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Surviving Sepsis: The 2021 Review

Surviving Sepsis: The 2021 Review

by Doran Drew, Amanda Mattice | Jun 23, 2022 | Critical Care, Featured, Grand Round Summaries, Infectious Disease, Resuscitation

A review of some of the most relevant elements of the 2021 surviving sepsis campaign for the emergency physician. Definitions Our operative definition of sepsis & septic shock are the sepsis-3 definitions [1]. Sepsis: “Sepsis is a life threatening organ...
Intravenous Lipid Emulsion: The New Fad Diet

Intravenous Lipid Emulsion: The New Fad Diet

by Kevin Durr, Sam Wilson, Josee Malette | Jan 20, 2022 | Featured, Grand Round Summaries, Resident Insights, Resuscitation, Toxicology

Much uncertainty still exists surrounding intravenous lipid emulsion (ILE) therapy. The precise mechanism of action remains unknown, no definitive consensus exists regarding its clinical indications, and there are no high quality studies evaluating its potential...
Milrinone as Compared with Dobutamine in the Treatment of Cardiogenic Shock

Milrinone as Compared with Dobutamine in the Treatment of Cardiogenic Shock

by Kate O'Connell, Hans Rosenberg | Dec 6, 2021 | Cardiology, Critical Care, Journal Club

Methodology: 3.5/5 Usefulness: 3.5/5 Mathew R, et al. N Engl J Med. 2021 Aug 5;385(6):516-525. Question and Methods: The authors performed a double-blinded RCT to determine if milrinone was superior to dobutamine for the treatment of cardiogenic shock in the ICU.  ...
Implementation of an ED ECMO Program

Implementation of an ED ECMO Program

by Darren Wong, Josee Malette | Jun 10, 2021 | cardiac arrest, Critical Care, Featured, Grand Round Summaries, Resuscitation

In the first part of this series, we looked at the basics of Extra Corporeal Membrane Oxygenation (ECMO) and its primary indications. In this section, we will discuss the factors that are needed to implement an ED ECMO program and what happens when a code ECPR is...
Are We Ready for ECMO on the Ground Floor?

Are We Ready for ECMO on the Ground Floor?

by Darren Wong, Josee Malette | Jun 3, 2021 | Grand Round Summaries, Respirology, Resuscitation

Extra Corporeal Membrane Oxygenation (ECMO) has significantly progressed over the past decades. It has become an invaluable tool in the care of adults with severe cardiac and pulmonary disease refractory to conventional management. The implementation of ECMO has even...
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