CRITICAL CARE

Policy, Politics, and the Intensive Care Unit

Feb 26, 2020 by in CRITICAL CARE Comments Off on Policy, Politics, and the Intensive Care Unit

FIGURE 1.1 Estimated effects of the Affordable Care Act (ACA) on the uninsured. (Data from Congressional Budget Office. Insurance coverage provisions of the Affordable Care Act. CBO’s March 2015 Baseline….

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Transferring Critically Ill Patients

Feb 26, 2020 by in CRITICAL CARE Comments Off on Transferring Critically Ill Patients

FIGURE 11.1 Example of an intrahospital transport checklist developed by Brunsveld-Reinders et al. (From Brunsveld-Reinders AH, Arbous MS, Kuiper SG, de Jonge E. A comprehensive method to develop a checklist…

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Clinical Decision-Making

Feb 26, 2020 by in CRITICAL CARE Comments Off on Clinical Decision-Making

How can the Results Apply to my Patient? Participants in clinical trials represent a selected group of patients. In clinical practice, most patients do not fulfill the inclusion and exclusion…

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End-of-Life Care

Feb 5, 2020 by in CRITICAL CARE Comments Off on End-of-Life Care

End-of-Life Care Zahir Kanjee, MD, MPH Cindy Lien, MD You admit an 88-year-old man with advanced dementia after his fourth bout of aspiration pneumonia this year. He is stabilized and…

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Frailty in Hospitalized Patients

Feb 5, 2020 by in CRITICAL CARE Comments Off on Frailty in Hospitalized Patients

Frailty in Hospitalized Patients Leah Marcotte, MD Joshua M. Liao, MD, MSc You are consulted by vascular surgery on the care of an 88-year-old woman admitted to their service for…

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Hip Fracture

Feb 5, 2020 by in CRITICAL CARE Comments Off on Hip Fracture

Hip Fracture Neal Biddick, MD Staci Saunders, MD Zahir Kanjee, MD, MPH A 79-year-old woman with hypertension, diabetes, and chronic heart failure presents after a mechanical fall. She is admitted…

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Opiates and Opiate Use Disorder

Feb 5, 2020 by in CRITICAL CARE Comments Off on Opiates and Opiate Use Disorder

Opiates and Opiate Use Disorder Rachel Hensel, MD Zahir Kanjee, MD, MPH You are admitting a 57-year-old opiate-naive woman with a history of obesity and obstructive sleep apnea (OSA) for…

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