Browsing: Critical Care

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Critical Care , Critical Care Alert , Cardiology

Critical Care Alert: Effect of Intra-arrest Transport, Extracorporeal Cardiopulmonary Resuscitation, and Immediate Invasive Assessment and Treatment on Functional Neurologic Outcome in Refractory Out-of-Hospital Cardiac Arrest

5/14/2022 Erin Bell, MD , Taylor Miller, MD
The evidence surrounding ECPR continues to build. In this study, investigators demonstrated a 31.5% survival rate with favorable 180-day neurological outcome with ECPR in patients who suffered out-of-
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Critical Care , Critical Care Ultrasound , Ultrasound

Advanced Critical Care Ultrasound: Subclavian Central Venous Access - Dealer's Choice

5/2/2022 Dustin Slagle, MD , Jesse Liou, MD , Gabriel Hoffman, MD
The need for a central line is commonplace in the emergency department and critical care units. When deciding which of the three typical sites (internal jugular, femoral, and subclavian) to choose for
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Critical Care , Critical Care Ultrasound , Ultrasound , Nephrology

An Acutely Swollen and Cyanotic Leg

4/10/2022 Jasmine Jolly, MD , Elizabeth Page Bridges, MD, FACEP , David Stephen Wong, MD , Dustin Morrow, MD, FACEP
Phlegmasia cerulea dolens is a rare but emergent condition of massive venous thrombosis that can rapidly produce irreversible vascular gangrene. If your patient in the emergency department has a swoll
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Critical Care , Critical Care Alert , Airway

Critical Care Alert: The EvK Clinical Trial: Etomidate vs. Ketamine For Emergency Endotracheal Intubation

4/10/2022 Evan McMurray, MD , Taylor Miller, MD
The emergent airway is central to emergency medicine. And a new study explores medications central to emergency endotracheal intubation. Which is better: etomidate or ketamine?
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Critical Care , Critical Care Ultrasound , Ultrasound

Use of Bedside Ultrasound in Diagnosing Boerhaave Syndrome

4/10/2022 Rabia Iqbal, DO , Caleb Harrell, MD
Esophageal rupture is a rare condition that is recognized as one of the most fatal gastrointestinal injuries. Time to diagnosis is an independent predictor of mortality in acute esophageal rupture mak
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Critical Care , Critical Care Ultrasound , Ultrasound

Advanced Critical Care Ultrasound: Axillary Arterial Line—Oft Forgotten

2/27/2022 Dustin Slagle, MD , Natalie Htet, MD, MS
Obtaining arterial access is a common procedure in both emergency medicine and in critical care. It's a good idea to become familiar with the axillary artery as an alternative location for placement o
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Critical Care

Atraumatic Splenic Rupture

2/12/2022 Daniel White, DO
Traumatic splenic injury and hemorrhage is a diagnosis familiar to most emergency physicians. However, a condition that some may not be familiar with is atraumatic splenic rupture.
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Critical Care , Gastroenterology

Balloon Tamponade to Stabilize Life-Threatening Rectal Bleeding

2/12/2022 Matthew Welles, MD , Robert Nocito, MD , Peter Viccellio, MD, FACEP , Scott Weingart, MD, FACEP, FCCM
Balloon tamponade devices specifically designed for upper GI bleeding are well-established as a temporizing measure in life-threatening upper gastrointestinal bleeding, but rarely have been used for l
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Critical Care , Critical Care Ultrasound , Ultrasound

Advanced Critical Care Ultrasound: The RUSH Exam - Slow Is Smooth and Smooth Is Fast

2/3/2022 Taylor Miller, MD , Dustin Slagle, MD , Alexis Salerno, MD, FACEP
Undifferentiated patients showing signs of shock have a high mortality rate. The Rapid Ultrasound for Shock and Hypotension (RUSH) Exam is a protocolized ultrasound exam that can be done in minutes to
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Deep Dive in CritCare , Critical Care

Deep Dive into the Evidence: Thrombolysis in Cardiac Arrest from PE

1/19/2022 Margarita Popova, MD , Jordan Feltes, MD , Yasir Hussein, MD , David Yamane, MD , Brian Sumner, MD
Few patients who suffer cardiac arrest from massive pulmonary embolism will survive to hospital discharge. From the evidence available, there is no clear mortality or functional outcome benefit to any