Browsing: Critical Care

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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
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Critical Care Devices , Critical Care , Neurology

Critical Care Device Series: External Ventricular Drain

6/30/2024 Josh Wild, DO , Luxi Qiao, MD, MPhil , Sherard Lacaille , Daniel Zapata, MD
External ventricular drain placement is often considered a lifesaving measure to alleviate severe hydrocephalus or elevated intracranial pressure. This paper reviews current guidelines and steps for p
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Critical Care Ultrasound , Critical Care , Cardiology , Trauma

Advanced Critical Care Ultrasound: Use of Mitral Inflow Velocity Variation in Evaluation of Cardiac Tamponade

6/12/2024 Dominique Gelmann, MD , Dustin Slagle, MD , Jordan Seaback, MD , Jacob Schoeneck, MD
Pericardial tamponade is a medical emergency that requires rapid recognition and intervention. Ultrasound is therefore the ideal tool for helping make this diagnosis. In this installment of our Advanc
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Deep Dive in CritCare , Critical Care , Neurology

Deep Dive into the Evidence: Monitoring and Management of Elevated Intracranial Pressure in Severe Traumatic Brain Injury

6/11/2024 Luxi Qiao, MD, MPhil , Josh Wild, DO , Eleni McCaffery, MD , Dominique Gelmann, MD , Dustin Slagle, MD , Sung-Min Cho, DO, MHS
Elevated ICP is an emergent complication associated with injury to the brain. In this Deep Dive, we summarize the existing evidence regarding the monitoring and management of elevated intracranial pre
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Otolaryngology , ENT , Airway , Critical Care

Case Series: Successful Management of Primary Post-Tonsillectomy Hemorrhage With IV Tranexamic Acid

6/10/2024 Dillon Schneider , Francisco Javier Andrade Jr., MD , Nancy Churosh, MD , Brian Casillas, MD
We present 2 cases of severe post-tonsillectomy hemorrhage (PTH). Our cases highlight the potential role of IV-administered tranexamic acid (TXA) as an effective treatment option in acutely bleeding p