Browsing: Critical Care

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Neurology , Critical Care

NICE to Know Series: Aneurysmal SAH Care in the ED and Beyond

3/19/2025 Carlton Watson, MD, MS , Cappi Lay, MD
Aneurysmal subarachnoid hemorrhage (aSAH) is a must-not-miss diagnosis in the emergency department (ED). The rupture of an intracranial aneurysm leads to bleeding within the subarachnoid space, where
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Critical Care , Critical Care Roadblock , Cardiology

Roadblock: Electrical Storm

3/7/2025 Szymon Kutyla, MD , Josh Wild, DO , Evan Leibner, MD, PhD , Rosy Thachil, MD, FACC
The EMRA Critical Care Committee's Roadblock series is the resuscitationist's guide to overcoming the obstacles in the normal algorithm of critically ill patients. Through this series, we will ask the
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Critical Care Alert , Critical Care , Resuscitation

Critical Care Alert: Vasopressor Utilization in Septic Shock Patients Receiving Propofol Versus Midazolam

2/27/2025 Nikkole Turgeon, MD , Jacqueline Zhu, MD , Alex Lucas, MD
Emergency physicians often are the first to diagnose and manage septic shock, making critical decisions that impact a patient's hospital course and outcomes. A recent study supports the use of propofo
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Vascular , Critical Care

Bad Arterial Material: A Case of Leriche Syndrome

12/10/2024 Aditi Ranade, MD , Connor Welsh, MD , Patrick Eiben, MD
Aortoiliac occlusive disease, otherwise known as Leriche syndrome, mostly affects older individuals with classic risk factors for peripheral artery disease (PAD). Although typically a progressive dise
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Critical Care , Critical Care Roadblock , Airway

Roadblock: Refractory Hypoxia on the Ventilator

11/5/2024 Dominique Gelmann, MD
The EMRA Critical Care Committee's Roadblock series is the resuscitationist's guide to overcoming the obstacles in the normal algorithm of critically ill patients. Through this series, we will ask the
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Airway , Ventilator Management , Medical Education

The Vent Experience: Becoming the Ventilated Patient

10/22/2024 Brent Veerman, MD , Adam Anderson, MD , Alex Piszker, DO
A solid background in ventilator management is a necessary skill for the emergency physician. Understanding mechanical ventilation, its different modes and settings, is paramount to providing intubate
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Critical Care Devices , Critical Care , Cardiology

Critical Care Device Series: Impella®

8/28/2024 Josh Wild, DO , Brian Sumner, MD
Mechanical circulatory devices continue to evolve, allowing greater support of the sickest patients. This article discusses the Impella heart pumps, developed to address high-risk percutaneous coronar
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Critical Care Alert , Critical Care , Cardiology , Resuscitation

Critical Care Alert: Noninvasive Ventilation for Preoxygenation During Emergency Intubation

7/29/2024 Alex Lucas, MD , Josh Wild, DO , Gabriel Colon, MD , Luxi Qiao, MD, MPhil , Dustin Slagle, MD
Tracheal intubation is a critical procedure on patients who are already in crisis. Is it better to choose a mask or non-invasive ventilation for preoxygenation?
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Critical Care Alert , Critical Care , Cardiology , Resuscitation

Critical Care Alert: HFNC Oxygen v. Noninvasive Ventilation for Management of Acute Cardiogenic Pulmonary Edema

7/11/2024 Dominique Gelmann, MD , Josh Wild, DO , Luxi Qiao, MD, MPhil
When managing acute cardiogenic pulmonary edema, how do the outcomes differ between high-flow nasal cannula and noninvasive ventilation?
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Critical Care Alert , Critical Care , Cardiology , Resuscitation

Critical Care Alert: Treatment of Refractory Cardiac Arrest by Controlled Reperfusion of the Whole Body

7/1/2024 Alex Lucas, MD , Josh Wild, DO , Gabriel Colon, MD , Dustin Slagle, MD
ECPR continues to show promising results for patients undergoing cardiac arrest. CARL technology implements a new design that provides comprehensive monitoring and multimodal therapy to address the un