Critical Care , Critical Care Alert , Cardiology

Critical Care Alert: Hypothermia versus Normothermia after Out-of-Hospital Cardiac Arrest (TTM2 Trial)

8/2/2021 Mustafa Rasheed, MD , Marshall Howell IV, MD , Brian Sumner, MD

Evidence surrounding the benefits of post-arrest hypothermia has been conflicting, but it continues to be the standard of care per international guidelines. The TTM2 Trial adds to the data.

Critical Care , Critical Care Alert , Sepsis

Critical Care Alert: Fluid Resuscitation in Sepsis Induced Hypotension

8/2/2021 Erik Sherman, MD , Brian Sumner, MD

Early fluid resuscitation has been proven to be a fundamental component in improving survival for patients with severe sepsis or septic shock. But what happens when a patient has cirrhosis?

Critical Care , Critical Care Alert , COVID-19

Critical Care Alert: Convalescent Plasma in Patients Admitted with COVID-19 (RECOVERY)

8/2/2021 Nicholas Huth , Brian Sumner, MD

As the coronavirus continues to mutate, researchers are examining every treatment option. This study looks at the efficacy of convalescent plasma for patients admitted to the hospital with COVID-19.

Critical Care , Critical Care Alert , Sepsis , COVID-19 , Airway

Critical Care Alert: Ketamine-Only Intubation Method in the ED

7/20/2021 Erik Sherman, MD , Brian Sumner, MD

ED intubations are typically carried out using rapid sequence intubation (RSI), utilizing both a sedative agent and neuromuscular blocking agent. What are the indications and complications of opting f

Critical Care , Critical Care Alert , Sepsis , COVID-19 , Airway

Critical Care Alert: Dexmedetomidine or Propofol for Sedation in Mechanically Ventilated Adults with Sepsis

7/9/2021 Brandon Chaffay, MD , Brian Sumner, MD

When patients with sepsis are mechanically ventilated, which sedation leads to better outcomes: dexmedetomidine or propofol?

Infectious Disease , Sepsis

Sick as a Dog: A Case of Overwhelming Post-splenectomy Infection

6/11/2021 Ashley Rider, MD , Tsuyoshi Mitarai, MD , Jennifer Wilson, MD, MS

Although it is rare, it is important to recognize C. canimorsus sepsis, as it is associated with high mortality rate and the patient can deteriorate rapidly.

Critical Care , Ultrasound , Critical Care Ultrasound

Advanced Critical Care Ultrasound: Velocity Time Integral Before and After Passive Leg Raise--In Sepsis, When Is Enough (Fluids) Enough?

5/27/2021 Dustin Slagle, MD , Ashley Panicker, MD, FACEP

Velocity time integral (VTI), also called stroke distance, is an ultrasound measurement that can help the emergency medicine provider guide both differentials and treatment. Here we will focus on its

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

Critical Care Alert: The SALSA Randomized Clinical Trial

5/2/2021 John Conway, MD , Brian Sumner, MD

Symptomatic hyponatremia is a commonly encountered electrolyte abnormality in the emergency department. Treatment generally consists of 3% hypertonic saline therapy. But is a rapid intermittent bolus

Critical Care , Critical Care Alert

Critical Care Alert: A Systematic Review of VA-ECMO in Massive Pulmonary Embolism-Related Cardiac Arrest

5/2/2021 Mustafa Rasheed, MD , Heather Farthing, MD, MPH , Brian Sumner, MD

The data and support for veno-arterial ECMO for cardiac arrest after massive pulmonary embolism is still lacking, but if your institution has the resource, this systematic review shows it may be worth

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