The new European PE guidelines from the ESC appear to start applying some of the evidence regarding patients without shock but with RV strain and elevated troponin/BNP. Remember the sPESI – 1 point for: cancer, COPD, chronic heart failure, age >80, sats<90%. Any of these put the patient into the intermediate (30 day mortality) risk …
Hypothesizing that the determinants of death within 30 days of admission to ICU are different to those for death after 90 days, Garland et al looked at a Canadian 11 ICU registry. We’re familiar with survival curves levelling to population baseline rate after a few months (if you can make it 3 months it’s almost like it …
Using local consensus on the definition of futile, Huynh et al have returned to suggest and quantify an ‘opportunity cost’ (i.e. a detriment to others due non-futile care) incurred. At a single centre, 5 unit hospital, delay in admission from A&E and delay in transfer to a tertiary ICU were examined and the impact of futile care …
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