Posts Tagged ‘Critical Care Challenge’

Take the Critical Care Challenge

Posted by • April 18th, 2014

In this month’s Critical Care Challenge, our  77-year-old patient is on mechanical ventilation in the ICU after an emergency colon resection, complicated by septic shock and acute liver failure. Since it appears his stay in the ICU will be prolonged, what measures would you take to optimize his long-term recovery? Participate in the poll and share… Read More…

Remember to take the Critical Care Challenge!

Posted by • January 28th, 2014

Have you taken the latest Critical Care Challenge? There’s still time to vote and comment. To recap the newest development: our sedated and intubated patient’s condition stabilized for two days, after which his ALT suddenly rose to 3402, his AST to 5322, and his bilirubin to 3.8. How should his liver failure be treated? Submit your… Read More…

Take the Critical Care Challenge

Posted by • December 11th, 2013

In this month’s Critical Care Challenge, our sedated and intubated patient’s condition stabilized for two days, after which his ALT suddenly rose to 3402, his AST to 5322, and his bilirubin to 3.8. How should his liver failure be treated? Vote and comment now on NEJM.org and find the results and answer on December 26 in… Read More…

Take the Critical Care Challenge!

Posted by • November 13th, 2013

A 77-year-old man is undergoing mechanical ventilation after severe sepsis and circulatory shock. After fluid resuscitation, pulmonary-artery pressure is 11 mm Hg. Echocardiography shows normal ventricular function. What strategy is indicated for mechanical ventilation? On November 28th, we will publish the fourth article in our Critical Care review series, Ventilator-Induced Lung Injury.  In advance of its release,… Read More…

Take the Critical Care Challenge

Posted by • September 11th, 2013

A 77-year old man is admitted to the ICU after a Hartmann’s procedure performed for fecal peritonitis due to a perforated sigmoid colon. After an assessment showing that the patient has inadequate intravascular volume, which one of the following options for fluid resuscitation would you choose to be administered over the next 30 minutes to 1 hour?… Read More…

Take the Critical Care Challenge

Posted by • August 15th, 2013

A 77-year-old man is admitted to the ICU after resection of the rectosigmoid colon for gross fecal peritonitis. What should be done first? On August 29th, we will publish the first article in a new series on Critical Care, Severe Sepsis and Septic Shock. In advance of its release, we have published a case on NEJM.org that… Read More…