EM Journal Update: Vasopressin, Epinephrine and Steroids (VSE) in Cardiac Arrest

Vasopressin, Steroids, and Epinephrine and Neurologically Favorable Survival After In-Hospital Cardiac Arrest A Randomized Clinical Trial JAMA, 2013 Background Cardiac arrest remains associated with very high morbidity and mortality, and neurologically meaningful recovery (the most important goal of cardiac arrest care) is a regrettably infrequent outcome despite the best efforts of providers. Resuscitative efforts in …

EM Journal Update: Cherry Picking Patients in the ED

Cherry Picking Patients: Examining the Interval Between Patient Rooming and Resident Self-assignment Acad Emerg Med, 2016 Background Triage and prioritizing patient care is an important skill that Emergency Medicine physicians must develop to become efficient and effective providers.  Previous studies have demonstrated statistically significant delays in door to provider time due to race and volume …

Does rehab and physical therapy in the ICU actually help?

Every year, over a million people in the U.S. suffer respiratory failure requiring mechanical ventilation. They experience enormous catabolic stress, extended periods of inactivity, and usually go without their usual caloric intake. It’s no surprise that many are rendered profoundly debilitated by the experience. For many, this weakness and loss of muscle mass represents a second …

Lessons from the Battlefield

This talk will cover the major advances in military pre-hospital care during the conflict in Afghanistan and how the lessons learned can be translated in to civilian pre-hospital and in-hospital care of the multiply injured polytrauma patient. The post Lessons from the Battlefield appeared first on Intensive Care Network. Source: Intensivecarenetwork

Discharge that pneumo!

Not discharge of the electrical variety Last month we discussed the use of needle aspiration as an alternative to placing a traditional large-bore chest tube in patients with spontaneous pneumothoraces. One of the selling points of using these less invasive methods is that they decrease the amount of time these patients spend in the hospital. In …