Browsing: Clinical

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Critical Care , Critical Care Alert , COVID-19

Critical Care Alert: Effect of Hydrocortisone on Mortality or Respiratory Support Among Critically Ill with COVID-19 Patients

10/8/2020 Oswald Reid, Jr., MD , Sean M. Hickey, MD
While the treatment for SARS-CoV-2 continues to evolve, the emergency department remains a primary place for early medical intervention. There is growing evidence to support that initiating steroids w
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Ultrasound

Can Transcranial Doppler Be Useful in the ED? A Review of the Literature

9/30/2020 Mikaela Biavati , Daniel Hubbard , Jake Freudenberger, DO , Akash Desai, MD , Tim Montrief, MD, MPH
Transcranial Doppler offers exciting potential - but in what settings? This literature review evaluates its use in trauma, ICU, pediatric, rural, and international settings.
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Airway , Clinical

Love Hurts: Rare Hypersensitivity Reaction in the Emergency Department

9/22/2020 Darren Cuthbert, MD, MPH , David Christopher Cuthbert, MD , Joshua Bucher, MD , James Karz, DO , Jaila Graham , Mohamed Olabi
Human seminal fluid hypersensitivity affects roughly 40,000 women in the U.S.
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Critical Care , Critical Care Alert , COVID-19

Critical Care Alert: Effect of Hydrocortisone on Mortality and Organ Support in Patients With Severe COVID-19. The REMAP-CAP COVID-19 Corticosteroid Domain Randomized Clinical Trial

9/21/2020 Brian Sumner, MD , Sean M. Hickey, MD
A complex trial meant to determine whether hydrocortisone can improve outcomes for patients with severe COVID-19 was stopped early - but still shows promise for the course.
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Critical Care , Critical Care Alert , COVID-19

Critical Care Alert: Effect of Dexamethasone on Days Alive and Ventilator-Free in Patients with Moderate or Severe Acute Respiratory Distress Syndrome and COVID-19: The CoDEX Randomized Clinical Trial

9/21/2020 Taylor Miller, MD , Sean M. Hickey, MD
The CoDEX trial was conducted to identify the effect of dexamethasone on ventilator-free days in patients with COVID-19 associated ARDS.
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Critical Care , Critical Care Alert , COVID-19

Critical Care Alert: Association Between Administration of Systemic Corticosteroids and Mortality Among Critically Ill Patients With COVID-19: A Meta-analysis

9/21/2020 Brian Sumner, MD , Sean M. Hickey, MD
With no clear consensus on the use of steroids in critically ill sepsis patients, a recent meta-analysis studies the 28-day mortality in critically ill COVID-19 patients when corticosteroids are admin
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Critical Care , Critical Care Alert

Critical Care Alert: Effect of Ascorbic Acid, Corticosteroids, and Thiamine on Organ Injury in Septic Shock - The ACTS Randomized Clinical Trial

9/3/2020 Brian Sumner, MD , Sean M. Hickey, MD
This study sheds more light on how the administration of ascorbic acid, corticosteroids, and thiamine might affect the rates of organ injury in patients suffering septic shock. The takeaway? It's not
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Critical Care , Critical Care Alert

Critical Care Alert: Etomidate Use Is Associated with Less Hypotension Than Ketamine for Emergency Department Sepsis Intubations: A NEAR Cohort Study

8/26/2020 Brian Sumner, MD , Sean M. Hickey, MD
Intubating the critically ill septic patient is a high-risk procedure. We examine an observational study that reported higher levels of procedural hypotension with the use of ketamine when compared to
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COVID-19 , Heart of EM

What Prickled Today?

8/18/2020 Smruti Desai, DO, MPH
They may have had full lives with love and care and food and jokes before the coronavirus laid claim to them. And though we cannot offer a cure, we offer all we can. Even when it's simply the comfort
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COVID-19 , Heart of EM

Please Don't Take Your Mask Off

8/18/2020 Nicole Anthony, MD
I know you hate the oxygen mask. Do you know how much I wish you didn't need it?