Archive

Tag: ICU

AID-ICU Trial: Haloperidol for Treatment of ICU Delirium

Background Information: Delirium is a common and serious condition in patients in the intensive care unit (ICU). It is estimated to affect 30-50% of patients in the ICU and haloperidol is the most frequently used agent in treatment (3).  One ...

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NeurologyPyschobehavioralToxicology

Impact of Emergency Department Crowding on Lung Protective Ventilation

Background Information: Obtaining definitive control of the airway, when indicated, is the responsibility of the emergency medicine physician. Traditionally patients were managed on the ventilator with lung volumes of 10 – 15 ml/kg. However, that practice is long-outdated and patients ...

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ResuscitationThoracic and Respiratory

SCOPE-DKA: Normal Saline vs Plasmalyte in Severe DKA

Background Information:  Diabetic Ketoacidosis (DKA) is a life-threatening complication of diabetes that we frequently encounter in both the emergency department (ED) and intensive care unit (ICU). While intravenous fluid replacement remains one of several cornerstones of therapies, much debate exists ...

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Endocrine, Metabolic, Fluid, and ElectrolytesResuscitation

DoReMi Trial: Milrinone vs Dobutamine for Treatment of Cardiogenic Shock

Background Information: The management of patients in cardiogenic shock is often multifactorial, consisting of mechanical circulatory support, vasopressors and inotropes. While the latter two are the foundation of therapy, the literature is scarce on whether milrinone or dobutamine will be more ...

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CardiovascularResuscitation

REBEL EM Useful Critical Care/ICU Stuff

I have started to split my time between the ED and ICU.  Obviously these two areas of clinical care have their similarities, but also have their differences. So I decided to create this post to put things that I have ...

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ResuscitationThoracic and Respiratory

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