GI bleeding is bread and butter critical care. However, there are a lot of nuances – especially regarding variceal bleeding and new approaches to hematochezia.
How should we evaluate for myocardial ischemia in a critically ill patient admitted for some other problem (e.g. pneumonia)? What does it mean if their troponin is elevated?
The following rant focuses on sepsis research, but these principles are universal. I apologize for the agitated nature of this post, but I just can’t hold it in any longer. If I read one more correlational study which tries to imply causation, I might just explode. In order to prevent burnout, I’m going to journal these thoughts instead. So, hang on to your hats, because things are going to get a bit heated.
Several years ago a mentor suggested that I write a book. I nearly laughed at her. A book?? Inconceivable! Who would buy it? Would they actually read it? Would it be there at 3 AM when they needed it? How could it be updated? A physical book didn’t seem compatible with the breakneck speed of critical care or our internet-based culture.