Browsing: Critical Care

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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
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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
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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
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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
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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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Critical Care , Critical Care Alert , COVID-19

Critical Care Alert: Effect of Hydrocortisone on Mortality or Respiratory Support Among Critically Ill with COVID-19 Patients

10/8/2020 Oswald Reid, Jr., MD , Sean M. Hickey, MD
While the treatment for SARS-CoV-2 continues to evolve, the emergency department remains a primary place for early medical intervention. There is growing evidence to support that initiating steroids w
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Critical Care , Critical Care Alert , COVID-19

Critical Care Alert: Effect of Hydrocortisone on Mortality and Organ Support in Patients With Severe COVID-19. The REMAP-CAP COVID-19 Corticosteroid Domain Randomized Clinical Trial

9/21/2020 Brian Sumner, MD , Sean M. Hickey, MD
A complex trial meant to determine whether hydrocortisone can improve outcomes for patients with severe COVID-19 was stopped early - but still shows promise for the course.
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Critical Care , Critical Care Alert , COVID-19

Critical Care Alert: Effect of Dexamethasone on Days Alive and Ventilator-Free in Patients with Moderate or Severe Acute Respiratory Distress Syndrome and COVID-19: The CoDEX Randomized Clinical Trial

9/21/2020 Taylor Miller, MD , Sean M. Hickey, MD
The CoDEX trial was conducted to identify the effect of dexamethasone on ventilator-free days in patients with COVID-19 associated ARDS.
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Critical Care , Critical Care Alert , COVID-19

Critical Care Alert: Association Between Administration of Systemic Corticosteroids and Mortality Among Critically Ill Patients With COVID-19: A Meta-analysis

9/21/2020 Brian Sumner, MD , Sean M. Hickey, MD
With no clear consensus on the use of steroids in critically ill sepsis patients, a recent meta-analysis studies the 28-day mortality in critically ill COVID-19 patients when corticosteroids are admin