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

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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

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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

Critical Care Devices , Critical Care , Cardiology

Critical Care Device Series: LVADs

5/2/2023 Christian Kasianko, MD , Evan McMurray, MD

Initially meant to improve survival and bridge patients in the outpatient setting from their diagnosis of heart failure to donor transplantation, mechanical assistance of the left ventricle has evolve

Critical Care Alert , Critical Care , Wilderness Medicine , EMS , Cardiology

Critical Care Alert: ICE-CRASH Study

5/2/2023 Sara Twadell, MD , Evan McMurray, MD

The ICE-CRASH Study examined the effects of ECMO on neurological outcomes among patients with severe hypothermia. Get the summary and the take-home points pertinent to emergency medicine.

Critical Care Devices , Critical Care , Airway

Critical Care Device Series: Noninvasive Positive Pressure Ventilation

5/2/2023 Christine Yang, MD , Alexandra Hallagan, MD , Dustin Slagle, MD , Gabriel Wardi, MD, MPH

Noninvasive positive pressure ventilation (NPPV) is the delivery of ventilatory support and positive pressure into the lungs without the need for an invasive endotracheal or tracheostomy tube. This su

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