American journal of respiratory and critical care medicine
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Am. J. Respir. Crit. Care Med. · Oct 2014
Randomized Controlled Trial Multicenter StudyProtocol-based Treatment of Septic Shock, Fibrinolysis for Submassive Pulmonary Embolism, and Use of Corticosteroids in Acute Exacerbations of Chronic Obstructive Pulmonary Disease Requiring Mechanical Ventilation.
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Am. J. Respir. Crit. Care Med. · Oct 2014
ReviewCaring for Critically Ill Patients with Ebola Virus Disease: Perspectives from West Africa.
The largest ever Ebola virus disease outbreak is ravaging West Africa. The constellation of little public health infrastructure, low levels of health literacy, limited acute care and infection prevention and control resources, densely populated areas, and a highly transmissible and lethal viral infection have led to thousands of confirmed, probable, or suspected cases thus far. ⋯ With more personnel, basic monitoring, and supportive treatment, many of the sickest patients with Ebola virus disease do not need to die. Ebola virus disease represents an illness ready for a paradigm shift in care delivery and outcomes, and the profession of critical care medicine can and should be instrumental in helping this happen.
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Am. J. Respir. Crit. Care Med. · Oct 2014
Practice GuidelineAn official american thoracic society/american association of critical-care nurses/american college of chest physicians/society of critical care medicine policy statement: the choosing wisely® top 5 list in critical care medicine.
The high costs of health care in the United States and other developed nations are attributable, in part, to overuse of tests, treatments, and procedures that provide little to no benefit for patients. To improve the quality of care while also combating this problem of cost, the American Board of Internal Medicine Foundation developed the Choosing Wisely Campaign, tasking professional societies to develop lists of the top five medical services that patients and physicians should question. ⋯ These five recommendations provide a starting point for clinicians and patients to make decisions leading to higher-quality, lower-cost care. Future work is needed to promote adherence to these recommendations and to develop additional ways for intensive care clinicians to take leadership in reining in health-care costs.