Browsing: Critical Care Alert

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Critical Care Alert , Critical Care , Cardiology , EMS , Prehospital Care

Critical Care Alert: INCEPTION Trial

3/7/2023 Gabriel Colon, MD , Brian Sumner, MD , Evan McMurray, MD
The use of extracorporeal membrane oxygenation - ECMO - as an adjunct to CPR following out-of-hospital cardiac arrest has gained a lot of attention. The INCEPTION Trial takes a closer look at the evid
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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
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Critical Care Alert , Sepsis , Urology

Pelvic Sepsis: A Fatal Complication of Routine Hemorrhoidectomy

1/30/2023 Carly Rosen, MD , William Bonadio, MD , Jessica Fleischer-Black, MD
Pelvic sepsis is a well-known and feared complication of colorectal and urologic surgery; however, it is not common and may not be recognized by emergency physicians. Patients may present with only mi
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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
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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
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Critical Care Alert , Critical Care , Airway

Critical Care Alert: Recall During Paralysis Among ED Patients Being Intubated

11/2/2022 Alex Lucas, MD , Taylor Miller, MD
How many of your patients can recall events during what you believed was a sedated endotracheal intubation? This study finds an appreciable number of patients who are paralyzed for intubation in the e
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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.
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Critical Care , Critical Care Alert , Trauma , Shock

Critical Care Alert: ETCO2 as a Predictor of Patient Outcomes

8/15/2022 Brittney I. Gordon, MD , Mustafa Rasheed, MD , Taylor Miller, MD
Critical Care Alert: The triage of patients in the trauma bay is difficult, and no single measurement or vital sign will provide sufficient information for mortality. This study indicates ETCO2 - a co
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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
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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