Critical Care Alert , Critical Care , Trauma

Critical Care Alert: Prehospital Tranexamic Acid for Severe Trauma: PATCH-Trauma Trial

7/24/2023 Alexandra Hallagan, MD , Cassidy Cunningham, DO , Evan McMurray, MD

The PATCH-Trauma Trial confirms short-term benefits of tranexamic acid (TXA) for prehospital treatment of the bleeding trauma patient, despite no evidence of long-term functional benefits.

Critical Care , Ultrasound

Aortic Occlusion: A Rare Presentation of Back Pain

7/15/2023 Adam Ahmad Chaustre , Kevin Vinokur, DO

Back pain is a common chief complaint in the emergency department. However, not all back pain is simple lumbago, and as emergency physicians, it is crucial to be aware of more insidious causes of back

Critical Care , Pulmonary , Neurology , Radiology

Management of Concomitant Stroke and Pulmonary Embolism

7/15/2023 L. Paige Smith, DO , Ronald Scheer, DO

Concurrent acute ischemic stroke and submassive pulmonary embolism is a rare occurrence, and there is no sufficient evidence to support a particular method of management. It is important to weigh the

Critical Care Alert , Critical Care , Sepsis , Shock

Critical Care Alert: Methylene Blue in Septic Shock

7/6/2023 Emily D. Geyer, MD , Mustafa Rasheed, MD , Evan McMurray, MD

Can methylene blue play a role in treating your patient with septic shock? This randomized control trial shows earlier vasopressor discontinuation and shorter ICU and hospital lengths of stay - but no

Critical Care , Airway , Pain Management

Post-Intubation Sedation in the ED: The Basics

7/5/2023 Christine Yang, MD , Christian Kasianko, MD , Alex Lucas, MD , Allison Donahue, MD , Erin Bell, MD , Samantha Strickler, DO, FACEP

Emergent intubation requires critical thinking and precision. The same level of care should be extended to managing post-intubation sedation. This summary explores the most commonly used analgesics an

Critical Care Alert , Critical Care , Cardiology , Radiology

Critical Care Alert: The CT FIRST Cohort Study

6/26/2023 Annemarie Daecher, MD , Dustin Slagle, MD , Evan McMurray, MD

While it didn’t improve survival to hospital discharge or neurologic recovery vs the current standard of care, the sudden death CT (SDCT) protocol significantly improved the time and diagnostic abilit

CCA - fludrocortison hydrocortisone for septic shock.jpg

Critical Care Alert , Critical Care , Sepsis , Shock

Critical Care Alert: Effectiveness of Fludrocortisone and Hydrocortisone vs. Hydrocortisone Alone Among Patients with Septic Shock

6/26/2023 Gabriel Colon, MD , Evan McMurray, MD

In a recent study, fludrocortisone added to hydrocortisone was associated with increased hospital survival, shorter hospital lengths of stay, and decreased vasopressor duration when compared to hydroc

CCD - HFNC Woman Reading on High Velocity Therapy.png

Critical Care Devices , Critical Care , Pulmonary , Airway

Critical Care Device Series: Heated High-Flow Nasal Cannula (HFNC)

6/20/2023 Christine Yang, MD , Dustin Slagle, MD , Robert Jared Klemisch, MD

Heated high-flow nasal cannula (HFNC) is capable of delivering 100% humidified and heated oxygen at higher flow rates, providing important support for patients with respiratory distress. Learn more ab

Critical Care Devices , Critical Care , Cardiology

Critical Care Device Series: Cardiac Implantable Electronic Devices (CIED)

6/5/2023 Logan Brich , Brendan Innes, MD , Achyut Kamat, MD, FACEP

Given the prevalence of cardiac implantable electronic devices in the United States, it is important for emergency physicians to understand the basic operation and be able to recognize and address com

Critical Care Alert , Critical Care , EMS , Airway , Trauma

Critical Care Alert: Delayed Versus Rapid Sequence Intubation in Critically Injured Trauma Patients

6/5/2023 Gabriel Colon, MD , Evan McMurray, MD

Consider delayed sequence intubation with ketamine in trauma patients requiring emergent airway intervention, as a 2023 study shows it was associated with a reduction in the incidence of peri-intubati

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