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News, opinions and meeting coverage in critical care.

10 Questions: Ilona J. Frieden, MD

'The structure of the system itself is the biggest barrier'

Here's Why You Can't Compare Healthcare to the Airline Industry

There are big differences between the two, says Suneel Dhand, MD

Tweet of the Week: The Donald J. Trump Resuscitation Room

Making critical care great again

When "Unremarkable" Is Not Clear Enough

Radiology reports need to be held to higher standards, argues Saurabh Jha, MD

Mortality High in Post-Arthroplasty Sepsis

Sources of sepsis included pneumonia and urinary tract or surgical site infections

New Sepsis Definition a Work in Progress

Monday's document not the last word on subject

SCCM: Technology Poised to Transform Critical Care Medicine

Technology is transforming the treatment of critically ill patients

Dedicating a Career to Diversity and Disparities

NMA president Edith Mitchell, MD, laments racial gaps in medicine

Is SAMHSA to Blame for a Broken Mental Health System?

Two members of Congress differ on how to fix a failing system

'Failure to Communicate' Drives Misdiagnosis

Electronic medical records also need to be improved, says Mark Graber, MD

Teach Patients How to Communicate Symptoms Better

Patients should learn the eight characteristics of a symptom

Doctors Urged to Practice 'Conservative Diagnosis'

And sharing cell phone numbers is a good idea

New Guideline Offers 'Best Practices' for PICC

Multidisciplinary panel aims to provide clarity for PICC management

Patient Registries See Promise and Challenges Ahead

Physician-driven registries adapt to a changing health system

13 Apple Watch Medical Apps Made for Physicians

Even though there are over 3,500 apps that have been customized for the Apple Watch, there are few that health providers can actually utilize for themselves

I, Intern: A Critical Problem in the ICU

One intern wants to close the gap between evidence and practice.

Friday Feedback: When Grief Turns Violent

How should clinicians know and react when family members blame them for adverse outcomes?

Survival Boost from NP/PA Care in ICU?

Association seen versus resident physicians in small study.

10 Things ICUs Must Do Better

Compassion tops the list by former Society of Critical Care Medicine president.

The Five Best Apps for Echocardiography

Echocardiography is a frequently used tool in the evaluation of a wide range of cardiac diseases.

Case Study: Fecal Transplant Clears K. Pneumoniae

Treatment of teenage girl suggests another use for fecal microbiota transplant.

Vitamin D Blog: No Help in the ICU

Boosting vitamin D levels doesn't help ICU patients.

Now What? DEA Tosses Tramadol in Schedule IV

The Drug Enforcement Administration (DEA) scheduled tramadol as a Schedule IV substance -- whats the big fuss about tramadol that led to this decision by the DEA?

Does Tylenol Protect Kidneys in Sepsis?

SAN DIEGO -- Acetaminophen (Tylenol) for severe sepsis patients improved renal function but gave mixed signals in terms of changes in the expected oxidative injury mechanism, researchers found in a pilot trial.

Humans Beat Stroke Scales for ICH Prognosis

PHILADELPHIA -- Physicians and nurses in stroke units more accurately predicted outcomes in patients with intracerebral hemorrhage (ICH) compared with common prognostic scales, a researcher reported here.

CardioBuzz: Is Marijuana Bad for Your Heart?

Whether marijuana actually causes cardiovascular problems remains unclear, a situation that was not necessarily helped by a study based on 35 reports of cannabis-related complications in France, a country with about 1.2 million recreational users.

How to Replace IV Nitroglycerin in the Shortage

What are the alternatives for IV nitroglycerin in the emergency setting as the shortage saps reserves? Several experts share their thoughts.

10 Ways to Safely Push Ketamine in the ED

A doctor recently took me on a Special K trip, and I enjoyed it immensely.

Top 5 Reasons Cardiologists Get Sued

Problems with diagnosis -- failing to make one, making the wrong one, or taking too long to get to one -- lead the list of reasons behind cardiology-related lawsuits, revealed closed claims data from a medical malpractice insurer.

Stroke Rounds: Early Surgery Looks Safe After tPA

Performing carotid endarterectomy or stenting in patients who were recently treated with thrombolytic therapy for an acute stroke appeared to be safe, an observational study showed.

CT Appears Safe in Patients With Pacemakers, ICDs

Patients with cardiac rhythm management devices showed no clinically significant major or minor events related to computed tomography imaging over a 10-year period at two large-volume care centers, researchers reported.

ER Briefs: DIY Laptop to AED Kit -- Good Idea?

Inventors aim to resurrect laptops and tablets as AEDs. We asked Clifton Callaway, MD, PhD, an emergency medicine doctor who heads up EM research at the University of Pittsburgh, to weigh in.

Is There a Flaw in This Large Vitamin D Trial?

A co-principal investigator of the VITAL trial addresses the possibility that out-of-study testing of vitamin D levels and initiation of high-dose supplementation could be a limitation, but not a serious one.

CardioBuzz: More Money Needed for Heart Research?

The NIH dedicates a lot of money for research into heart disease and stroke, but it still might not be enough, a new study suggested.

10 Questions: E. Wesley Ely, MD, MPH

What's the biggest barrier to practicing medicine today? That's just the first of the 10 Questions the 番茄社区 staff is asking leading clinicians and researchers to get their personal views on their chosen profession. In this series we share their uncensored responses. Here, answers from pulmonary and critical care expert E. Wesley Ely, MD, MPH.

A Brain-Dead Mother, a Million-Dollar Baby

The costs associated with maintaining a pregnant, brain-dead, Texas woman on life support until her fetus is viable are likely to approach $1 million, and long-term costs could easily top $1.5 million.

Gene Therapy Works in SCID With No Risk of Leukemia

NEW ORLEANS -- Genetic therapy appeared to restore the immune system of patients with X-linked severe combined immunodeficiency (SCID), but without leading to leukemia as a side effect, researchers reported here.

Gestational Diabetes Tied to Perinatal Stroke

AUSTIN, Texas -- Perinatal arterial ischemic stroke has many possible risk factors, including gestational diabetes, researchers reported here.

TCT: Removing Clot During PCI Fails in NSTEMI

SAN FRANCISCO -- Aspiration thrombectomy during percutaneous coronary intervention (PCI) did not improve outcomes in patients with non-ST-segment elevation myocardial infarction (NSTEMI), a randomized trial showed.

NICU Survivors May See Higher Autism Rates

AUSTIN, Texas -- Autism spectrum disorder incidence was significantly higher in babies who spent time in the neonatal intensive care unit, versus the general population, and was often accompanied by comorbidities, researchers said here.

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