Browsing: Critical Care

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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.
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Critical Care , Critical Care Alert , Sepsis

Critical Care Alert: Effect of Early Balanced Crystalloids Before ICU Admission on Sepsis Outcomes

4/5/2021 Jonathan Pickos, DO , Brian Sumner, MD
When and what type of IV fluid should you administer for critically ill patients in order to achieve the best outcome in terms of sepsis? This study examines balanced fluid resuscitation started in th
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Critical Care , Critical Care Alert

Critical Care Alert: Role of N-Acetylcysteine in Non-acetaminophen-related Acute Liver Failure

4/5/2021 Jonathan Pickos, DO , Brian Sumner, MD
Non-acetaminophen-related causes of acute liver failure are inevitably going to present in the emergency department, and acknowledging that NAC likely has a place in the care of these patients is impo
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Critical Care , Critical Care Alert , COVID-19

Critical Care Alert: Lower or Higher Oxygenation Targets for Acute Hypoxemic Respiratory Failure (The HOT-ICU Trial)

3/22/2021 Nicholas Huth , Jonathan Pickos, DO , Brian Sumner, MD
The ideal oxygenation goal in patients with acute respiratory failure in the ICU remains unclear. The HOT ICU trial seeks to provide insight.
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Critical Care , Critical Care Alert , COVID-19

Critical Care Alert: Interleukin-6 Antagonists in Critically Ill Patients with COVID-19

3/18/2021 Oswald Reid, Jr., MD , Brian Sumner, MD
While much is still left to be known about COVID-19, research has supported the theory that an excessive host inflammatory response is responsible for much of the morbidity and mortality seen by the d
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Critical Care , Critical Care Alert , COVID-19

Critical Care Alert: Tocilizumab in Patients Admitted to Hospital with COVID-19 (RECOVERY)

3/18/2021 Taylor Miller, MD , Brian Sumner, MD
Originally designed for use in rheumatoid arthritis, tocilizumab is being considered as a potential therapeutic agent to treat COVID-19.
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Critical Care , Critical Care Alert , Sepsis

Critical Care Alert: Effect of Vitamin C, Thiamine and Hydrocortisone on Ventilator- and Vasopressor-Free Days in patients with sepsis - The VICTAS Randomized Clinical Trial

3/15/2021 Brian Sumner, MD
Does treatment with vitamin C, thiamine, and hydrocortisone lead to an increase in the number of days alive and free of mechanical ventilation and vasopressor use? The latest EMRA Critical Care Alert