Browsing: Critical Care

cca-nac.jpg
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
CCA-HOT ICU.jpg
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.
CCA-Receptor Antagonists.jpg
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
CCA-Tocilizumab.jpg
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.
VICTAS.jpg
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
CCA-beta blockers.png
Critical Care , Critical Care Alert , Cardiology , Sepsis

Critical Care Alerts: Effect of Ultra-Short-Acting Beta-blockers on Mortality in Patients with Persistent Tachycardia Despite Initial Fluid Resuscitation: A Systematic Review and Meta-Analysis

3/3/2021 Nicholas Huth , Jonathan Pickos, DO , Brian Sumner, MD
The latest EMRA Critical Care Alert examines a study that questions whether ultra-short-acting beta-blockers, such as esmolol and landiolol, reduced 28-day mortality in septic patients with persistent
CCA - Peripheral IV for Vasopressors.jpg
Critical Care , Critical Care Alert , Shock

Critical Care Alert: 2 Studies Shed Light on Efficacy, Effects of Peripheral IVs for Vasopressors

2/8/2021 Jonathan Pickos, DO , Brian Sumner, MD
Two recent papers offer insight into the use of peripheral IVs to administer vasopressors. Will these studies change your practice for critically ill patients in the emergency department?
47-6 Subarachnoid Hemorrhage CT.jpg
Critical Care , Trauma

Subarachnoid Hemorrhage: Can't-Miss Diagnosis and Management

12/1/2020 Blake Briggs, MD , Marlena Wosiski-Kuhn, MD, PhD
Subarachnoid hemorrhage is a terrifying, relatively frequent cause of intracranial bleeding. It has a significant degree of morbidity and mortality - and therefore is a can't-miss diagnosis.
CCA - ECMO CPR.jpg
Critical Care , Critical Care Alert , Cardiology

Critical Care Alert: ECMO Facilitated CPR for Out-of-Hospital Cardiac Arrest with Refractory Ventricular Fibrillation - The ARREST Trial

12/1/2020 Jonathan Pickos, DO , Sean M. Hickey, MD
What is possible with highly coordinated ECMO-facilitated cardiopulmonary resuscitation? A recent study demonstrates the value of exploring interesting alternatives such as ECMO cannulation in the eme
CCA - Fluid Overload.jpg
Critical Care , Critical Care Alert , Shock

Critical Care Alert: Fluid Overload and Mortality in Adult Critical Care Patients

11/30/2020 Brian Sumner, MD , Sean M. Hickey, MD
Fluid overload has not been clearly defined in the critical care arena. In situations where patients have renal, cardiac, and pulmonary dysfunction, commonly seen in the ICU, large volume fluid therap