Browsing: Critical Care

49-1 Atraumatic Splenic Rupture.png
Traumatic splenic injury and hemorrhage is a diagnosis familiar to most emergency physicians. However, a condition that some may not be familiar with is atraumatic splenic rupture.
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Balloon tamponade devices specifically designed for upper GI bleeding are well-established as a temporizing measure in life-threatening upper gastrointestinal bleeding, but rarely have been used for l
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Undifferentiated patients showing signs of shock have a high mortality rate. The Rapid Ultrasound for Shock and Hypotension (RUSH) Exam is a protocolized ultrasound exam that can be done in minutes to
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Few patients who suffer cardiac arrest from massive pulmonary embolism will survive to hospital discharge. From the evidence available, there is no clear mortality or functional outcome benefit to any
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One study showed short-term benefit to using vasopressin and methylprednisolone in patients who experience in-hospital cardiac arrest. But study limitations mean further examination is needed before a
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Cardiac tamponade is a critical emergency department diagnosis, but it can be a difficult diagnosis to make based on physical exam alone. Clinical signs of tamponade are often late findings and can be
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Anaphylaxis is a severe life-threatening acute systemic type 1 hypersensitivity reaction. This IgE-mediated reaction leads to varying degrees of mast-cell degranulation, histamine release and varying
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Tricuspid annular plane systolic excursion (TAPSE) can provide a point of care ultrasound assessment of right ventricular function. Although there are many emerging applications for this measurement,
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Managing critically ill patients with cardiogenic shock often includes a decision between two inotropes: dobutamine and milrinone. Is there evidence to inform that choice?
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What's the feasibility and safety of giving a high-dose nitroglycerin bolus for sympathetic crashing acute pulmonary edema?