ACEP Now

JULY 7, 2024

Neurology consultation should be initiated, and the patient should be admitted to the ICU. Disclaimer This article is not a comprehensive review of diagnosis and treatment of status epilepticus but an overview of management and future directions. References Brophy GM, Bell R, Claassen J, et al. Froese L, Dian J, Gomez A, et al.

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Emergency Department Critical Care ALS ICU 52

REBEL EM

MARCH 23, 2023

Treatment options for alcohol withdrawal include benzodiazepines such as lorazepam, diazepam, or chlordiazepoxide, gabapentin, and phenobarbital (Buell et al.). Phenobarbital can be used as a monotherapy or in combination with benzodiazepines to treat alcohol withdrawal (Hawa et al.). Paper : Hawa F et al.

ICU 52

ICU Emergency Department ALS OR 52

Broome Docs

OCTOBER 31, 2022

Ketamine vs etomidate in ICU intubation ? The PEACH trial: No body had a fit, so… we have no clue Peter-Derex L, Philippeau F, Garnier P, et al. PMID: 30206143 Less is more when it comes to intravenous fluids de-Madaria E, Buxbaum JL, Maisonneuve P, et al. 2018 Sep 11;362:k3843. doi: 10.1136/bmj.k3843. N Engl J Med.

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E-9-1-1 Defibrillator ICU Critical Care 52

REBEL EM

NOVEMBER 3, 2022

Article: Sharda SC et al. The articles were analyzed and extracted for data points relevant to post-intubation hypotension and first-pass intubation success rates. Exclusion: Articles were excluded if they included combinations of two or more induction agents. Indian J Crit Care Med 2022.

ALS 52

ALS ICU ED Emergency Department 52

REBEL EM

AUGUST 14, 2023

Article: Liu S, Yao C, Xie J, et al. They consecutively enrolled 1,817 ICU patients from 45 sites across China. Population: Inclusion Criteria: Age 18-75 years old SOFA score 2-13 Admitted to the ICU with a diagnosis of sepsis 3.0, “ Life-threatening organ dysfunction caused by a dysregulated host response to infection.”

ICU 98

ICU EMS OR ALS 98

REBEL EM

SEPTEMBER 26, 2022

Article: Kumar M et al. The TEG group had a shorter ICU length of stay in the first admission. Patients exclusively managed in the ICU which decreases applicability for patients in other locations Very small sample size of 96 patients No definition was provided for exclusion criteria of significant cardiopulmonary disease.

FFP 52

FFP E-9-1-1 ICU ALS 52

Dr. Smith's ECG Blog

JUNE 17, 2024

The patient was upgraded to the ICU for closer monitoring. In fact, Kosuge et al. Stein et al. This is a paper worth reading : Marchik et al. In the Marchik article, (assuming they defined it the same way, and the methods do not specify this), S1Q3T3 was found in 8.5% Kosuge et al. Witting et al.

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

REBEL EM

SEPTEMBER 29, 2022

Article: de-Madaria E et al. For More on This Topic Checkout: CorePendium: Pancreatic Disease Internet Book of Critical Care: Acute Pancreatitis EMCrit: Ep333 – The State of Fluids Show with the EMCrit Core Team The Bottom Line: Aggressive or Moderate Fluid Resuscitation in Acute Pancreatitis References: de-Madaria E et al.

ICU 52

ICU ALS Critical Care Emergency Department 52

REBEL EM

MAY 8, 2023

2 additional articles were identified from reference lists. The initial screening process was performed by one reviewer, increasing the potential for the omission of relevant articles. However, this data was driven by a single small trial (Enderson et al.), 2,230 records remained after the elimination of duplicates.

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EMDocs

OCTOBER 21, 2023

All patients who receive thrombolytics for ischemic stroke should be admitted to a neurosurgical, neurologic, or medical ICU for management and monitoring, as this is shown to decrease mortality and length of stay. References: Gaillard F, Glick Y, Tatco V, et al. 61.4.496 Navi BB, Kamel H, Shah MP, et al. Lancet Neurol.

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EMS ALS OR ACS 73

EMDocs

MAY 25, 2023

This collection of posts features recently published must-know articles. Reference: Kapur J, Elm J, Chamberlain JM, et al. Welcome back to the “52 in 52” series. This week we cover the ESETT trial which compares levetiracetam, fosphenytoin, and valproate for treatment of status epilepticus. N Engl J Med. 2019; 381(22): 2103-2113.

Emergency Department 63

Emergency Department ICU OR ALS 63

ACEP Now

MARCH 13, 2024

2 This article discusses the practical and ethical issues of interhospital transfer of these patients. References Morley, Claire, et al. Kelen GD, Wolfe R, D’Onofrio G, et al. Conclusion/Recommendation ED crowding is a national patient safety issue driven by hospitals routinely operating over capacity. PloS one 13.8

Emergency Department 52

Emergency Department ED ALS OR 52

EMDocs

JUNE 3, 2023

Patients receiving thrombolysis will require ICU admission for neurologic monitoring. Rosh Review Website Link Further Reading [link] [link] [link] [link] [link] References: Stanislavsky A, Baba Y, Hacking C, et al. Reference article, Radiopaedia.org (Accessed on 03 Jan 2023) [link] Ioannides K, Tadi P, Naqvi IA.

EMS 73

EMS ALS OR ED 73

REBEL EM

MARCH 30, 2023

Article: How-Berlemont C, Lamhaut L, Diehl J, et al. Comparator: Delayed CAG: Patients were admitted to the ICU, and CAG was performed after 48-96 hours. Emergency vs Delayed Coronary Angiogram in Survivors of Out-of-Hospital Cardiac Arrest: Results of the Randomized, Multicentric EMERGE Trial. JAMA Cardiol.

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Coronary CPR OR ICU 83

REBEL EM

AUGUST 29, 2022

Article: Matchett G et al; EvK Clinical Trial Collaborators. Duration of mechanical ventilation, ICU, and percentage of vasopressor use were not significantly different. Etomidate works on the GABA receptor, while ketamine works as an NMDA antagonist. Yet, both agents provide the same outcome, sedation. Intensive Care Med.

MICU 52

MICU ICU OR Emergency Department 52

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.

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ED NARCAN ALS OR 81

Don't Forget the Bubbles

JULY 5, 2023

See this helpful summary article for more info. They should be admitted to hospital in case of clinical deterioration to receive ICU treatment. This treatment is usually done in the ICU setting. Macharia AW et al. Sinkin JC, Wood BC, Sauerhammer TM, et al. Ware et al. What is the role of hydroxycarbamide?

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E-9-1-1 ACS OR ICU 126

Dr. Smith's ECG Blog

MARCH 12, 2018

It is also true that anterior and inferior T-wave inversion could be consistent with reperfusion of a type III wraparound LAD occlusion, despite the fact that Kosuge et al showed that T-wave inversion in lead III is much more likely to be PE than ACS if your differential contains nothing else. Stein et al. Kosuge et al.

ACS 52

ACS Coronary ALS ICU 52

Dr. Smith's ECG Blog

MAY 5, 2022

He was admitted to the ICU and transferred emergently to a facility where he could undergo emergent dialysis as a part of further evaluation and management. For an excellent State-of-the-Art Review on Brugada Syndrome — Please SEE this article by Brugada et al in JACC — Vol. The QRS is narrow and T waves are much less peaked.

E-9-1-1 52

E-9-1-1 OR STEMI ED 52

Don't Forget the Bubbles

JANUARY 4, 2024

With millions of journal articles published yearly, it is impossible to keep up. Our team have scoured the literature, so you don’t have to… or it might spark an interest to go and have a look at the full article. Reviewed by: Sian Venables and Ashwin Mahtani Article 3: Are we going to be vaccinating children against RSV?

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ED ICU ALS OR 129

Dr. Smith's ECG Blog

OCTOBER 26, 2011

The patient continued to have ischemia after PCI, and in fact had an episode of polymorphic VT shortly after while in the ICU. The ECG, as it turns out, is the best predictor , better the TMP grade because TMP measures microvascular patency, and the ECG measures cellular viability ( see this full text article and this abstract ).

STEMI 52

STEMI ALS ICU OR 52

Don't Forget the Bubbles

MAY 3, 2023

With millions of journal articles published yearly, it is impossible to keep up. This time the PEM MSc team from QML , in association with DFTB, are taking over… Article 1: Insulin infusion in paediatric DKA – high or low? Forestell B, Battaglia F, Sharif S, et al. Prekker ME, Bjorklund AR, Myers C, et al.

CPR 52

CPR Emergency Department ALS ICU 52

REBEL EM

OCTOBER 31, 2022

Fujii 2022, Sevransky 2021) Contrary to the above trial, another RCT investigated patients in the ICU with sepsis and acute respiratory distress syndrome. Clinical Question: Does high-dose vitamin C improve survival and/or persistent organ dysfunction rates in septic patients in the ICU on vasopressors? Article: Lamontagne F et al.

ICU 52

ICU ALS OR EMS 52

EMDocs

DECEMBER 18, 2023

Disposition The SSC guidelines suggest that patients with septic shock or critical illness be moved to the intensive care unit (ICU) within six hours of presentation to the ED. This article outlined the most up-to-date recommendations and literature for the management of patients with sepsis and septic shock related to the ED clinician.

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E-9-1-1 ALS Emergency Department Plasma 65

REBEL EM

JULY 31, 2023

REBEL Cast Ep121: The Battle of the Blades – VL vs DL Click here for Direct Download of the Podcast Article: Prekker ME, Driver BE, Trent SA, et al. Video versus Direct Laryngoscopy for Tracheal Intubation of Critically Ill Adults [published online ahead of print, 2023 Jun 16]. N Engl J Med. 2023;10.1056/NEJMoa2301601.

Critical Care 98

Critical Care Emergency Department ICU OR 98

REBEL EM

NOVEMBER 11, 2024

address in the article discussed below. Article: Chanderraj R, Admon AJ, He Y, et al. Imbalances Between Treatment Groups : ICU Admissions : Higher in piperacillin-tazobactam (33% vs. 30%). PMID: 38739397 Evans L, Rhodes A, Alhazzani W, et al. In 2021, Buckley et. 3 The same year, Ross et. JAMA Intern Med.

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