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The Latest in Critical Care, 9/28/23 (Issue #15)

PulmCCM

Systemic corticosteroids (such as intravenous dexamethasone) improve outcomes in severe pneumonia due to SARS-CoV-2 infection. It makes sense that inhaled steroids might improve outcomes from less severe infections. Do inhaled steroids improve Covid pneumonia? About two thirds of patients in each arm were vaccinated.

COPD 95
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SGEM Xtra: This is My Life – Centralization of Rural Emergency Healthcare

The Skeptics' Guide to EM

The main outcome was the adjusted odds ratio for in-hospital mortality and hazard ratio for 30-day mortality with some pre-specified subgroups. The reconfiguration included the centralisation of hospitals and the establishment of emergency departments with specialists present around the clock.

Stroke 55
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Doing statistics can be difficult but understanding them can be fairly simple

Sensible Medicine

In the assessment of a clinical trial, we want to know if differences in baseline characteristics may have played a role in the observed outcome. The question to consider is…are the actual differences seen between the groups with regards to baseline characteristics large enough to have influenced the outcome?

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A Comprehensive Guide to Surgical Clerking

Mind The Bleep

Ensure you management plan includes how you plan to rule out any immediate concerns and what the outcome is likely to be if normal. Your trust will have guidelines on the treatment regimen using chlordiazepoxide/lorazepam and pabrinex.

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Friday Reflection 24: I Would Rather Go Back in Time

Sensible Medicine

1] Would the outcomes be different? There was fatigue, weight loss, nausea, declining kidney function, and a few strokes. He had COPD and depended on home oxygen. From a professional standpoint, there is no question that my answer to the final question would be, “the past.” Would some of the people still be here?