Critical Care
- A patient with altered mental status and an acid-base disturbance
Acid-base disorders can be diagnosed and characterized using a systematic, fi ve-step approach.
Cardiogenic shock: From ECMO to Impella and beyondSeveral devices can serve as a bridge to recovery, transplant, or a long-term device.
- Parsimonious blood use and lower transfusion triggers: What is the evidence?
Cumulative data have confi rmed the safety of a conservative approach to transfusion.
- Necrotizing pancreatitis: Diagnose, treat, consult
Patients may need intensive care, nutritional support, antibiotics, and radiologic, endoscopic, or surgical interventions.
- The ABCs of managing systolic heart failure: Past, present, and future
Digitalis, diuretics, and bedrest have given way to neurohormonal blockade and physical rehabilitation.
- Evolution of heart failure management: Miles to go
Despite progress, too many patients still suffer, too many die too young, and the costs are still too great.
- A guide to managing acute liver failure
Transfer to intensive care, start specific treatment depending on the cause, and consider transplant.
- Extracorporeal membrane oxygenation in adults: A practical guide for internists
Principles, patient selection, monitoring, and complications of this form of life support.
- When we need to remember that it is more than a job
It is the nature of our engagement with our patients and our colleagues that makes what we do more than a job.
- It is not the critic’s voice that should count
Lawsuits often confront physicians with incidental imperfections in the care they provided or with errors in their documentation.
