Critical Care , Critical Care Roadblock , Airway

Roadblock: Difficult Intubations

12/13/2023 Kunj Bhatt, MD , Colin Pesyna, MD , Evan Leibner, MD, PhD

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

Critical Care Alert , Critical Care , Cardiology , Pulmonary , Trauma

Critical Care Alert: Extracorporeal Life Support in Infarct-Related Cardiogenic Shock: ECLS-SHOCK Trial

11/20/2023 ThucAn Bui, DO , Gabriel Colon, MD , Evan McMurray, MD

The ECLS-SHOCK Trial investigated whether extracorporeal life support would benefit patients suffering acute myocardial infarction complicated by cardiogenic shock. Is VA-ECMO always the answer?

Critical Care , Resuscitation

Critical Care ECMO Series: Introduction to ECMO

11/6/2023 Alex Lucas, MD , Christian Kasianko, MD , Alexandra Hallagan, MD , Brendan Innes, MD , Nicholas Johnson, MD

Extracorporeal membrane oxygenation (ECMO) allows for temporary life support in cardiopulmonary failure refractory to conventional medical treatment. Given its capabilities and increasing presence in

Critical Care Alert , Critical Care , Cardiology , EMS

Critical Care Alert: Survival by Time-to-administration of Amiodarone, Lidocaine, or Placebo in Shock-Refractory Out-of-hospital Cardiac Arrest

11/1/2023 Christian Roa, MD , Alex Lucas, MD , Evan McMurray, MD

What role does amiodarone or lidocaine play in achieving a good outcome for shockable refractory out-of-hospital cardiac arrest? This Critical Care Alert looks at a follow-up to the ALPS study.

Critical Care Alert , Critical Care , Pulmonary , Cardiology , Neurology

Critical Care Alert: TAME Trial: Mild Hypercapnia versus Normocapnia after Out-of-Hospital Cardiac Arrest

9/29/2023 ThucAn Bui, DO , Evan McMurray, MD

This Critical Care Alert examines a study of targeted mild hypercapnia versus normocapnia for patients who achieved ROSC after out-of-hospital cardiac arrest.

Critical Care Alert , Critical Care , Neurology

Critical Care Alert: Tranexamic Acid for Intracerebral Hemorrhage in Patients on Non-Vitamin K Antagonist Oral Anticoagulants (TICH-NOAC)

9/10/2023 Cassidy Cunningham, DO , Evan McMurray, MD

In this underpowered RCT, no evidence was found that TXA limits HE nor that it improves clinical outcomes by 90 days in NOAC-associated ICH. That being said, there were no major safety concerns noted

Critical Care Alert , Critical Care , Airway

Critical Care Alert: Video v. Direct Laryngoscopy for Tracheal Intubation of Critically Ill Adults: The DEVICE Trial

8/3/2023 Gabriel Colon, MD , Alexandra Hallagan, MD , Evan McMurray, MD

More evidence is stacking up in favor of video laryngoscopy. The DEVICE Trial shows that when intubating critically ill patients in the ED or ICU, consider using video over direct laryngoscopy to impr

Critical Care , Cardiology , Critical Care Roadblock

Roadblock: AFib with RVR

7/25/2023 Kunj Bhatt, MD , Sean M. Hickey, MD , Mark Andreae, 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

Critical Care Devices , Critical Care , Cardiology

Critical Care Device Series: Transvenous Pacemaker

7/24/2023 Alexandra Hallagan, MD , Christian Kasianko, MD , Amrita Vempati, MD

Temporary transvenous pacing (TTVP) utilizes central venous access to pass an electrode into the right ventricle. TTVPs are one of the most infrequently performed procedures by emergency physicians;

Critical Care Alert , Critical Care , Airway

CCA: Effect of NIV after Extubation in Critically Ill Patients with Obesity

7/24/2023 Alex Lucas, MD , Evan McMurray, MD

The EXTUB-OBESE study showed a decrease in extubation failure rates when extubating to non-invasive ventilation for obese patients vs. standard oxygen therapy.

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