Browsing: Clinical

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Critical Care , Cardiology , Deep Dive in CritCare

Deep Dive into the Evidence: Epinephrine in Cardiac Arrest

6/5/2019 Sean M. Hickey, MD , Bryan Beattie, MD , Yanika Wolfe, MD , Emily Gillespie , Meghan Gorski, DO , Mina Ghobrial, MD , Susannah Empson, MD
Epinephrine is a commonly administered vasopressor in cardiac arrests. Does the evidence support this intervention?
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Critical Care , Critical Care Alert

Critical Care Alert: Closed Chest Compressions in Traumatic Cardiac Arrest

5/18/2019 Sean M. Hickey, MD , Bryan Beattie, MD
The study authors sought to examine the effect of closed chest compressions on cardiac arrest due to hemorrhagic shock versus whole blood resuscitation.
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Critical Care , Critical Care Alert

Critical Care Alert: Early Use of Norepinephrine in Septic Shock Resuscitation (CENSER): A Randomized Trial

5/17/2019 Jonathan Pickos, DO , Sean M. Hickey, MD
The study authors sought to examine if early norepinephrine administration in patients diagnosed with septic shock improved shock control by 6 hours compared with standard care.
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Critical Care , Critical Care Alert

Critical Care Alert: Crystalloids vs Colloids for Fluid Resuscitation in the Intensive Care Unit: A Systematic Review and Meta-analysis

5/17/2019 Omid Manoochehri, MD , Sean M. Hickey, MD
Surviving Sepsis Guidelines recommend crystalloids for initial fluid resuscitation then switching to albumin when crystalloids are insufficient. There is debate regarding using colloid as an initial r
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Critical Care , Critical Care Alert

Critical Care Alert: Bag-Mask Ventilation During Tracheal Intubation of Critically Ill Adults

5/17/2019 Sean M. Hickey, MD , Yanika Wolfe, MD , Meghan Gorski, DO
Does the application of positive pressure ventilation by bag valve mask during tracheal intubation improve outcomes in critically ill patients?
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Critical Care , Critical Care Alert

Critical Care Alert: Coronary Angiography after Cardiac Arrest without ST-Segment Elevation

5/17/2019 Joshua Novy, MD, MBA, MS , Sean M. Hickey, MD
This study examines whether immediate coronary angiography in the setting of ROSC without STEMI changes on ECG following out of hospital cardiac arrest confers superiority in 90 day mortality compared
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EMS

Firefighter Down! Sudden Cardiac Events and Risk Mitigation for Emergency Responders

4/11/2019 Catherine Divingian, MS, MBA, PhD
The top cause of line-of-duty deaths among firefighters is not trauma, burns, or asphyxiation from smoke. It is sudden cardiac events. EMS directors can have a profound impact on the health and longev
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ECG Challenge , Cardiology

ECG Challenge: April 2019

4/11/2019 Adam Quinn, MD , Jeremy Berberian, MD
A 54-year-old male with a history of hypertension presents to the ED with palpitations. What is your interpretation of his EKG?
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International EM , Medical Education

Responding to the Demand: EM Residency Programs and Global Health Experiences

4/10/2019 Danielle Rush Stevens, MD , Ryan Joseph, DO, DTM&H , Browning S. Wayman, MD, DTM&H , Andrew E. Muck, MD, FACEP
Although the majority of residency programs offer elective opportunities, few provide the foundation for formal global health experiences. Yet the benefits of international clinical rotations for a ph
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Pediatric EM

ED Management of Inborn Errors of Metabolism

4/10/2019 Shagun Kaur, MD , Yagnaram Ravichandran, MBBS, MD, FAAP , Kuntal Sen, MD
Inborn errors of metabolism can present with a variety of nonspecific signs and symptoms. While individually rare, as a class of disorders they are not uncommon and should be recognized and treated ap