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Sepsis guidelines review old questions, tackle new ones

The lead author of the Surviving Sepsis Campaign's latest guideline update highlighted the most important changes for hospitalists to know, including recommendations on the use of fluid and vasopressors.
https://acphospitalist.acponline.org/archives/2022/01/19/sepsis-experts-review-old-questions-tackle-new-ones.htm
19 Jan 2022

How COVID-19 changed end-of-life care

Hospitalists have had to find new strategies during the pandemic in order to provide optimal care, including company and comfort, to dying inpatients and their families.
https://acphospitalist.acponline.org/archives/2022/01/12/free/how-covid-19-changed-end-of-life-care.htm
12 Jan 2022

Combating clots in COVID-19

Critical care experts advised on appropriate prophylaxis for ward and ICU patients as part of the CHEST 2021 conference.
https://acphospitalist.acponline.org/archives/2021/11/combating-clots-in-covid-19.htm
15 Nov 2021

Intravenous fluid management

A hypothetical case highlights the many reasons to provide IV fluid.
https://acphospitalist.acponline.org/archives/2021/11/expert-analysis-iv-fluids.htm
15 Nov 2021

No difference found for moderate vs. mild hypothermia for comatose survivors of out-of-hospital cardiac arrest

There may not be a single, optimal target temperature for all patients with cardiac arrest, noted the authors of a trial that compared target temperatures of 31 °C and 34 °C. The effects of therapeutic hypothermia could be modulated by several clinical variables, they suggested.
https://acphospitalist.acponline.org/weekly/archives/2021/10/27/4.htm
27 Oct 2021

Surviving Sepsis Campaign releases updated guidelines for hospitalized adults

Topics covered among the 93 recommendations include screening and early treatment of sepsis, hemodynamic management, ventilation, additional therapies, and long-term outcomes and goals of care. Changes include which sepsis risk scores are recommended.
https://acphospitalist.acponline.org/weekly/archives/2021/10/20/2.htm
20 Oct 2021

Immediate angiography after cardiac arrest did not provide benefit in a trial

Thirty-day mortality was the same in patients resuscitated for out-of-hospital cardiac arrest without ST-segment elevation, regardless of whether they received immediate coronary angiography or initial intensive care with delayed or selective angiography.
https://acphospitalist.acponline.org/weekly/archives/2021/09/01/2.htm
1 Sep 2021

Neither rate nor type of fluid resuscitation affected outcomes in ICU patients, trial finds

A balanced solution was compared to a 0.9% saline solution in a large trial in Brazilian ICUs that also randomized the same patients to undergo fluid challenges at rates of either 333 mL/h or 999 mL/h.
https://acphospitalist.acponline.org/weekly/archives/2021/08/18/2.htm
18 Aug 2021

When less intensity is more caring

Hospitalists can help patients avoid nonbeneficial care with communication and time-limited trials.
https://acphospitalist.acponline.org/archives/2021/07/when-less-intensity-is-more-caring.htm
15 Jul 2021

Preop meds, resuscitation champions, and more

Research summaries from ACP Hospitalist Weekly.
https://acphospitalist.acponline.org/archives/2021/06/in-the-news.htm
15 Jun 2021

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