Critical Care
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Burnout in the Critical Care Workforce
The burnout epidemic has plagued the medical profession for decades, with an escalating prevalence most recently fueled by the COVID-19 pandemic.
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Moral Distress When Caring for Patients on Mechanical Circulatory Support
Clinicians pointed to palliative care and ethics consults as ways to mitigate moral distress.
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Decisional Capacity Is Most Common Issue in Neuro-Oncologic Ethical Consults
For a terminal condition, goals of care need to be identified so they can be honored. If discussions do not happen early, when the patient likely is at his or her peak functional status, it leaves caregivers, families, and physicians with little guidance.
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Medical Providers’ Views Vary on Refusals of Life-Sustaining Treatment
Ethicists can help determine how best to proceed with treatment decision-making in cases in which patients lack decisional capacity. They can explain why the tie between treatment decision-making and capacity is morally important and essential for sound ethical medical practice.
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Mobile Stroke Units, Teleneurology Units Accelerate Time to Treatment
Investigators recently published evidence that appears to support the efficacy of mobile stroke units (MSU), specially equipped ambulances that essentially bring treatment to patients experiencing ischemic strokes. In a multicenter trial, researchers found patients treated on an MSU received clot-busting medication faster and demonstrated better health at 90 days than patients who were transferred to the hospital for treatment via traditional ambulance.
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Antibiotics for Appendicitis, Revisited
One year later, researchers present updated data that strengthen the alternative to surgery approach.
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Medicaid Expansion Helped Young Adults with Traumatic Injuries
Better insurance coverage led to wider access to rehab resources, chipped away at certain racial, socioeconomic disparities.
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Is There a Role for Intermediate-Dose Anticoagulation for Critically Ill COVID-19 Patients?
In a multicenter, randomized clinical trial of critically ill COVID-19 patients, intermediate-dose compared to standard-dose prophylactic anticoagulation did not result in significant differences in the rates of venous or arterial thrombosis, treatment with extracorporeal membrane oxygenation, or mortality within 30 days.
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Dexmedetomidine for Sedation in Patients Undergoing Mechanical Ventilation in the ICU
This special feature will focus on dexmedetomidine as a sedative for invasive mechanical ventilation in the ICU.
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Study: More Than Half of DNR ED Patients Resuscitated Against Their Wishes
Of 419 cardiac arrest patients, 65 were DNR status. Of this group of DNR patients, 38 were resuscitated against their wishes. Not adhering to a patient’s wishes not only violates their autonomy, but it is arguably not acting in the patient’s best interest — and may in fact be causing them harm.