Background: Patients admitted to the hospital without a documented code status specifying what, if any, heroic measures they would consent to in the event of an emergency are at risk for receiving medical interventions that are not goal concordant with their wishes1. This invites patient harm, patient and family dissatisfaction, and may increase hospital length [...]

Case Presentation: A 65 year old male with a history of diabetes mellitus type II complicated by neuropathy presented with profound facial and oropharyngeal edema after ingesting his usual medications. He was hemodynamically stable and without urticaria on exam. The patient could not speak and his airway was deemed compromised, so he underwent urgent nasopharyngeal [...]

Background: Increasing number of palliative care patients are cared for by hospitalists, but the value of hospitalist on end-of-life (EOL) care is scarcely reported. The study aims to evaluate the effect of hospitalist care on the intensive care utilization and medical expenditure for end-of-life hospitalizations. Methods: A three-year retrospective observational study was conducted at a [...]

Case Presentation: A 76-year-old man with mantle cell lymphoma status post chemotherapy 1 week prior presented to an outside emergency department with generalized weakness. Initial laboratory workup revealed hemoglobin of 8.8 g/dL, platelet count of 3 × 109/L, creatinine 5.55 mg/dL and bicarbonate 7 mmol/L (Table 1). Rectal exam showed brown stool, however fecal occult [...]

Background: Glycemic control is crucial in the intensive care setting to reduce morbidity and adverse outcomes.1 The debate over methods for achieving this control highlights the risks of hypoglycemia and unclear management parameters.2 Continuous glucose monitoring software, like Glucommander, helps manage blood sugar safely and prevents hypoglycemic events.3,4 Generally, maintaining euglycemia with insulin improves outcomes [...]

Background: Korean children are often treated in intensive care units (ICUs) rather than in pediatric intensive care units (PICUs). However, pediatric critical care (PCC) in ICUs other than in PICUs may have an effect on patient outcome. The objective of this study is to compare the PCC outcomes of pediatric patients in the PICU than [...]