Ketamine vs Etomidate RCT Results, Pleural Exudate Pitfalls, and New Shock Guidelines (2025) TWPCCM

In this week’s pulmonary and critical care update, we break down three high-impact studies every clinician should know: • NEJM 2025: Ketamine vs Etomidate for rapid sequence intubation — what the new randomized trial reveals about mortality and hemodynamic collapse. https://www.nejm.org/doi/abs/10.1056/... • CHEST 2025: Discordant pleural exudates — why protein/LDH mismatch matters and how it reshapes diagnostic reasoning. https://pubmed.ncbi.nlm.nih.gov/40588... • ESICM 2025: New shock and hemodynamic monitoring guidelines — dynamic assessment, perfusion targets, and when to escalate monitoring. https://www.esicm.org/esicm-guideline... Clear explanations. Real numbers. Clinically relevant takeaways. Subscribe for weekly evidence updates in pulmonary and critical care medicine.