It Seems Like the Resuscitation Happened Ages Ago—Chronic Critical Illness in Children

Autopsy in critical illness: is it obsolete?

The autopsy continues to have important implications for patient management in critical illness. It is not obsolete. Autopsy data help us to track shifts in disease prevalence over time and to heighten surveillance for serious diagnoses that are commonly missed. These data help us to identify important contributors to death that may be remediated through quality assurance and control programs. ...

Critical illness-related corticosteroid insufficiency in children.

Adequate adrenocortical function is essential for survival in critical illness. Most critically ill patients display elevated plasma cortisol concentrations, which reflects activation of the hypothalamic-pituitary-adrenal axis and is considered to be a homeostatic adaptation. However, many critically ill patients have 'relative' or 'functional' adrenal insufficiency, which is characterized by a...

It shouldn't have happened, but it did.

Organizational Green IT: It seems the bottom line rules

As the perceived importance of environmental sustainability has grown, there has been increasing discussion on both reducing the environmental impact of IT and on increasing the role IS plays as a potential source of environmental solutions. An understanding of the factors that influence organizations towards green IT and IS may assist in both predicting future behavior and creating mechanisms ...

It finally happened to me.

It finally happened to me: I was sued for malpractice by the family of a patient who had died suddenly. My inner turmoil in the aftermath of this traumatic event affected me deeply. While I was an experienced family doctor dedicated to patient-centered medicine, the event challenged my customary approach to my patients. I share three vignettes from my practice that describe my inner dialogue bo...