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Early enteral nutrition in septic shock is theoretically beneficial, but trials have yielded conflicting results. Defining the optimal timing and patient selection for enteral nutrition remains a critical challenge.
Guideline adherence in head trauma is crucial, but this case highlights the dangers of reflexively applying rules. A patient with a contrecoup injury slipped through the cracks of standard protocols, underscoring the need for clinical judgment.
Septic shock management may be entering a new era of personalized care, moving beyond rigid feeding protocols. New evidence suggests that delaying enteral nutrition in some septic shock patients may improve outcomes.
The Canadian CT Head Rule (CCHR) aims to reduce unnecessary imaging, but a concerning number of traumatic subarachnoid hemorrhages (tSAH) are missed by its strict criteria. This case highlights a contrecoup injury evading detection, raising questions about ...
Initiating enteral nutrition in septic shock patients is a tightrope walk; too early, and you risk gut ischemia, too late, and you starve the patient. The key is vigilant bedside assessment of gut perfusion to guide individualized feeding strategies.