Critical Care , Cardiology

A Pain in the Hip: An Atypical Presentation of Acute Aortic Dissection as Isolated Right Hip Pain

12/10/2025 LT Michael Shulby, DO, MC, USN , CDR Eric J. Joch, DO, MC, USN , LT Matthew A. Tovar, MD, MC, USN

Acute aortic dissection may present atypically, often without the classic "tearing" chest or back pain. Instead, patients may present with syncope, neurologic deficits, pulse deficits, referred pain,

Pseudo SAH - cervical medial branch block.png

Critical Care , Neurology

Pseudo-Subarachnoid Hemorrhage Following Cervical Medial Branch Block Using Gadolinium-Based Contrast: A Case Report and Review of the Literature

12/9/2025 Charles Adams, DO, PGY-2 , Cheri Lotfi, DO, MS , Zachary Weinerman, MD

This case report explores the evidence behind recognizing and treating conditions caused by gadolinium-based contrast agents — including pseudo-subarachnoid hemorrhage.

Critical Care , Patient Interactions , Technology, Telehealth, and Informatics

FaceTime as a Tool for Remote Communication in Sudden Death and Resuscitations

12/9/2025 Stephanie Radu, MD, MCR , Casey Wilson, MD, RDMS, FAEMUS , Mark Plexousakis, DO

Life-threatening emergencies can occur when patients’ family are not present, making critical decision-making more difficult. What role does FaceTime play in this situation? What are the legalities su

$Angiotensin-Refractory-Shock-Featured-Image.jpg$

Critical Care

Critical Care: Angiotensin II for Management of Refractory Shock

12/8/2025 Vishnu Dontu , Rishab Agarwal , Jace C. Bradshaw, MD

Refractory shock is commonly managed with vasopressin, but it carries the risk of adverse side effects. Angiotensin II (Ang II) is gaining recognition as an alternative therapy.

Pediatric EM , Critical Care

Paroxysmal Sympathetic Hyperactivity: What to Know about This Complex Diagnosis in the Critical Care Unit

11/18/2025 Hannah E. Miller, MD , Alisha Agarwal, MS4

Paroxysmal Sympathetic Hyperactivity (PSH) describes the dysregulation of the sympathetic nervous system. This disease process typically occurs in the setting of severe acquired brain injury, which ca

Critical Care , Resuscitation , Cardiology

ECMO 2.0: What's LAVA Got to Do With It? A Rapid-Fire Introduction to Left Atrial Veno-arterial ECMO (LAVA-ECMO)

10/20/2025 Anosh A. Khan, MD

LAVA-ECMO offers hemodynamic benefits as an advanced unloading strategy with venting capabilities. However, broader adoption will require prospective studies to validate its safety and efficacy in div

Critical Care Devices , Critical Care , Trauma

Critical Care Device Series: Rapid Infusion Catheters (RICs)

9/20/2025 Jace Bradshaw, MD , AlleaBelle Bradshaw, MD , McKenzie Warshel, DO, MSEd , Luxi Qiao, MD, MPhil

High-volume fluid and blood product administration is often a cornerstone of managing critically ill patients in the emergency department. This Critical Care Device Series entry explains the rapid inf

Critical Care Alert , Critical Care , Cardiology

Critical Care Alert: Electrical Storm Treatment by Percutaneous Stellate Ganglion Block: The STAR Study

8/18/2025 Colleen Leu-Turner, MD , Stephanie De Mel, DO , Alex Lucas, MD

The STAR Study evaluated the effectiveness of percutaneous stellate ganglion block (PSGB) in terminating electrical storms of VF and VT in patients who have otherwise been generally unresponsive to ot

Critical Care Devices , Critical Care , Pulmonary

Critical Care Device Series: Pulmonary Artery Catheter (Part 2 of 3)

5/29/2025 Pooja Dave, MD , Dominique Gelmann, MD , Jordan Nogle, DO , John P. Gaillard, MD

In Part 2 of this Critical Care Device series, we continue to learn about the Swan-Ganz catheter. Pulmonary artery catheters (PACs) are considered a valuable diagnostic and management tool in cardioge

Critical Care Devices , Critical Care , Pulmonary

Critical Care Device Series: Pulmonary Artery Catheter (Part 1 of 3)

5/20/2025 Barret Zimmerman, MD , Mario Castellanos, MD , Allie Schick, MD

Pulmonary artery catheters (PACs) are considered a valuable diagnostic and management tool in cardiogenic shock. For this application, their use is supported by recent evidence correlating their place

Browsing: Critical Care