Browsing: Clinical

Fluid resuscitation guidelines for severe sepsis and septic shock presently address only the initial phase of resuscitation. The RIFTS trial examines the efficacy of a restrictive IV fluid resuscitati
As the use of extracorporeal membrane oxygenation becomes more prevalent, emergency physicians should understand the history of ECMO, how it works, when it's indicated, and what role it plays in the e
Emergency medicine is uniquely positioned to respond to new crises as they arise. One such crisis is unfolding in the Middle East, where a humanitarian crisis in Yemen highlights the need for global e
Does early neuromuscular blockade accompanied by heavy sedation in ARDS cases improve all-cause in-hospital mortality rates? The ROSE trial investigates.
When trying to resuscitate patients with septic shock, which offers better guidance for intervention: measuring capillary refill or trending lactate levels? The Andromeda SHOCK trial studied patients
Hemodialysis is the definitive modality of lithium clearance in severe toxicity. In early overdose, however, whole bowel irrigation may prevent lithium absorption and subsequent toxicity if mental sta
Flecainide overdose is a rare but serious toxic ingestion. Treatment includes the aggressive administration of sodium bicarbonate and a low threshold to initiate ILE or ECMO.
Although asphyxiant exposure is a relatively uncommon phenomenon, it is important to keep in mind when evaluating an altered patient or a patient who has been found down, particularly in industrial or
Critically ill pediatric patients can make physicians-in-training nervous - and that anxiety is heightened when it comes to a pediatric patient in respiratory distress. This article reviews the basics