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increased use of lung protection, recognizing low quality of evidence in this domain. Interventions aimed at implementing and sustaining LTVV in the ED should be explored. Whether metformin exposure is associated with improved outcomes in patients with type 2 diabetes mellitus and sepsis. Retrospective cohort study. Patients admitted to ICUs in 16 hospitals in Pennsylvania from October 2008 to December 2014. Adult critical ill patients with type 2 diabetes mellitus and sepsis. None. We conducted a retrospective cohort study to compare 90-day mortality in di