Browsing: Critical Care

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Critical Care , Critical Care Alert

Critical Care Alert: Targeted Temperature Management for Cardiac Arrest with Non-shockable Rhythm - The HYPERION Trial

12/19/2019 Joshua Novy, MD, MBA, MS , Sean M. Hickey, MD
Moderate therapeutic hypothermia could be another tool in treating cardiac arrest patients. But how much should a patient be cooled? The HYPERION Trial doesn't resolve that debate.
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Critical Care , Ventilator Management , Clinical

Your First Shift in the Unit: Demystifying Ventilator Alarms

12/16/2019 Marc Cassone, DO , Anthony Cocciolone, DO , Eric Melnychuk, DO
Ventilator alarms can be the first sign of an acute process and should be addressed immediately. It’s important to understand basic troubleshooting and move beyond DOPES when managing vent alarms.
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Clinical , Airway , Ventilator Management

High Flow Nasal Cannula for the Emergency Physician

12/16/2019 Jason Block, MD
A look at this option for delivering supplemental oxygen in patients experiencing hypoxemic respiratory failure in emergency care.
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Critical Care , Critical Care Alert

Critical Care Alert: CRASH-3 Review of TXA for TBI

12/16/2019 Ryan Lee, MD , Raymond Green, DO, FACS , Michael Perza, PharmD, BCPS
Released in October 2019, CRASH-3 is the latest trial exploring the benefits of tranexamic acid, this time in traumatic brain injury. The bottom line: TXA hasn't been shown to reduce mortality.
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Cardiology , Shock

Management of Atrial Fibrillation in Hypertrophic Cardiomyopathy

10/10/2019 Vase Bari, MD , B. Bryan Graham, DO
About 1 in 5 patients with hypertrophic cardiomyopathy will develop atrial fibrillation. Here's how to clue in to this underlying cause of the dysrhythmia when a patient presents to you in the ED.
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Critical Care , Critical Care Alert

Critical Care Alert: Reviewing the Evidence for SEP-1

10/9/2019 Omid Manoochehri, MD , Sean M. Hickey, MD
The SEP-1 core measure instituted by CMS has been hotly debated. A new review of literature shows a lack of high-quality evidence to back up the specificity required in the sepsis bundle.
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Critical Care , Cardiology

Mini Review: Blunt Cardiac Injury

9/26/2019 Mina Ghobrial, MD
Blunt chest trauma may be more prevalent than you realize. Sharpen your clinical gestalt by understanding the most helpful diagnostic tools, such as troponin, EKG, and echocardiography.
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Critical Care , Cardiology , Deep Dive in CritCare

Deep Dive into the Evidence: Cardiac Ultrasound in Cardiac Arrest

9/5/2019 Sean M. Hickey, MD , Bryan Beattie, MD , Susannah Empson, MD , Mina Ghobrial, MD , Jaskirat Gill, MD , Emily Gillespie , Meghan Gorski, DO , Omid Manoochehri, MD , Joshua Novy, MD, MBA, MS , Jonathan Pickos, DO , Mark Ramzy, DO, EMT-P , Yanika Wolfe, MD
Will transesophageal echocardiography become the first imaging incorporated into ACLS protocols?
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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