#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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Avsnitt(212)

#36 Pain Management: 5 Pearls Segment

#36 Pain Management: 5 Pearls Segment

Solidify your knowledge on inpatient pain management! Quiz yourself on the 5 pearls we will be covering: * How effective are non-opioids? ( 3:17) * Are NSAIDs contraindicated in patients with kidney,...

13 Mars 201931min

#35 Acute Coronary Syndrome and TIMI Risk Score: Mind the Gap Segment

#35 Acute Coronary Syndrome and TIMI Risk Score: Mind the Gap Segment

Let's go deeper into the world of ACS and the origin of the TIMI score and major adverse cardiac events "MACE" outcomes! * The basics – what is acute coronary syndrome? (4:08) * Clinical context matt...

27 Feb 201920min

#34 47M with chest pain : Hoofbeats segment

#34 47M with chest pain : Hoofbeats segment

Dissect an interesting case and improve your clinical reasoning skills! Time Stamps: * New features in this episode [00:25] * Data point 1: Early hypothesis generation? [03:20] * Data point 2: Pertin...

13 Feb 201937min

#33 Barrett's Esophagus: 5 Pearls

#33 Barrett's Esophagus: 5 Pearls

Solidify your knowledge on Barrett's Esophagus and more! Quiz yourself on the 5 pearls we will be covering: * What is Barrett’s esophagus and why should we care? (4:12) * Who do we screen for Barrett...

30 Jan 201926min

#32 A 34M with Fever, HA, Myalgias

#32 A 34M with Fever, HA, Myalgias

Dissect an interesting case and improve your clinical reasoning skills! Time stamps: * Player three has entered the game! [0:15] * Case presentation, part 1 [1:20] * First impressions [3:24] * Rethin...

16 Jan 201926min

#31: Troponins: 5 Pearls Segment

#31: Troponins: 5 Pearls Segment

Solidify your knowledge on troponins and more! Quiz yourself on the 5 pearls we will be covering: * What aspects of the history are concerning in a patient with a positive troponin? (4:00) * What is ...

2 Jan 201931min

#30 Acetaminophen/Fevers Pathophysiology and Patient Outcomes: Mind the Gap Segment

#30 Acetaminophen/Fevers Pathophysiology and Patient Outcomes: Mind the Gap Segment

Let's dive deeper into the world of acetaminophen and fever and how it may work and patient outcomes Time Stamps: What data is there to support the use of acetaminophen as a fever reducer? (2:08) ...

19 Dec 201817min

#29 A 43M with Diarrhea: Hoofbeats Segment

#29 A 43M with Diarrhea: Hoofbeats Segment

Dissect an interesting case and think about the way clinicians think! Many clinical reasoning pearls here: Time stamps: * Case [1:19] * Diagnostic weight [8:42] * Hypothesis driven reasoning [12:26] ...

5 Dec 201833min

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