Critical Care

Critical Cases - Alcohol Withdrawal!

A 53 year old reported daily ETOH use presents via EMS for seizure at home. As you approach the stretcher you wrack your brain for the right treatment algorithm, realizing that this patient may die without the correct medications....

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Critical Cases - Boerhaave's Syndrome Emergency!

A patient boarding in the emergency department begins decompensating after a profound fit of retching and vomiting. Blood pressure is dropping and o2 sats are eyeball the patient from the door and he looks severely ill. No time to page the floor team...time to dive in and resuscitate!

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Critically Appraised Topic: Post-Intubation Sedation

Most patients who undergo intubation will receive some sort of post-intubation sedative. In the ICU, over-sedation is common, and early deep sedation is associated with worse outcomes in mechanically ventilated patients – specifically, higher mortality. Does the choice of sedative affect mortality? 

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Blood pressure management in acute intracerebral hemorrhage

Does intensive blood pressure lowering to a target of < 140 mm Hg versus < 180 mm Hg impact outcome after acute intracerebral hemorrhage? Are there risks associated with targeting a lower systolic blood pressure? 

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