Approximately 2 million patients present each year to EDs in the United States for acute asthma exacerbations. Of these, up to 50,000 may require ICU admission for continued care and resuscitation. The management of critically ill asthmatic patients can be fraught with peril. In this podcast we discuss the assessment and management of patients presenting with a severe asthma exacerbation.
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Up to 25% of critically ill patients who undergo RSI and endotracheal intubation (ETI) may suffer cardiovascular collapse.? Many clinicians administer IVFs during RSI and ETI in hopes of preventing cardiovascular collapse, though this has never been studied…until now.? In this podcast we discuss the results of the recently published PrePARE Trial, as well as provide some thoughts on maximizing a patient’s physiology before performing ETI. Download Companion HandoutDownload You can get CME credit for this episode here!Click here for CME Account Creation Instructions ...
Though low-tidal volume ventilation has been shown to decreased mortality in patients with ARDS, the use of these settings in mechanically ventilated ED patients has been variable. In this podcast, we discuss a recent systematic review that examined the effect of low-tidal volume ventilation in the ED on clinical outcomes including mortality, length of stay, occurrence of ARDS, and duration of mechanical ventilation. Download Companion HandoutDownload You can get CME credit for this episode hereClick here for CME Account Creation Instructions ...
The use of tranexamic acid (TXA) has markedly increased since the results of the CRASH-II trial were published. In addition to its use in trauma, TXA has been evaluated and used in numerous other conditions, including post-partum hemorrhage and epistaxis. Recently, the HALT-IT Trial was published online in the Lancet, which evaluated the use of TXA in patients with acute gastrointestinal bleeding. In this podcast we discuss the HALT-IT Trial and its implications for clinical practice. Download Companion HandoutDownload You can get CME credit for this episode here!Click here for CME Account Creation Instructions ...
