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Finger on the Pulse: Personalizing Sepsis Resuscitation in 2026

Finger on the Pulse: Personalizing Sepsis Resuscitation in 2026

by Naman Arora | Oct 1, 2026 | Critical Care, Featured, Grand Round Summaries, Infectious Disease, Resuscitation

Sepsis resuscitation has evolved considerably over the past two decades, moving away from rigid protocols toward more individualized care. Yet many familiar targets remain: 30 mL/kg of fluid, a MAP of 65, and lactate clearance. But not every patient benefits from more...
Deferring Arterial Catheterization in Critically Ill Patients with Shock

Deferring Arterial Catheterization in Critically Ill Patients with Shock

by Madison Van Dusen, Christian Vaillancourt | May 7, 2026 | Critical Care, Journal Club, Resuscitation

Deferring Arterial Catheterization in Critically Ill Patients with Shock Muller G, et al. Deferring Arterial Catheterization in Critically Ill Patients with Shock. N Engl J Med. 2025 Nov 13;393(19):1875-1888 Editorial: A Less Invasive Approach to Intensive Care....
Journal Club: A Crossover Trial of Hospital-Wide Lactated Ringer’s Solution vs Normal Saline

Journal Club: A Crossover Trial of Hospital-Wide Lactated Ringer’s Solution vs Normal Saline

by Lucy Karp, Christian Vaillancourt | Apr 27, 2026 | Critical Care, Featured, Journal Club

A Crossover Trial of Hospital-Wide Lactated Ringer’s Solution versus Normal Saline McIntyre L, et al. Canadian Critical Care Trials Group. A Crossover Trial of Hospital-Wide Lactated Ringer’s Solution versus Normal Saline. N Engl J Med. 2025 Aug...
Are We Triage Monkeys or Gods? Big and Small Decisions in the ED

Are We Triage Monkeys or Gods? Big and Small Decisions in the ED

by Lucy Karp | Aug 7, 2025 | Commentary, Critical Care, Grand Round Summaries, Resuscitation

While the term ‘God Squad’ reflects a real committee from the 1960s, we use it here critically to examine the risks of unchecked decision-making power in emergency care.   Watch the entire Grand Rounds here This is a photo of the Admissions and Policy Committee...
Is there a Precedence for Precedex in the ED?

Is there a Precedence for Precedex in the ED?

by Shahbaz Syed | Oct 24, 2024 | Airway, Anesthesiology, Commentary, Critical Care, Featured, Resuscitation

Precedex (dexmedetomidine) is an alpha-2 adrenergic agonist increasingly used in critical care environments for sedation and anxiolysis. It offers a unique profile of sedation without respiratory depression, making it an attractive option in various clinical...
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