Critical Care Alert , Critical Care , Cardiology , Resuscitation

Critical Care Alert: Microaxial Flow Pump or Standard Care in Infarct-Related Cardiogenic Shock

5/6/2024 Josh Wild, DO , Alex Lucas, MD , Dominique Gelmann, MD

After more than 10 years in the making, the DanGer Shock investigation sheds light on the efficacy of the microaxial flow pump in the treatment of patients with STEMI and cardiogenic shock and planned

Critical Care Alert , Critical Care , Airway , Toxicology

Critical Care Alert: Effect of Noninvasive Airway Management of Comatose Patients with Acute Poisoning: A Randomized Clinical Trial

2/22/2024 Alex Lucas, MD , Christian Kasianko, MD , Dustin Slagle, MD

How reliable is the old adage, "GCS less than 8, intubate"? A randomized trial examines the effect of intubation vs. noninvasive airway management for poisoned patients with GCS less than 8.

Critical Care , Resuscitation

Critical Care ECMO Series: Introduction to ECMO

11/6/2023 Alex Lucas, MD , Christian Kasianko, MD , Alexandra Hallagan, MD , Brendan Innes, MD , Nicholas Johnson, MD

Extracorporeal membrane oxygenation (ECMO) allows for temporary life support in cardiopulmonary failure refractory to conventional medical treatment. Given its capabilities and increasing presence in

Critical Care Alert , Critical Care , Cardiology , EMS

Critical Care Alert: Survival by Time-to-administration of Amiodarone, Lidocaine, or Placebo in Shock-Refractory Out-of-hospital Cardiac Arrest

11/1/2023 Christian Roa, MD , Alex Lucas, MD , Evan McMurray, MD

What role does amiodarone or lidocaine play in achieving a good outcome for shockable refractory out-of-hospital cardiac arrest? This Critical Care Alert looks at a follow-up to the ALPS study.

Critical Care Alert , Critical Care , Airway

CCA: Effect of NIV after Extubation in Critically Ill Patients with Obesity

7/24/2023 Alex Lucas, MD , Evan McMurray, MD

The EXTUB-OBESE study showed a decrease in extubation failure rates when extubating to non-invasive ventilation for obese patients vs. standard oxygen therapy.

Critical Care , Airway , Pain Management

Post-Intubation Sedation in the ED: The Basics

7/5/2023 Christine Yang, MD , Christian Kasianko, MD , Alex Lucas, MD , Allison Donahue, MD , Erin Bell, MD , Samantha Strickler, DO, FACEP

Emergent intubation requires critical thinking and precision. The same level of care should be extended to managing post-intubation sedation. This summary explores the most commonly used analgesics an

Critical Care Alert , Critical Care , Trauma

Critical Care Alert: PROCOAG Trial

4/17/2023 Christine Yang, MD , Alex Lucas, MD , Evan McMurray, MD

A new study evaluates whether administering 4-Factor Prothrombin Concentrate (4F-PCC) to patients at risk of massive transfusion due to trauma reduces the amount of blood products consumed.

Critical Care Alert , Critical Care , Cardiology

Critical Care Alert: Duration of Device-Based Fever Prevention After Cardiac Arrest

3/28/2023 Alex Lucas, MD , Christine Yang, MD , Gabriel Colon, MD , Evan McMurray, MD

A new study evaluates whether the duration of device-based targeted temperature management can affect mortality among cardiac arrest patients.

Critical Care Alert , Critical Care , Cardiology

Critical Care Alert: CLOVERS Trial

2/28/2023 Brendan Innes, MD , Alex Lucas, MD , Evan McMurray, MD

The CLOVERS trial underscores the fact that fluid resuscitation strategies remain a highly debated and complex topic. It is still possible that specific patients may benefit from a restrictive fluid

Critical Care Alert , Critical Care , Cardiology

Critical Care Alert: Defibrillation Strategies for Refractory Ventricular Fibrillation

12/12/2022 Alex Lucas, MD , Taylor Miller, MD

Alternative defibrillation techniques might be worth a second look. In this Critical Care Alert, we evaluate the largest and most rigorous study of double sequential external defibrillation (DSED) and