Table of Contents
From the Editor
- A discussion of dissection
Few medical emergencies are as dramatic as an acutely rupturing aortic aneurysm. Advances in research offer potential for more alternatives to emergency surgery.
The Clinical Picture
- Necrotic skin lesions after hemodialysis
A 44-year-old woman with end-stage liver disease presents with a painful, ischemic, necrotic lesion on her thigh. What is the diagnosis?
1-Minute Consult
- What is the best questionnaire to screen for alcohol use disorder in an office practice?
A variety of questionnaires can be used. The important thing is to be proactive about screening for this very common yet underrecognized problem.
Current Drug Therapy
- Dabigatran: Will it change clinical practice?
This new oral anticoagulant has advantages over warfarin (Coumadin), but it is more expensive, which may pose a barrier to its wider use.
Review
- Update in intensive care medicine: Studies that challenged our practice in the last 5 years
Several once-established therapies have failed the test of time, as the result of evidence from clinical trials.
- Jet lag and shift work sleep disorders: How to help reset the internal clock
Some relief is possible for the grogginess and disorientation that often ensue from travelling long distances or working the night shift.
Aortic dissection: Prompt diagnosis and emergency treatment are criticalAortic dissection can be rapidly fatal, and it can mimic more common conditions. Suspicion is essential.
Commentary
The time has come for critical care medicine to end its identity crisis.