One percent of patients presenting with acute alcohol intoxication eventually needed critical care admission.  Be wary of abnormal vital signs, hypoglycemia, or the need for additional chemical sedation, as these were associated with an increased odds of needing the ICU in such people.

A five minute break before the debrief for a simulation session helped residents with long-term memory of the teaching points vs a group in which there was no break before the debrief.

In patients with septic shock, those treated with hydrocortisone + fludrocortisone had a lower 90-day mortality compared to placebo (43% vs 49.1%, NNT 17). They also had significantly more vasopressor-free and organ-failure free days, in addition to having a shorter time to weaning from vasopressors and mechanical ventilation.

If you're still reaching for metronidazole in patients with suspected or confirmed C. difficile colitis, it's time to get up to speed with this summary.

There is a difference between PEA rhythms.  Slow rates of electrical activity had the usual dismal prognosis.  But those with electrical rates >60 had survival and favorable neurological outcome comparable to VF/VT, 22% and 15% respectively.

This study showed 7% of doctors intubating children were not using any form of EtCO2 detection to confirm placement: waveform capnography or colorimetric.  This is appalling.  The point of the article was to encourage use of capnography, but a more important message is you must use some form of EtCO2 detection.

Allowing penetrating or blunt trauma patients to remain temporarily hypotensive in the field vs giving volume resuscitation prior to definitive surgical repair improves mortality and seems to decrease blood loss and need for transfusion of blood products.

Lack of a MICU bed doesn't mean the ED patient is not critically ill.  The longer patients whom the ED determined needed ICU care boarded in the ED before being moved to the ICU, the greater the odds of mortality.

This study gives high quality evidence that hyperoxia post-arrest is harmful.  For each hour of hyperoxia (PaO2 >300), risk of poor neurological outcome rose by 3%.  Number needed to harm was 8.

This may come as a shock, but when you tell patients no, it negatively impacts patient satisfaction.  But that doesn't make you a bad doctor, regardless of what CMS says.