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

Critical Care Devices , Critical Care , Airway

Critical Care Device Series: Bag-Valve-Mask

1/18/2023 Barret Zimmerman, MD , Brendan Innes, MD , Allie Schick, MD

The bag-valve-mask (BVM) is ubiquitous and highly utilized in all fields of emergency care. Yet despite its seemingly intuitive operation and perceived simplicity, the BVM is an overlooked and misunde

Critical Care Alert , Critical Care , Cardiology

Critical Care Alert: PEACH Trial

12/22/2022 Emily D. Geyer, MD , Brittney I. Gordon, MD , Mustafa Rasheed, MD , Taylor Miller, MD

Spontaneous (non-traumatic) intracerebral hemorrhage (ICH) is associated with high patient morbidity and mortality. In this Critical Care Alert, we review a study designed to assess whether prophylact

Critical Care Alert , Critical Care , Cardiology

Critical Care Alert: Defibrillation Strategies for Refractory Ventricular Fibrillation

12/12/2022 Alex Lucas, MD , Taylor Miller, MD

Alternative defibrillation techniques might be worth a second look. In this Critical Care Alert, we evaluate the largest and most rigorous study of double sequential external defibrillation (DSED) and

Critical Care Alert , Critical Care , Airway

Critical Care Alert: Recall During Paralysis Among ED Patients Being Intubated

11/2/2022 Alex Lucas, MD , Taylor Miller, MD

How many of your patients can recall events during what you believed was a sedated endotracheal intubation? This study finds an appreciable number of patients who are paralyzed for intubation in the e

Critical Care Ultrasound , Ultrasound , Critical Care , Cardiology

Advanced Critical Care Ultrasound: The 60/60 Sign, Let's Be Specific

10/24/2022 Dustin Slagle, MD , Parth S. Gandhi, DO , Ashley Panicker, MD, FACEP

The 60/60 sign is an ultrasound finding that can help increase specificity in diagnosing right ventricular dysfunction in the setting of an acute pulmonary embolism.

Critical Care Devices , Surgical Airway , Critical Care

Critical Care Device Series: Tracheostomy Complications and Troubleshooting in the ED

10/24/2022 Evan McMurray, MD , Brendan Innes, MD , Taylor Miller, MD

Tracheostomies are a common surgical procedure for long-term airway management that involves creating a permanent connection between the anterior neck and trachea. Complications occur in up to 50% of

Critical Care , Critical Care Alert , Cardiology , Airway

Critical Care Alert: PREPARE II - A Randomized Clinical Trial

8/22/2022 Taylor Miller, MD , Evan McMurray, MD

Critical Care Alert: The PREPARE II trial investigated whether a fluid bolus would impact cardiovascular collapse in critically ill patients undergoing intubation.

Critical Care , Critical Care Alert , Trauma , Shock

Critical Care Alert: ETCO2 as a Predictor of Patient Outcomes

8/15/2022 Brittney I. Gordon, MD , Mustafa Rasheed, MD , Taylor Miller, MD

Critical Care Alert: The triage of patients in the trauma bay is difficult, and no single measurement or vital sign will provide sufficient information for mortality. This study indicates ETCO2 - a co

Critical Care , Neurology , Trauma

Drowning in a Flash: A Review on Neurogenic Pulmonary Edema

8/10/2022 Bryce Taylor, DO, MS

Neurogenic pulmonary edema, associated with high mortality, can occur after any neurologic insult and is best addressed by controlling intracranial pressure.

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