Evidence-based critical care for ICU clinicians — daily insights on mechanical ventilation, sepsis, hemodynamics, and the research that changes practice at the bedside.
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One sorting rule separates the tests that survive atrial fibrillation from the ones that quietly become decoration. It takes a sentence to learn and it changes what you do tonight.
We have argued about tracheostomy timing for twenty years. A 738-patient German cohort published in March suggests we have been arguing about the wrong thing entirely
The April 2026 JAMA Network Open study from Massachusetts General Brigham, senior-authored by Chanu Rhee, evaluated the widely deployed Epic Sepsis Model version 2 across three standard sepsis definitions (Sepsis-3, SEP-1, and CDC Adult Sepsis Event).
Michael Watkins' First 90 Days framework has been the leadership transition standard for two decades.
Predicted body weight is a formula built from height and sex.
A 2026 head-to-head comparison of 34 pulse oximeters found that device performance across skin pigmentation varies by manufacturer, and that 18 of them could pass or fail depending on which participants you tested.
A JAMA trial reported that a new catheter lock solution reduced central line complications by 32 percent.
One sorting rule separates the tests that survive atrial fibrillation from the ones that quietly become decoration. It takes a sentence to learn and it changes what you do tonight.
Two 2026 meta-analyses found high-flow and noninvasive ventilation indistinguishable after extubation. The harder finding is that no two trials agreed on which patients they were studying
The June 2026 JAMA Network Open cohort study from the Michigan Hospital Medicine Safety Consortium, senior-authored by Hallie Prescott, analyzed weight-based fluid resuscitation across 67 hospitals and four clinical subgroups defined by hypoperfusion severity and comorbidity burden.
