Original Investigation  October 16, 2024 Comparison of Outcomes for Patients Treated by Allopathic vs Osteopathic Surgeons Tara A. Russell, Ryu Yoshida, Mauranda Men, et al JAMA Surg. Published online October 16, 2024 doi:10.1001/jamasurg.2024.4580 Key Points Question  Is there is a difference in surgical outcomes for patients undergoing surgery with physicians trained in allopathic (MD) vs o...

Invited Commentary  December 16, 2024 Rethinking Palliative Interventions in Critical Care—When More Is Not Better Kieran L. Quinn, MD, PhD1,2,3; Rebecca Rodin, MD, MSc4; James DownarJAMA Intern Med. Published online December 16, 2024. doi:10.1001/jamainternmed.2024.6848 The intensive care unit (ICU) may be the hospital’s unrecognized epicenter for people with palliative care needs. Several existing clinical trials have tested palliative care in...

Original Investigation  Critical Care Medicine October 15, 2024 Shared Decision-Making Communication and Prognostic Misunderstanding in the ICU Judith B. Vick, Benjamin T. Berger, Peter A. Ubel, et al JAMA Netw Open. 2024;7(10):e2439715. doi:10.1001/jamanetworkopen.2024.39715 Key Points Question  Are shared decision-making (SDM) behaviors in the intensive care unit (ICU) associated with re...

Original Investigation  Health Informatics October 15, 2024 Early Warning Scores With and Without Artificial Intelligence Dana P. Edelson, Matthew M. Churpek, Kyle A. Carey, et al JAMA Netw Open. 2024;7(10):e2438986. doi:10.1001/jamanetworkopen.2024.38986 Key Points Question  How do hospital early warning scores compare with one another? Findings  In this cohort study that compar...

Burnout, Depression, Physician Wellbeing in Critical Care  In ICU Mon, 28 Oct 2024 A recent article published in the New England Journal of Medicine outlines the need to address the growing crisis in physician wellbeing and for hospital systems and medical schools to implement evidence-based strategies.  The authors emphasise the fact that this is important for the future of healthcare and for building a healthier workforce moving forward....

Original Investigation  September 18, 2024 An Update on the Survival of the First 50 Face Transplants Worldwide Pauliina Homsy, Lioba Huelsboemer, Juan P. Barret, et al JAMA Surg. 2024;159(12):1339-1345. doi:10.1001/jamasurg.2024.3748 Key Points Question  What is the overall survival of the first 50 face transplants in the world? Findings  This cohort study on the first 50 face transplants, p...

Original Investigation  December 16, 2024 Mobile App-Facilitated Collaborative Palliative Care Intervention for Critically Ill Older Adults: A Randomized Clinical Trial Christopher E. Cox, Deepshikha C. Ashana, Katelyn Dempsey, et al JAMA Intern Med. Published online December 16, 2024. doi:10.1001/jamainternmed.2024.6838 Key Points Question  Can an automated, mobile application–based, personaliz...

Research Strategies and tactics to reduce the impact of healthcare on climate change: systematic review Jeffrey Braithwaite, Carolynn L Smith, Elle Leask, et al BMJ 2024; 387: e081284 doi: https://doi.org/10.1136/bmj-2024-081284 (Published 08 October 2024) Abstract Objective To review the international literature and assess the ways healthcare systems are mitigating and can mitigate their carbon footprint, which is currently esti...

Hypothermia vs Normothermia in Out-of-Hospital Cardiac Arrest In ICU Mon, 28 Oct 2024 Temperature control in managing post-anoxic brain injury remains debated. The Hypothermia versus Normothermia after Out-of-Hospital Cardiac Arrest (TTM-2) trial showed no improvement in mortality or functional outcomes with therapeutic hypothermia at 33 °C in unconscious out-of-hospital cardiac arrest (OHCA) patients, compared to early fever avoidance (keeping the cor...

Research Rainfall events and daily mortality across 645 global locations: two stage time series analysis BMJ 2024; 387: e080944 Cheng He, Susanne Breitner-Busch, Veronika Huber, et al doi: https://doi.org/10.1136/bmj-2024-080944 (Published 09 October 2024) Abstract Objective To examine the associations between characteristics of daily rainfall (intensity, duration, and frequency) and all cause, cardiovascular, and respiratory mortality. Design&nb...