Critical Care Devices , Critical Care , Neurology

Critical Care Device Series: External Ventricular Drain

6/30/2024 Josh Wild, DO , Luxi Qiao, MD, MPhil , Sherard Lacaille , Daniel Zapata, MD

External ventricular drain placement is often considered a lifesaving measure to alleviate severe hydrocephalus or elevated intracranial pressure. This paper reviews current guidelines and steps for p

Critical Care Ultrasound , Critical Care , Cardiology , Trauma

Advanced Critical Care Ultrasound: Use of Mitral Inflow Velocity Variation in Evaluation of Cardiac Tamponade

6/12/2024 Dominique Gelmann, MD , Dustin Slagle, MD , Jordan Seaback, MD , Jacob Schoeneck, MD

Pericardial tamponade is a medical emergency that requires rapid recognition and intervention. Ultrasound is therefore the ideal tool for helping make this diagnosis. In this installment of our Advanc

Deep Dive in CritCare , Critical Care , Neurology

Deep Dive into the Evidence: Monitoring and Management of Elevated Intracranial Pressure in Severe Traumatic Brain Injury

6/11/2024 Luxi Qiao, MD, MPhil , Josh Wild, DO , Eleni McCaffery, MD , Dominique Gelmann, MD , Dustin Slagle, MD , Sung-Min Cho, DO, MHS

Elevated ICP is an emergent complication associated with injury to the brain. In this Deep Dive, we summarize the existing evidence regarding the monitoring and management of elevated intracranial pre

Otolaryngology , ENT , Airway , Critical Care

Case Series: Successful Management of Primary Post-Tonsillectomy Hemorrhage With IV Tranexamic Acid

6/10/2024 Dillon Schneider , Francisco Javier Andrade Jr., MD , Nancy Churosh, MD , Brian Casillas, MD

We present 2 cases of severe post-tonsillectomy hemorrhage (PTH). Our cases highlight the potential role of IV-administered tranexamic acid (TXA) as an effective treatment option in acutely bleeding p

Critical Care Alert , Critical Care , Cardiology , Resuscitation

Critical Care Alert: Microaxial Flow Pump or Standard Care in Infarct-Related Cardiogenic Shock

5/6/2024 Josh Wild, DO , Alex Lucas, MD , Dominique Gelmann, MD

After more than 10 years in the making, the DanGer Shock investigation sheds light on the efficacy of the microaxial flow pump in the treatment of patients with STEMI and cardiogenic shock and planned

Critical Care Devices , Critical Care , Cardiology

Critical Care Device Series: Arterial Lines Part 2 - Waveforms and Damping

5/6/2024 Marcus Gresham, MD , Alexandra Hallagan, MD , Donald Maberry Jr., MD

Arterial lines are helpful tools for monitoring hemodynamics and maintaining easy access for frequent lab draws in the critically ill patient. Interpreting the waveform of the arterial line is necessa

Airway , Critical Care , Prehospital Care

Hidden Triggers: Unmasking Anaphylaxis

3/18/2024 Lynnsey Moss, MD , Andrew Michalak, MD , Ray Isenburg, DO

Anaphylaxis is a true and potentially life-threatening emergency. Understanding that this condition has broader diagnostic criteria than are commonly recognized will help with early recognition and tr

Critical Care Ultrasound , Ultrasound , Critical Care , Hematology

Advanced Critical Care Ultrasound: 3-Point DVT Study

2/22/2024 Christian Kasianko, MD , Dustin Slagle, MD

Deep venous thrombosis is a can't-miss diagnosis. Learn how to use the 3-point ultrasound exam to make sure DVTs do not go unnoticed.

Critical Care Alert , Critical Care , Airway , Toxicology

Critical Care Alert: Effect of Noninvasive Airway Management of Comatose Patients with Acute Poisoning: A Randomized Clinical Trial

2/22/2024 Alex Lucas, MD , Christian Kasianko, MD , Dustin Slagle, MD

How reliable is the old adage, "GCS less than 8, intubate"? A randomized trial examines the effect of intubation vs. noninvasive airway management for poisoned patients with GCS less than 8.

Critical Care , Critical Care Roadblock , Palliative Care

Roadblock: Goals-of-Care Conversations

2/6/2024 Kunj Bhatt, MD , Trevor R. Pour, MD , Shunichi Nakagawa, MD

The EMRA Critical Care Committee's Roadblock series is the resuscitationist's guide to overcoming the obstacles in the normal algorithm of critically ill patients. Through this series, we will ask the

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