Browsing: Critical Care Alert

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Critical Care , Critical Care Alert

Critical Care Alert: Reviewing the Evidence for SEP-1

10/9/2019 Omid Manoochehri, MD , Sean M. Hickey, MD
The SEP-1 core measure instituted by CMS has been hotly debated. A new review of literature shows a lack of high-quality evidence to back up the specificity required in the sepsis bundle.
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Critical Care , Critical Care Alert

Critical Care Alert: The Restrictive IV Fluid Trial in Severe Sepsis and Septic Shock (RIFTS)

8/12/2019 Joshua Novy, MD, MBA, MS , Sean M. Hickey, MD
Fluid resuscitation guidelines for severe sepsis and septic shock presently address only the initial phase of resuscitation. The RIFTS trial examines the efficacy of a restrictive IV fluid resuscitati
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Critical Care , Critical Care Alert

Critical Care Alert: Re-evaluation of Systemic Early Neuromuscular Blockade: The ROSE Trial

7/16/2019 Jonathan Pickos, DO , Joshua Novy, MD, MBA, MS , Sean M. Hickey, MD
Does early neuromuscular blockade accompanied by heavy sedation in ARDS cases improve all-cause in-hospital mortality rates? The ROSE trial investigates.
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Critical Care , Critical Care Alert

Critical Care Alert: Measuring Lactate vs. Capillary Refill in Guiding Resuscitation in Shock: Is there a difference?

6/11/2019 Bryan Beattie, MD , Sean M. Hickey, MD
When trying to resuscitate patients with septic shock, which offers better guidance for intervention: measuring capillary refill or trending lactate levels? The Andromeda SHOCK trial studied patients
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Critical Care , Critical Care Alert

Critical Care Alert: Closed Chest Compressions in Traumatic Cardiac Arrest

5/18/2019 Sean M. Hickey, MD , Bryan Beattie, MD
The study authors sought to examine the effect of closed chest compressions on cardiac arrest due to hemorrhagic shock versus whole blood resuscitation.
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Critical Care , Critical Care Alert

Critical Care Alert: Early Use of Norepinephrine in Septic Shock Resuscitation (CENSER): A Randomized Trial

5/17/2019 Jonathan Pickos, DO , Sean M. Hickey, MD
The study authors sought to examine if early norepinephrine administration in patients diagnosed with septic shock improved shock control by 6 hours compared with standard care.
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Critical Care , Critical Care Alert

Critical Care Alert: Crystalloids vs Colloids for Fluid Resuscitation in the Intensive Care Unit: A Systematic Review and Meta-analysis

5/17/2019 Omid Manoochehri, MD , Sean M. Hickey, MD
Surviving Sepsis Guidelines recommend crystalloids for initial fluid resuscitation then switching to albumin when crystalloids are insufficient. There is debate regarding using colloid as an initial r
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Critical Care , Critical Care Alert

Critical Care Alert: Bag-Mask Ventilation During Tracheal Intubation of Critically Ill Adults

5/17/2019 Sean M. Hickey, MD , Yanika Wolfe, MD , Meghan Gorski, DO
Does the application of positive pressure ventilation by bag valve mask during tracheal intubation improve outcomes in critically ill patients?
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Critical Care , Critical Care Alert

Critical Care Alert: Coronary Angiography after Cardiac Arrest without ST-Segment Elevation

5/17/2019 Joshua Novy, MD, MBA, MS , Sean M. Hickey, MD
This study examines whether immediate coronary angiography in the setting of ROSC without STEMI changes on ECG following out of hospital cardiac arrest confers superiority in 90 day mortality compared
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Critical Care , Critical Care Alert

Critical Care Alert: A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest (PARAMEDIC2 Trial)

1/21/2019 Sean M. Hickey, MD , Yanika Wolfe, MD , Meghan Gorski, DO
Is epinephrine a safe and effective treatment for out-of-hospital cardiac arrest? The PARAMEDIC2 trial offers evidence.