Ukrainian-Born US Doctor Drops Everything, Heads to the War Zone Ukrainian-Born US Doctor Drops Everything, Heads to the War Zone
Just returned to Philadelphia from the Ukraine/Poland border, Laura Bukavina, MD, relates how she treated traumatized refugees fleeing from the war zone.Medscape Medical News (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - March 16, 2022 Category: Intensive Care Tags: Hematology-Oncology News Source Type: news

What to Know About a Fourth COVID-19 Vaccine Dose
Most people ages 12 and older are considered “up to date” with their COVID-19 vaccines if they received either three doses of the mRNA shots from Pfizer-BioNTech or Moderna, or two doses of Johnson & Johnson’s Janssen vaccine. But some public health experts say another dose might be needed in the coming months. The Washington Post reports today that Pfizer and BioNTech soon plan to request authorization from the U.S. Food and Drug Administration (FDA) for a fourth dose of their vaccine in people ages 65 and older. In the past few days, Albert Bourla, Pfizer’s CEO, has said that he believes every...
Source: TIME: Health - March 15, 2022 Category: Consumer Health News Authors: Alice Park Tags: Uncategorized COVID-19 healthscienceclimate Source Type: news

Initial Fluid Balance Associated Outcomes in Children With Severe Sepsis and Septic Shock.
This study aimed to clarify the possible association of initial 24 hours ' fluid balance with poor outcomes in pediatric patients with sepsis. Methods: Retrospective data analysis included pediatric patients admitted with suspected or proven sepsis or septic shock to pediatric intensive care unit (PICU) of a tertiary care teaching hospital in Saudi Arabia. Results: The study included 47 patients; 13 (28%) died, and mortality rate was significant in children with neurologic failure (P (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 14, 2022 Category: Consumer Health News Source Type: news

Septic patients without obvious signs of infection at baseline are more likely to die in the ICU.
The objective of the study was to evaluate the impact on the 28-day mortality of the so-called " vague " presentation of sepsis. Design: Single centre retrospective observational study. Setting: One teaching hospital Intensive Care Unit. Subjects: All the patients who presented at the Emergency Department (ED) and were thereafter admitted to the Intensive Care Unit (ICU) with a final diagnosis of sepsis were included in this retrospective observational three-year study. They were classified as having exhibited either " vague " or explicit presentation at the ED according to previously suggested criteria. Baseline charac...
Source: Current Awareness Service for Health (CASH) - March 14, 2022 Category: Consumer Health News Source Type: news

COVID-19 and the Heart: Is Cardiology Ready? COVID-19 and the Heart: Is Cardiology Ready?
Robert Harrington, MD, interviews Ziyad Al-Aly, MD, about his recent paper in Nature Medicine focused on the long-term cardiovascular effects of COVID-19.theheart.org on Medscape (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - March 14, 2022 Category: Intensive Care Tags: Cardiology Commentary Source Type: news

Impact of discontinuing contact precautions and enforcement of basic hygiene measures on nosocomial vancomycin-resistant Enterococcus faecium transmission
Conclusion: Discontinuation of contact precautions while enforcing basic hygiene measures did not lead to an increase in nosocomial bloodstream infection rates due to VREfm transmission in a hyperendemic ICU setting. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 14, 2022 Category: Consumer Health News Source Type: news

External validation of the PediBIRN Screening Tool for abusive head trauma in pediatric emergency department settings - Hymel KP, Fingarson AK, Pierce MC, Kaczor K, Makoroff KL, Wang M.
OBJECTIVE: The screening performance of the PediBIRN (Pediatric Brain Injury Research Network) abusive head trauma (AHT) 4-variable clinical decision rule (CDR) has been validated in the pediatric intensive care unit setting and in a broader setting of all... (Source: SafetyLit)
Source: SafetyLit - March 14, 2022 Category: International Medicine & Public Health Tags: Age: Infants and Children Source Type: news

COVID-19 - guidance for planning paediatric staffing and rotas, RCPCH (updated 7th March 2022)
This document has been updated with new guidance following the third wave. Whilst in the first and second wave not many children became unwell from COVID-19, Omicron is much more transmissible than previous COVID-19 variants resulting in a higher rate across the community. It is, therefore, to be expected that there will be more children and young people testing positive for COVID-19. However, paediatricians are not reporting Omicron to be a more serious or severe disease in children and young people in the UK with very few hospital admissions requiring paediatric intensive care. We also know there are many unintended cons...
Source: Current Awareness Service for Health (CASH) - March 11, 2022 Category: Consumer Health News Source Type: news

Covid in Scotland: Hospital patient numbers highest in 13 months
Fewer people need intensive care but large numbers are affecting available beds and other services. (Source: BBC News | Health | UK Edition)
Source: BBC News | Health | UK Edition - March 10, 2022 Category: Consumer Health News Source Type: news

Correlating the bony facial trauma score with clinical outcomes - Dobrow S, Bartels H, Casale G, Strumpf A, Park S, Christophel JJ.
BACKGROUND: In 2017, the Bony Facial Trauma Score (BFTS) was developed to quantify and describe bony trauma of the face. OBJECTIVE: To compare BFTSs for the need of hospital admission, intensive care unit (ICU) admission, surgery, tracheostomy tube... (Source: SafetyLit)
Source: SafetyLit - March 10, 2022 Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news

Necrotizing Soft Tissue Infections in Intensive Care
Background: Necrotizing soft tissue infections (NSTIs) are typically characterized by extensive soft tissue destruction with systemic signs of toxicity, ranging from sepsis to septic shock. Our aim was to analyze the clinical characteristics, microbiological results, laboratory data, therapies, and outcome of patients with NSTIs admitted to an intensive care unit (ICU). Methods: A monocentric observational study of patients admitted to the ICU of a university hospital between January 2009 and December 2017. The demographic characteristics, comorbidities, clinical features, microbiology and laboratory results, organ dysfun...
Source: Current Awareness Service for Health (CASH) - March 10, 2022 Category: Consumer Health News Source Type: news

Sepsis Mortality Is high in Patients With Connective Tissue Diseases Admitted to the Intensive Care Unit (ICU).
Conclusions: In-hospital sepsis mortality is high in CTD patients. SSc diagnoses and SOFA were independently associated with mortality. Additionally, common ICU scores were good predictors for mortality. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 10, 2022 Category: Consumer Health News Source Type: news

TB Treatment Can Be Shortened for Most Children: Study TB Treatment Can Be Shortened for Most Children: Study
A 4-month regimen of antibiotics rivaled the current 6-month course in a trial of mild disease, say researchers, who predicted that faster treatment would save money and reduce the burden on families.Medscape Medical News (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - March 9, 2022 Category: Intensive Care Tags: Pediatrics News Source Type: news

Why Florida ’s New COVID-19 Vaccination Guidance Could Hurt Kids
Florida Surgeon General Dr. Joseph Ladapo sparked controversy this week by recommending against COVID-19 vaccination for healthy children—contrary to the advice of health organizations and plenty of data that suggest the shots are safe and effective. Florida “is going to be the first state to officially recommend against the COVID-19 vaccines for healthy children,” Ladapo said at a roundtable on March 7. Official guidance released the next day softened that stance somewhat, saying that “healthy children aged 5 to 17 may not benefit from receiving the currently available COVID-19 vaccine” due t...
Source: TIME: Health - March 9, 2022 Category: Consumer Health News Authors: Jamie Ducharme Tags: Uncategorized COVID-19 healthscienceclimate Source Type: news

SARS-CoV-2 B.1.1.529 (Omicron) Variant SARS-CoV-2 B.1.1.529 (Omicron) Variant
This report details the initial detection and surveillance of the SARS-CoV-2 Omicron variant in the U.S. and summarizes current public health measures implemented to slow its spread.Morbidity & Mortality Weekly Report (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - March 9, 2022 Category: Intensive Care Tags: Public Health & Prevention Journal Article Source Type: news