Adult Sepsis Management in Internal Medicine: Are We Overtreating, Undertreating, or Targeting the Wrong Metrics?

Adult Sepsis Management in Internal Medicine: Are We Overtreating, Undertreating, or Targeting the Wrong Metrics? Review Abstract Background Management of adult sepsis requires prompt decision-making amid uncertainty about infection, organ dysfunction, hemodynamic status, and treatment responsiveness. Although standardized care pathways may reduce harmful delays, indiscriminate

Thrombolysis in Intermediate-Risk Pulmonary Embolism: Who Should Receive Early Reperfusion?

Thrombolysis in Intermediate-Risk Pulmonary Embolism Who Should Receive Early Reperfusion Review Abstract Background Intermediate-risk pulmonary embolism sits in a genuinely difficult therapeutic space. On one side, you have uncomplicated pulmonary embolism managed primarily with anticoagulation. On the other side, pulmonary embolism complicated by cardiopulmonary failure that demands urgent

Intravenous Lipid Rescue: Why It’s Saving Lives Far Beyond Local Anesthetic Toxicity

Intravenous Lipid Rescue: Why It’s Saving Lives Far Beyond Local Anesthetic Toxicity Review Abstract Intravenous lipid emulsion therapy, originally developed as nutritional support, has emerged as a critical rescue intervention for drug toxicity cases well beyond its initial application in local anesthetic systemic toxicity. This

Presyncope Patient Outcomes In Emergency Care

Presyncope Patient Outcomes In Emergency Care Overview Syncope is characterized by a transient loss of consciousness, whereas presyncope involves similar prodromal symptoms without the actual loss of consciousness. Although extensive research has examined the risk of serious outcomes in emergency department (ED) patients with syncope, the outcomes and management of patients with

Mortality In ICU Patients Linked to Blood Glucose Levels

Mortality In ICU Patients Linked to Blood Glucose Levels Overview The study investigated the intricate relationship between mean blood glucose (MBG) levels and mortality among critically ill patients, utilizing data from the Medical Information Mart for Intensive Care IV (MIMIC-IV) database. Through multivariate logistic regression analysis, the study aimed to discern the

Postoperative Delirium In The NICU: Hormonal Risk Factors

Postoperative Delirium In The NICU: Hormonal Risk Factors In neurosurgery, pituitary adenoma ranks as the second most common brain tumor. Recent advances in endoscope-assisted transsphenoidal surgery have revolutionized tumor resection, reducing complications. However, postoperative complications, particularly endocrine-related issues, remain critical in neurosurgical intensive care units (NICUs). Notably, postoperative delirium, intricately linked

Adult Sepsis Management in Internal Medicine: Are We Overtreating, Undertreating, or Targeting the Wrong Metrics?