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September 10, 2020
As of June 2020, there have been over seven million cases of COVID-19 worldwide, with approximately 40% of hospitalized patients developing acute hypoxemic respiratory failure and acute respiratory di...
It has been broadly and long acknowledged that, in some vague future, Zoom and other videoconferencing applications would revolutionize the practice, administration, and teaching of medicine.
June 16, 2020
OHCA is an important public health problem. 400,000 people suffer a sudden cardiac arrest in the United States annually. Across the country, approximately 12% of these patients will survive.
Among the recent advances in immunotherapy for cancer has been the development of chimeric antigen receptor T cells, or CAR-T cells.
With 20/20 hindsight, 2019 was a great year for EM-critical care research. Below are brief synopses of a few key 2019 studies that I think are worth adding to your reading list.
February 6, 2020
Emergent tracheal intubation can be lifesaving for critically ill children but is not without significant risks.
Website Twitter Our Vision: To be the vanguards of critical care medicine Our Mission: To provide high-quality and compassionate patient-centered care, advance knowledge frontiers, and t...
For people who work in EDs and ICUs, the day our patients leave the ICU can feel like a triumph. It validates our training, it makes the late nights worthwhile, and sometimes it even makes us want to ...
February 6, 2020 • Research
For many practitioners of EM and CCM, a strong interest in research accompanies other career goals in clinical practice and medical education
As part of our ACEP19 Critical Care Medicine (CCM) Section meeting we were very fortunate to hear from an expert panel about Pulmonary Embolus (PE) Response Team (PERT) activations. The panelists inc...
This fall, as I assumed the role of the chair of the ACEP Critical Care Medicine Section, I took a few moments to look back and consider not only my own path in emergency medicine-critical care medici...
April 2, 2019
I am an emergency intensivist with longstanding research interest in neuroprotection and prognostication after cardiac arrest
The use of intravenous (IV) fluids for resuscitation can be traced back to 1831 during a particularly deadly Cholera outbreak in London, when Dr. Thomas Latta first described the momentary revival of ...
Over the last several years, resuscitation practices in hemorrhaging patients have changed dramatically in both the ED and the ICU environments.
EMS calls ahead with notification of a 54-year-old male who collapsed while walking on a college campus. Bystander hands-only CPR was performed, and one shock was delivered by an automated external de...
July 24, 2018
Intravenous fluid administration is the most commonly utilized intervention in emergency and critical care medicine worldwide.
July 23, 2018
Alcohol withdrawal. We’ve all seen it. The tachycardic, tremulous patient who went cold turkey and now, isn’t feeling so hot.
July 22, 2018
The emergency department (ED) is equipped to provide initial diagnostic and resuscitative interventions for a broad range of critically ill patients 24/7. Unlike the intensive care unit (ICU), however...
Peri-intubation cardiac arrest (PICA) is a well-known phenomenon: experienced providers are often wary while intubating critically ill patients, and rightfully so, drawing on anecdotal evidence and pe...
In part 1 of this series on creating emergency department (ED)-intensive care units (ICUs), I discussed how one might justify the need and conceptualize the purpose of a nascent ED-ICU.