Browsing: Critical Care

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Critical Care , Critical Care Alert

Critical Care Alert: Crystalloids vs Colloids for Fluid Resuscitation in the Intensive Care Unit: A Systematic Review and Meta-analysis

5/17/2019 Omid Manoochehri, MD , Sean M. Hickey, MD
Surviving Sepsis Guidelines recommend crystalloids for initial fluid resuscitation then switching to albumin when crystalloids are insufficient. There is debate regarding using colloid as an initial r
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Critical Care , Sepsis , Shock , Deep Dive in CritCare

Deep Dive into the Evidence: Steroids in Septic Shock

2/5/2019 Sean M. Hickey, MD , Susannah Empson, MD , Emily Gillespie , Meghan Gorski, DO , Yanika Wolfe, MD
The use of exogenous steroids in septic shock is a controversial issue with inconsistent data on mortality to date. Several studies examine sepsis treatment. What does the evidence show?
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Critical Care

A Review of Blunt Cerebrovascular Injuries

2/5/2019 Douglas D. Campbell, MD , Jean Hoffman, MD
BCVI is a relatively rare diagnosis, but this does not take away from the importance of considering it during the initial evaluation of all trauma patients.
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Critical Care , Critical Care Alert

Critical Care Alert: A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest (PARAMEDIC2 Trial)

1/21/2019 Sean M. Hickey, MD , Yanika Wolfe, MD , Meghan Gorski, DO
Is epinephrine a safe and effective treatment for out-of-hospital cardiac arrest? The PARAMEDIC2 trial offers evidence.
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Endocrinology , Critical Care

Thyrotoxicosis: STEMI plus Acute Psychosis

12/15/2018 Andrew Connor, DO , Sarah E. Fabiano, MD, FACEP, FAAEM
A thyroid storm is an acute, life-threatening emergency that requires timely recognition and management. Left untreated, the mortality rate is 80-100%.
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Critical Care

Fluid Responsiveness in a Hemodynamically Unstable Patient

12/15/2018 Jason Block, MD , David Mackenzie, MD, FACEP
Will my critically ill patient respond to this bolus?
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Critical Care , Critical Care Alert

Critical Care Alert: Adjunctive Corticosteroid Treatment in Patients with Septic Shock (ADRENAL Trial)

12/1/2018 Susannah Empson, MD , Yanika Wolfe, MD , Meghan Gorski, DO
The ADRENAL trial was designed to test the hypothesis that hydrocortisone results in lower mortality than placebo among patients with septic shock. Find out what investigators discovered.
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Critical Care , Ventilator Management

Doubling Down on Re-Expansion Pulmonary Edema: Treatment Approach and Ventilator Management

10/16/2018 Mark Ramzy, DO, EMT-P
The treatment of choice for a pneumothorax is a chest tube, and when the small pig-tail catheter doesn’t do the job, the answer is to replace it with a larger bore – right? Not so fast.
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Critical Care , Critical Care Alert

Critical Care Alert: Hydrocortisone plus Fludrocortisone for Adults with Septic Shock (APROCCHSS)

9/10/2018 Sean M. Hickey, MD
Can the use of hydrocortisone plus fludrocortisone and/or drotrecogin alfa improve clinical outcomes in patients with septic shock?
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Critical Care

Massive Hemoptysis

8/18/2018 Utsha Khatri, MD , Brian Weiss, MD
Consensus is lacking on specific thresholds to characterize massive hemoptysis because these numbers can be challenging to reliably obtain and fail to predict the severity of disease.