“I slept all day”
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Journal Review
The HEAT Trial – Acetaminophen in Critical Illness
This review was cross-posted on REBEL EM.
Acetaminophen (paracetamol) is commonly used to lower the temperature of patients with fever suspected to be cause d by an infection in both homes across the world and the hospital. There are, however, opposing theories to the utility of decreasing fever in these situations. One side argues that fever places “additional physiological stress on patients,” who are already ill (Young 2015).
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Core
Adrenal Crisis
Adrenal crisis is a life-threatening emergency due to adrenocortical hormone deficiency. Rapid recognition is the key to management.
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Journal Review
Lactate in Critically Ill Patients with UGIB
Within the Emergency Department (ED), rapid identification and stabilization of critically ill patients with upper gastrointestinal bleeding (UGIB) is essential to patient survival. While there are some clinical prediction scores, ED physicians most often depend on clinical gestalt when risk stratifying and managing these patients. The most commonly used scores are the Glasgow-Blatchford score, AIMS65 and the Rockall score.
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Core
Peri-Mortem C-Section
Peri-Mortem C-Section is a rarely performed procedure with the potential to save two lives. The primary goal is maternal resuscitation.
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Journal Review
Ultrasound Guided Fluid Assessment Protocol
In critically ill patients, fluid status is a balancing act. Too little fluid resuscitation can lead to end organ hypoperfusion, while too much fluid resuscitation can lead to pulmonary edema and respiratory compromise. In some situations, it is difficult to differentiate who will benefit from more fluids and who will be fluid unresponsive or even require fluid restriction.
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Core
Compartment Syndrome
Compartment syndrome is a limb and life threatening disease where rapid recognition, diagnosis and aggressive management is critical.
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