Crit Care Resusc
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To describe the longitudinal changes in documentation of advance care directives (ACDs), including limitation of medical therapy (LMT) and not-for-resuscitation (NFR) directives among patients reviewed by a medical emergency team (MET). ⋯ Compliance with hospital policy of universal documentation was low despite MET involvement. There was a strong association between ACDs and death, suggesting an opt-out culture. Further investigation is needed into the interaction between hospital systems, medical culture, human factors, and patient-centred clinical decision making.
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Review Meta Analysis
A systematic review of the accuracy of peripheral thermometry in estimating core temperatures among febrile critically ill patients.
There is uncertainty about the accuracy of peripheral thermometers in measuring temperatures within the febrile physiological range. ⋯ The identified studies suggest that in critically ill patients, tympanic and oral thermometry provide, on average, accurate measures of core temperatures within the febrile range and can be recommended for this purpose. Further studies with appropriate statistical methods are required to assess the accuracy of peripheral thermometers among critically ill patients with fever.