Critical Care , Critical Care Ultrasound , Ultrasound

Advanced Critical Care Ultrasound: Axillary Arterial Line—Oft Forgotten

2/27/2022 Dustin Slagle, MD , Natalie Htet, MD, MS

Obtaining arterial access is a common procedure in both emergency medicine and in critical care. It's a good idea to become familiar with the axillary artery as an alternative location for placement o

Critical Care

Atraumatic Splenic Rupture

2/12/2022 Daniel White, DO

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.

49-1 Balloon Tamponade for Rectal Bleed.png

Critical Care , Gastroenterology

Balloon Tamponade to Stabilize Life-Threatening Rectal Bleeding

2/12/2022 Matthew Welles, MD , Robert Nocito, MD , Peter Viccellio, MD, FACEP , Scott Weingart, MD, FACEP, FCCM

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

Critical Care , Critical Care Ultrasound , Ultrasound

Advanced Critical Care Ultrasound: The RUSH Exam - Slow Is Smooth and Smooth Is Fast

2/3/2022 Taylor Miller, MD , Dustin Slagle, MD , Alexis Salerno, MD, FACEP

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

Deep Dive in CritCare , Critical Care

Deep Dive into the Evidence: Thrombolysis in Cardiac Arrest from PE

1/19/2022 Margarita Popova, MD , Jordan Feltes, MD , Yasir Hussein, MD , David Yamane, MD , Brian Sumner, MD

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

Critical Care , Critical Care Alert

Critical Care Alert: Vasopressin and Methylprednisolone vs Placebo on Return of Spontaneous Circulation in Patients With In-Hospital Cardiac Arrest

10/17/2021 Evan McMurray, MD , Erik Sherman, MD , Brian Sumner, MD

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

Critical Care , Ultrasound , Critical Care Ultrasound

Advanced Critical Care Ultrasound: Augmenting the Physical Exam with Ultrasound Findings in Cardiac Tamponade

10/5/2021 Taylor Miller, MD , Alexis Salerno, MD, FACEP , Dustin Slagle, MD

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

Deep Dive in CritCare , Critical Care

Deep Dive into the Evidence: Anaphylaxis

10/5/2021 Ying Ku , Megan Hoffer, DO , Brian Sumner, MD

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

Critical Care , Ultrasound , Critical Care Ultrasound

Advanced Critical Care Ultrasound: Tricuspid Annular Plane Systolic Excursion: Finding Pulmonary Embolism Before the Crash

10/5/2021 Dustin Slagle, MD , Ashley Panicker, MD, FACEP , Taylor Miller, MD , Keerthi Gondy, MD

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,

Critical Care , Critical Care Alert

Critical Care Alert: Milrinone vs. Dobutamine in the Treatment of Cardiogenic Shock

10/4/2021 Evan McMurray, MD , Erik Sherman, MD , Brian Sumner, MD

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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