Critical Care
Clinical
Early high-dose vitamin D3 did not reduce mortality in critically ill, vitamin D–deficient patients
Does early administration of high-dose vitamin D3 in critically ill, vitamin D–deficient patients reduce 90-day all-cause mortality?
SHM Converge
In-hospital resuscitation: Focus on effective chest pumps, prompt shocks
Consider mechanical piston compressions and even “reverse CPR” when appropriate.
SHM Converge
Avoiding excess oxygen in mechanically ventilated patients ‘seems sensible’
Future trials “will have to address how a particular [oxygenation] target is both set and achieved in each group of patients, particularly those...
SHM Converge
Hospitalists innovate in ICU management
Hospitalists helped develop and staff critical care programs to optimize patient care during the pandemic.
Clinical
Procalcitonin-guided antibiotic stewardship for lower respiratory tract infection
For hospitalists, the most clinically useful role for PCT testing is to guide the duration of antibiotic therapy.
SHM Converge
Evidence or anecdote: Clinical judgment in COVID care
Friendly debate emphasizes the need to weigh evidence for drug treatment of COVID-19.
Clinical
Early palliative care consultation in the medical ICU
Does early palliative care consultation in critically ill patients lead to early establishment of code status and positively impact care?
News
Delirium risk factors identified in ICU cancer patients
News
Encephalopathy common, often lethal in hospitalized patients with COVID-19
Toxic metabolic encephalopathy was associated with a 24% higher risk of in-hospital death.
Clinical
The revenge of the ‘late COVID adopters’
COVID-19–related ARDS and VTE data reinforce how difficult it is to obtain high-quality data that yield clear results.