A 44-year-old man was admitted for the management of carcinoid syndrome, which had been diagnosed 4 years earlier. On examination, mottled, violaceous, blanchable flushing was seen across the face and torso. Read the full case details: https://nej.md/4s587Nh

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ah a fellow Cutco 1721 fan

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CMS's primary role in US society is proving Goodhart's law www.reddit.com/r/hospitalis...

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But can we agree on something? We admit patients to the ICU based on their physiology, not a lab value in isolation. In fact, when I'm told that a patient w a very low Hb is hemodynamically stable, my first thought is that the anemia probably developed gradually, even if blood loss is the cause.

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Of course, a normal BP doesn't exclude ongoing bleeding or compensated shock. Context matters. But often, this is a gradual Hb drop that the body has had time to adapt to. The Hb tells us how severe the anemia is. The patient tells us whether they need the ICU. #FOAMcc #FOAMed #emimcc

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