I Can’t Take the Pressure Anymore! When to Worry About Abdominal Compartment...
Intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) are rare but significant causes of morbidity and mortality in both traumatic and medical ICU patients. Here’s when to look...
View ArticleDon't Slow Me Down! Airway Management in Salicylate Toxicity
#1 Rule: Do NOT take control of the patient’s airway unless absolutely necessary!Hyperventilation in these patients is protective to compensate for a severe metabolic acidosis caused by salicylic acid....
View Article"You Have to Be Warm and Dead:" ECMO as a Therapeutic Option for Severe...
Accidental hypothermia is defined as core temperature <35o C. Traditional therapies for accidental hypothermia have included warm IV fluids, humidified warmed air, and warm internal lavage, but ECMO...
View ArticleGI Bleeding: The Evidence Behind When to Transfuse?
When patients present to the Emergency Department with acute upper GI bleeding, the natural inclination is to quickly pull the transfusion trigger. However, a 2013 study gives us pause:Villaneuva et...
View ArticleBrain Protection After Severe Injury: Hyperosmolar Therapy
Following a severe brain injury the goal of the clinician is to prevent secondary brain injury. This entails increasing oxygen delivery to the brain by preventing hypoxia and increasing cerebral...
View ArticleShould you Intubate with the Head of the Bed Elevated (HOB)?
Data from the Anesthesia literature suggests greater first-pass success during intubation and less intubation-related complications (e.g., hypoxemia); the question is whether the same would be true for...
View ArticleWhat's the Diagnosis by Dr. Kim Chavez
Answer: Circumferential de-gloving injury of ring finger with signs of vascular compromise and immediate surgical exploration in the OR is required to attempt finger salvageFinger De-Gloving...
View Article#EMconf: Shock Pearls from Dr. Mallemat
Pearls When Approaching a Patient with Undifferentiated Shock: Shock is defined as circulatory dysfunction that leads to inadequate tissue / organ perfusion; the goal during resuscitation is to...
View ArticleDo obese patients get too much tidal volume?
Literature has supported the use of the use of tidal volume of 6-8cc/kg of a patient's ideal body weight (IBW) for intubated patients. Try MDCalc's IBW calculator here.A study from last year reviewed...
View ArticleAssessing the Critically-ill Pregnant Patient
Critical illness during pregnancy is rare, but it carries an increased morbidity and mortality when it occursSeveral cardiopulmonary changes normally occur during pregnancy and result in less reserve...
View ArticleFever in Sepsis by Dr. Emily Damuth
Should we be treating fevers in sepsis? Watch the video hereAuthor: Haney Mallemat, MD
View ArticleNobody Cares About the RV
Here's the video...and get ready for the next ResusEM on 8/1/18Author: Haney Mallemat, MD
View ArticleManaging Your Team During Cardiac Arrest
CLick here for the video...and get ready for the next ResusEM on 8/1/18Author: Haney Mallemat, MD
View ArticleSepsis 3.0 What is it? Should you use it?
Should you be using Sepsis 3.0? Dr. Annahieta Kalantari breaks it down. Want to see more great talks? Come to ResusEM2 on 8/1/18. Free for residents and only $99 for Attendings and CME will be provided...
View ArticleYou've Just Intubated Your Patient...Now What?
At ResusEM last year, Dr. Lars Peterson gave a great talk titled "You've Just Intubated Your Patient...Now What?" Want to see more great talks? Come to ResusEM2 on 8/1/18. Free for residents and only...
View ArticleGet That Central-Line Wire Back
Placing a central-line isn't just one procedure...it's a collection of several smaller ones (e.g., getting needle into vessel, dilating the vein, etc.). Here's one tip that can make your job a little...
View ArticleExtra Saline for Central-lines
If you have ever run out of saline for your central lines, this simple trick will help you out:1. Hang a saline bag before getting sterile2. Open IV tubing onto your sterile field. 3. Once sterile,...
View ArticleA Quick Reference to Blood Pressure Management for Neurologic Emergencies
Author: Lindsey Glaspey, DOEditor: Haney Mallemat, MD
View ArticleThe C4 conference is Coming...
In 2018, Cooper held it's first annual Cooper Critical Care Conference (or C4 for short). The conference features top-notch speakers from the region and it was a sold out crowd. This year we're doing...
View ArticleSepsis Scores by Dr. Jen Axelband
Check out this lecture from by Dr. Jen Axelband from 2018’s C4 conference….and don’t forget to save the date for the next C4 on March 20th, 2019 at Cooper Hospital. Residents and fellows are FREE and...
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