Browsing: Critical Care

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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
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Critical Care , Critical Care Alert

Critical Care Alert: The Relationship Between Heart Rate and Body Temperature in Critically Ill Patients

4/10/2021 John Conway, MD , Brian Sumner, MD
In critically ill adult patients, heart rate and body temperature go hand-in-hand: as fever takes hold, the heart beats faster. In febrile and tachycardic patients, the heart rate should be evaluated
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Critical Care , Critical Care Alert

Critical Care Alert: Venoarterial Extracorporeal Membrane Oxygenation in Massive Pulmonary Embolism-Related Cardiac Arrest: A Systematic Overview

4/9/2021 Nicholas Huth , Brian Sumner, MD , Jonathan Pickos, DO
This Critical Care Alert examines a study of VA-ECMO on survival and predictors of mortality in patients who suffered massive pulmonary embolism-related cardiac arrest.
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COVID-19 , Airway , Critical Care , Ventilator Management

Management of the COVID-19 Airway

4/8/2021 Connor Greer, MD , Robert Razick , Joel Hamm, MD, FACEP
There are many perspectives available and early data to guide management of COVID-19 patients who present with respiratory failure. This article will review practice-altering data and the approach use
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Critical Care , Ultrasound , Cardiology

TEE in the ED: Role of Transesophageal Echocardiography in Cardiac Arrest

4/8/2021 Tara Knox , Mark Olaf, DO, FACEP
Cardiac arrest is one of the most demanding presentations for emergency physicians to manage. Focused transesophageal echocardiography (TEE) has emerged as a valuable aid.