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Time for a rethink in cardiogenic shock: the shock to survival framework document
This article summarises the recent shock to survival document, which outlined the current and ideal future state of cardiogenic shock care nationally to improve patient outcomes. Shock to survival emphasises the need for education and training in the early recognition of the hypoperfusion that is pathognomomic of cardiogenic shock. Improved provision of focused cardiac ultrasound is essential to confirm a cardiac cause. Early identification of the patient with cardiogenic shock should be supported by access to defined pathways of care, including specialist shock centres and multiprofessional teams with domain expertise and...
Source: British Journal of Hospital Medicine - July 25, 2023 Category: Internal Medicine Authors: Marie Buckel Alastair G Proudfoot Source Type: research

Diego A. Morita, MD - A Practical Approach to Transitioning Patients With Lennox-Gastaut Syndrome From Pediatric Care to Adult Care
Source: Peerview CME/CE Video Podcast - Internal Medicine International - October 15, 2013 Category: Internal Medicine Authors: PVI, PeerView Institute for Medical Education Tags: Science, Medicine Source Type: video

Fluid Resuscitation in Sepsis: A Systematic Review and Network Meta-analysis.
Conclusion: Among patients with sepsis, resuscitation with balanced crystalloids or albumin compared with other fluids seems to be associated with reduced mortality. Primary Funding Source: The Hamilton Chapter of the Canadian Intensive Care Foundation and the Critical Care Medicine Residency Program and Critical Care Division Alternate Funding Plan at McMaster University. PMID: 25047428 [PubMed - as supplied by publisher]
Source: Annals of Internal Medicine - July 22, 2014 Category: Internal Medicine Authors: Rochwerg B, Alhazzani W, Sindi A, Heels-Ansdell D, Thabane L, Fox-Robichaud A, Mbuagbaw L, Szczeklik W, Alshamsi F, Altayyar S, Ip WC, Li G, Wang M, Wludarczyk A, Zhou Q, Guyatt GH, Cook DJ, Jaeschke R, Annane D Tags: Ann Intern Med Source Type: research

The chronic ICU patient: Is intensive care worthwhile for patients with very prolonged ICU-stay ( ≥ 90 days)?
CONCLUSIONS: Only a small number of patients requires a very prolonged ICU stay. Two-third of patients survive the ICU stay and about one-third 1-Year. However, about 10% of patients have a remarkable recovery with a favourable overall outcome after 1-Year. PMID: 31494021 [PubMed - as supplied by publisher]
Source: European Journal of Internal Medicine - September 3, 2019 Category: Internal Medicine Authors: Roedl K, Amann D, Eichler L, Fuhrmann V, Kluge S, Müller J Tags: Eur J Intern Med Source Type: research

Post-herniorrhaphy extubation technique in pediatric patient with congenital diaphragmatic hernia and VACTERL association: A case report
CONCLUSION: This case report illustrates extubation technique in a post-herniorrhaphy patient with congenital diaphragmatic hernia and VACTERL association. Moreover, several options of extubation techniques can be used for extubation procedure in pediatric patient with CDH.PMID:34540207 | PMC:PMC8437770 | DOI:10.1016/j.amsu.2021.102801
Source: Annals of Medicine - September 20, 2021 Category: Internal Medicine Authors: Diajeng Putri Iracily Desy Rusmawatiningtyas Firdian Makrufardi Intan Fatah Kumara None Nurnaningsih Edy Moeljono Source Type: research

Pneumothorax/pneumomediastinum as a complication of foreign body inhalation in 3 pediatric patients: A case series
Conclusion: In this case series, we present 3 cases of children aged 2 to 5 years seen in our ER with a history of different types of organic FBI complicated by pneumomediastinum/pneumothorax. Pneumomediastinum/pneumothorax is a rare complication of FBI in pediatric patients. However, such complications require multidisciplinary collaboration for early diagnosis and intervention.
Source: Medicine - October 14, 2022 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research