Corticosteroid Therapy in Septic Shock

I was reviewing my ICU notes and was wondering the roles of corticosteroid therapy for sepsis/septic shock.  Here are the current summary for corticosteroid therapy for sepsis/septic shock according to uptodate.com: SUMMARY AND RECOMMENDATIONS Summary Laboratory assays of plasma cortisol concentration and response to adrenocorticotropic hormone (ACTH) stimulation are likely unreliable in critically ill patients.…

Why Brain Death Is Death

Why Brain Death Is Death Fran Lowry September 19, 2014 In the final weeks of December 2013, Jahi McMath, a 13-year-old girl from Oakland, California, went into Children’s Hospital & Research Center Oakland for a tonsillectomy, adenoidectomy, and removal of redundant sinus tissue. Tragically, complications ensued. Jahi was declared legally dead on December 12, 2013, following 2…

So, where did all the patients go?

J Am Acad Psychiatry Law  Virginia Tech Mass Murder: A Forensic Psychiatrist’s PerspectiveEmanuel Tanay, MD Dr. Tanay is Clinical Professor of Psychiatry, Wayne State University Medical School, Detroit, MIAddress correspondence to: Emanuel Tanay, MD, 2980 Provincial Drive, Ann Arbor, MI 48104. E-mail: drtanay{at}umich.edu The April 2007 tragedy of 32 individuals’ falling victim to a mass…

The Science Behind the Sneeze

The Science Behind the Sneeze Although we all know that sneezes and coughs transmit infections, little research had been done to model how they work. To address this knowledge gap, Lydia Bourouiba and John Bush of MIT’s Applied Mathematics Lab used high speed cameras and fluid mechanics to reveal why we’ve grossly underestimated the role…

Troponin elevation in conditions other than acute coronary syndromes

By Asli Tanindi and Mustafa Cemri Hello All, My preceptor recently asked me a questions that I believe all my followers should quickly review – what are the causes of troponin elevation in conditions other than acute coronary syndromes? Quick List: -Chronic renal failure -Advanced heart failure -Subarachnoid hemorrhage (SAH) -Ischemic cerebrovascular accident -Acute pulmonary…