Feature Christmas 2025: Black Mirror Parallel pressures: the common roots of doctor bullshit and large language model hallucinations Roberto A Correa Soto, Liam G McCoy, Camilo Perdomo-Luna, et al BMJ 2025; 391 doi: https://doi.org/10.1136/bmj.r2570 (Published 12 December 2025)Cite this as: BMJ 2025;391:r2570 Roberto Correa Sotoand colleagues argue that the drive that leads doctors to make unfounded statements are mirrored in the forces that cause LL...

Airway Management in Patients With Acute Traumatic Brain Injury: An Evidence-Based Approach In ICU Thu, 24 Jul 2025 ICU Management & Practice, Volume 25 - Issue 3, 2025 This review highlights airway management in traumatic brain injury, focusing on strategies to prevent secondary brain injury. Key interventions include advanced preoxygenation, haemodynamic stabilisation, cautious sedation, selective use of prehospital intubation or supraglottic devi...

Vasopressin in Septic Shock: New Insights on Timely Addition to Norepinephrine In ICU Thu, 24 Jul 2025 ICU Management & Practice, Volume 25 - Issue 3, 2025 Early vasopressin initiation in septic shock may improve outcomes beyond the current practice of waiting for higher norepinephrine doses. Recent studies suggest starting AVP earlier can reduce shock duration and hospital mortality. Despite AVP often being started late, a proactive, protocol-d...

Editorial Postpartum haemorrhage: aligning for renewed action The Lancet Global Health Lancet Global Health 2025; 13: e1781 https://doi.org/10.1016/S2214-109X(25)00417-6 October 5 marked the first World Postpartum Haemorrhage Day. Postpartum haemorrhage (PPH) is the leading cause of maternal mortality globally, despite being largely preventable. Addressing it will be key to achieving the currently unreachable Sustainable Development Goal of reduci...

Rapid ICU Upskilling Delivers High ROI  In ICU Mon, 28 Jul 2025 In the face of large-scale healthcare crises, intensive care units (ICUs) must quickly expand their capacity to meet surging demand. Traditional responses—such as increasing bed numbers or reallocating resources—are often hampered by a fundamental limitation: the availability of trained personnel. Lengthy, resource-intensive medical training pathways cannot produce ICU-ready professio...

Editorial  An Oasis in the Platelet Desert? Matthew D. Neal, Philip C. Spinella, Lucy Z. Kornblith JAMA Published Online: December 8, 2025 doi: 10.1001/jama.2025.24442 A substantial proportion of the global population lacks reliable, timely access to platelet transfusions, largely due to constraints in donor supply and the inherently short shelf life of platelets. Even in high-income countries, including the US, platelet availability remains limited, a...

FICUS: Nurse-Led Family Support Intervention In ICU Wed, 6 Aug 2025 Family members of ICU patients often experience intense distress, uncertainty, and a high risk of postintensive care syndrome–family, with 20–30% reporting significant caregiver burden. They frequently lack adequate communication and support from ICU staff, contributing to negative experiences and poor health outcomes. While family-focused interventions, such as structured communicatio...

Editorial  Automated Modes to Improve Mechanical Ventilation Outcomes—The Ghost in the Machine Michael C. Sklar, Niall D. Ferguson JAMA Published Online: December 8, 2025 doi: 10.1001/jama.2025.24401 Invasive mechanical ventilation, one of the defining interventions in critical care medicine, is received by more than 20 million patients annually in intensive care units (ICUs) worldwide.1 In any given ICU, usually half or more of patients require invasi...

Editorial  Caring for the Critically Ill Patient Precision Therapy for Sepsis: The End of the Beginning? Derek C. Angus JAMA Published Online: December 8, 2025 doi: 10.1001/jama.2025.24099 Sepsis is a macabre dance between host and pathogen.1 With development of germ theory by Lister, Semmelweis, Pasteur, and Koch, pathogen eradication was the focus. Only in recent decades, with observations by Roger Bone2 and others that patients succumbed to sepsi...

Early Mobilisation and Rehabilitation Protocol and Outcomes in Trauma In ICU Wed, 6 Aug 2025 Traumatic injury remains a leading cause of death and disability globally, though mortality has decreased due to advances in surgery and centralised trauma care. Consequently, long-term outcomes like social reintegration have gained importance.  Early mobilisation and rehabilitation in the ICU are known to improve physical function, reduce ICU and hospi...