#166 Stress Ulcer Prophylaxis in the ICU and REVISE Trial: Beyond Journal Club with NEJM Group

#166 Stress Ulcer Prophylaxis in the ICU and REVISE Trial: Beyond Journal Club with NEJM Group

What’s the evidence been for the use of PPIs in mechanically ventilated patients? What do more recent studies reveal about PPIs and possible harmful side effects of aspiration pneumonia and C. difficile colitis? To find out, tune into the second season of Beyond Journal Club, a series brought to you by Core IM in collaboration with NEJM Group.

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Timestamps:

(02:13) | Define the problem / Clinically important bleeding Outcome/Risk benefit /Risk factors]

(05:58) | Hx and H2 antagonists

(10:42) | SUP-ICU

(15:12) | PEPTIC

(19:30) | REVISE trial

(27:28) | Deprescribing

(29:06) | Outstanding questions

Transcript and Show Notes

Tags: CoreIM, InternalMedicine, CriticalCare, Proton Pump Inhibitors, GIbleeding, ICU, ICU bleeding, Clinical Trials, Evidence Based Medicine, Patient Centered Outcomes, Deprescribing



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#196 Stories of Courage and Career Development with Horn Award

#196 Stories of Courage and Career Development with Horn Award

We hope these stories resonate with anyone who has felt pulled between professional purpose and personal life, and remind you that you’re not alone in wanting both.🔹 Sponsor: Oakstone CMEUse the code...

17 Joulu 202519min

#195 Antibiotic Duration & BALANCE Trial: Beyond Journal Club with NEJM Group

#195 Antibiotic Duration & BALANCE Trial: Beyond Journal Club with NEJM Group

Antibiotic duration for bacteremia is something most of us learned by habit, not by trial data. In this episode, we walk through the BALANCE trial and use it as a lens to revisit how 1) host, 2) organ...

10 Joulu 202521min

#194: Severe Hypertriglyceridemia: 5 Pearls Segment

#194: Severe Hypertriglyceridemia: 5 Pearls Segment

How quickly can triglycerides rise? At what threshold are patients at risk of pancreatitis or cardiovascular adverse outcomes? What do you have to rule out? How do you counsel on lifestyle changes? Wh...

3 Joulu 202538min

#193 Venous Congestion & VEXUS Interview with Dr. Ross Prager

#193 Venous Congestion & VEXUS Interview with Dr. Ross Prager

Why is venous congestion not the same as volume overload? How can looking at IVC as well as doppler on the hepatic vein, portal vein, and/or intrarenal vein help? Can venous congestion explain someone...

19 Marras 202534min

#192 Debate on First-Line Medications for Diabetes

#192 Debate on First-Line Medications for Diabetes

SGLT-2i vs. GLP-1? vs Metformin? How do you balance the cost and coverage of first-line options like metformin, SGLT-2, and GLP-1s? How do you choose between SGLT-2 and GLP-1s for comorbidities like C...

5 Marras 202536min

#191 Hepatorenal Syndrome Part 2 on Management: 5 Pearls Segment

#191 Hepatorenal Syndrome Part 2 on Management: 5 Pearls Segment

What really works when treating HRS? Vasoconstrictors like terlipressin vs. norepinephrine vs. midodrine: how do we decide which to use? Do you give albumin? When do you give Lasix or another diuretic...

22 Loka 202530min

#190: Hepatorenal Syndrome Part 1: 5 Pearls Segment

#190: Hepatorenal Syndrome Part 1: 5 Pearls Segment

HRS-AKI vs. other causes of AKI in cirrhosis: What do serum or urine sodium clues, albumin challenges, and shifting diagnostic criteria actually reveal about getting the diagnosis right?🔹 Sponsor: Oa...

15 Loka 202536min

#189 Bisphosphonates and Fracture Prevention Trial: Beyond Journal Club with NEJM Group

#189 Bisphosphonates and Fracture Prevention Trial: Beyond Journal Club with NEJM Group

Who’s really at risk for fractures, and how should we be treating them? Most fragility fractures occur in patients without osteoporosis. Should we rethink who gets treated? And could just one or two I...

1 Loka 202530min

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