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...

Burning Up? A Guide to Treating Heat Illness Zina Semenovskaya, MD, FAWM; Sage Wiener, MD | June 30, 2017 | Contributor Information Image from the Bureau of Land Management – Nevada. In the above image, firefighters simulate the evacuation of a fellow firefighter suffering from heat illness. Heat illness encompasses a spectrum of disorders caused by environmental heat exposure, including minor conditions—such as heat rash, heat cramps, heat syncope, and heat exhaustion—as...

News & Perspective Medscape Survey: US Physicians' Top Hospital Picks for 2017 Megan Brooks July 21, 2017 The hospital you go to for procedures or other medical care can make a huge difference in outcome. So where would US doctors want to receive needed care? 你选择的医院可能对诊疗结果造成很大的差异。因此，美国医生希望在哪里接受治疗呢？ Medscape asked 8504 doctors across more than 25 specialties for their opinion of where they would want to be treated or where th...

[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...

ORIGINAL ARTICLE Ventilation in Extremely Preterm Infants and Respiratory Function at 8 Years Lex W. Doyle, M.D., Elizabeth Carse, M.D., Anne-Marie Adams, Ph.D., Sarath Ranganathan, Ph.D., Gillian Opie, M.B., B.S., and Jeanie L.Y. Cheong, M.D., for the Victorian Infant Collaborative Study Group* N Engl J Med 2017; 377:329-337 July 27, 2017 DOI: 10.1056/NEJMoa1700827 BACKGROUND 背景 Assisted ventilation for extremely preterm infants (<28 weeks of gestation) has become l...

Original Investigation Caring for the Critically Ill Patient July 25, 2017 Targeted Temperature Management for 48 vs 24 Hours and Neurologic Outcome After Out-of-Hospital Cardiac Arrest: A Randomized Clinical Trial Hans Kirkegaard, Eldar Søreide, Inge de Haas, et al. JAMA. 2017;318(4):341-350. doi:10.1001/jama.2017.8978 Abstract Importance 背景 International resuscitation guidelines recommend targeted temperature management (TTM) at 33°C to 36°C in unconscious patients...

[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...

Drugs of Abuse: What Clinicians Need to Know Larissa Mooney, MD | June 28, 2017 New Drugs of Abuse According to the United Nations Office on Drugs and Crime (UNODC), drug use is shifting to new markets, and the number of new psychoactive substances is on the rise. These newer drugs of abuse include bath salts, synthetic marijuana (e.g. K2, Spice), salvia, methoxetamine, fentanyl, carfentanil, synthetic piperazines, dextromethorphan (DXM), ecstasy (Molly), kratom, anabolic...

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 ...

Screening for Pancreatic Adenocarcinoma Using Signals From Web Search Logs: Feasibility Study and Results John Paparrizos, MSc, Ryen W. White, PhD, and Eric Horvitz, MD, PhD J Oncol Pract 2016; 358: 737-44 Abstract Introduction People’s online activities can yield clues about their emerging health conditions. We performed an intensive study to explore the feasibility of using anonymized Web query logs to screen for the emergence of pancreatic adenocarcinoma. The methods us...