【编者按】：JAMA杂志近期发表的文章显示，2011年全国去甲肾上腺素供应短缺与感染性休克患者病死率升高具有显著相关性。网站曾于4月6日介绍了该文摘要及主要结果。近日，MEDSCAPE刊登了Greg Martin的简短评论。我们在此刊出，以飨读者。 News & Perspective > Viewpoints COMMENTARY Drug Shortages and Septic Shock: Not a Good Mix Greg Martin, MD June 28, 2017 Association Between US Norepinephrine Shortage and Mortality Among Patients With Septic Shock Vail E, Gershengorn HB, Hua M, ...

Medical News & Perspectives July 19, 2017 In Treating Sepsis, Questions About Timing and Mandates Jennifer Abbasi JAMA. Published online July 19, 2017. doi:10.1001/jama.2017.7997 In 2012, Rory Staunton, a 12-year-old boy from Queens, New York, died from sepsis after his pediatrician and an emergency department (ED) physician reportedly misinterpreted warning signs—a high fever and vomiting, but also a cut on his arm, and severe leg pain—as an intestinal illness and...

[编者按]：自从各大医院的比拼指标从床位数及总收入转变为发表论文数后，在高影响因子杂志发表论文的现金奖励已经成为业内共识。这种政策的出台的确鼓励临床医生投入更多精力从事科研，但是，现金奖励政策真的能够催生好的科研吗？这一政策对科研工作有何潜在影响？ Business Impact The Truth about China’s Cash-for-Publication Policy The first study of payments to Chinese scientists for publishing in high-impact journals has serious implications for the future of research by Emerging Technolog...

[编者按]：文章是ICU Management & Practice对匹兹堡大学Jemery M. Kahn教授的采访记录。他对于重症医学未来发展的观点与众不同，或许对读者有另一方面的提示意义。 What’s the future of intensive care medicine? Jemery M. Kahn, MD, MS Professor of Critical Care Medicine and Health Policy & Management University of Pittsburgh School of Medicine and Graduate School of Public Health Pittsburgh, USA Over time, I think we are going to recognise that we can’t continue to develop...

Observations The Art of Risk Communication Can search engine data predict pancreatic cancer? Gerd Gigerenzer BMJ 2017; 358 doi: https://doi.org/10.1136/bmj.j3159 (Published 03 July 2017) Cite this as: BMJ 2017;358:j3159   Imagine this warning popping up on your search engine page: “Attention! There are signs that you might have pancreatic cancer. Please visit your doctor immediately.” Just as search engines use big data analytics to detect your book and music ...

News & Perspective > Critical Issues COMMENTARY What Happens to Patients After They Leave the ICU Aaron B. Holley, MD June 08, 2017 Joblessness and Lost Earnings After ARDS in a 1-Year National Multicenter Study Kamdar BB, Huang M, Dinglas VD, et al; National Heart, Lung, and Blood Institute Acute Respiratory Distress Syndrome Network Am J Respir Crit Care Med. 2017 Apr 27. [Epub ahead of print] Background 背景 When designing a study in the intensive care unit...

News & Perspective > Society for Healthcare Epidemiology of America (SHEA) > Expert Commentaries Treatment of Suspected VAP: When Shorter Is Better John A. Sellick, DO, MS May 31, 2017 Which VAP Patients Don't Need a Full Course of Antibiotics? 哪些VAP患者无需接受完整疗程抗生素治疗？ Patients with suspected ventilator-associated pneumonia (VAP) are frequently started on empirical antibiotics, yet definitive diagnosis of VAP may not be made. Can antibiotics be...

Recommended Reading from the University of Ottawa Nephrology Fellows David Massicotte-Azarniouch, Syed Obaid Amin, Caitlin Hesketh and Edward G. Clark AJRCCM Articles in Press. Published on 02-May-2017 as 10.1164/rccm.201611-2375RR Bitker L, et al.; Prevalence and risk factors of hypotension associated with preload-dependence during intermittent hemodialysis in critically ill patients. Crit Care (10) Reviewed by Caitlin Hesketh Intradialytic hypotension (IDH) is a common ...

Recommended Reading from the University of Ottawa Nephrology Fellows David Massicotte-Azarniouch, Syed Obaid Amin, Caitlin Hesketh and Edward G. Clark AJRCCM Articles in Press. Published on 02-May-2017 as 10.1164/rccm.201611-2375RR Zarbock et al. Effect of Early vs Delayed Initiation of Renal Replacement Therapy on Mortality in Critically Ill Patients With Acute Kidney Injury: The ELAIN Randomized Clinical Trial. JAMA (6) Reviewed by Syed Obaid Amin The Effect of Early vs...

Recommended Reading from the University of Ottawa Nephrology Fellows David Massicotte-Azarniouch, Syed Obaid Amin, Caitlin Hesketh and Edward G. Clark AJRCCM Articles in Press. Published on 02-May-2017 as 10.1164/rccm.201611-2375RR Gaudry S, et al.; Initiation strategies for renal-replacement therapy in the intensive care unit. N Engl J Med (1) Reviewed by David Massicotte-Azarniouch Meta-analyses of mainly observational studies have shown relatively earlier initiation of...