Critical Care

A "Super" Case of Spontaneous Pneumomediastinum

6/10/2018 Joshua Glick, MD , Brett Guido, MD

Repeated Valsalva maneuvers - like forcefully exuberant cheering - may not be the most common cause of Hamman's Syndrome, but it can happen.

Critical Care

Hepatic Syndromes

6/10/2018 Joshua Glick, MD , Clinton J. Orloski, MD , Stephen Hallisey, MD

Hepatorenal and hepatopulmonary syndromes can be easy to diagnose in the ED, and proper management can significantly impact morbidity and mortality downstream.

Critical Care , Critical Care Alert

Critical Care Alert: Endovascular Therapy Option for Late Presenting Ischemic Stroke Patients

5/10/2018 Meghan Gorski, DO , Yanika Wolfe, MD , Clark Owyang, MD

Ischemic stroke is one of the most common causes of death and devastating permanent disability worldwide. Two new trials - DAWN and DEFUSE 3 - suggest endovascular therapy could benefit patients prese

Critical Care , Neurology , Traumatic Brain Injury , Trauma

Revisiting Cerebral Perfusion Pressure: A Framework for Approaching TBI

4/15/2018 Kristin Schmid, MD , Tina Chen, MD

In the United States, more than 2.5 million patients seek care for traumatic brain injury every year, accounting for approximately 2% of all ED visits. The equation for cerebral perfusion pressure can

Critical Care , Hematology

Management of Methemoglobinemia

4/13/2018 Joshua Glick, MD , Seth Merker, MD

Methemoglobinemia can be fatal if not managed correctly. Make sure you know what to do for patients with this particular blood disorder.

Critical Care , Airway , Critical Care Alert

Critical Care Alert: Comparing Early APRV and LTV in ARDS Patients in ICU

3/27/2018 Sean M. Hickey, MD

Our March 2018 Critical Care Alert compares early use of APRV and LTV in ARDS patients in ICU.

Medical Education , Sepsis , Critical Care

SIRS Criteria: A Nidus for Bias and How to Minimize It

1/31/2018 Erich Burton, DO , Michael Stanley, DO

SIRS Criteria: A Nidus for Bias and How to Minimize It As the use of SIRS persists, it’s worth re-examining its intended application, potential for error, and current utility. With the removal of Sys

Critical Care , Critical Care Alert

Critical Care Alert: Incidence of Coronary Intervention in Cardiac Arrest Survivors with Non-shockable Initial Rhythms and No Evidence of STEMI

1/2/2018 Jonathan Jaffe, MD

Critical Care Alert: Incidence of Coronary Intervention in Cardiac Arrest Survivors with Non-shockable Initial Rhythms and No Evidence of STEMI A 59-year-old male presents to the emergency department

Critical Care , Clinical , Critical Care Alert

Critical Care ALERT! Apneic Oxygenation in RSI

12/4/2017 Yanika Wolfe, MD

Critical Care ALERT! Apneic Oxygenation in RSI A 57-year-old male presents to the emergency department for shortness of breath. He became more hypoxic despite applying NIPPV. You decided to proceed w

Critical Care , Clinical , Critical Care Alert

Critical Care Alert: Angiotensin II for the Treatment of Vasodilatory Shock (ATHOS-III)

12/4/2017 Sam Khan, MD

Critical Care Alert: Angiotensin II for the Treatment of Vasodilatory Shock (ATHOS-III) A 68-year-old female with recurrent UTIs presents to the ED with 3 days of fever, back pain, and dysuria. She i

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