Factors associated with peri-intubation cardiac arrest
A recent publication from the National Emergency Airway Registry (NEAR) profiles the incidence and factors associated with peri-intubation cardiac arrest
A recent publication from the National Emergency Airway Registry (NEAR) profiles the incidence and factors associated with peri-intubation cardiac arrest
The sudden death CT may help identify the cause of an out-of-hospital cardiac arrest.
Remember to look at the differential of your CBCs. A recent publication demonstrated in retrospective data that higher proportions of bands on the WBC differential were associated with increased likelihoods of both severe bloodstream infections and mortality.
Today’s EM-critical care post isn’t about a new study or a tip or trick, but a chance to look backward and forward.
Great teams review their performances. A recent publication from George Washington University used video of cardiac arrest resuscitations to generate educational interventions to minimize pulse checks during resuscitation.
A growing body of literature shows targeting capillary refill time is non-inferior to lactate clearance in sepsis resuscication.
A patient is brought to the ED following a cardiac arrest. ROSC is achieved 1 minute after arrival to the ED. What treatments should the ED physician provide to allow the best outcomes?
Its 3am in the ED and you need to call a consult. What strategies can you use to get great care for your patients and be a good colleague?
It’s a familiar call ahead to the ED - an adult patient who is febrile, hypotensive, with suspicion towards infection. While setting up the room, the patient’s bedside nursing team asks if you’d like them to get saline or lactated Ringer’s (LR) ready for resuscitation. You wonder if there’s any new evidence examining the use of saline versus balanced crystalloids in the emergency department.
It's a typical day in the ED. You are asked to see your next patient who is a 60 year old male, recently discharged from the hospital after being treated for cellulitis presenting with abdominal pain and diarrhea. He’s tachycardic and hypotensive to 75/40. The patient is mentating well. After taking a more thorough history your differential diagnosis narrows in on intra-abdominal sepsis associated with significant volume losses. The lactate returns at 6. On volume assessment by physical exam and POCUS, the patient is significantly volume down. You know that getting the antibiotics and fluids on board is the cornerstone of treatment, but they will take some time to be given. You wonder if you should temporize your resuscitation with pressors during the time it takes for the fluids and antibiotics to be administered.
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