For mechanically intubated patients in the emergency department, we aim for a tidal volume of 6-8cc/kg of ideal body weight. But calculating the ideal body weight depends on knowing the patient’s height. Bedside clinicians have various methods for figuring this out - asking the patient (dif
A recent publication from the National Emergency Airway Registry (NEAR) profiles the incidence and factors associated with peri-intubation cardiac arrest
The sudden death CT may help identify the cause of an out-of-hospital cardiac arrest.
Remember to look at the differential of your CBCs. A recent publication demonstrated in retrospective data that higher proportions of bands on the WBC differential were associated with increased likelihoods of both severe bloodstream infections and mortality.
Today’s EM-critical care post isn’t about a new study or a tip or trick, but a chance to look backward and forward.
Great teams review their performances. A recent publication from George Washington University used video of cardiac arrest resuscitations to generate educational interventions to minimize pulse checks during resuscitation.
A growing body of literature shows targeting capillary refill time is non-inferior to lactate clearance in sepsis resuscication.
A patient is brought to the ED following a cardiac arrest. ROSC is achieved 1 minute after arrival to the ED. What treatments should the ED physician provide to allow the best outcomes?
Its 3am in the ED and you need to call a consult. What strategies can you use to get great care for your patients and be a good colleague?
It’s a familiar call ahead to the ED - an adult patient who is febrile, hypotensive, with suspicion towards infection. While setting up the room, the patient’s bedside nursing team asks if you’d like them to get saline or lactated Ringer’s (LR) ready for resuscitation. You wonder if there’s any new evidence examining the use of saline versus balanced crystalloids in the emergency department.
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