CRITICAL CARE

Tissue Oxygenation and Cardiac Output

Dec 22, 2016 by in CRITICAL CARE Comments Off on Tissue Oxygenation and Cardiac Output

Tissue Oxygenation and Cardiac Output Geoffrey K. Lighthall and Catherine S. Reid BACKGROUND The two principle determinants of tissue perfusion are, (1) a mean arterial pressure (MAP) sufficient to maintain…

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Glycemic Control in the Critically Ill

Dec 22, 2016 by in CRITICAL CARE Comments Off on Glycemic Control in the Critically Ill

Glycemic Control in the Critically Ill Daniel Runde and Jarone Lee BACKGROUND Glycemic control is one of the most controversial topics in critical care. A large body of evidence demonstrates…

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Hypertensive Crises

Dec 22, 2016 by in CRITICAL CARE Comments Off on Hypertensive Crises

Hypertensive Crises Anand Swaminathan and Michael P. Jones BACKGROUND Hypertension affects an estimated 50 million individuals in the United States.1 Management of this largely preventable disease focuses on chronic reduction…

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Myasthenic Crisis and Peripheral Neuromuscular Disorders

Dec 22, 2016 by in CRITICAL CARE Comments Off on Myasthenic Crisis and Peripheral Neuromuscular Disorders

Myasthenic Crisis and Peripheral Neuromuscular Disorders Christina Ulane BACKGROUND The diagnosis and management of peripheral neuromuscular disorders are generally the purview of neurologists in the outpatient setting. However, when these…

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Transfusion Therapy

Dec 22, 2016 by in CRITICAL CARE Comments Off on Transfusion Therapy

Transfusion Therapy Michael P. Jones and John E. Arbo BACKGROUND The use of blood product transfusion in the critically ill is commonplace, with more than 40% of all ICU admissions…

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Anticoagulants

Dec 22, 2016 by in CRITICAL CARE Comments Off on Anticoagulants

Anticoagulants Betty C. Chen and Lewis S. Nelson BACKGROUND Systemic anticoagulation is widely used to treat patients with or at risk for thromboembolic events. Vitamin K antagonists (VKAs) such as…

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Caustics

Dec 22, 2016 by in CRITICAL CARE Comments Off on Caustics

Caustics Payal Sud and Mark Su BACKGROUND In 2010, the American Association of Poison Control Centers documented 201,750 reported exposures to caustic household cleaning substances. Most acid, alkali, and other…

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Controversies in Arrhythmia Management

Dec 22, 2016 by in CRITICAL CARE Comments Off on Controversies in Arrhythmia Management

Controversies in Arrhythmia Management Sam Senturia BACKGROUND Emergency physicians are tasked with managing a wide range of arrhythmias. Rather than reviewing the management of all common arrhythmias, this chapter addresses…

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Drowning

Dec 22, 2016 by in CRITICAL CARE Comments Off on Drowning

Drowning Samuel Gerson and Jose Evangelista III BACKGROUND The International Liaison Committee on Resuscitation defines drowning as primary respiratory impairment caused by submersion or immersion in liquid.1 Updated terminology separates…

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