It seems to me that there is no worse time for public, scientific discourse to be polarized than in the midst of a deadly pandemic that is affecting us all, directly and indirectly. I’ve decided to share a few examples of what I consider to be unhelpful “friendly fire,” though other examples are sadly too…
The use of corticosteroids in systemic inflammatory response syndrome (SIRS) and multiple organ dysfunction syndrome (MODS) isn’t new, so it isn’t surprising that treatment of critically ill COVID-19 patients in the ICU has increasingly involved dexamethasone. Nevertheless, the first major results showing improvement in survival among ventilated COVID-19 patients given dexamethasone comes as very welcome…
A recent episode of Scott Weingart’s excellent EMCrit podcast featured a thoughtful discussion with Kei Ouchi, MD, on one of the most important aspects of emergency medicine and critical care; conservations regarding end-of-life care. The focus here is on rapid code status conversation. The podcast page offers a slew of useful links, and references the…