منابع مشابه
Totem and Taboo: Fluids in sepsis
The need for early, rapid, and substantial fluid resuscitation in septic patients has long been an article of faith in the intensive care community, a tribal totem that is taboo to question. The results of a recent multicenter trial in septic children in Africa, published in The New England Journal of Medicine, powerfully challenge the fluid paradigm. The salient aspects of the trial need to be...
متن کاملMultidrug-Resistant TB in the Philippines: Totem and Taboo
Bill Anderson Escobar et al.’s discussion of medically unexplained physical symptoms is useful, and could trigger a renewal of how the medical profession works [1]. We are in transition at the present, and what we have been trained for is less and less relevant. This disjunction between our training and practise has given rise to a generation of unhappy doctors. The traditional “doctor” dealt w...
متن کاملThe Use of Fluids in Sepsis
Sepsis is a systemic inflammatory response to severe infection causing significant morbidity and mortality that costs the health care system $20.3 billion annually within the United States. It is well established that fluid resuscitation is a central component of sepsis management; however, to date there is no consensus as to the ideal composition of fluid used for resuscitation. In this review...
متن کاملExploding Totem in Art and Biology
hat could be better than dying in the place you spent your life work-ing…? " Jack Shadbolt's wife Doris mused, as she and friends moved his bed into the studio during the final days of his life. " When I can't paint, I don't want to live, " he had said (1). Around the bed was Blue Breaking, a triptych he had painted, filled with shadowy forms, " like butterflies' footprints. " A few days later,...
متن کاملThe Totem System
The Totem system supports fault-tolerant applications in which distributed processes cooperate to perform a commontask and in which replicated data must be updated consistently in the presence of asynchrony and faults. Reliable totally ordered delivery of messages to processes within process groups is provided on a single local-area network or over multiple local-area networks interconnected by...
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ژورنال
عنوان ژورنال: Critical Care
سال: 2011
ISSN: 1364-8535
DOI: 10.1186/cc10247