PulmCCM | Substack

Guidelines

New Guideline: Pulmonary Embolism Evaluation and Management

Have you got a PERT? Better get a PERT

9 hrs ago • PulmCCM

2026 Guideline Update: Early Management of Ischemic Stroke

New guidance on timing of thrombolytics and thrombectomy

Feb 9 • PulmCCM

Guideline Update on Difficult Airways

Extra prep for "physiologically difficult" airways is the new standard

Jan 21 • PulmCCM

New Guideline for End-of-Life Care in the ICU

Time for hospitals to do more. Will they?

Jan 12 • PulmCCM

Guideline Updates in 2025: The Year in Critical Care

Part 7 of the wrap

Jan 7 • PulmCCM

Post-Cardiac Arrest: 2025 Guideline Update

The American Heart Association and the European Society for Intensive Care Medicine each updated their post-cardiac arrest guidelines in 2025.

Dec 10, 2025 • PulmCCM

New Guideline: Get full-body CT scans for post-cardiac arrest patients

Fishing often catches fish, major societies conclude

Dec 8, 2025 • PulmCCM

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

Post-ICU Syndrome: What intensivists should know

Recognizing the damage done in the business of saving lives

Feb 23 • PulmCCM

The Real-World Boards: Question #29

When did this stroke start, and what to do now?

Feb 20 • PulmCCM

Anastomotic leaks after colon surgery: subtle signs, serious risks

Later recognition might portend worse outcomes

Feb 18 • PulmCCM

Tracheoinnominate artery fistula (Review)

A dreaded but rare complication, tracheoarterial fistulas elude systematic study

Feb 16 • PulmCCM

The Real-World Boards: Question #28

After this much CPR ... now what?

Feb 13 • PulmCCM

2026 Guideline Update: Early Management of Ischemic Stroke

New guidance on timing of thrombolytics and thrombectomy

Feb 9 • PulmCCM

What's the ideal blood pressure target after ischemic stroke?

Updated February 6 2026:

Feb 6 • PulmCCM

The Real-World Boards: Question #27

Is this intra-abdominal infection cured?

Feb 6 • PulmCCM

Bedside brain probes to detect consciousness, coming soon?

In "covert consciousness," life imitates art (or vice versa?)

Feb 4 • Matt Hoffman

Nebulized tranexamic acid for hemoptysis (Research Review)

How good is the evidence, and how much should we care?

Feb 2 • PulmCCM

The Real-World Boards: Question #26

Wow, that's a big effusion

Jan 30 • PulmCCM

Crowdsourcing Critical Care: When Do You Stop Antibiotics?

Tapping the wisdom of the crowd (yours) to tackle a thorny clinical problem

Jan 26 • PulmCCM

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