Critical Care , Critical Care Alert , Cardiology

Critical Care Alert: Effect of Intra-arrest Transport, Extracorporeal Cardiopulmonary Resuscitation, and Immediate Invasive Assessment and Treatment on Functional Neurologic Outcome in Refractory Out-of-Hospital Cardiac Arrest

5/14/2022 Erin Bell, MD , Taylor Miller, MD

The evidence surrounding ECPR continues to build. In this study, investigators demonstrated a 31.5% survival rate with favorable 180-day neurological outcome with ECPR in patients who suffered out-of-

Critical Care , Critical Care Alert , Airway

Critical Care Alert: The EvK Clinical Trial: Etomidate vs. Ketamine For Emergency Endotracheal Intubation

4/10/2022 Evan McMurray, MD , Taylor Miller, MD

The emergent airway is central to emergency medicine. And a new study explores medications central to emergency endotracheal intubation. Which is better: etomidate or ketamine?

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

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

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 , Ultrasound , Cardiology , Critical Care Ultrasound

Advanced Critical Care Ultrasound: E-Point Septal Separation to Estimate Left Ventricular Ejection Fraction

5/26/2021 Taylor Miller, MD , Alexis Salerno, MD, FACEP , Dustin Slagle, MD

Emergency physicians have been shown to be accurate at visual estimation of the left ventricular ejection fraction without quantitative measurements. However, there is still value in a quick and easy

Critical Care , Critical Care Alert , COVID-19

Critical Care Alert: Tocilizumab in Patients Admitted to Hospital with COVID-19 (RECOVERY)

3/18/2021 Taylor Miller, MD , Brian Sumner, MD

Originally designed for use in rheumatoid arthritis, tocilizumab is being considered as a potential therapeutic agent to treat COVID-19.

Critical Care , Pulmonary , COVID-19 , Deep Dive in CritCare

Corticosteroid Use in COVID-19 Respiratory Failure: Deep Dive into the Evidence

11/30/2020 Taylor Miller, MD , Brian Sumner, MD , Oswald Reid, Jr., MD , Sean M. Hickey, MD

The role of corticosteroids in severe infections, sepsis and ARDS has been a constantly evolving discussion and remains controversial. The recent APROCCHSs, ADRENAL and DEXA-ARDS along with other prio

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.

Critical Care , Critical Care Alert

Critical Care Alert: Effects of Dexamethasone in Hospitalized Patients with COVID-19 - Preliminary Report

6/26/2020 Taylor Miller, MD , Sean M. Hickey, MD , Trevor R. Pour, MD

As much of the U.S. experiences a resurgence of COVID-19 cases heading into the height of summer, research continues at a brisk pace. Can dexamethasone - a relatively inexpensive, commonly prescribed