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

Critical Care Alert , Critical Care , Trauma

Critical Care Alert: PROCOAG Trial

4/17/2023 Christine Yang, MD , Alex Lucas, MD , Evan McMurray, MD

A new study evaluates whether administering 4-Factor Prothrombin Concentrate (4F-PCC) to patients at risk of massive transfusion due to trauma reduces the amount of blood products consumed.

Critical Care Alert , Critical Care , Infectious Disease , Pulmonary

Critical Care Alert: CAPE-COD Trial

3/29/2023 Christian Kasianko, MD , Evan McMurray, MD

The CAPE-COD Trial indicates it might be worth your time to consider hydrocortisone in managing community-acquired pneumonia in admitted patients boarding in the emergency department.

Critical Care Alert , Critical Care , Cardiology

Critical Care Alert: Duration of Device-Based Fever Prevention After Cardiac Arrest

3/28/2023 Alex Lucas, MD , Christine Yang, MD , Gabriel Colon, MD , Evan McMurray, MD

A new study evaluates whether the duration of device-based targeted temperature management can affect mortality among cardiac arrest patients.

Critical Care Alert , Critical Care , Cardiology , EMS , Prehospital Care

Critical Care Alert: INCEPTION Trial

3/7/2023 Gabriel Colon, MD , Brian Sumner, MD , Evan McMurray, MD

The use of extracorporeal membrane oxygenation - ECMO - as an adjunct to CPR following out-of-hospital cardiac arrest has gained a lot of attention. The INCEPTION Trial takes a closer look at the evid

Critical Care Alert , Critical Care , Cardiology

Critical Care Alert: CLOVERS Trial

2/28/2023 Brendan Innes, MD , Alex Lucas, MD , Evan McMurray, MD

The CLOVERS trial underscores the fact that fluid resuscitation strategies remain a highly debated and complex topic. It is still possible that specific patients may benefit from a restrictive fluid

Infectious Disease , Sepsis

Sepsis Alert: Care Pathways in the ED

1/30/2023 Amelia R. Barber, MD , Keasha N. Kuhnen, DO

Sepsis identification tools have many criticisms and vulnerabilities. The value of different sepsis care pathways has been a major area of research and discussion among clinicians. This has caused lar

Critical Care Alert , Sepsis , Urology

Pelvic Sepsis: A Fatal Complication of Routine Hemorrhoidectomy

1/30/2023 Carly Rosen, MD , William Bonadio, MD , Jessica Fleischer-Black, MD

Pelvic sepsis is a well-known and feared complication of colorectal and urologic surgery; however, it is not common and may not be recognized by emergency physicians. Patients may present with only mi

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