Browsing: Critical Care

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Critical Care

Who Ya Gonna Call?! A Primer on Left Ventricular Assist Device Emergencies

11/30/2017 Rohit B. Sangal, MD , Melissa Geary, MD , Abdulaziz Almehlisi, MD
Who Ya Gonna Call?! A Primer on Left Ventricular Assist Device Emergencies Background Patients with end-stage systolic heart failure (defined as New York Heart Association Class IV or Ejection Fracti
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Critical Care

The Crashing Patient with Critical Aortic Stenosis

10/3/2017 Ram Parekh, MD , Mark Andreae, MD
The Crashing Patient with Critical Aortic Stenosis A 90-year-old male with a past medical history of severe aortic stenosis, heart failure with reduced ejection fraction, and chronic kidney disease p
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Critical Care

Post-Intubation Sedation

8/9/2017 Joshua Glick, MD , Clark Owyang, MD , Christina Candeloro, PharmD, BCPS, BCCCP
Post-Intubation Sedation Bridging the Gap Between the Emergency Department and the Intensive Care Unit The practice of endotracheal intubation is often executed as follows: the endotracheal tube is p
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Critical Care

Beyond ATLS: What the Manual Doesn't Tell You

6/5/2017 Ram Parekh, MD , Clark Owyang, MD
Beyond ATLS: What the Manual Doesn't Tell You All these factors coalesce in the trauma bay to create a downward spiral of shock where life-saving interventions wrestle with each other as the patient
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Critical Care

Positively Useful: A Brief ED Guide to NIPPV

6/5/2017 Julie Dodson, MD , Jeffrey Goodloe, MD, NREMT-P, FACEP , Chance Dodson, MSII , Boyd Burns, DO, MBA, MHA, FACEP
Positively Useful: A Brief ED Guide to NIPPV It is important for the emergency physician to be comfortable directing and troubleshooting NIPPV in order to promote optimal patient outcomes. Paramedics
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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
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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
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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
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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
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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