ONLINE FIRST (FREE ACCESS) MY GREEN ICU Correspondence Integrating sustainability into critical care undergraduate education: preparing future physicians for a climate-conscious practice. Author's replyBoissier, F., Poissy, J., Lecronier, M. et al. STANDARD OF CARE IN THE INTENSIVE CARE UNIT Editorial Stepwise fluid management in critical illnessMekontso Dessap, A., Cecconi, M. LATEST ARTICLES EditorialChecking methodology and statistics when readi...

Original Investigation  Emergency Medicine Ketamine, Etomidate, and Mortality in Emergency Department Intubations Ian Ward A. Maia, Sérgio R. R. Decker, Lucas Oliveira J. e Silva, et al JAMA Netw Open 2025;8;(12):e2548060. doi:10.1001/jamanetworkopen.2025.48060 Key Points Question  Among critically ill adults undergoing rapid sequence intubation, is etomidate use associated with higher in-hospital mortali...

Original Investigation  Critical Care Medicine Cost-Effectiveness of Pantoprazole to Prevent Upper Gastrointestinal Bleeding in Mechanically Ventilated Patients Feng Xie, Yifan Yao, Yue Ma, et al JAMA Netw Open 2025;8;(12):e2552771. doi:10.1001/jamanetworkopen.2025.52771 Key Points Question  Is daily intravenous pantoprazole cost-effective in preventing upper gastrointestinal bleeding in mechanically vent...

ONLINE FIRST (FREE ACCESS) STANDARD OF CARE IN THE INTENSIVE CARE UNIT What's New in Intensive Care Ten ethical challenges in donation after circulatory death (DCD): a practical guide for intensivistsVergano, M., Metaxa, V. & Citerio, G. LATEST ARTICLES OriginalTrends in renal replacement therapy use in intensive care unit: insights from a French multicenter cohortSchmidt, J., Grimaldi, L., Martel, P. et al. OPEN ACCESS ~ Original Temporal ro...

Original Investigation  Less Is More Antibiotic De-Escalation in Adults Hospitalized for Community-Onset Sepsis Ashwin B. Gupta, Megan Heath, Emily Walzl, et al JAMA Intern Med Published Online: December 22, 2025 doi: 10.1001/jamainternmed.2025.6919 Key Points Question  Is broad-spectrum antibiotic de-escalation on encounter day 4 safe among patients hospitalized with community-onset sepsis w...

Original Investigation  Surgery β-Lactam vs Non–β-Lactam Antimicrobial Prophylaxis and Surgical Site Infection Selina Largiadèr, Delphine Berthod, Andreas Widmer, et al JAMA Netw Open 2025;8;(10):e2540809. doi:10.1001/jamanetworkopen.2025.40809 Key Points Question  Is the administration of non–β-lactam surgical antimicrobial prophylaxis (SAP) vs β-lactam SAP associated with increased surgical site infecti...

Original Investigation  Pediatrics Screen Time and Standardized Academic Achievement Tests in Elementary School Xuedi Li, Charles D. Keown-Stoneman, Jessica A. Omand, et al JAMA Netw Open 2025;8;(10):e2537092. doi:10.1001/jamanetworkopen.2025.37092 Key Points Question  Is there an association between different types of screen time in young children and academic achievement in grades 3 and 6, as measured b...

Original Investigation Integrating Multi-Modal Imaging Features for Early Prediction of Acute Kidney Injury in Pneumonia Sepsis: A Multicenter Retrospective Study Yiding Gu, Langjun Li, Keyi Yang, et al Acad Radiol Available online 29 September 2025 https://doi.org/10.1016/j.acra.2025.08.007 Rationale and Objectives Sepsis, a severe complication of infection, often leads to acute kidney injury (AKI), which significantly increases the risk of death. Despite ...

NEWS 01 August 2024 ‘Publish or Perish’ is now a card game — not just an academic’s life By Max Kozlov Nature 632, 483 (2024) doi: https://doi.org/10.1038/d41586-024-02511-5 A player wins by racking up more citations than the competition, even if that means engaging in a little light plagiarism. Fabricating data, throwing academic shade at other scientists, publishing a mountain of papers that receive a towering heap of citations: cynics might desc...

DATASETS, BENCHMARKS, AND PROTOCOLS Assessment of Large Language Models in Clinical Reasoning: A Novel Benchmarking Study Liam G. McCoy, Rajiv Swamy, Nidhish Sagar, et al NEJM AI 2025;2(10) Published September 25, 2025 DOI: 10.1056/AIdbp2500120 Abstract BACKGROUND Large language models (LLMs) are increasingly deployed for clinical decision support, yet standard evaluations such as medical licensing exams overloo...