Browsing: Critical Care

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.
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.
Can the use of hydrocortisone plus fludrocortisone and/or drotrecogin alfa improve clinical outcomes in patients with septic shock?
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.
Could balanced crystalloids offer better outcomes than normal saline infusions? The SMART trial tracked mortality, new renal-replacement therapy, and persistent renal dysfunction among critically ill
There are no hard and fast rules for therapeutic thoracentesis in the ED setting but there are some accepted best practices.
Hepatorenal and hepatopulmonary syndromes can be easy to diagnose in the ED, and proper management can significantly impact morbidity and mortality downstream.
Two techniques are currently used for guidewire insertion during central venous catheterization: introducer needle and angiocatheter over an introducer needle. Is one technique better than the other?
Repeated Valsalva maneuvers - like forcefully exuberant cheering - may not be the most common cause of Hamman's Syndrome, but it can happen.
Ischemic stroke is one of the most common causes of death and devastating permanent disability worldwide. Two new trials - DAWN and DEFUSE 3 - suggest endovascular therapy could benefit patients prese