PulmCCM | Substack

Guidelines

Platelet Transfusion 2025 Guideline Update (Critical care, AABB, ITCMG)

Fewer platelet transfusions, please, say societies. Show us the RCTs

Jul 21 •

Guideline review: Transfusing fresh frozen plasma and platelets in critical illness

Unknown risks and benefits lead to wide variation in practice

May 5 •

2025 Guideline on Acute Coronary Syndromes and Myocardial Infarctions

Formal guidance provided on transfusion targets, revascularization, meds and more

Apr 17 •

"Sepsis bundles": No good evidence of benefit

A randomized trial testing SEP-1 against usual care is long overdue

Apr 14 •

Are you treating the patient, or their family?

Both, according to the newest society guideline update

Apr 7 •

Guideline Update: Early mobilization advised for all ICU patients

But how realistic is its implementation?

Apr 3 •

NEW GUIDELINE: Ultrasound should be used to manage almost all critically ill patients

If you're not using ultrasound, are you meeting the standard of care?

Mar 31 •

PulmCCM

PulmCCM

Life, death and the ICU

Topics

Airways & Intubation

Cardiology, PE, DVT

Cardiac Arrest, ECMO, Resuscitation

Chronic Critical Illness

Hemorrhage & Hematology

Mechanical Ventilation & O2

Neurology, Stroke

Palliative Care, End of Life

Policy, Education, Politics, Epidemiology

Sepsis, ID, Covid

Recent posts

The Real-World Boards: Question #4

A thrombocytopenic patient needs a central line. To transfuse or not, and when

Jul 25 •

"Advanced Practice Respiratory Therapists": coming to your ICU soon?

Probably not for a while, actually

Jul 23 •

Platelet Transfusion 2025 Guideline Update (Critical care, AABB, ITCMG)

Fewer platelet transfusions, please, say societies. Show us the RCTs

Jul 21 •

Atrium Health and UPenn test pressuring doctors to offer more comfort care

Nudge. Nudge. Nudge. Nudge. Nudge. Nudge. [BRICK THROUGH SCREEN]

Jul 18 •

Enteral high protein misses the TARGET

Jul 14 •

The Real-World Boards: Question #3

A 58-year-old man presents with weakness and dyspnea.

Jul 11 •

The Latest In Critical Care: July 9, 2025

DNR training, early warning systems, NIV after cardiac surgery, ischemic preconditioning, O2 in trauma

Jul 9 •

UK-ROX Proves the U.K. Rocks, But

Let's see what it proved about oxygen in the ICU

Jul 7 •

Balanced solutions vs saline (FLUID trial)

Does lactated Ringer's save lives in the ICU, or not?

Jul 3 •

Brain death imaging tests are unreliable (INDex study)

In making the high-stakes decision, exam and perfusion tests often don't align

Jun 30 •

The Latest In Critical Care: June 26, 2025

PROACTIVE trial, 90-year-olds in the ICU, chest tubes for hemothorax, and news

Jun 26 •

THE REAL-WORLD BOARDS: Question #2

There's only one right I.J.

Jun 23 •

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