Original Investigation  August 30, 2024 Prehospital Pulse-Dose Glucocorticoid in ST-Segment Elevation Myocardial Infarction: The PULSE-MI Randomized Clinical Trial Jasmine Melissa Madsen, Thomas Engstrøm, Laust Emil Roelsgaard Obling, et al JAMA Cardiol. Published online August 30, 2024. doi:10.1001/jamacardio.2024.2298 Key Points Question  In patients with ST-segment elevation myocardial infarc...

ESICM Green Paper: Environmental Sustainability in Intensive Care In ICU Wed, 9 Oct 2024 The ESICM Green Paper on sustainability was launched at #LIVES2024 in Barcelona, providing a roadmap for reducing the ICU’s footprint while maintaining top care.  The healthcare sector, particularly ICUs, significantly impacts the environment due to its high energy consumption, waste generation, and reliance on single-use devices. With climate change posing...

Original Investigation  August 31, 2024 Potassium Supplementation and Prevention of Atrial Fibrillation After Cardiac Surgery: The TIGHT K Randomized Clinical Trial Benjamin O’Brien,Niall G. Campbell, Elizabeth Allen, et al JAMA. Published online August 31, 2024. doi:10.1001/jama.2024.17888 Key Points Question  When trying to prevent atrial fibrillation after cardiac surgery (AFACS), is supplementing...

Editorial  August 21, 2024 Uncovering Long COVID in Children Suchitra Rao JAMA. Published online August 21, 2024. doi:10.1001/jama.2024.13551 The COVID-19 pandemic has had devastating consequences globally, and the immediate and short-term consequences of SARS-CoV-2 infection have been well described. Although most individuals recover, many endure longer-lasting effects, referred to as long COVID, post-COVID condition, or postacute sequelae o...

ESICM Guidelines on End-of-Life and Palliative Care In ICU Tue, 8 Oct 2024 End-of-life (EoL) care focuses on symptom relief and addressing the emotional, psychological, and spiritual needs of patients and their families. These decisions are influenced by ethical, legal, cultural, and resource-related factors, and practices vary globally. In some countries, life-supporting treatment (LST) decisions are shared with families, while in others, clinicians d...

Research Letter  Climate Change and Health August 26, 2024 Trends of Heat-Related Deaths in the US, 1999-2023 Jeffrey T. Howard, Nicole Androne, Karl C. Alcover, et al JAMA. Published online August 26, 2024. doi:10.1001/jama.2024.16386 The warmest average temperature recorded since 1850 occurred in 2023.1 Recent studies have found exposure to extreme heat to be associated with mortality, with variabi...

Editorials Doctors and suicide Clare Gerada, Amandip Sidhu, Frances Griffiths BMJ 2024; 386 doi: https://doi.org/10.1136/bmj.q1758 (Published 21 August 2024)Cite this as: BMJ 2024;386:q1758 Female doctors are still at higher risk than their non-medical peers According to some estimates, one doctor dies by suicide every day in the United States,1 and around one every 10 days in the United Kingdom.2 This high rate is borne out by a linked meta-analy...

Research Letter  July 29, 2024 Midcareer Satisfaction and Likelihood of Leaving Current Position of Former Career Development Awardees Reshma Jagsi, Kent A. Griffith, Kelly C. Paradis, et al JAMA. 2024;332(8):666-667. doi:10.1001/jama.2024.12262 The National Institutes of Health K-award program invests in the career development of promising early-career faculty. Because retaining diverse faculty is necessary to achiev...

#LIVES2024 Begins: Welcoming Ceremony and Opening Remarks In ICU Mon, 7 Oct 2024 At the welcoming ceremony for #LIVES2024, Prof Elie Azoulay reflected on the extraordinary progress of ESICM over the past year, encapsulated in three keywords: Community, Innovation, and Research. He highlighted that 1 in 5 ESICM members are under 38, underscoring the society’s commitment to fostering diversity and growth. The NEXT group, aimed at cultivating young tal...

Research Letter  July 30, 2024 Hospital Assets Before and After Private Equity Acquisition Elizabeth Schrier, Hope E. M. Schwartz, David U. Himmelstein, et al JAMA. 2024;332(8):669-671. doi:10.1001/jama.2024.13555 Private equity firms spent $505 billion on health care acquisitions between 2018 and 2023.1Financial infusions may augment resources for care.2,3 However, firms have sometimes sold acquired hospitals’ l...