10 results
TTH48 - Targeted Temperature Management for 48 vs 24 Hours and Neurologic Outcome After Out-of-Hospital Cardiac
vs 24 Hours and Neurologic ... admitted to the ICU ... #CriticalCare #ICU ... #VisualAbstract ... #EBM
POLAR Randomized Clinical Trial - Effect of Early Sustained Prophylactic Hypothermia on Neurologic Outcomes Among Patients
Hypothermia on Neurologic ... did not improve neurologic ... #CriticalCare #ICU ... #VisualAbstract ... #EBM
Multiple Uses for Tranexamic Acid (TXA) - Evidence Based Indications and Dosing

Trauma < 3 hrs •
Multiple Uses for ... Thinking MTP YES ICH ... #Indications #management ... #EBM #trauma
Major Clinical Trials and Evidence Summary for Transfusion Thresholds in Critical Care

TRICC - NEJM 1999 -
- NEJM 1999 - ICU ... unnecessary and cause ... /vmoitra) #EBM ... Thresholds #Hematology #VisualAbstract
TOPCAT - Spironolactone for Heart Failure with Preserved Ejection Fraction

N Engl J Med 2014; 370:1383-1392 https://www.nejm.org/doi/10.1056/NEJMoa1313731

CONCLUSIONS:
cardiovascular causes ... hospitalization for the management ... #HFpEF #dCHF #Cardiology ... #EBM #VisualAbstract
Nonsedation or Light Sedation in Critically Ill, Mechanically Ventilated Patients - Visual Abstract

CONCLUSIONS: Among mechanically ventilated
mechanically ventilated ICU ... Nonsedation #Light #Management ... #EBM #CriticalCare ... #VisualAbstract
Hemophagocytic Lymphohistiocytosis (HLH)
Pathophysiology: Triggering factor (infection,...)→Activation of CD8 T cells (IFN-y) → Excessive activation of macrophages
Infections+++: Virus (EBV ... biologics (CMV +++, EBV ... Drugs, Unknown cause ... of emergency, ICU ... Lymphohistiocytosis #diagnosis #management
ICU Pre-Rounding Bundle Checklist
VITALS: trends!
 • Important to know if the pt is getting better or
ICU Pre-Rounding ... goal (+/- CAM-ICU ... BMs (know last BM ... / TUBES: know gauges ... #CriticalCare #Management
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
Serial trops (-) EM ... Admit ==> Positive ... Metoprolol - VCU ... echocardiogram #plax #cardiology
Management of Marine Envenomations
 • North American Cnidaria - Hot water, Supportive care
 • Irukandji jellyfish
Management of Marine ... 6% acetic acid, ice ... 6% acetic acid, ice ... Antivenom for severe cases ... antibiotics EB