Browsing: Critical Care

Disaster Medicine , Sepsis

Preshospital Sepsis Alerts: A Stemi or Stroke Equivalent?

6/5/2017 Michael Spigner, MD, EMT-CC , Alanna O'Connell, DO

Preshospital Sepsis Alerts: A Stemi or Stroke Equivalent? “This is Medic 19 bringing in a Sepsis Alert, ETA 5 min.” With that alert, you mobilize your team and prepare for the patient. When they arr

Critical Care , Cardiology

Dual Defibrillation: The Achilles' Heel of Refractory V-Fib?

6/5/2017 Dhimitri Nikolla, DO

Dual Defibrillation: The Achilles' Heel of Refractory V-Fib? Proposed theories as to why DD may be efficacious include the delivery of more energy to overcome the defibrillation threshold as well as

Ventilator Management , Critical Care , Critical Care Alert

Critical Care Alert: Mechanical Ventilator Protocol

5/30/2017 Jonathan Jaffe, MD

Critical Care Alert: Mechanical Ventilator Protocol A Quasi-Experimental, Before-After Trial Examining the Impact of an Emergency Department Mechanical Ventilator Protocol on Clinical Outcomes and Lu

Pain Management , Critical Care

Pain Management in Vaso-occlusive Sickle Cell Crisis

4/11/2017 Amani Mahdi, MD, MBBS

Pain Management in Vaso-occlusive Sickle Cell Crisis Sickle cell disease (SCD) is the most common genetic blood disorder in the United States, affecting an estimated 100,000 persons.1 Vaso-occlusive

Cardiology , Critical Care

Managing Acute Right Ventricular Failure

4/2/2017 Mark Andreae, MD , Chad Meyers, MD

Managing Acute Right Ventricular Failure A 50-year-old woman with a history of primary pulmonary hypertension with right ventricular dysfunction presents with one week of worsening abdominal pain. Sh

Critical Care , Ultrasound , Critical Care Alert

Critical Care Alert: Point-of-Care Ultrasound in Out-of-Hospital and in-ED Cardiac Arrests

3/27/2017 Yanika Wolfe, MD

Critical Care Alert: Point-of-Care Ultrasound in Out-of-Hospital and in-ED Cardiac Arrests A 57-year-old male with unknown past medical history becomes unresponsive as witnessed by bystanders. He is

Sepsis , Critical Care , Critical Care Alert

Critical Care Alert: Prognostic Accuracy of Sepsis-3 Criteria for In-Hospital Mortality Among Patients with Suspected Infection

3/1/2017 Jonathan Jaffe, MD

Critical Care Alert: Prognostic Accuracy of Sepsis-3 Criteria for In-Hospital Mortality Among Patients with Suspected Infection A 78-year-old female presents to the emergency department with altered

Critical Care , Critical Care Alert , PGY1

Critical Care Alert: Intensive Blood-Pressure Lowering in Patients with Acute Cerebral Hemorrhage

12/14/2016 Yanika Wolfe, MD

Critical Care Alert: Intensive Blood-Pressure Lowering in Patients with Acute Cerebral Hemorrhage A 57-year-old male with a history of hypertension and diabetes develops a severe headache and nausea.

Critical Care , Airway

Post-Intubation Tracheal Tear Leading to Abdominal Compartment Syndrome

12/6/2016 Rotem Friede, MD , Ben Liss, MD , Alin Gragossian, DO, MPH

Post-Intubation Tracheal Tear Leading to Abdominal Compartment Syndrome A 46-year-old female with a history of asthma and anxiety presents to the emergency department (ED) with progressively worsenin

Critical Care , Critical Care Alert

Critical Care Alert: Effects of Buffered Crystalloids vs. Saline on Acute Kidney Injury in Resuscitation of ICU Patients

10/6/2016 Jonathan Jaffe, MD , EMRA Critical Care Division

Critical Care Alert: Effects of Buffered Crystalloids vs. Saline on Acute Kidney Injury in Resuscitation of ICU Patients A 60-year-old man presents to the emergency department with fever, productive