GI bleeding is bread and butter critical care. However, there are a lot of nuances – especially regarding variceal bleeding and new approaches to hematochezia.
IBCC chapter & cast: Troponin elevation in non-cardiac critical illness
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?
PulmCrit- Sepsis Research Rant: More fake news, less real news
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.
IBCC chapter & cast: Anatomy of a DKA resuscitation
Announcement: Launching the Internet Book of Critical Care (IBCC)
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.