Browsing: Critical Care

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Critical Care , Critical Care Alert

Critical Care Alert: Etomidate Use Is Associated with Less Hypotension Than Ketamine for Emergency Department Sepsis Intubations: A NEAR Cohort Study

8/26/2020 Brian Sumner, MD , Sean M. Hickey, MD
Intubating the critically ill septic patient is a high-risk procedure. We examine an observational study that reported higher levels of procedural hypotension with the use of ketamine when compared to
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Critical Care , Critical Care Alert

Critical Care Alert: Effects of Dexamethasone in Hospitalized Patients with COVID-19 - Preliminary Report

6/26/2020 Taylor Miller, MD , Sean M. Hickey, MD , Trevor R. Pour, MD
As much of the U.S. experiences a resurgence of COVID-19 cases heading into the height of summer, research continues at a brisk pace. Can dexamethasone - a relatively inexpensive, commonly prescribed
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Hematology , Critical Care

Managing Atypical Hemolytic Uremic Syndrome

6/10/2020 Peter Brooks, DO , Martin D. Klinkhammer, MD, MPH, FACEP
A young woman presents with a 3-week history of fatigue, nausea, vomiting, heavy bleeding, and lightheadedness. Within hours she is intubated in the ICU. Follow the case management to understand an at
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Palliative Care , Critical Care , Behavioral Health , Dermatology

DENIAL OF DEATH : The Phenomenon of Tumor Neglect

6/10/2020 Rebecca Kreston, MD, MSPH , Payal Patel, MD , Shana Ross, DO, MS
Challenges with health care literacy, lack of insurance, and simple human fear can sometimes lead patients to delay seeking help - or even deny a problem exists. Tread lightly to offer the best care i
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Critical Care , Critical Care Alert

Critical Care Alert: Preliminary Report on Remdesivir for the Treatment of COVID-19

6/1/2020 Taylor Miller, MD , Sean M. Hickey, MD
The Adaptive COVID-19 Treatment Trial (ACTT), while controversial, is the first major trial to suggest benefit from remdesivir for hospitalized COVID-19 patients. Unfortunately, study results don't sh
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Critical Care , Critical Care Alert

Critical Care Alert: Hydrocortisone, Vitamin C, and Thiamine for Sepsis and Septic Shock

5/26/2020 Taylor Miller, MD , Sean M. Hickey, MD
In the quest to conquer sepsis, a new randomized controlled trial has tested hydrocortisone, vitamin C, and thiamine as a treatment.
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Critical Care , Critical Care Alert

Critical Care Alert: Dexamethasone Treatment for ARDS

5/7/2020 Taylor Miller, MD , Sean M. Hickey, MD
The first RCT studying the use of dexamethasone in ARDS shows promise for the emergency medicine setting.
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Critical Care

Pneumomediastinum Secondary to Medication-Induced Esophageal Microperforation

4/22/2020 Anil Bhagavath, MD , Robert L. Gekle, MD, FACEP
Here's a case you don't see every day: a single dose of over-the-counter cold medicine led to an esophageal perforation, which then resulted in pneumomediastinum.
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Critical Care , Critical Care Alert

Critical Care Alert: Prevention of Early Ventilator-Associated Pneumonia After Cardiac Arrest

4/21/2020 Sarah Ring, MD , Sean M. Hickey, MD
Can prophylactic antibiotics affect the incidence of ventilator-associated pneumonia following out-of-hospital cardiac arrest?
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Critical Care , Critical Care Alert

Critical Care Alert: Hydrocortisone, Thiamine, and Vitamin C in Septic Shock

2/17/2020 Greg Felock, MD , Sean M. Hickey, MD
The VITAMINS Trial looked at the role of vitamin C, thiamine, and hydrocortisone in saving patients with septic shock. It's the first randomized controlled trial focused on whether vitamins can provid