Browsing: Critical Care

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Critical Care Alert: Angiotensin II for the Treatment of Vasodilatory Shock (ATHOS-III) A 68-year-old female with recurrent UTIs presents to the ED with 3 days of fever, back pain, and dysuria. She i
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Critical Care ALERT! Apneic Oxygenation in RSI A 57-year-old male presents to the emergency department for shortness of breath. He became more hypoxic despite applying NIPPV. You decided to proceed w
Who Ya Gonna Call?! A Primer on Left Ventricular Assist Device Emergencies Background Patients with end-stage systolic heart failure (defined as New York Heart Association Class IV or Ejection Fracti
The Crashing Patient with Critical Aortic Stenosis A 90-year-old male with a past medical history of severe aortic stenosis, heart failure with reduced ejection fraction, and chronic kidney disease p
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Post-Intubation Sedation Bridging the Gap Between the Emergency Department and the Intensive Care Unit The practice of endotracheal intubation is often executed as follows: the endotracheal tube is p
Dual Defibrillation: The Achilles' Heel of Refractory V-Fib? Proposed theories as to why DD may be efficacious include the delivery of more energy to overcome the defibrillation threshold as well as
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Beyond ATLS: What the Manual Doesn't Tell You All these factors coalesce in the trauma bay to create a downward spiral of shock where life-saving interventions wrestle with each other as the patient
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Preshospital Sepsis Alerts: A Stemi or Stroke Equivalent? “This is Medic 19 bringing in a Sepsis Alert, ETA 5 min.” With that alert, you mobilize your team and prepare for the patient. When they arr
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Positively Useful: A Brief ED Guide to NIPPV It is important for the emergency physician to be comfortable directing and troubleshooting NIPPV in order to promote optimal patient outcomes. Paramedics
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Critical Care Alert: Mechanical Ventilator Protocol A Quasi-Experimental, Before-After Trial Examining the Impact of an Emergency Department Mechanical Ventilator Protocol on Clinical Outcomes and Lu