Browsing: Critical Care

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Critical Care , Critical Care Ultrasound , Ultrasound

Advanced Critical Care Ultrasound: VExUS--Can the Right Side Take It?

6/2/2022 Dustin Slagle, MD , Ashley Panicker, MD, FACEP
Knowing when to stop volume resuscitation in the unstable shock patient is a question that plagues both the emergency physician and the critical care doctor. VExUS was designed to succeed where CVP ha
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Critical Care , Critical Care Alert , Cardiology

Critical Care Alert: Epinephrine v. Norepinephrine in Cardiac Arrest Patients with Post-Resuscitation Shock

5/14/2022 Brendan Innes, MD , Brian Sumner, MD , Taylor Miller, MD
Post-resuscitation shock occurs in 50-70% of patients after out-of-hospital cardiac arrest, and this study provides evidence that norepinephrine is likely a preferable vasopressor to epinephrine in po
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Critical Care , Critical Care Ultrasound , Ultrasound

Advanced Critical Care Ultrasound: Fractional Area Change and Left Ventricular Fractional Shortening – Building Blocks for Later

5/14/2022 Dustin Slagle, MD , Jon Bodner, MD , Ashley Panicker, MD, FACEP
Ultrasound is a powerful tool in the emergency department for the estimation of left ventricular ejection fractions. E-Point Septal Separation is a good way to obtain these measurements, but what if t
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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.