Critical Care

  • Cardiogenic shock: From ECMO to Impella and beyond
    Cardiogenic shock: From ECMO to Impella and beyond
    Mehdi H. Shishehbor, DO, MPH, PhD, Nader Moazami, MD, Michael Z.-Y. Tong, MD, MBP, Shinya Unai, MD, W. H. Wilson Tang, MD and Edward G. Soltesz, Md, MPH
    Cleveland Clinic Journal of Medicine April 2017, 84 (4) 287-295; DOI: https://doi.org/10.3949/ccjm.84gr.17002

    Several devices can serve as a bridge to recovery, transplant, or a long-term device.

  • Parsimonious blood use and lower transfusion triggers: What is the evidence?
    Moises Auron, MD, FAAP, FACP, SFHM, Marina Y. Duran Castillo, MD, FACP and Ajay Kumar, MD, MRCP, FACP, SFHM
    Cleveland Clinic Journal of Medicine January 2017, 84 (1) 43-51; DOI: https://doi.org/10.3949/ccjm.84a.15134

    Cumulative data have confi rmed the safety of a conservative approach to transfusion.

  • Necrotizing pancreatitis: Diagnose, treat, consult
    Tiffany Y. Chua, MD, R. Matthew Walsh, MD, FACS, Mark E. Baker, MD and Tyler Stevens, MD
    Cleveland Clinic Journal of Medicine August 2017, 84 (8) 639-648; DOI: https://doi.org/10.3949/ccjm.84a.16052

    Patients may need intensive care, nutritional support, antibiotics, and radiologic, endoscopic, or surgical interventions.

  • The ABCs of managing systolic heart failure: Past, present, and future
    Ike S. Okwuosa, MD, Oluseyi Princewill, MD, MPH, Chiemeke Nwabueze, MD, Lena Mathews, MD, Steven Hsu, MD, Nisha A. Gilotra, MD, Sabra Lewsey, MD, MPH, Roger S. Blumenthal, MD and Stuart D. Russell, MD
    Cleveland Clinic Journal of Medicine October 2016, 83 (10) 753-765; DOI: https://doi.org/10.3949/ccjm.83a.16006

    Digitalis, diuretics, and bedrest have given way to neurohormonal blockade and physical rehabilitation.

  • Evolution of heart failure management: Miles to go
    James B. Young, MD
    Cleveland Clinic Journal of Medicine October 2016, 83 (10) 766-768; DOI: https://doi.org/10.3949/ccjm.83a.16043

    Despite progress, too many patients still suffer, too many die too young, and the costs are still too great.

  • A guide to managing acute liver failure
    A guide to managing acute liver failure
    Tavankit Singh, MD, Nancy Gupta, MD, Naim Alkhouri, MD, William D. Carey, MD and Ibrahim A. Hanouneh, MD
    Cleveland Clinic Journal of Medicine June 2016, 83 (6) 453-462; DOI: https://doi.org/10.3949/ccjm.83a.15101

    Transfer to intensive care, start specific treatment depending on the cause, and consider transplant.

  • Extracorporeal membrane oxygenation in adults: A practical guide for internists
    Extracorporeal membrane oxygenation in adults: A practical guide for internists
    Tejaswini Kulkarni, MD, MPH, Nirmal S. Sharma, MD and Enrique Diaz-Guzman, MD
    Cleveland Clinic Journal of Medicine May 2016, 83 (5) 373-384; DOI: https://doi.org/10.3949/ccjm.83a.15021

    Principles, patient selection, monitoring, and complications of this form of life support.

  • When we need to remember that it is more than a job
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine March 2016, 83 (3) 159-166; DOI: https://doi.org/10.3949/ccjm.83b.03016

    It is the nature of our engagement with our patients and our colleagues that makes what we do more than a job.

  • It is not the critic’s voice that should count
    Kevin C. Giordano, ESQ
    Cleveland Clinic Journal of Medicine March 2016, 83 (3) 174-176; DOI: https://doi.org/10.3949/ccjm.83a.15105

    Lawsuits often confront physicians with incidental imperfections in the care they provided or with errors in their documentation.

  • The emotional impact of a malpractice suit on physicians: Maintaining resilience
    Susan J. Rehm, MD and Bradford L. Borden, MD
    Cleveland Clinic Journal of Medicine March 2016, 83 (3) 177-178; DOI: https://doi.org/10.3949/ccjm.83a.16004

    Resilient people can face reality, see a better future, put things into perspective, and bounce back from adversity.

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