Critical Care Alert , Critical Care , Cardiology

Critical Care Alert: PEACH Trial

12/22/2022 Emily D. Geyer, MD , Brittney I. Gordon, MD , Mustafa Rasheed, MD , Taylor Miller, MD

Spontaneous (non-traumatic) intracerebral hemorrhage (ICH) is associated with high patient morbidity and mortality. In this Critical Care Alert, we review a study designed to assess whether prophylact

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

Critical Care Ultrasound , Ultrasound , Critical Care , Cardiology

Advanced Critical Care Ultrasound: The 60/60 Sign, Let's Be Specific

10/24/2022 Dustin Slagle, MD , Parth S. Gandhi, DO , Ashley Panicker, MD, FACEP

The 60/60 sign is an ultrasound finding that can help increase specificity in diagnosing right ventricular dysfunction in the setting of an acute pulmonary embolism.

Cardiology

Overlooked Sources of Bias in Adult Out-of-Hospital Cardiac Arrest Research

10/10/2022 Dhimitri Nikolla, DO

Although bias is pervasive in medical research, OHCA studies have unique sources of bias that are infrequently addressed in study methods. Recognizing these biases is vital to the critical appraisal a

ECG Challenge , Cardiology

ECG Challenge: October-November 2022

10/10/2022 Mary Voelker, DO , Jeremy Berberian, MD

A 68-year-old female with a past medical history of hypertension presents to the emergency department via private vehicle for recurrent intermittent episodes of unresponsiveness that started just prio

Cardiology

ST Elevation Myocardial Infarction in a Biventricular Paced Rhythm

10/10/2022 Priyanka Ravindran, MD , Rabia Iqbal, DO , Jason Kolb, MD

More studies are needed to create sensitive and specific criteria for coronary-related ischemia in patients with biventricular pacemakers, but high clinical suspicion, changes in EKG, and early recogn

Critical Care , Critical Care Alert , Cardiology , Airway

Critical Care Alert: PREPARE II - A Randomized Clinical Trial

8/22/2022 Taylor Miller, MD , Evan McMurray, MD

Critical Care Alert: The PREPARE II trial investigated whether a fluid bolus would impact cardiovascular collapse in critically ill patients undergoing intubation.

ECG Challenge , Cardiology

ECG Challenge: August-September 2022

8/10/2022 Masood R. Mohammed, DO, MS , Jeremy Berberian, MD

A 27-year-old male with a PMH of seizure disorder and developmental delay presents via EMS after a witnessed seizure. The patient was able to intermittently go into sinus rhythm with vagal maneuvers.

Critical Care , Critical Care Alert , Cardiology

Critical Care Alert: Femoral artery Doppler ultrasound is more accurate than manual palpation for pulse detection in cardiac arrest

8/1/2022 Erin Bell, MD , Taylor Miller, MD

Critical Care Alert: Femoral artery Doppler ultrasound is more accurate than manual palpation for pulse detection in cardiac arrest. Although it was a small study, it sheds light on resuscitation mana

Critical Care , Critical Care Alert , Cardiology

Critical Care Alert: Association of Advanced Airway Insertion Timing and Outcomes in Out-of Hospital Cardiac Arrest

6/28/2022 Aaron Lim, MD , Roshan Givergis, DO , Neil Dasgupta, MD , Lyncean Ung, DO , Jijoe Joseph, DO, MBA

Our retrospective secondary analysis of data from the Pragmatic Airway Resuscitation Trial (PART), examining the timing of airway management in out-of-hospital cardiac arrest, found that: (1) there wa

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