Critical Care
RSSArticles
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ICU Length of Stay Linked to Burnout in Critical Care Nurses
Considering longer length of stay is a possible consequence of burnout, there is an ethical concern that patients are harmed when exposed to healthcare systems with high rates of clinical staff burnout.
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A Combination of Both SIRS and SOFA Scores Enhances Recognition of Sepsis in the Emergency Department
Compared with either score alone, using both SIRS and SOFA scores led to earlier and more complete recognition of sepsis in patients presenting to the emergency department.
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Effect of Stress Ulcer Prophylaxis Choice on Mortality in Mechanically Ventilated Adults
Proton pump inhibitors reduce the risk of clinically important bleeding, but they may have no effect on the risk of 90-day mortality compared to histamine-2 receptor antagonists.
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Palliative Care and Ethical Considerations in the COVID-19 ICU
The COVID-19 pandemic has created an ICU environment different from what we have ever seen in our lifetimes that has deep palliative care and ethical repercussions.
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Advances in Pediatric Neck Trauma: What’s New in Assessment and Management?
Although rare, pediatric neck trauma may have devastating consequences. The author provides current information on recognizing and managing pediatric neck trauma.
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COVID-19 and Steroids: Is There a Consensus?
A study of adults admitted with COVID-19 pneumonia revealed risk factors associated with developing acute respiratory distress syndrome (ARDS) and progression from ARDS to death included older age, neutrophilia, organ dysfunction, and coagulation derangement.
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Advance Care Planning Does Not Decrease Hope, Contrary to Common Belief
Many oncologists may cite fear of giving up hope as a primary reason they defer conversations about end-of-life or advance care planning until late in the course of a patient’s disease.
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Ethics of Default Options for Advance Directives
Default options in advance directives strongly influenced patients’ end-of-life care choices, according to the authors of a recent study.
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COVID-19 and Steroids: Is There a Consensus on the Controversy?
A retrospective, single-center cohort study among 201 adults admitted with COVID-19 pneumonia revealed that risk factors associated with the development of acute respiratory distress syndrome (ARDS) and progression from ARDS to death included older age, neutrophilia, organ dysfunction, and coagulation derangement. Treatment with methylprednisolone may be beneficial for these patients.
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First-Pass Success Rate Between Rocuronium and Succinylcholine in Emergent Out-of-Hospital Endotracheal Intubation
This randomized, single-blind, noninferiority trial compared rocuronium and succinylcholine for rapid sequence intubation. Rocuronium was noninferior to succinylcholine with respect to the primary endpoint of first-pass intubation success.