Critical Care
- Cytokines and the still-baffling clinical biology of COVID-19
The primary culprit is not certain. Is it all immune damage, or is the continued persistence of coronavirus playing a role?
- Cytokine storm and the prospects for immunotherapy with COVID-19
Despite gaping holes in our knowledge, treatment is evolving.
- COVID-19 Curbside Consults at www.CCJM.org
These are tough times. This is a wicked disease. But healthcare providers are stepping up.
- Infective endocarditis: Don’t forget the ICE
A recent article did not mention intracardiac echocardiography.
- In reply: Infective endocarditis: Don’t forget the ICE
Echocardiography relies on finding an anatomic abnormality, whereas 18FDG-PET is a functional examination.
- An unending ode to pneumonia
The examination, history, and sometimes, sputum Gram stain and culture results still inform our clinical judgment.
- Gastroenteritis gone rogue
A 56-year-old woman presented with 2 weeks of vomiting and diarrhea. Her troubles were just beginning.
- Community-acquired pneumonia: Strategies for triage and treatment
Not all patients need to be hospitalized. Initial empiric treatment should be de-escalated as soon as possible.
- Are we all clear? Unintended shocks to caregivers during cardiopulmonary resuscitation
Defibrillators are designed to affect electrical activity in the patient’s heart. Caregivers, be careful!
- Sepsis and septic shock: Guideline-based management
Sepsis requires prompt recognition, appropriate antibiotics, careful hemodynamic support, and control of the source of infection.