Posts Tagged ‘critical care’

Upper Gastrointestinal Bleeding

Posted by • June 16th, 2016

Peptic ulcers, which are primarily due to Helicobacter pylori infection or the use of nonsteroidal antiinflammatory drugs (NSAIDs), occur in the stomach or duodenum and are the most frequent cause of upper gastrointestinal bleeding. Most patients who are hospitalized with upper gastrointestinal bleeding should undergo endoscopy within 24 hours, after appropriate resuscitation and transfusion to… Read More…

Caregivers of Critically Ill Patients

Posted by • May 13th, 2016

Unpaid caregivers (typically family or close friends) are essential to the sustainability of North American health care systems, because their unpaid labor annually accounts for $27 billion in Canada and $642 billion in the United States. Although caregiver assistance can be beneficial for patients, such care may have negative consequences for caregivers, including poor health-related… Read More…

Clinical Collections

Posted by • January 18th, 2016

Did you know that NEJM Group offers Clinical Collections? These Collections include content from the New England Journal of Medicine and NEJM Journal Watch, curated for relevance by expert clinicians to help you improve your knowledge and patient care. Clinical Collections are offered in a convenient PDF format for instant and easy access. NEJM Cases in Primary Care… Read More…

A Man with Thrombocytopenia

Posted by • January 15th, 2016

In the latest Case Record of the Massachusetts General Hospital, an 18-year-old man presented with fever, abdominal pain, and thrombocytopenia. Abdominal imaging studies showed nonspecific fluid collection and necrotic lymph nodes, and there were elevated levels of C-reactive protein and ferritin. A diagnostic procedure was performed. A ferritin level as high as 7000 ng/ml is a… Read More…

Commencement

Posted by • October 6th, 2015

Over the past few weeks I experienced many firsts on the frontline in the Tuba City emergency department. Among many firsts are my first Diné words including yá’át’ééh (yah-tah-hey) which means hello in Diné Bizaad, and, in case you forgot, boozhoo (hello) in Anishinabemowin. So far simple greetings and polite courtesies are all I can… 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…

New NEJM Review Series: Critical Care

Posted by • August 29th, 2013

The first article in a new series on Critical Care, Severe Sepsis and Septic Shock, is now available on NEJM.org. Sepsis, a complex physiological and metabolic response to infection, is a common reason for admission to an ICU. This review, from University of Pittsburgh’s Derek Angus and University of Amsterdam’s Tom van der Poll, examines the… 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…