Inpatient Float
The Inpatient Float is a new rotation for residents to assist inpatient teams with clinical care, primarily in the ICU. The goal is provide team-based care, including organization, prioritization and delegation of tasks in addition to providing effective team leadership,…
Thrombolysis with Alteplase 3 to 4.5 Hours after Acute Ischemic Stroke (ECASS III)
Time is tissue—and the brain is no exception. Here's the landmark article guiding our use of thombolytics within 4.5 hours of an acute stroke. Remember, the clock starts ticking from the patient's last well-known time, not from the time of…
Intensive versus Conventional Glucose Control in Critically Ill Patients (NICE-SUGAR)
This classic, often-cited article informs us that among patients in the ICU, intensive glucose control of 81-108 increased mortality as compared to a more liberal glucose target of <180. How have you applied the findings of this research to your…
Adjunctive Glucocorticoid Therapy in Patients with Septic Shock (ADRENAL)
Does hydrocortisone decrease mortality in patients with septic shock?
Intern Boot Camp
Multicenter Randomized Controlled Clinical Trial of Transfusion Requirements in Critical Care (TRICC)
This is the landmark trial that compares a restrictive to a liberal red blood cell transfusion strategy. Here are some things to think about when reading this article: What are our current pRBC transfusion goals for most patients? How are…
Comparison of 8 vs 15 Days of Antibiotic Therapy for Ventilator-Associated Pneumonia in Adults
The optimal duration of antibiotic treatment for ventilator-associated pneumonia (VAP) is not known. Shortening the course of therapy may help decrease antibiotic resistance and adverse effects of giving prolonged antibiotics. This study looks to establish that mortality and recurrent infections…