Browsing: Critical Care

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Critical Care , Critical Care Alert

Critical Care Alert: Conservative Oxygen Therapy in Mechanically Ventilated Patients - the ICU-ROX Study

2/10/2020 Melissa Villars, MD, MPH , Sean M. Hickey, MD
The ICU-ROX study, designed as the largest RCT of mechanically ventilated ICU patients, investigates whether conservative oxygen therapy could reduce mortality. Are the results enough to tip the scale
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Critical Care , Critical Care Alert

Critical Care Alert: Epinephrine for Out-of-Hospital Cardiac Arrest

1/10/2020 Melissa Villars, MD, MPH , Sean M. Hickey, MD
This review article was trying to take another look at the impact of epinephrine, especially its impact on meaningful neurologic survival, to see if the debates launched by the PARAMEDIC-2 trial were
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Critical Care , Critical Care Alert

Critical Care Alert: Reviewing the Evidence for CITRIS-ALI Study

1/3/2020 Melissa Villars, MD, MPH , Sean M. Hickey, MD
Can vitamin C benefit patients with sepsis-related ARDS? Take a look at the evidence from the CITRIS-ALI study before you take a stance in this ongoing debate.
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Critical Care , Critical Care Alert

Critical Care Alert: Medications for Status Epilepticus - The ESETT Trial

12/23/2019 Melissa Villars, MD, MPH , Sean M. Hickey, MD
Sometimes a clinical trial shows no statistical differences yet can help to illuminate best practices. Count the ESETT Trial as one of them.
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Critical Care , Critical Care Alert

Critical Care Alert: Targeted Temperature Management for Cardiac Arrest with Non-shockable Rhythm - The HYPERION Trial

12/19/2019 Joshua Novy, MD, MBA, MS , Sean M. Hickey, MD
Moderate therapeutic hypothermia could be another tool in treating cardiac arrest patients. But how much should a patient be cooled? The HYPERION Trial doesn't resolve that debate.
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Critical Care , Ventilator Management , Clinical

Your First Shift in the Unit: Demystifying Ventilator Alarms

12/16/2019 Marc Cassone, DO , Anthony Cocciolone, DO , Eric Melnychuk, DO
Ventilator alarms can be the first sign of an acute process and should be addressed immediately. It’s important to understand basic troubleshooting and move beyond DOPES when managing vent alarms.
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Clinical , Airway , Ventilator Management

High Flow Nasal Cannula for the Emergency Physician

12/16/2019 Jason Block, MD
A look at this option for delivering supplemental oxygen in patients experiencing hypoxemic respiratory failure in emergency care.
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Critical Care , Critical Care Alert

Critical Care Alert: CRASH-3 Review of TXA for TBI

12/16/2019 Ryan Lee, MD , Raymond Green, DO, FACS , Michael Perza, PharmD, BCPS
Released in October 2019, CRASH-3 is the latest trial exploring the benefits of tranexamic acid, this time in traumatic brain injury. The bottom line: TXA hasn't been shown to reduce mortality.
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Cardiology , Shock

Management of Atrial Fibrillation in Hypertrophic Cardiomyopathy

10/10/2019 Vase Bari, MD , B. Bryan Graham, DO
About 1 in 5 patients with hypertrophic cardiomyopathy will develop atrial fibrillation. Here's how to clue in to this underlying cause of the dysrhythmia when a patient presents to you in the ED.
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Critical Care , Critical Care Alert

Critical Care Alert: Reviewing the Evidence for SEP-1

10/9/2019 Omid Manoochehri, MD , Sean M. Hickey, MD
The SEP-1 core measure instituted by CMS has been hotly debated. A new review of literature shows a lack of high-quality evidence to back up the specificity required in the sepsis bundle.