Invited Commentary  November 15, 2023 Who Looks Like a Surgeon?—Evaluating Reflections From a Digital Mirror Rebecca Sorber, M. Libby Weaver JAMA Surg. Published online November 15, 2023. doi:10.1001/jamasurg.2023.5705 As the number of publicly available tools using artificial intelligence (AI) has rapidly expanded, innumerable attempts to find beneficial applications for such tools in medicine follow close behind.1 Perhaps one of the mo...

Research Letter  November 2, 2023 Changes in Employment in the US Health Care Workforce, 2016-2022 Thuy Nguyen, Christopher Whaley, Kosali I. Simon, et al JAMA. 2023;330(20):2018-2019. doi:10.1001/jama.2023.18932 The COVID-19 pandemic has caused a variety of disruptions to the health care workforce.1Data on select health care workforce sectors chronicle patterns in employment through 2021.1-3 Lack of national studies on the broad health care workf...

Research Implementation of a high sensitivity cardiac troponin I assay and risk of myocardial infarction or death at five years: observational analysis of a stepped wedge, cluster randomised controlled trial Kuan Ken Lee, Dimitrios Doudesis, Amy V Ferry, et al BMJ 2023; 383 doi: https://doi.org/10.1136/bmj-2023-075009 (Published 28 November 2023)Cite this as: BMJ 2023;383:e075009 Abstract Objective To evaluate the impact of implementing a high sensitiv...

#LIVES2023: Initiation of CRRT versus IHD In critically ill patients with acute kidney injury (AKI), renal replacement therapy (RRT) is often necessary. The choice of RRT modality, such as intermittent haemodialysis (IHD) or continuous renal replacement therapy (CRRT), has been a subject of debate. IHD involves shorter, more frequent sessions, while CRRT is continuous and slower. CRRT is generally preferred for haemodynamically unstable patients, while IHD is used ...

Research Covid-19 vaccine effectiveness against post-covid-19 condition among 589 722 individuals in Sweden: population based cohort study Lisa Lundberg-Morris, Susannah Leach, Yiyi Xu, et al BMJ 2023; 383 doi: https://doi.org/10.1136/bmj-2023-076990 (Published 22 November 2023)Cite this as: BMJ 2023;383:e076990 Abstract Objective To investigate the effectiveness of primary covid-19 vaccination (first two doses and first booster dose within the recomme...

ORIGINAL ARTICLE Intravenous Levothyroxine for Unstable Brain-Dead Heart Donors Rajat Dhar, Gary F. Marklin, W. Dean Klinkenberg, et al N Engl J Med 2023; 389:2029-2038DOI: 10.1056/NEJMoa2305969 BACKGROUND Hemodynamic instability and myocardial dysfunction are major factors preventing the transplantation of hearts from organ donors after brain death. Intravenous levothyroxine is widely used in donor care, on the basis of observational data suggesting that m...

ICU Management & Practice, Volume 22 - Issue 5, 2022 Improving Haemodynamic Management of ICU Patients: Decatecholaminisation & Cardiac Stress Reduction  summary of a symposium organised by AOP Health with presentations from Ricard Ferrer, Vall d’Hebron University Hospital, Barcelona, Spain; Bruno Levy, Centre Hospitalier Universitaire de Nancy, CHU Nancy · Réanimation Médicale Brabois, France; and Michael Fries, St. Vincenz Krankenhaus Limburg, De...

Editorial  November 29, 2023 The Value of Not Intubating Comatose Patients With Acute Poisoning Zaffer Qasim, Jeanmarie Perrone, M. Kit Delgado JAMA. Published online November 29, 2023. doi:10.1001/jama.2023.22462 Imagine if a new multicenter, randomized trial of a pharmaceutical drug found that for every 3 patients treated on presentation to the hospital with a common severe illness, one intubation and an intensive care unit (ICU) admission ...

Original Investigation  December 12, 2023 Metformin Plus Insulin for Preexisting Diabetes or Gestational Diabetes in Early Pregnancy: The MOMPOD Randomized Clinical Trial Kim A. Boggess, Arielle Valint, Jerrie S. Refuerzo, et al JAMA. 2023;330(22):2182-2190. doi:10.1001/jama.2023.22949 Key Points Question  Does metformin added to insulin for the treatment of preexisting type 2 diabetes or diabetes identified early in pregnancy re...

Original Investigation  November 11, 2023 Aspirin and Hemocompatibility Events With a Left Ventricular Assist Device in Advanced Heart Failure: The ARIES-HM3 Randomized Clinical Trial Mandeep R. Mehra, Ivan Netuka, Nir Uriel, MD, et al JAMA. 2023;330(22):2171-2181. doi:10.1001/jama.2023.23204 Key Points Question  Can aspirin be safely avoided as part of an antithrombotic regimen including a vitamin K antagonist with a fully magnetically le...