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
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
Arterial lines are helpful tools for monitoring hemodynamics and maintaining easy access for frequent lab draws in the critically ill patient. Interpreting the waveform of the arterial line is necessa
Temporary transvenous pacing (TTVP) utilizes central venous access to pass an electrode into the right ventricle. TTVPs are one of the most infrequently performed procedures by emergency physicians;
Heated high-flow nasal cannula (HFNC) is capable of delivering 100% humidified and heated oxygen at higher flow rates, providing important support for patients with respiratory distress. Learn more ab
Given the prevalence of cardiac implantable electronic devices in the United States, it is important for emergency physicians to understand the basic operation and be able to recognize and address com
Initially meant to improve survival and bridge patients in the outpatient setting from their diagnosis of heart failure to donor transplantation, mechanical assistance of the left ventricle has evolve
Noninvasive positive pressure ventilation (NPPV) is the delivery of ventilatory support and positive pressure into the lungs without the need for an invasive endotracheal or tracheostomy tube. This su
The bag-valve-mask (BVM) is ubiquitous and highly utilized in all fields of emergency care. Yet despite its seemingly intuitive operation and perceived simplicity, the BVM is an overlooked and misunde
Tracheostomies are a common surgical procedure for long-term airway management that involves creating a permanent connection between the anterior neck and trachea. Complications occur in up to 50% of