Browsing: Critical Care

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Critical Care , Critical Care Alert , COVID-19

Critical Care Alert: Convalescent Plasma in Patients Admitted with COVID-19 (RECOVERY)

8/2/2021 Nicholas Huth , Brian Sumner, MD
As the coronavirus continues to mutate, researchers are examining every treatment option. This study looks at the efficacy of convalescent plasma for patients admitted to the hospital with COVID-19.
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Critical Care , Critical Care Alert , Sepsis , COVID-19 , Airway

Critical Care Alert: Ketamine-Only Intubation Method in the ED

7/20/2021 Erik Sherman, MD , Brian Sumner, MD
ED intubations are typically carried out using rapid sequence intubation (RSI), utilizing both a sedative agent and neuromuscular blocking agent. What are the indications and complications of opting f
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Critical Care , Critical Care Alert , Sepsis , COVID-19 , Airway

Critical Care Alert: Dexmedetomidine or Propofol for Sedation in Mechanically Ventilated Adults with Sepsis

7/9/2021 Brandon Chaffay, MD , Brian Sumner, MD
When patients with sepsis are mechanically ventilated, which sedation leads to better outcomes: dexmedetomidine or propofol?
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Infectious Disease , Sepsis

Sick as a Dog: A Case of Overwhelming Post-splenectomy Infection

6/11/2021 Ashley Rider, MD , Tsuyoshi Mitarai, MD , Jennifer Wilson, MD, MS
Although it is rare, it is important to recognize C. canimorsus sepsis, as it is associated with high mortality rate and the patient can deteriorate rapidly.
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Critical Care , Ultrasound , Critical Care Ultrasound

Advanced Critical Care Ultrasound: Velocity Time Integral Before and After Passive Leg Raise--In Sepsis, When Is Enough (Fluids) Enough?

5/27/2021 Dustin Slagle, MD , Ashley Panicker, MD, FACEP
Velocity time integral (VTI), also called stroke distance, is an ultrasound measurement that can help the emergency medicine provider guide both differentials and treatment. Here we will focus on its
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Critical Care , Ultrasound , Cardiology , Critical Care Ultrasound

Advanced Critical Care Ultrasound: E-Point Septal Separation to Estimate Left Ventricular Ejection Fraction

5/26/2021 Taylor Miller, MD , Alexis Salerno, MD, FACEP , Dustin Slagle, MD
Emergency physicians have been shown to be accurate at visual estimation of the left ventricular ejection fraction without quantitative measurements. However, there is still value in a quick and easy
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Critical Care , Critical Care Alert

Critical Care Alert: The SALSA Randomized Clinical Trial

5/2/2021 John Conway, MD , Brian Sumner, MD
Symptomatic hyponatremia is a commonly encountered electrolyte abnormality in the emergency department. Treatment generally consists of 3% hypertonic saline therapy. But is a rapid intermittent bolus
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Critical Care , Critical Care Alert

Critical Care Alert: A Systematic Review of VA-ECMO in Massive Pulmonary Embolism-Related Cardiac Arrest

5/2/2021 Mustafa Rasheed, MD , Heather Farthing, MD, MPH , Brian Sumner, MD
The data and support for veno-arterial ECMO for cardiac arrest after massive pulmonary embolism is still lacking, but if your institution has the resource, this systematic review shows it may be worth
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Critical Care , Critical Care Alert

Critical Care Alert: The Benefit of Adding Lidocaine to Ketamine During Rapid Sequence Endotracheal Intubation in Patients with Septic Shock

5/2/2021 Heather Farthing, MD, MPH , Mustafa Rasheed, MD , Sean M. Hickey, MD , Mina Ghobrial, MD , Brian Sumner, MD
Can a lidocaine-ketamine combination for RSI maintain hemodynamics better than full-dose ketamine in patients with septic shock?
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Critical Care , Critical Care Alert

Critical Care Alert: Outcome Related to Level of TTM in Postcardiac Arrest Syndrome of Low, Moderate, and High Severities: A Nationwide Multicenter Prospective Registry

5/2/2021 Nicholas Huth , Brian Sumner, MD , Jonathan Pickos, DO
A nationwide registry has shown targeted temperature management at a lower core temperature led to significantly better neurologic outcomes and survival at 30 days in patients with moderately severe p