Search results for "critical care"
Machine learning system dramatically reduced alerts compared to bedside monitors
A machine learning system trained to predict ICU patients' risk of respiratory failure or hemodynamic instability offered 50 times fewer alerts than a telemedicine system that analyzed trends from bedside biomedical monitors.
https://acphospitalist.acponline.org/archives/2023/11/08/machine-learning-system-dramatically-reduced-alerts-compared-to-bedside-monitors.htm
8 Nov 2023
Less definitely more in antibiotics
Review some common inpatient conditions that can be safely treated with shorter durations of antibiotics, reducing adverse events and costs.
https://acphospitalist.acponline.org/archives/2023/05/17/less-definitely-more-in-antibiotics.htm
17 May 2023
Avoiding SNFs and antibiotics, expecting long-term effects and boosters in COVID-19
One study showed how a new committee reduced discharges to skilled nursing facilities (SNFs) while another indicated that empiric antibiotics aren't necessary for ventilated COVID-19 patients. Officials announced plans for vaccine boosters, and convalescent plasma failed an outpatient trial.
https://acphospitalist.acponline.org/weekly/archives/2021/08/25/1.htm
25 Aug 2021
Earning what you're worth
Median hospitalist compensation is up by nearly 8% since the end of 2020, even if it feels like inflation is negating those gains. Experts offered tips on making more without burning out.
https://acphospitalist.acponline.org/archives/2023/03/08/free/earning-what-youre-worth.htm
8 Mar 2023
1 in 5 patients had adverse event after ICU discharge to hospital ward
The most common adverse events after transfer from the ICU were supportive care failures (e.g., falls, pressure ulcers, fluid and electrolyte disorders) and drug-related events, and more than a third were judged to have likely been preventable, a Canadian study found.
https://acphospitalist.acponline.org/weekly/archives/2020/04/29/5.htm
29 Apr 2020
Combating clots in COVID-19
Critical care experts advised on appropriate prophylaxis for ward and ICU patients as part of the CHEST 2021 conference.
https://acphospitalist.acponline.org/archives/2021/11/combating-clots-in-covid-19.htm
15 Nov 2021
Suctioning frequency, high-flow oxygen can determine when to decannulate tracheostomy
A randomized trial in Spanish ICUs found that patients whose readiness for decannulation was determined by frequency of suctioning instead of a 24-hour capping trial had less time to decannulation and shorter length of stay.
https://acphospitalist.acponline.org/weekly/archives/2020/09/16/3.htm
16 Sep 2020
Conservative airway strategy may improve outcomes in comatose patients with acute poisoning
Patients who were randomized to no intubation unless they met an emergency criterion did better on a composite end point of in-hospital death and length of ICU and hospital stay than those treated under routine practice, a French trial found.
https://acphospitalist.acponline.org/archives/2023/12/06/conservative-airway-strategy-may-improve-outcomes-in-comatose-patients-with-acute-poisoning.htm
6 Dec 2023
Palliative care for a pandemic
In a recent interview, Diane E. Meier, MD, FACP, director of the Center to Advance Palliative Care, described how palliative care expertise and resources are, and can be, applied to the current crisis.
https://acphospitalist.acponline.org/weekly/archives/2020/04/08/3.htm
8 Apr 2020
FAQ on ventilation for ARDS in COVID-19
Get answers to pressing questions about ventilation management.
https://acphospitalist.acponline.org/archives/2020/05/faq-on-ventilation-for-ards-in-covid-19.htm
15 May 2020