Broome Docs

JANUARY 27, 2025

2024 Nov 22;17(1):177. 2024 Nov 18:e245981. 2024 Oct 26;404(10463):1645-1656. 2024 Jun;23(6):577-587. Epub 2024 Apr 20. 2024 Oct 9. 100% seems too good to be true Morello et al., 2024 Dec 9. Garcia SI, Jacobson A, Moore GP, Frank J, Gifford W, Johnson S, Lazaro-Paulina D, Mullan A, Finch AS.

ED 101

ED OR ACS Critical Care 101

Dr. Smith's ECG Blog

JANUARY 2, 2025

Bogossian et al. (1) Bogossian H, Frommeyer G, Ninios I, Hasan F, Nguyen QS, Karosiene Z, Mijic D, Kloppe A, Suleiman H, Bandorski D, et al. CASE CONTINUED She was admitted to the ICU. For more on Torsades de Pointes vs PMVT See My Comment in the October 18, 2023 post and the September 2, 2024 post in Dr. Smith's ECG Blog ).

Coronary 116

Coronary OR Defibrillator ALS 116

REBEL EM

FEBRUARY 19, 2024

Paper: Yerke JR et al. CHEST 2024. PMID: 37611862 Clinical Question: In patients treated in the ICU, can a protocol of peripheral IV catheter vasopressors safely reduce the number of days of CVC use and frequency of placement? References: Yerke JR et al. CHEST 2024. PMID: 37611862 Evans L et al.

ICU 137

ICU EMS ALS OR 137

REBEL EM

FEBRUARY 8, 2024

Paper: Haber, EN et al. J Intensive Care Med 2024. PMID: 38215002 Clinical Question: In critically ill adults in the ICU is noninvasive blood pressure (NIBP) monitoring similar (≤10% difference) to invasive arterial blood pressure (IABP) monitoring? References: Haber, EN et al. J Intensive Care Med 2024.

ICU 123

ICU MICU ALS EMS 123

REBEL EM

APRIL 22, 2024

Paper: Nielsen FM et al. Population: Adult patients ( > 18 years of age) admitted to the ICU with COVID-19 and severe hypoxemia (defined as receiving supplemental O2 with a flow rate of at least 10L/min or receiving mechanical ventilation or non-invasive ventilation. The HOT-COVID Randomized Controlled Trial.

Life Support 74

Life Support ICU EMS OR 74

Dr. Smith's ECG Blog

FEBRUARY 2, 2024

His temperature was brought back to normal over time in the ICU. Altered Mental Status, Bradycardia == MY Comment , by K EN G RAUER, MD ( 2/2 /2024 ): == Dr. Meyers began today’s case with the clinical challenge of asking you to identify the underlying cause of ECG #2. Rituparna et al — as well as Chauhan and Brahma ( Int.

ICU 137

ICU OR ALS ED 137

ACEP Now

JULY 7, 2024

Neurology consultation should be initiated, and the patient should be admitted to the ICU. References Brophy GM, Bell R, Claassen J, et al. Zehtabchi S, Abdel Baki SG, Omurtag A, et al. Towne AR, Waterhouse EJ, Boggs JG, et al. Huff JS, Melnick ER, Tomaszewski CA, et al. Paliwal P, Wakerley BR, Yeo LLL, et al.

Emergency Department 52

Emergency Department Critical Care ALS ICU 52

Don't Forget the Bubbles

JUNE 17, 2024

The team sits down for a hot debrief once the patient is stabilised and transferred to the ICU. Frich JC, Brewster AL, Cherlin EJ, Bradley EH. InHealthcare 2024 Jan 22 (Vol. While you are leading the resuscitation, one of your senior colleagues belittles a junior staff member for struggling to site an IV line. Future Healthc J.

E-9-1-1 105

E-9-1-1 Critical Care CPR ICU 105

ACEP Now

APRIL 3, 2024

Several recent studies yield insights into this hypothesis: In a single site retrospective cohort study, Callaway et al demonstrated that TTM efficacy may be impacted by arrest severity.10 In a multisite retrospective cohort study, a study by Nishikimi, et al., Group W, Nolan JP, et al. Nielsen N, Wetterslev J, et al.

Advanced Life Support 40

Advanced Life Support ALS Life Support CPR 40

Core EM

JANUARY 25, 2024

Disposition to ICU. References: Yuan TH, Kerns WP, Tomaszewski CA, et al. von Lewinski D, Bruns S, Walther S, et al. Cole JB, Corcoran JN, Engebretsen KM, et al. Holger JS, Engebretsen KM, Fritzlar SJ, et al. Kerns W, Schroeder D, Williams C, et al. Kline JA, Tomaszewski CA, Schroeder JD, et al.

Overdose 246

Overdose ALS Epinephrine Critical Care 246

REBEL EM

FEBRUARY 29, 2024

3, 4 It is the most common nosocomial infection in patients on mechanical ventilation, and one of the leading causes of nosocomial infection among all patients in the ICU. Mimoz (2024). The low incidence could be a result of the systematic implementation of bundles known to decrease VAP incidence in the ICU. Lasocki, T.

E-9-1-1 119

E-9-1-1 ICU ALS OR 119

Broome Docs

MARCH 28, 2024

2024 Jan 22;41(2):96-102. Great evidence for button battery ingestions (if you are treating a dead pig) Chiew AL, Lin CS, Nguyen DT, Sinclair FAW, Chan BS, Solinas A. 2024 Jan 2;53(1):afad255. 2024 Jan 29:jme-2023-109651. Emerg Med J. doi: 10.1136/emermed-2023-213285. Ann Emerg Med. 2023 Sep 19:S0196-0644(23)00671-6.

E-9-1-1 96

E-9-1-1 ICU Emergency Department ALS 96

Dr. Smith's ECG Blog

JUNE 17, 2024

The patient was upgraded to the ICU for closer monitoring. In fact, Kosuge et al. Accessed May 28, 2024. Stein et al. This is a paper worth reading : Marchik et al. Kosuge et al. Witting et al. This does not contradict the conclusions of Kosuge et al. It is nearly pathognomonic for PE.

E-9-1-1 138

E-9-1-1 ACS Emergency Department Coronary 138

REBEL EM

AUGUST 12, 2024

The authors of this study sought to test the hypothesis that intravenous amino acid therapy would lead to a lower occurrence of postoperative AKI when compared to placebo. Paper: Landoni G. Intravenous amino acid therapy for kidney protection in cardiac surgery a protocol for a multi-centre randomized blinded placebo controlled clinical trial.

ICU 81

ICU Operating Room Critical Care ALS 81

EMDocs

APRIL 22, 2024

Alerhand et al described ten individual echocardiographic findings of RV strain that suggest PE. Marino’s the ICU book, Wolters Kluwer Health, pgs 105-109, 4th ed., VUMC Emergency Medicine, “RV Strain & TAPSE” YouTube Video [link] Farcy et al. Available from: [link] Meneveau, Nicolas, et al.

ED 98

ED NARCAN ALS OR 98

ACEP Now

MAY 9, 2024

Nearly half of all post-AFT patients presenting to our emergency departments required admission and six percent required ICU admission. Accessed March 6, 2024. Accessed February 19, 2024. Al Jazeera. Accessed March 6, 2024. Mofid MM, Teitelbaum S, Suissa D, et al. units per patient. Healing Is No Joke.

Emergency Department 52

Emergency Department Operating Room Critical Care ICU 52

ACEP Now

MAY 9, 2024

Taking a different approach than the authors of the AHRQ report, Auerbach et al used a “look back” approach to perform both qualitative and quantitative evaluations of the types and frequencies of errors occurring in hospital settings. After developing encephalopathy and hypoxemic respiratory failure, the patient was transferred to the ICU.

Emergency Department 52

Emergency Department ICU ALS ACS 52

ACEP Now

JUNE 14, 2024

4,6,11 Antibiotics Antibiotic use for AECOPD patients remains a contentious topic; however, data suggests AECOPD patients requiring admission, particularly to the ICU, should receive antibiotics. Adeloye D, Song P, Zhu Y, et al. Canut A, Martín-Herrero JE, Labora A, et al. Accessed May 19, 2024. 5 mg plus ipratropium 0.5

ALS 52

ALS Coronary OR ED 52

The Bottom Line

NOVEMBER 22, 2024

Long-term effects of flexible visitation in the intensive care unit on family members’ mental health: 12-month results from a randomized clinical trial JMB de Souza et al. Intensive Care Med (2024); 50:1614–1621.

ICU 73

ICU ALS 73

REBEL EM

NOVEMBER 11, 2024

Article: Chanderraj R, Admon AJ, He Y, et al. Imbalances Between Treatment Groups : ICU Admissions : Higher in piperacillin-tazobactam (33% vs. 30%). For example, in this analysis, 33% of patients receiving piperacillin-tazobactam were admitted to the ICU, compared to 30% of those receiving cefepime. 2024 Jul 1;184(7):769-777.

E-9-1-1 108

E-9-1-1 ALS ICU Critical Care 108

REBEL EM

DECEMBER 23, 2024

Both these physiologic principles and recent preclinical evidence have called into question whether NS is the best resuscitation fluid for patients experiencing VOE due to concerns its tonicity and tendency to induce acidosis may promote sickling ( Carden 2017a , Carden 2017b , Alwang 2024 ). PMID: 28423290 Kidwell K, Albo C, Pope M, et al.

ALS 128

ALS ED ACS EMR 128

REBEL EM

NOVEMBER 25, 2024

Paper: von Hellmann R, Fuhr N, Maia IWA, et al. 2024 Feb 83(2):132-144. Intubation performed in all settings (out-of-hospital, emergency department, ICU, and operating room). Clinically Diverse Patient Population : The study included patients from varied clinical settings (ED, ICU, OR, and pre-hospital). Ann Emerg Med.

Operating Room 104

Operating Room Emergency Department ICU ALS 104

Don't Forget the Bubbles

FEBRUARY 17, 2025

Approximately 20% of adults with septic shock in the ICU exhibit venous congestion, with significant implications for prognosis and treatment.[3] Can J Anaesth, 2024. Pediatric Critical Care Medicine, 2024. Indian J Crit Care Med, 2024. Perez Nieto, O.R., Aiming for zero fluid accumulation: First, do no harm. Prager, R.,

Critical Care 78

Critical Care ALS OR ICU 78

EMDocs

JUNE 27, 2024

Alkindi S, Al-Busaidi I, Al-Salami B, Raniga S, Pathare A, Ballas SK. Alghamdi FA, Al-Kasim F, Alshhada F, Ghareeb E, Azmet FR, Almudaibigh A, Baitalmal L, Alnawfal B, Alluqmani R. 2024 Mar 12;14(1):5978. 2024 Jul;71(7):e31002. Epub 2024 Apr 21. 2024 Apr 5. 2020 Feb 12;10(1):2470. Epub 2018 Oct 17.

E-9-1-1 98

E-9-1-1 ICU ACS EMS 98

EMDocs

JANUARY 20, 2025

9 In terms of assessing volume status in general, Joseph et al. 11 A study by Stephan et al. Since the 2010s multiple trials have explored the feasibility of fluid restrictive resuscitation both on initial resuscitation in the ED, as well as in the intensive care unit (ICU). Andrews et al. Similar to Andrews et al.,

ED 75

ED ALS Emergency Department Critical Care 75

EMDocs

FEBRUARY 8, 2025

The most appropriate disposition for this patient is admission to an ICU due to increasing oxygen requirements, high mortality rates of IPA, and IDSA recommendation for bronchoscopy with lavage/tissue sampling. Amphotericin B is commonly added for those who are critically ill and require ICU-level care. Future Microbiology.

ED 73

ED E-9-1-1 EMS ICU 73

FOAMfrat

NOVEMBER 21, 2024

Today, increased mortality rates, higher transfusion requirements, and lengthened ICU stays are recognized as proximate effects of the Trauma Triad. PubMed , StatPearls Publishing, 5 May 2024, www.ncbi.nlm.nih.gov/books/NBK603758/. Jessica Dawkins Mills BSN, et al. EMS Tactical Paramedic Lethal Triad.” Accessed 10 Oct.

ICU 119

ICU Emergency Department OR ED 119

EMDocs

JANUARY 16, 2025

2024 Jun 26:S0140-6736(24)00495-1. Carlton EF, Gebremariam A, Maddux AB, et al. Zimmerman JJ, Banks R, Berg RA, et al; Life After Pediatric Sepsis Evaluation (LAPSE) Investigators. Weiss SL, Fitzgerald JC, Maffei FA, et al; SPROUT Study Investigators and Pediatric Acute Lung Injury and Sepsis Investigators Network.

ALS 95

ALS Critical Care ICU Emergency Department 95

Don't Forget the Bubbles

MARCH 3, 2025

Pierantoni L, Muratore E, Cerasi S, et al. 2024 Nov 19;109(12):980-987. 2024 Jan 14. 2024) Diagnostic challenges of acute appendicitis in preschool children: A comprehensive casecontrol study, Journal of Paediatrics and Child Health [Preprint]. These children also had higher rates of ICU admission ( 6.0%

Emergency Department 88

Emergency Department ED OR ALS 88

Don't Forget the Bubbles

DECEMBER 9, 2024

See their website for more: [link] References Abu-Sultaneh S, Iyer NP, Fernndez A, et al. 202204-0795SO Amirnovin R, Sanchez-Pinto LN, Okuhara C, et al. Implementation of a Risk-Stratified Opioid and Benzodiazepine Weaning Protocol in a Pediatric Cardiac ICU. 0000000000000306 Blackwood B, Agus A, Boyle R, et al.

ALS 59

ALS Critical Care OR ICU 59

Core EM

JANUARY 16, 2025

NIV was recently shown to be much superior in avoiding hypoxia during intubation, compared to using a NRB (Gibbs 2024). It is true, someone finally did an RTC on ICU level patients and found that first pass success IS better with VL than DL (Prekker 2023), but the fact remains that sometimes VL fails. et al (2022). Apfelbaum, J.

E-9-1-1 130

E-9-1-1 EMS ALS OR 130

EMDocs

JANUARY 6, 2025

84 All patients with severe malaria need inpatient admission, ideally to the intensive care unit (ICU). 57 Adapted from: Long B, MacDonald A, Liang SY, et al. Accessed October 5, 2024. Accessed October 5, 2024. Bonn International Center for Conversion Accessed October 5, 2024. Accessed October 5, 2024.

ED 75

ED E-9-1-1 ALS Emergency Department 75