Category: Critical Care
Posted: 3/15/2022 by Duyen Tran, MD
(Updated: 8/14/2024)
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Acute liver failure is defined as new and rapidly evolving hepatic dysfunction associated with neurologic dysfunction and coagulopathy (INR >1.5). Most common cause of death in these patients are multiorgan failure and sepsis. Drug-induced liver injuy most common cause in US, with viral hepatitis most common cause worldwide.
Management of complications associated with acute liver failure
Montrief T, Koyfman A, Long B. Acute liver failure: A review for emergency physicians. Am J Emerg Med. 2019 Feb;37(2):329-337. doi: 10.1016/j.ajem.2018.10.032. Epub 2018 Oct 22. PMID: 30414744.
Category: Critical Care
Posted: 1/18/2022 by Duyen Tran, MD
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Clinical pearls for hypothermic cardiac arrest
Paal P, Gordon L, Strapazzon G et al. Accidental hypothermia–an update. Scand J Trauma Resusc Emerg Med. 2016;24(1). doi:10.1186/s13049-016-0303-7
Pasquier M, Rousson V, Darocha T et al. Hypothermia outcome prediction after extracorporeal life support for hypothermic cardiac arrest patients: An external validation of the HOPE score. Resuscitation. 2019;139:321-328. doi:10.1016/j.resuscitation.2019.03.017
Misch M, Helman A. Accidental Hypothermia and Cardiac Arrest | CritCases | EM Cases. Emergency Medicine Cases. http://emergencymedicinecases.com/accidental-hypothermia-cardiac-arrest. Published 2019. Accessed January 18, 2022.
Category: Critical Care
Posted: 11/23/2021 by Duyen Tran, MD
(Updated: 8/14/2024)
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Myocarditis is a potentially fatal inflammatory disorder of the heart. Viral infection is the most common cause but can also result from toxic, autoimmune, or other infectious etiologies. Complications include life-threatening dysrhythmias, heart failure, and fulminant myocarditis. Typically affects young patients (20-50 years old).
ED management pearls
Gottlieb, Michael et al. "Diagnosis And Management Of Myocarditis: An Evidence-Based Review For The Emergency Medicine Clinician". The Journal Of Emergency Medicine, vol 61, no. 3, 2021, pp. 222-233.
Category: Critical Care
Posted: 9/28/2021 by Duyen Tran, MD
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Intubation considerations
Vent management strategies
Laher AE, Buchanan SK. Mechanically Ventilating the Severe Asthmatic. Journal of Intensive Care Medicine. 2018;33(9):491-501.