Browsing: Critical Care

Lady_IV.jpg
Critical Care , Critical Care Alert

Critical Care Alert: Crystalloids vs Colloids for Fluid Resuscitation in the Intensive Care Unit: A Systematic Review and Meta-analysis

5/17/2019 Omid Manoochehri, MD , Sean M. Hickey, MD
Surviving Sepsis Guidelines recommend crystalloids for initial fluid resuscitation then switching to albumin when crystalloids are insufficient. There is debate regarding using colloid as an initial r
CritCare Alert - Bag Mask Vent.jpg
Critical Care , Critical Care Alert

Critical Care Alert: Bag-Mask Ventilation During Tracheal Intubation of Critically Ill Adults

5/17/2019 Sean M. Hickey, MD , Yanika Wolfe, MD , Meghan Gorski, DO
Does the application of positive pressure ventilation by bag valve mask during tracheal intubation improve outcomes in critically ill patients?
CritCare Alert - Angiography.jpg
Critical Care , Critical Care Alert

Critical Care Alert: Coronary Angiography after Cardiac Arrest without ST-Segment Elevation

5/17/2019 Joshua Novy, MD, MBA, MS , Sean M. Hickey, MD
This study examines whether immediate coronary angiography in the setting of ROSC without STEMI changes on ECG following out of hospital cardiac arrest confers superiority in 90 day mortality compared
46-1 Sepsis.jpg
Critical Care , Sepsis , Shock , Deep Dive in CritCare

Deep Dive into the Evidence: Steroids in Septic Shock

2/5/2019 Sean M. Hickey, MD , Susannah Empson, MD , Emily Gillespie , Meghan Gorski, DO , Yanika Wolfe, MD
The use of exogenous steroids in septic shock is a controversial issue with inconsistent data on mortality to date. Several studies examine sepsis treatment. What does the evidence show?
46-1 Cerebrovascular System.jpg
Critical Care

A Review of Blunt Cerebrovascular Injuries

2/5/2019 Douglas D. Campbell, MD , Jean Hoffman, MD
BCVI is a relatively rare diagnosis, but this does not take away from the importance of considering it during the initial evaluation of all trauma patients.
CritCare - PARAMEDIC2.jpg
Critical Care , Critical Care Alert

Critical Care Alert: A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest (PARAMEDIC2 Trial)

1/21/2019 Sean M. Hickey, MD , Yanika Wolfe, MD , Meghan Gorski, DO
Is epinephrine a safe and effective treatment for out-of-hospital cardiac arrest? The PARAMEDIC2 trial offers evidence.
45-6 Thyrotoxicosis.jpg
Endocrinology , Critical Care

Thyrotoxicosis: STEMI plus Acute Psychosis

12/15/2018 Andrew Connor, DO , Sarah E. Fabiano, MD, FACEP, FAAEM
A thyroid storm is an acute, life-threatening emergency that requires timely recognition and management. Left untreated, the mortality rate is 80-100%.
45-6 Fluid Responsiveness.jpg
Critical Care

Fluid Responsiveness in a Hemodynamically Unstable Patient

12/15/2018 Jason Block, MD , David Mackenzie, MD, FACEP
Will my critically ill patient respond to this bolus?
CC Alert - ADRENAL trial.jpg
Critical Care , Critical Care Alert

Critical Care Alert: Adjunctive Corticosteroid Treatment in Patients with Septic Shock (ADRENAL Trial)

12/1/2018 Susannah Empson, MD , Yanika Wolfe, MD , Meghan Gorski, DO
The ADRENAL trial was designed to test the hypothesis that hydrocortisone results in lower mortality than placebo among patients with septic shock. Find out what investigators discovered.
45-5 REPE.jpg
Critical Care , Ventilator Management

Doubling Down on Re-Expansion Pulmonary Edema: Treatment Approach and Ventilator Management

10/16/2018 Mark Ramzy, DO, EMT-P
The treatment of choice for a pneumothorax is a chest tube, and when the small pig-tail catheter doesn’t do the job, the answer is to replace it with a larger bore – right? Not so fast.