Browsing: Critical Care

Ahead of the Curve: Assessment of Fluid Responsiveness in the ED A 70-year-old male with a history of atrial fibrillation and congestive heart failure presents to the emergency department (ED) hypote
Introducing the ALTO Alternatives to Opioids Program Steven Stack, MD, FACEP, an emergency medicine physician and immediate past-president of AMA, confronted the crisis in an open letter to America's
Sepsis-3: Redefining Sepsis What EM Residents Need to Know Sepsis definitions were last revised in 2001. Since then, discoveries have been made regarding the pathobiology, management, and epidemiolog
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Critical Care Alert! Video Laryngoscopy vs. Direct Laryngoscopy During Urgent Endotracheal Intubation A 42-year-old man who is diagnosed with community acquired pneumonia is transferred from the medi
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A Leg Up: Management of Chronic Wounds in the ED A 54-year-old male with a history of hypertension and morbid obesity presents to the emergency department (ED) with bilateral foot, ankle, and calf pa
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Under Pressure: Abdominal Compartment Syndrome A 24-year-old male arrives to the emergency department (ED) after a motor vehicle collision. Initial workup reveals pelvic fractures with a small amount
Fractures and Fat Globules: Fat Embolism Syndrome EMS brings in a 20-year-old male who jumped from an overpass in a suicide attempt. He arrives with normal hemodynamics and is found to have bilatera
ED-ECMO: Coming Soon to an ED Near You A 52-year-old man experiences crushing sub-sternal chest pain while walking through the mall and slumps to the floor. EMS performs an EKG and notes tombstone ST
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Toxic Shock Syndrome A 36-year-old man presents to the emergency department (ED) with altered mental status. Family reveals no significant medical history outside of recurrent epistaxis and a progres
Critical Care Alert! Dabigatran Reversal Article: Pollack CV et al. Idarucizumab for Dabigatran Reversal. NEJM. 2015;373: 511-20. PubMedID: 26095746 Background Novel oral anticoagulant agents such as