Archive for category: Critical Care

REBELCast August 2014

04 Aug
August 4, 2014

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketWelcome to REBELCast August 2014, where Matt, Swami, and I are going to tackle a couple more scenarios to help your clinical practice. Today, we are going to specifically tackle two different topics: Topic #1: Significance of Isolated Vomiting in Pediatric Minor Head Trauma Topic #2: Early Detection of Systemic […]

Update on Age-Adjusted D-Dimer

11 Jul
July 11, 2014

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketD-dimer has been shown to increase with age, which can cause a lower specificity (i.e. more false positive tests) in older patients. The result of this would be that older patients would often have more diagnostic imaging or downstream testing, but on the other hand, maybe a higher cut-off […]

Critical Care Horizons

11 Jun
June 11, 2014

Facebook Twitter Google+ Pinterest LinkedIn Reddit Pocket Please welcome a new development in critical care publishing with the launch of a new open access critical care journal: CRITICAL CARE HORIZONS!!!  This will be a fresh, new, original voice in the critical care literature, offering thought provoking, cutting-edge commentary, opinion papers, plus state-of-the art review articles.

Left Ventricular Assist Device

29 May
May 29, 2014

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketThe first left ventricular assist device (LVAD) was performed in 1984 and since that time there is an increasingly growing population of patients with LVADs.  This means ED physicians will be seeing more and more of these patients in the ED and should have a basic understanding of how […]

Rivaroxaban for Treatment of Symptomatic Pulmonary Embolism

26 May
May 26, 2014

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketTypically, the treatment of acute pulmonary embolism consists of administration of unfractionated heparin or low molecular weight heparin (i.e. enoxaparin) overlapped with vitamin K antagonists (i.e. warfarin).  This can be a very effective treatment regimen, but also very complex.  New direct Xa inhibitors are being used more and more in […]

Diagnosis of Right Ventricular Strain with Transthoracic Echocardiography

07 Apr
April 7, 2014

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketAbnormal vital signs are poor predictors of mortality associated with pulmonary embolism (PE).  Diagnosis of PE and right ventricular (RV) strain with transthoracic echocardiography (TTE) however, has been well documented as a predictor for pending shock and significant in-hospital mortality.  One study done by Grifoni S et al, showed […]

Preoxygenation and Apneic Oxygenation

24 Mar
March 24, 2014

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketPreoxygenation and apneic oxygenation are key in emergency airway management, prevention of desaturation, and very important to patient safety.  One of the best papers I have ever read on this was written by Scott D. Weingart (@emcrit) and Richard M. Levitan (@airwaycam) in the Annals of Emergency Medicine in […]

Social Media And Critical Care (SMACC)

21 Mar
March 21, 2014

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketThis year I was fortunate enough to attend the Social Media And Critical Care (SMACC) conference from Mar 19th – 21st, 2014 at the Gold Coast Australia, also known as SMACCGOLD.  SMACC is a modern, academic meeting, mixed with on-line technologies to deliver innovation in education in the fields […]

Game Changers in Emergency Medicine

03 Mar
March 3, 2014

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketRecently, I have been asked if there are any studies that have been performed over the past few years that should shape the way emergency medicine physicians should practice and can greatly improve patient care. So I asked some of my friends and colleagues if there are any studies […]

Five Critical Care Articles For Your Clinical Practice

17 Feb
February 17, 2014

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketCritical illness is a life-threatening multisystem process that can result in significant morbidity and mortality. Timely, appropriate, and effective care for these patients is something all emergency physicians strive for. Using data from clinical trials of previous years, we can improve patient management and outcomes. In this post, I list my five […]

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