Critical Care

Critically Appraised Topic: Does pre-charging the defibrillator before rhythm analysis improve hands-off time in patients suffering cardiac arrest with shockable rhythm?

Dr. Jacob C. Martin, M.D. discusses two papers on pre-charging during cardiac arrest. 

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Critical Cases - Predicting Failure of NIPPV!

A 76 year old male presents with confusion, cough, and fever. He remains hypoxic in the 80s on nasal canula. Your nurse suggests non-invasive positive pressure ventilation to improve oxygenation. How likely is this strategy to maintain acceptable oxygenation? What are the chance the patient will progress to the need for intubation? 

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Critical Cases - Hypertensive Emergency!

A 48 year old male presents with complaints of blurry vision. His triage blood pressure catches your eye: 290/120. "Pretty high," you mutter to yourself "but am I supposed to treat it? If so, with what? How fast should that pressure come down?" Time for a crash review of hypertensive emergency....

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Critical Cases - Anaphylaxis After IV Contrast Administration!

A 79 year old female is sent in by urgent care for a CT scan of the chest after a plain film demonstrates a sternal fracture after MVC. "No problem," you think as you order the CT and go about your shift. A few hours later, however, you hear the dreaded "I need a doctor in here!" from your patient's room....

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