Browsing: Critical Care

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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
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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
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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
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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,
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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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Critical Care , Critical Care Alert

Critical Care Alert: High-Dose Nitroglycerin Bolus for Sympathetic Crashing Acute Pulmonary Edema

10/4/2021 Michael Franczak, MD , Daniel Freeman, MD , Brian Sumner, MD
What's the feasibility and safety of giving a high-dose nitroglycerin bolus for sympathetic crashing acute pulmonary edema?
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Critical Care , Deep Dive in CritCare , Cardiology

Targeted Temperature Management: Deep Dive Into the Evidence

8/10/2021 Ryan Lee, MD , Dustin Slagle, MD , Mustafa Rasheed, MD , Marshall Howell IV, MD , Javed Osmani , Elizabeth Avakoff, DO, MPH , Brian Sumner, MD
This EMRA Critical Care Committee Deep Dive will review the current available literature on targeted temperature management for cardiac arrest.
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Cardiology , Infectious Disease , Sepsis , Critical Care

In A Heartbeat: Septic Cardiomyopathy

8/10/2021 Lindsay Davis, DO, MPH, NRP , Bryce Taylor, DO, MS
Septic cardiomyopathy (colloquially known as septic heart) lacks formal criteria, but emergency physicians should be aware of generally accepted clinical signs. Awareness of septic cardiomyopathy as a
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Critical Care , Critical Care Alert , Cardiology

Critical Care Alert: Hypothermia versus Normothermia after Out-of-Hospital Cardiac Arrest (TTM2 Trial)

8/2/2021 Mustafa Rasheed, MD , Marshall Howell IV, MD , Brian Sumner, MD
Evidence surrounding the benefits of post-arrest hypothermia has been conflicting, but it continues to be the standard of care per international guidelines. The TTM2 Trial adds to the data.
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Critical Care , Critical Care Alert , Sepsis

Critical Care Alert: Fluid Resuscitation in Sepsis Induced Hypotension

8/2/2021 Erik Sherman, MD , Brian Sumner, MD
Early fluid resuscitation has been proven to be a fundamental component in improving survival for patients with severe sepsis or septic shock. But what happens when a patient has cirrhosis?