Imaging is one of the most important diagnostic modalities that physicians utilize. In 2013 alone, over 70 million CT scans were performed. Contrast-enhanced imaging can aid in diagnosing certain pathology and improve image quality. There has historically been a concern for post-contrast acute kidney injury (AKI), which is generally considered an increase in creatinine or a decrease in glomerular filtration rate hours to days after contrast administration.
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Journal Review
Acute Kidney Injury After Computed Tomography: A Meta-analysis
Journal Review
Accuracy of the Age-Adjusted Quick SOFA Score in Children
The sepsis 3 guidelines recommended the use of the Sepsis Related Organ Failure Assessment (SOFA) score for early identification of sepsis in adults (Singer 2016, PMID: 26903338). An abbreviated version of SOFA (Quick SOFA or qSOFA) includes variables available at the bedside in the ED (systolic BP, respiratory rate and mental status). The 2017 pediatric surviving sepsis guidelines acknowledge that there is insufficient evidence to endorse a specific sepsis trigger tool and recommend that each institution develop their own recognition bundle (Amer College Critical Care 2017,
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Hypothermia
An article on the many nuances to care of the critically ill hypothermic patient.
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Journal Review
Predicting Escalated Care in Infants With Bronchiolitis
Bronchiolitis is the most common lower respiratory tract infection and the most common cause of admission in infants. Approximately 10% will require some airway support. The ability to identify those at risk for escalation of care would allow for appropriate disposition decisions.
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