Category: Critical Care
Keywords: central venous catheter, tissue plasminogen activator (PubMed Search)
Posted: 12/9/2008 by Mike Winters, MBA, MD
(Updated: 2/8/2025)
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Central Venous Catheter Occlusion
Category: Critical Care
Keywords: hemodialysis catheters (PubMed Search)
Posted: 12/2/2008 by Mike Winters, MBA, MD
(Updated: 2/8/2025)
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Hemodialysis Catheters
Two weeks ago, we had a PEA arrest of a patient receiving HD. A significant delay occurred in administering fluids and medications as a result of "no iv access". Don't forget that in these situations you can use the hemodialysis catheter.
Category: Critical Care
Keywords: stress related mucosal injury, histamine antagonists, proton pump inhibitors, sucralfate (PubMed Search)
Posted: 11/25/2008 by Mike Winters, MBA, MD
(Updated: 2/8/2025)
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Stress Related Mucosal Injury (SRMI)
Category: Critical Care
Keywords: dopamine, hemodynamic medication, vasopressors (PubMed Search)
Posted: 11/18/2008 by Mike Winters, MBA, MD
(Updated: 2/8/2025)
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Dopamine in the ED
Marino PL. Hemodynamic drugs. In: The Little ICU Book of Facts and Formulas. 2009 Ed. Lippincott Williams & Wilkins, Philadelphia, PA.
Category: Critical Care
Keywords: seizure, metabolic (PubMed Search)
Posted: 11/11/2008 by Mike Winters, MBA, MD
(Updated: 2/8/2025)
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Seizures in the Critically Ill
Mirski MA, Varelas PN. Seizures and status epilepticus in the critically ill. Crit Care Clin 2008;24:115-147.
Category: Critical Care
Keywords: auto-peep, mechanical ventilation (PubMed Search)
Posted: 11/4/2008 by Mike Winters, MBA, MD
(Updated: 2/8/2025)
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Auto-PEEP in the non-COPD patient
Mughal MM, Minai OA, Culver DA, et al. Auto-positive end-expiratory pressure: mechanisms and treatment. Clev Clin J Med 2005;72:801-9.
Category: Critical Care
Keywords: PEEP, mechanical ventilation, ARDS (PubMed Search)
Posted: 10/28/2008 by Mike Winters, MBA, MD
(Updated: 2/8/2025)
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Ventilator Therapy for ED Patients with ARDS
Category: Critical Care
Keywords: influenza, zanamivir, oseltamivir (PubMed Search)
Posted: 10/21/2008 by Mike Winters, MBA, MD
(Updated: 2/8/2025)
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Influenza and the Critically Ill
Beigel JH. Influenza. Crit Care Med 2008;36:2660-6.
Category: Critical Care
Keywords: gastrothorax, pneumothorax (PubMed Search)
Posted: 10/8/2008 by Mike Winters, MBA, MD
(Updated: 2/8/2025)
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Tension gastrothorax?
Patton J, Gonzales J, Dillard TA, Szerlip HM. Chest 2008;134:872-5.
Category: Critical Care
Keywords: insulin, hyperglycemia, critically ill (PubMed Search)
Posted: 9/30/2008 by Mike Winters, MBA, MD
(Updated: 2/8/2025)
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Subcutaneous Insulin in the Critically Ill
Shipman K, Frankel HL. Do not use subcutaneous insulin in the intensive care unit population. In: Marcucci L, et al. Avoiding Common ICU Errors. Lippincott Williams & Wilkins; Phildelphia, PA, 2007
Category: Critical Care
Keywords: AIDS, intraabdominal hypertension, abdominal compartment syndrome (PubMed Search)
Posted: 9/23/2008 by Mike Winters, MBA, MD
(Updated: 2/8/2025)
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AIDS: coming to a critically ill patient in your ED
Malbrain M, De laet I. AIDS is coming to your ICU: be prepared for acute bowel injury and acute intestinal distress syndrome. Intensive Care Med 2008;34:1565-9.
Category: Critical Care
Keywords: intraabdominal pressure, intraabdominal hypertension, bladder pressure (PubMed Search)
Posted: 9/8/2008 by Mike Winters, MBA, MD
(Updated: 2/8/2025)
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Intraabdominal Hypertension and the Critically Ill
Cheatham ML. Intraabdominal pressure monitoring during fluid resuscitation. Curr Opin Crit Care 2008;14:327-33.
Category: Critical Care
Keywords: sodium bicarbonate, lactic acidosis, hypoperfusion, shock (PubMed Search)
Posted: 9/3/2008 by Mike Winters, MBA, MD
(Updated: 2/8/2025)
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Bicarbonate for severe lactic acidosis from shock?
Boyd JH, Walley KR. Is there a role for sodium bicarbonate in treating lactic acidosis from shock? Curr Opin Crit Care 2008;14:379-83.
Category: Critical Care
Keywords: norepinephrine, epinephrine, epinephrine, dopamine, phentolamine (PubMed Search)
Posted: 8/26/2008 by Mike Winters, MBA, MD
(Updated: 2/8/2025)
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Phentolamine for vasopressor extravasation
I was recently informed of a case from an another institution in which a patient was started on a vasopressor medication via a peripheral IV while attempts at central access where attempted. The patient unfortunately suffered permanent extremity ischemia due to significant extravasation of the vasopressor medication into the soft tissue.
Category: Critical Care
Keywords: PEEP, respiratory failure, ventilator associated pneumonia (PubMed Search)
Posted: 8/19/2008 by Mike Winters, MBA, MD
(Updated: 2/8/2025)
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PEEP in Nonhypoxemic Respiratory Failure
Manzano F, Fernandez-Mondejar E, Colmenero M, et al. Positive end-expiratory pressure reduces incidence of ventilator-associated pneumonia in nonhypoxemic patients. Crit Care Med 2008;36:2225-2231.
Category: Critical Care
Keywords: PRVC, pressure control, volume control, ventilator-induced lung injury (PubMed Search)
Posted: 8/12/2008 by Mike Winters, MBA, MD
(Updated: 2/8/2025)
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Pressure Regulated Volume Control (PRVC)
Category: Critical Care
Keywords: post-intubation hypoxia, pneumothorax, mechanical ventilation (PubMed Search)
Posted: 8/5/2008 by Mike Winters, MBA, MD
(Updated: 2/8/2025)
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Post-intubation deterioration? Remember DOPE
Category: Critical Care
Keywords: acute lung injury, alveolar overdistention, plateau pressure (PubMed Search)
Posted: 7/29/2008 by Mike Winters, MBA, MD
(Updated: 2/8/2025)
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The Importance of Plateau Pressure
DeGiorgi A, White M. Ventilator management: maximizing outcomes in caring fo asthma, COPD, and pulmonary edema. Emergency Medicine Practice 2008;10(8):1-23.
Category: Critical Care
Keywords: asthma, mechanical ventilation, hyperinflation (PubMed Search)
Posted: 7/22/2008 by Mike Winters, MBA, MD
(Updated: 2/8/2025)
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Mechanical Ventilation in Asthma
DeGiorgi A, White M. Ventilator management: maximizing outcomes in caring fo asthma, COPD, and pulmonary edema. Emergency Medicine Practice 2008;10(8):1-23.
Category: Critical Care
Keywords: noninvasive ventilation (PubMed Search)
Posted: 7/15/2008 by Mike Winters, MBA, MD
(Updated: 2/8/2025)
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Noninvasive Ventilation Pearls
Garpestad E, Brennan J, Hill NS. Noninvasive ventilation for critical care. Chest 2007;132:711-20.