Interventional Therapies for Acute PE – What We Know and What We Don’t
Do Afebrile CAP Patients Need Blood Cultures?
Do Steroids Make Anaphylaxis Worse?
In pre-hospital management of anaphylaxis, co-treatment with both epinephrine and antihistamines may reduce the risk of uncontrolled reactions, while use of prehospital corticosteroids may increase rates of admission.
ICU-ROX – Conservative Oxygenation vs Usual Care
There was no difference in ventilator-free days in mechanically ventilated ICU patients when the SpO2 range was 90 to 97% vs 90% to no upper limit.
What’s the Ideal SpO2 Range in Critically Ill Patients?
The ideal range of SpO2 associated with the lowest mortality in critically ill patients in this large, retrospective study was 94-98%.
New 2019 IDSA-ATS Community Acquired Pneumonia Guidelines – Spoon Feed
Reduce blood cultures, ditch procalcitonin, reduce anaerobic coverage for aspiration, no more empiric corticosteroids, no more HCAP and knee jerk broad spectrum antibiotics - these are some of the updates since 2007. Read more.
CITRIS-ALI – Vitamin C for Sepsis-ARDS?
High-dose vitamin C made no impact on short-term SOFA score or in lowering inflammatory markers in patients with sepsis and ARDS. There may have been a 28-day mortality reduction in the vitamin C group.
FOCUS for Unstable PE
Focused cardiac ultrasound (FOCUS) is sensitive for detecting the presence of PE in those with a HR > 100bpm or systolic blood pressure <90 and highly sensitive for detection of PE in patients with a HR > 110bpm.
Too Much Oxygen and ICU Mortality
Hyperoxemia was associated with increased odds of ICU mortality but lacked a dose-response. This is more evidence that favors targeting SpO2 targets around 97% instead of 100%.
Managing Massive Hemoptysis
Massive hemoptysis is a life-threatening emergency. Here are the top ten tips to give our patients the best shot at survival.