Browsing: Clinical

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Ultrasound , Cardiology

Differentiating Acute Versus Chronic Right Heart Failure with Bedside Echocardiography

8/13/2019 Andrew Pellet, MD , Amy Zeidan, MD , Jacob Avila, MD
While there are a number of quantitative and qualitative assessments that can be used to evaluate right heart function, 2 measurements in particular can help differentiate acute versus chronic right h
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Cardiology

What to Consider with Double Sequential Defibrillation in Refractory VF

8/13/2019 Patrick McCarville, MD , Natalie Sullivan, MD , Evan Kuhl, MD , David Yamane, MD
Are you considering double sequential defibrillation in patients with refractory VF?
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Critical Care , Critical Care Alert

Critical Care Alert: The Restrictive IV Fluid Trial in Severe Sepsis and Septic Shock (RIFTS)

8/12/2019 Joshua Novy, MD, MBA, MS , Sean M. Hickey, MD
Fluid resuscitation guidelines for severe sepsis and septic shock presently address only the initial phase of resuscitation. The RIFTS trial examines the efficacy of a restrictive IV fluid resuscitati
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Critical Care , Cardiology

A Review of ECMO in the ED: History, Mechanics, Common Indications, and Future Implications

8/12/2019 Mina Ghobrial, MD , Katherine Nugent, MD
As the use of extracorporeal membrane oxygenation becomes more prevalent, emergency physicians should understand the history of ECMO, how it works, when it's indicated, and what role it plays in the e
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International EM

Humanitarian Crisis in Yemen and What Emergency Medicine Has to Offer

7/23/2019 Elizabeth N. Malik, MD , Emilie J. Calvello Hynes, MD, MPH, FACEP
Emergency medicine is uniquely positioned to respond to new crises as they arise. One such crisis is unfolding in the Middle East, where a humanitarian crisis in Yemen highlights the need for global e
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Critical Care , Critical Care Alert

Critical Care Alert: Re-evaluation of Systemic Early Neuromuscular Blockade: The ROSE Trial

7/16/2019 Jonathan Pickos, DO , Joshua Novy, MD, MBA, MS , Sean M. Hickey, MD
Does early neuromuscular blockade accompanied by heavy sedation in ARDS cases improve all-cause in-hospital mortality rates? The ROSE trial investigates.
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Critical Care , Critical Care Alert

Critical Care Alert: Measuring Lactate vs. Capillary Refill in Guiding Resuscitation in Shock: Is there a difference?

6/11/2019 Bryan Beattie, MD , Sean M. Hickey, MD
When trying to resuscitate patients with septic shock, which offers better guidance for intervention: measuring capillary refill or trending lactate levels? The Andromeda SHOCK trial studied patients
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Airway

Fixing a Cuff Leak: Learning to Improvise with Airway Problems

6/10/2019 Michael Lauria, MD, NRP, FP-C , Tatsuya Norii, MD, FACEP , Codruta Soneru, MD
Cuff defects top the list of structural causes of air leak from endotracheal tubes. Being able to troubleshoot the problem without changing the ETT decreases risk to the patient and saves valuable tim
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Airway , Pediatric EM

Difficult to Ventilate and Oxygenate: The Pediatric Airway Overview

6/10/2019 Zaza Atanelov, MD, MPH , Gwen Hooley, MD , Sylvia E. Garcia, MD
Critically ill pediatric patients can make physicians-in-training nervous - and that anxiety is heightened when it comes to a pediatric patient in respiratory distress. This article reviews the basics
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Toxicology

Don't Get Burned by Hydrofluoric Acid Toxicity

6/10/2019 Nancy A. Rice, MD, MS , Spencer Greene, MD, MS, FACEP, FACMT
Hydrofluoric acid is found in a variety of products and used in multiple industries, so exposure, while not exceedingly common, is not rare. Know how to treat HF toxicity and prevent contamination amo