ED Oversedation May Cause ICU Harm
Excessive sedation of intubated adult patients in the ED was associated with increased in-hospital mortality. Aim for a RASS > -3.
Why We Use Low Tidal Volume for Acute Lung Injury
Low tidal volume ventilation reduced mortality in patients with acute lung injury. If you want to learn more, see this post on Managing the Vent Like a Pro.
Ap-Ox Works – New Meta-analyses
Blasting nasal cannula oxygen (apneic oxygenation) during endotracheal intubation of ED patients led to higher O2 saturation, decreased episodes of desaturation, and improved first-pass success.
Why Non-invasive Ventilation in CHF Saves Lives
Non-invasive ventilation makes a big impact on patients with acute pulmonary edema - fewer need intubation, and it may reduce mortality.
Prehospital Vent Management Matters
Prehopital ARDSnet ventilation strategies appear to reduce mortality, ICU length of stay, and days on the ventilator.
Weird Sepsis Cocktail – Vitamin C, Thiamine, Hydrocortisone
A cocktail of IV vitamin C, hydrocortisone, and thiamine appeared to dramatically reduce mortality in this small, exploratory, before/after study.
Even Sepsis Moves Fast in New York
One of the most important tasks we do in sepsis care, after identifying it, is to start appropriate antibiotics as soon as possible. This is associated with mortality reduction.
Are We Missing Septic Shock with Sepsis-3 Definition?
Learn the new Sepsis-3 definition of septic shock, but realize that the old definition still identifies a group of very ill individuals with high mortality.
qSOFA Comfortably Predicts Mortality
qSOFA was associated with mortality, ICU admission, and length of stay in this single-center retrospective study.
One Hour Antibiotic Delay in Sepsis – 1% Mortality
Once sepsis is detected, start broad spectrum antibiotics as soon as possible. Delays were associated with mortality: 1 hour = ~1%.