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IBCC chapter & cast: Ascending cholangitis & calculus cholecystitis (community-acquired biliary sepsis)
Biliary infection is a fairly common cause of septic shock (especially ascending cholangitis). Evidence isn’t terrific regarding exactly when and how interventions should be done to obtain source control (particularly among cholecystitis). This chapter attempts to reach some clarity on the topic but honestly, it remains a bit murky.
Tox and Hound – The Physostigma
A very special welcome to our newest hound, Dr. Jon Cole! You can learn more about him here . . . by Jon Cole It’s a busy day in the ED. ICU beds are tight, ambulances keep coming, and triage grows at a seemingly exponential rate. Waiting for you are your first three patients, all of whom […]
Tox and Hound – Breastfeeding on Bup
A very special welcome to our newest hound, Dr. Christine Murphy! You can learn more about her here . . . by Christine Murphy Several months ago, I was taking care of an infant whose mother was terrified she would cause opioid withdrawal if she stopped breastfeeding. The mother was on medication assisted therapy (MAT) with buprenorphine, […]
IBCC chapter & cast – Clostridioides Difficile
Clostridioides (previously clostridium) difficile is an inescapable problem within the critical care arena. This may arise as a nosocomial complication, in which case it is usually diagnosed early and treated successfully. It may also be the primary cause of admission to the ICU, in which case it is generally more severe.
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