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Non-Invasive Blood Pressure Monitoring in Critically Ill Adults?

REBEL EM

PMID: 38215002 Clinical Question: In critically ill adults in the ICU is noninvasive blood pressure (NIBP) monitoring similar (≤10% difference) to invasive arterial blood pressure (IABP) monitoring? Paper: Haber, EN et al. Accuracy of Noninvasive Blood Pressure Monitoring in Critically Ill Adults. J Intensive Care Med 2024. to 2.47; p – 0.04

ICU
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Chest pain, followed by syncope, and cardiogenic shock with right side weakness

Dr. Smith's ECG Blog

Continued discussion with the ICU as well as with CV surgery. This has been similar in the MICU as well. On arrival to the ICU, was noted to be in atrial fibrillation but with controlled ventricular response, and lower heart rate than one would expect with this degree of hemodynamic instability as well as pressor requirements.

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The EvK Trial: Ketamine vs Etomidate for Rapid Sequence Intubation

REBEL EM

Duration of mechanical ventilation, ICU, and percentage of vasopressor use were not significantly different. In contrast, patients in the ketamine arm had higher rates of MICU admissions. Day 28 survival rates for both ketamine and etomidate were not significantly different. The significance of 7-day survival is unclear.

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An EM Resident’s Guide to Basic Airway Management

Core EM

It is true, someone finally did an RTC on ICU level patients and found that first pass success IS better with VL than DL (Prekker 2023), but the fact remains that sometimes VL fails. 3) All India Difficult Airway Algorithm for ICU patients Figure 64 (from Myatra 2016) Indian guidelines- similar to British in defaulting to cricoid pressure.