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Critical Care

News, opinions and meeting coverage in critical care.

Hospital worker disinfecting his hands.

In-Hospital Infections, Antimicrobial Resistance Declined Over 13 Years

In-tandem reductions at VA centers suggest antimicrobial stewardship works, researchers say

A photo composite of two functional MRI brain scans.

One in Four Brain Injury Patients Who Appear Unresponsive Respond Covertly

Functional MRI and EEG detect awareness in coma or vegetative states

A photo of an artificial aortic valve in the fingers of a blue rubber gloved hand.

Bleeding Better Controlled When Protamine Is Part of TAVR Wrap-Up Routine

ACE-PROTAVI trial tested upfront vs selective use of heparin reversal agent

A photo of pall bearers carrying a casket.

Death Is Inevitable. It's Time We Learned to Talk About It.

By fostering honest and compassionate discussions, we can provide patients with more dignity

ABIM Revokes Two Doctors' Certifications Over COVID Comments

Paul Marik, MD, and Pierre Kory, MD, no longer hold internal medicine certifications

A computer rendering of a blood clot blocking a blood vessel.

EVT on Large Core Strokes: Sobering Results for the Oldest Old

Successful reperfusion associated with good functional outcomes regardless of age

A computer rendering of the Reveal Linq implantable loop recorder

Clues for Smarter Rhythm Monitoring After Cardiac Surgery?

Predictors of POAF burden, late-occurring POAF identified in prospective study

A computer rendering of viruses in the lungs.

Docs Should Start Getting Ready For Upcoming Respiratory Virus Season

Updated COVID vax coming soon, not too early to pre-order vaccines, CDC director says

A photo of a woman holding a chest x-ray.

Pneumonia Diagnoses Largely Inaccurate?

To some extent, it's to be expected, researchers note

Morning Break over illustration of a syringe, Covid virus, and DNA helix over a photo of green vegetation.

Death By Firing Squad; Cancers in Millennials; Heart Attacks During COVID

Health news and commentary gathered by 番茄社区app staff

A photo of a lab technician putting test tubes of urine samples into a centrifuge.

These Metals in Urine Predict Heart Disease and Death

Exposure may come from food, water, and air

A photo of an ambulance speeding down a rainy road.

Trauma Patients Without Insurance Taken Off Life Support Sooner, Study Finds

Clinicians must "uncomfortably" examine bias in life-and-death decisions, says expert

A computer rendering of bacteria in the blood.

Sepsis Alerts in Emergency Departments Linked to Lower Mortality

False positives, alarm fatigue complicate their use, experts say

A photo of the White House.

This U.S. President Was Dying, but His Doctors Zipped Their Lips

Eight decades after FDR's decline and death, do White House physicians owe truth to the public?

A computer rendering of a stent in an artery.

Novel Goalpost for PCI Excellence Is Borrowed From the Surgeons

"Failure to rescue" may help with quality improvement in interventional cardiology

A photo of physicians tending to a severe COVID patient in the ICU.

Don't Try ARBs for Severe COVID, Trial Indicates

Harms seen without any compensating survival benefit

Providence Willamette Falls Medical Center in Oregon City

Thousands of Oregon Hospital Patients May Have Been Exposed to Infectious Diseases

An anesthesiologist may not have followed infection control practices

A close up photo of a senior woman鈥檚 hand with an intravenous line attached.

Diuretics for Ambulatory HF Patients With Volume Overload: Winners & Losers

Three regimens compared head-to-head among abundant choices

A photo of the nirsevimab (Beyfortus) packaging and syringe over a computer rendering of a respiratory syncytial virus.

Nirsevimab Effectiveness Against Severe RSV Holds Up in Real-World Study

Monoclonal antibody also reduced PICU admissions, need for ventilatory support

A photo of surgeons implanting a stent during vascular surgery.

Meta-Analysis Favors Complete Coronary Revascularization in a Single Go

But definitive proof on timing of procedures still lacking

Avoiding Neuropathy From Chemo; Predictive Value of Screening EKGs

Also in TTHealthWatch: OUD medication use, and heart disease trends in the U.K.

A photo of a surgeon performing coronary artery bypass surgery.

Women-Specific Goalposts Urged for Coronary Bypass Surgery

Smaller releases of troponin, CK-MB still associated with periprocedural heart injury

A computer rendering of bacteria in the blood.

Extended-Infusion Antibiotics Tied to Reduced Mortality From Bloodstream Infections

Benefit limited to patients with severe illness or elevated minimum inhibitory concentrations

A photo of a nurse interacting with a hospitalized COVID patient while two other nurses tend to them.

Delirium During COVID Hospitalization Raises Disability, Cognitive Risks

At-risk older adults should be screened, referred early for rehabilitation, researcher urges

A photo of a dad at his daughters bedside in a pediatric hospital.

Access to Pediatric Care Is Rapidly Eroding

The health of future generations is at stake

A photo of a woman鈥檚 hand on the head of a very premature infant in the neonatal intensive care unit.

Antibiotic Overuse in Preemies' Early Life Tied to Higher Risk of BPD, Death

Findings suggest that early-onset sepsis concerns in those at low risk could have consequences

A photo of a Rite Aid pharmacy in Seattle advertising flu shots.

CDC Advisors Back Updated COVID, Flu Vaccines for the Fall

ACIP also votes to recommend new pneumococcal vaccine for adults

A computer rendered cutaway of the heart showing the valves.

More Than 1 in 4 Seniors Have Asymptomatic Valve Disease

Most cases were mild, and age was a predictor of disease

The Promise of Bacteriophage Therapy to Fight Drug-Resistant Superbugs

A conversation on living with cystic fibrosis and the threat of antimicrobial resistance

A computer rendering of a respiratory syncytial virus.

ACIP Makes Changes to Adult RSV Vaccine Recommendations

Committee ditches shared decision-making, moves to risk-based approach

A photo of nurses attending to a premature infant in the neonatal ICU.

Are Higher Initial Oxygen Concentrations Better for Very Preterm Infants?

Yes, meta-analysis suggests, but the findings need to be confirmed in larger studies

A transmission electron microscopy image of influenza viruses.

More Evidence That Flu Is Linked to Heart Attacks

Of surprise was the finding that the risk was highest for patients without CAD hospitalization

ADA over a photo of Orange County Convention Center in Orlando, FL

In-Hospital Continuous Glucose Monitoring Can't Budge T2D Control

Randomized trial failed to get anywhere near tight glucose control

A computer rendering of cardiovascular disease.

Cardiovascular Risks Established in Childhood Don't Just Go Away

Childhood BMI nearly as important as adult BMI

Preventing Surgical-Site Infections; Drugs Go Head to Head for Ischemic Stroke

Also in TTHealthWatch: managing obesity in children and adolescents

A photo of a mature woman with her COVID mask beneath her chin smoking a cigarette outdoors.

Cannabis Use Tied to Increased Risk of Severe COVID

Hospitalization risk 80% higher versus nonusers

A photo of a single-use applicator for the application of electrohydraulic shockwaves

Cardiac Shockwave Device Passes Hurdle in Ischemic Cardiomyopathy

Question of clinical benefit beyond LVEF improvement will require larger trials

A photo of statin pills forming a question mark.

Is Cholesterol Denialism Pseudoscience or Appropriate Medical Care?

Calling an end to debate rarely serves the advancement of knowledge

FDA APPROVED Pneumococcal 21-valent Conjugate Vaccine (Capvaxive) over a computer rendering of pneumococcal pneumonia

FDA Approves Pneumococcal Vax Designed Specifically for Adults

Covers serotypes responsible for over 80% of invasive pneumococcal disease in those 50 and up

A series of CT scans of a brain after ischemic stroke.

Late-Window Tenecteplase for Stroke Works When Thrombectomy's Out of the Question

TRACE-III trial finds benefit for lytic given up to 24 hours after stroke onset

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