Avoiding Ineffective End-of-Life Treatment: A Lesson from Triage
Stephen Latham has a brief insightful commentary in the May/June 2020 Hastings Center Report noting that the recent focus on hospital triage issues dramatically highlights the extent to which we are still doing end-of-life medicine badly. Latham observes that typical triage policy "has teeth—saves resources and lives—only if the regular practice of hospitals outside pandemic emergency is to offer intensive and invasive treatment to patients who, in the judgment of their treating physicians, will not survive that treatment." And "it is the practice of hospitals to offer such treatment. . . . Every intensivist in America can name a patient in their unit right now who is receiving invasive critical care at the request of proxy decision-makers but will not survive to discharge."
CONCLUSIONS: This single practice study showed total patient contact was similar over both sample periods, but most contact in 2020 was virtual. Further longitudinal multi-practice studies to confirm these findings and describe future consultation patterns are needed to inform general practice service delivery post-COVID-19. PMID: 33032304 [PubMed - in process]
Curious what people think with pandemic and lack of away rotations.
Publication date: 15 February 2021Source: Personality and Individual Differences, Volume 170Author(s): Brian W. Haas, Fumiko Hoeft, Kazufumi Omura
Publication date: Available online 10 October 2020Source: Academic PediatricsAuthor(s): Bonnie Crume
Authors: Lam PT PMID: 33034296 [PubMed - as supplied by publisher]
We moved into together on March 14. Overnight, we went from being two individuals with whole, separate lives to being a single, quarantined entity.
Los Alamitos students in Orange County were among the first in the state to return to campus. Just across the county line, distance learning remains the norm for Long Beach students, frustrating some families.
CONCLUSION: Our study showed that transaminitis on admission was associated with severe clinical outcomes such as admission to the intensive care unit, need for mechanical ventilation, and mortality. PMID: 33033568 [PubMed]
Publication date: Available online 9 October 2020Source: Cancer CellAuthor(s): Melinda A. Pruis, Burhan Hussain, Marleen Bakker, Rogier A.S. Hoek, Jelle R. Miedema, Anne-Marie C. Dingemans, Marthe S. Paats