CLINICAL DECISIONS Early Administration of Antibiotics for Suspected Sepsis Michael Y. Mi, Michael Klompas, Laura Evans N Engl J Med 2019; 380:593-596DOI: 10.1056/NEJMclde1809210 Case Vigenette 病例 A Man with Hypoxemia and a Woman with Acute Kidney Injury 一名低氧血症男性患者及一名急性肾损伤女性患者 Michael Y. Mi, M.D. Mr. Shui is a 35-year-old man who is brought to the emergency department by ambulance after falling from the crest of a tall wave ...

CLINICAL DECISIONS Early Administration of Antibiotics for Suspected Sepsis Michael Y. Mi, Michael Klompas, Laura Evans N Engl J Med 2019; 380:593-596DOI: 10.1056/NEJMclde1809210 Case Vigenette 病例 A Man with Hypoxemia and a Woman with Acute Kidney Injury 一名低氧血症男性患者及一名急性肾损伤女性患者 Michael Y. Mi, M.D. Mr. Shui is a 35-year-old man who is brought to the emergency department by ambulance after falling from the crest of a tall wave ...

JAMA Diagnostic Test Interpretation January 15, 2019 Immunoglobulin G4 Levels Sajan Jiv Singh Nagpal, Suresh T. Chari JAMA. 2019;321(2):202-203. doi:10.1001/jama.2018.16665Case A 67-year-old man with type 2 diabetes mellitus and hyperlipidemia was evaluated for unintentional weight loss of 28 lb (12.7 kg) and increasing fasting blood glucose values over the past 6 months. A computed tomography scan showed diffuse enlargement ...

JAMA Diagnostic Test Interpretation January 15, 2019 Immunoglobulin G4 Levels Sajan Jiv Singh Nagpal, Suresh T. Chari JAMA. 2019;321(2):202-203. doi:10.1001/jama.2018.16665Case A 67-year-old man with type 2 diabetes mellitus and hyperlipidemia was evaluated for unintentional weight loss of 28 lb (12.7 kg) and increasing fasting blood glucose values over the past 6 months. A computed tomography scan showed diffuse enlargement of the pancreas with...

JAMA Diagnostic Test Interpretation November 16, 2018 Serum Creatinine in the Critically Ill Patient With Sepsis Matthieu Legrand, John A. Kellum JAMA. Published online November 16, 2018. doi:10.1001/jama.2018.16627 Case 病例 A 73-year-old man underwent esophageal resection for cancer. He had a history of hypertension that was treated with an angiotensin receptor blocker. Preoperative estimated glomerular filtration rate (GFR) was 98 mL/min/1.73 m2. On the second post...

JAMA Diagnostic Test Interpretation November 16, 2018 Serum Creatinine in the Critically Ill Patient With Sepsis Matthieu Legrand, John A. Kellum JAMA. Published online November 16, 2018. doi:10.1001/jama.2018.16627 Case 病例 A 73-year-old man underwent esophageal resection for cancer. He had a history of hypertension that was treated with an angiotensin receptor blocker. Preoperative estimated glomerular filtration rate (GFR) was 98 mL/min/1.73 m2. On the second post...

JAMA Diagnostic Test Interpretation September 14, 2018 Coagulation Test Interpretation in a Patient Taking Direct Oral Anticoagulant Therapy Michelle Sholzberg, Yan Xu JAMA. 2018;320(14):1485-1486. doi:10.1001/jama.2018.13998 Case 病例 A 74-year-old man presented with spontaneous, acute onset of confusion and headache. He had no preceding head trauma or falls. He had a history of atrial fibrillation with an annual stroke risk of 2.9% (based on points accrued for ...

JAMA Diagnostic Test Interpretation September 14, 2018 Coagulation Test Interpretation in a Patient Taking Direct Oral Anticoagulant Therapy Michelle Sholzberg, Yan Xu JAMA. 2018;320(14):1485-1486. doi:10.1001/jama.2018.13998 Case 病例 A 74-year-old man presented with spontaneous, acute onset of confusion and headache. He had no preceding head trauma or falls. He had a history of atrial fibrillation with an annual stroke risk of 2.9% (based on points accrued for ...

CLINICAL DECISIONS Extracorporeal Membrane Oxygenation for Severe Acute Respiratory Distress Syndrome Michael Y. Mi, Michael A. Matthay, and Alan H. Morris N Engl J Med 2018; 379:884-887 DOI: 10.1056/NEJMclde1804601 Continue Current Treatment with Other Therapies Alan H. Morris, M.D. The decision to use ECMO for Mr. Jackson raises difficult issues that include both physician overconfidence in ECMO and the credibility of study results. Our first obligation is to ensure sa...

CLINICAL DECISIONS Extracorporeal Membrane Oxygenation for Severe Acute Respiratory Distress Syndrome Michael Y. Mi, Michael A. Matthay, and Alan H. Morris N Engl J Med 2018; 379:884-887 DOI: 10.1056/NEJMclde1804601 Recommend Initiation of Venovenous ECMO Michael A. Matthay, M.D. This 36-year-old man has very severe ARDS caused by influenza pneumonia. His Pao2 is only 50 mm Hg, with an Fio2 of 1.0 and PEEP of 15 cm of water, and his arterial oxygen saturation is 80 to 82...