Remove ALS Remove Emergency Department Remove ICU
article thumbnail

SGEM#460: Why Do I Feel Like, Somebody’s Watching Me – CHARTWatch to Predict Clinical Deterioration

The Skeptics' Guide to EM

Date: October 28, 2024 Reference: Verma et al. Case: The Chief of Emergency Medicine (EM) at a large urban hospital recently approached the AI Committee at Unity Health, intrigued by the CMAJ article describing the apparent success of CHARTWatch in detecting early signs of patient deterioration. Reference: Verma et al.

ICU
article thumbnail

Push-Dose Pressors in the Emergency Department

ACEP Now

My goal in this column is to share tips, tricks, and emerging concepts from the intensive care unit (ICU) that you can use on your next shift in the emergency department (ED). He practices in both the ED and ICU. References Holden D, Ramich J, Timm E, et al. Ann Emerg Med. Am J Emerg Med.

professionals

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Tranq dope (fentanyl-xylazine combination): A new horizon in opioid withdrawal treatment

ALiEM

Bupe Allergy Buprenorphine induction has been the mainstay of emergency department treatment of opioid use disorder for more than a decade [11, 12]. Multimodal medication options for fentanyl-xylazine withdrawal management in London et al. PMID 35774687 D’Onofrio G, Chawarski MC, O’Connor PG, et al. 2024 study [16].

article thumbnail

US Probe: Velocity Time Integral (VTI) in Sepsis Management

EMDocs

In emergency departments, determining a septic patient’s fluid responsiveness can be challenging, as both under- and over-resuscitation can lead to poor outcomes. It is an essential metric for estimating cardiac output without the need for invasive procedures within the emergency department. F, and SpO₂ 92% on room air.

article thumbnail

US Probe: Assessing Venous Congestion – The VExUS Approach

EMDocs

14,15 This suggest VExUS may be utilized as a marker for identifying emergent hemodialysis in patient’s presenting to the emergency department. The patient is admitted to the ICU and slowly improves over time. References Beaubien-Souligny W, Rola P, Haycock K, et al. Ultrasound J. 2020;12(1):16. 2024;9(1):16-19.

article thumbnail

Clinical Conundrum: Should We Always Treat Fever in Patients with Sepsis?

REBEL EM

A large observational study of > 2000 patients found an association with fever at presentation and ICU survival for patients with severe sepsis or septic shock ( Sunden-Culberg 2017 ). PMID: 26436473 Schortgen F et al. PMID: 22366046 Sunden-Culberg J et al. appeared first on REBEL EM - Emergency Medicine Blog.

ICU
article thumbnail

Threading the Needle: Bougie-First Intubation

REBEL EM

Paper: von Hellmann R, Fuhr N, Maia IWA, et al. Ann Emerg Med. Included patients from out-of-hospital, emergency department, intensive care unit, and operating-room intubations. Intubation performed in all settings (out-of-hospital, emergency department, ICU, and operating room).