented to the ED. An activation pages stroke and trauma teams to respond so they can evaluate the patient jointly.
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Medicare Sepsis Performance Measure Criteria Do Not Improve Outcomes
A longitudinal study of a single health system’s adherence to and outcomes of Medicare Sepsis Performance Measures (SEP-1) did not show an improvement in mortality despite improvements in adherence to guideline-mandated care.
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Attitudes Toward Hyperoxemia and Oxygen Therapy Among Nurses, Respiratory Therapists, and Physicians
Critical care clinicians, such as nurses, respiratory therapists, and physicians, have varying opinions regarding oxygen therapy and hyperoxia. Interdisciplinary education addressing current evidence of oxygen therapy and the potentially harmful effects of oxygen is warranted.