Browsing: Critical Care

CCA-femoral US.jpg
Critical Care , Critical Care Alert , Cardiology

Critical Care Alert: Femoral artery Doppler ultrasound is more accurate than manual palpation for pulse detection in cardiac arrest

8/1/2022 Erin Bell, MD , Taylor Miller, MD
Critical Care Alert: Femoral artery Doppler ultrasound is more accurate than manual palpation for pulse detection in cardiac arrest. Although it was a small study, it sheds light on resuscitation mana
AirwayTimingAnchorArt.jpg
Critical Care , Critical Care Alert , Cardiology

Critical Care Alert: Association of Advanced Airway Insertion Timing and Outcomes in Out-of Hospital Cardiac Arrest

6/28/2022 Aaron Lim, MD , Roshan Givergis, DO , Neil Dasgupta, MD , Lyncean Ung, DO , Jijoe Joseph, DO, MBA
Our retrospective secondary analysis of data from the Pragmatic Airway Resuscitation Trial (PART), examining the timing of airway management in out-of-hospital cardiac arrest, found that: (1) there wa
CCA-resus termination.jpg
Critical Care Alert , Critical Care , Cardiology

Critical Care Alert: Termination-of-resuscitation Rule in the ED Following Refractory Out-of-Hospital Cardiac Arrest

6/15/2022 Erin Bell, MD , Taylor Miller, MD
A recent study aimed to develop and validate a modified Goto’s termination-of-resuscitation rule. The results can inform emergency department management of patients who suffered out-of-hospital cardia
PediatricDrowning.jpg
Airway , Ventilator Management , EMS , Pediatric EM

Pediatric Drowning Case: Favorable Neurologic Outcomes Possible With Prolonged CPR

6/10/2022 Dimitri Livshits, DO , Brenda Sokup, DO , Jordan Jeong, DO , Nirav Patel, DO , Mark Kindschuh, MD
Currently, there are no definitive guidelines or robust clinical evidence on which to base the duration of CPR in pediatric drowning cases. However, we make the case that in select drowning patients,
MissedRupturedAAA.jpg
Ultrasound , Critical Care

Missed Ruptured Abdominal Aortic Aneurysm in a Paraplegic Patient

6/10/2022 Haad Arif , Sunny Bang, MD
AAAs are generally asymptomatic before rupture and often lethal due to delays in diagnosis and care, as most are missed for alternative diagnoses before hemodynamic compromise occurs. Traditional phys
cca-low tidal volume vent.jpg
Critical Care , Critical Care Alert , Cardiology

Critical Care Alert: Low Tidal Volume Ventilation for Emergency Department Patients

6/2/2022 Michael Franczak, MD , Taylor Miller, MD
Patients experiencing critical illness necessitating mechanical ventilation have high mortality rates. Additionally, survivors of critically ill mechanical ventilation experience high morbidity. Sever
vexus fig 3.png
Critical Care , Critical Care Ultrasound , Ultrasound

Advanced Critical Care Ultrasound: VExUS--Can the Right Side Take It?

6/2/2022 Dustin Slagle, MD , Ashley Panicker, MD, FACEP
Knowing when to stop volume resuscitation in the unstable shock patient is a question that plagues both the emergency physician and the critical care doctor. VExUS was designed to succeed where CVP ha
cca-epi v norepi.jpg
Critical Care , Critical Care Alert , Cardiology

Critical Care Alert: Epinephrine v. Norepinephrine in Cardiac Arrest Patients with Post-Resuscitation Shock

5/14/2022 Brendan Innes, MD , Brian Sumner, MD , Taylor Miller, MD
Post-resuscitation shock occurs in 50-70% of patients after out-of-hospital cardiac arrest, and this study provides evidence that norepinephrine is likely a preferable vasopressor to epinephrine in po
ccus - fractional shortening fig 1.png
Critical Care , Critical Care Ultrasound , Ultrasound

Advanced Critical Care Ultrasound: Fractional Area Change and Left Ventricular Fractional Shortening – Building Blocks for Later

5/14/2022 Dustin Slagle, MD , Jon Bodner, MD , Ashley Panicker, MD, FACEP
Ultrasound is a powerful tool in the emergency department for the estimation of left ventricular ejection fractions. E-Point Septal Separation is a good way to obtain these measurements, but what if t
cca-ecmo 2022.jpg
Critical Care , Critical Care Alert , Cardiology

Critical Care Alert: Effect of Intra-arrest Transport, Extracorporeal Cardiopulmonary Resuscitation, and Immediate Invasive Assessment and Treatment on Functional Neurologic Outcome in Refractory Out-of-Hospital Cardiac Arrest

5/14/2022 Erin Bell, MD , Taylor Miller, MD
The evidence surrounding ECPR continues to build. In this study, investigators demonstrated a 31.5% survival rate with favorable 180-day neurological outcome with ECPR in patients who suffered out-of-