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

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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?

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.

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

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

Critical Care , Pulmonary , COVID-19 , Deep Dive in CritCare

Corticosteroid Use in COVID-19 Respiratory Failure: Deep Dive into the Evidence

11/30/2020 Taylor Miller, MD , Brian Sumner, MD , Oswald Reid, Jr., MD , Sean M. Hickey, MD

The role of corticosteroids in severe infections, sepsis and ARDS has been a constantly evolving discussion and remains controversial. The recent APROCCHSs, ADRENAL and DEXA-ARDS along with other prio

Critical Care , Pulmonary , Airway , Deep Dive in CritCare

ARDS: Deep Dive into the Evidence

11/16/2020 Jonathan Pickos, DO , Brian Sumner, MD , Michael Franczak, MD , Melissa Villars, MD, MPH , Mina Ghobrial, MD , Sean M. Hickey, MD

Acute Respiratory Distress Syndrome (ARDS) is a life-threatening form of respiratory failure characterized by massive inflammation leading to pulmonary edema, decruitment of alveoli, and hypoxemia. De

Critical Care , Critical Care Alert , COVID-19

Critical Care Alert: Tranexamic Acid During Prehospital Transport in Patients at Risk for Hemorrhage After Injury (The STAAMP Trial)

11/4/2020 Jonathan Pickos, DO , Sean M. Hickey, MD

The STAAMP Trial results show TXA, with a thus far demonstrated low adverse event rate, should be considered in all trauma patients as early as feasibly possible, and those with more severe forms of s

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Critical Care

Venous Air Embolism: Rare but Fatal

10/9/2020 Walid Malki, MD, MS , Kayla Castellani, DO

While the techniques involved in placing or removing a central venous catheter can be monotonous, it is critical to remain cognizant of the complications that can occur with catheter insertion and rem

Social EM , Sepsis , Hematology

Septic Thrombophlebitis as a Consequence of Intravenous Drug Use Disorder

10/9/2020 Ali Elsaied, DO , Kuljit Kaur, DO , Darragh Cullen, DO

This is a unique case of Lemierre's syndrome in a person who injects drugs (PWID) without a history of recent oropharyngeal infection or the presence of a central venous catheter.

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