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Hypercapnia in the Intensive Care Unit: What Do I Need to Know?

Eddy Fan, MD, PhD
8 May 2019

The Role of Extracorporeal Carbon Dioxide Removal (ECCO₂R) in Patients With Acute Respiratory Distress Syndrome (ARDS)

Alain Combes, MD, PhD
8 May 2019

Acute Kidney Injury: A Significant Complication After Cardiac Surgery

John A. Kellum Jr., MD, MCCM
15 March 2019

Best Practices and Preferred Approaches to Managing CSA-AKI in the ICU

Alexander Zarbock, MD
15 March 2019

The Importance of Managing Fluid Overload in Acute Kidney Injury

Stuart L. Goldstein, MD, FAAP, FASN, FNKF
26 April 2018

Managing Fluid Overload in AKI: Best Practices and Preferred Approaches to RRT

John R. Prowle, MA, MB, BChir, MSc, MD, FFICM, FRCP
26 April 2018

Coming Soon

Understanding Hypercapnia in Critically Ill Patients: Using Extracorporeal CO2 Removal (ECCO2R) to Optimise Outcomes

Patient Case Studies

49-year-old male presented to his physician with three weeks of dyspnea, dry cough, and fever. He did not respond to antibiotics...

2-year-old child with developmental delay, generalized hypotonia, facial dysmorphism, and anomalies involving malformations...

39-year-old male who had an air embolism in the pulmonary artery as a consequence of the injection of a contrast agent. He...

22-year-old woman with five days of left lower quadrant abdominal pain with initial workup investigating for a genitourinary...

49-year-old female with a previous history of choledocholithiasis and ERCP presented to the emergency department following...

In the News

Is Intranasal Naloxone as Effective as Intramuscular Naloxone for Opioid Overdose?

By Denise Baez Intranasal naloxone can reverse opioid overdose, but not as efficiently as intramuscularly-administered naloxone, according to a study published in JAMA Network Open. The 93 individuals randomised to intramuscular naloxone administration were less likely to require a rescue dose of...

Algorithm Predicts Risk of Paediatric Septic Shock in Emergency Department

Researchers have developed a unique model allowing them to predict which children arriving to the emergency department (ED) are most likely to go into septic shock. In a study published in The Journal of Pediatrics, the researchers detailed how they ran electronic medical records through a modern...

Focused Cardiac Ultrasound May Lower PE Diagnosis in Patients With Abnormal Vital Signs

Focused cardiac ultrasound (FOCUS) performed by emergency physicians with advanced training in emergency ultrasound may significantly lower the likelihood of the diagnosis of pulmonary embolism (PE) in most patients who are suspected of PE and have abnormal vital signs, according to a study...

What Are the Risk Factors for Malignant Arrhythmias During Therapeutic Hypothermia for Cardiac Arrest?

A study published in the journal Therapeutic Hypothermia and Temperature Management found that 20% to 50% of patients developed an irregular heartbeat that required defibrillation during the active cooling phase of therapeutic hypothermia following an out-of-hospital cardiac arrest. When analysing...

Screening Tool Administered in Paediatric ER Accurately Gauges Suicide Risk

Screening for suicide risk in paediatric emergency departments is an effective approach to identify risk for subsequent suicide-related emergency department visits, according to a study published in JAMA Network Open. Although the 4-item Ask Suicide-Screening Questions (ASQ) questionnaire has been...

Conference Reports

Intravenous Cetirizine Non-Inferior to IV Diphenhydramine for Acute Urticaria

By Erik MacLaren

DENVER -- November 2, 2019 -- Intravenous (IV) cetirizine is non-inferior to IV diphenhydramine in the treatment of acute urticaria and has a better safety profile, according to a study presented here at the 2019 Annual Meeting of the American College of Emergency...

Automated Translation Software Performs Unevenly in the Emergency Department

By Erik MacLaren

DENVER -- November 2, 2019 -- The ability of Google Translate to accurately translate discharge instructions in the emergency department (ED) varies widely between languages according to data presented here at the 2019 Annual Meeting of the American College of Emergency...

Immunotherapy-Related Adverse Events Present New Challenge to Emergency Department Physicians

By Erik MacLaren

DENVER -- November 2, 2019 -- Colitis was the most common immune-related adverse event (AE) diagnosed in patients taking immune checkpoint inhibitors who presented to an emergency department (ED), according to a study presented here at the 2019 Annual Meeting of the...

Use of Low-Dose Droperidol in the Emergency Department Not Associated With Increased Mortality

By Erik MacLaren

DENVER -- November 2, 2019 -- Using low doses of the antipsychotic droperidol for pain management in the emergency department (ED) is safe and not associated with increased mortality, according to a study presented here at the 2019 Annual Meeting of the American College...

Ketorolac Is Overprescribed in the Emergency Department

By Erik MacLaren

DENVER -- November 1, 2019 -- Many practitioners may be prescribing excessive doses of ketorolac to patients presenting to the emergency department, according to research presented here at the 2019 Annual Meeting of the American College of Emergency Physicians (ACEP)....

Recently Published

Abstracts in Multiple Sclerosis

Journal of Endourology

Post-Operative Emergency Department Visits After Urinary Stone Surgery: Variation Based on Surgical Modality

Abhinav Khanna, Donald Fedrigon Iii, Manoj Monga, Tianming Gao, Jesse Schold, Robert Abouassaly

Stroke

CTA-for-All: Impact of Emergency Computed Tomographic Angiography for All Patients With Stroke Presenting Within 24 Hours of Onset

Stephan A Mayer, Tanuwong Viarasilpa, Nicha Panyavachiraporn, Megan Brady, Dawn Scozzari, Meredith Van Harn, Daniel Miller, Angelos Katramados, Hebah Hefzy, Shaneela Malik, Horia Marin, Maximilian Kole, Alex Chebl, Christopher Lewandowski, Panayiotis D Mitsias

Journal of Allergy and Clinical Immunology. In Practice

Biphasic Reactions in Emergency Department Anaphylaxis Patients: A Prospective Cohort Study

Xiaowei Liu, Sangil Lee, Christine M Lohse, Cassandra T Hardy, Ronna L Campbell

BMJ Case Reports

Unusual solution to abdominal pain with contrast enhanced ultrasound

Sara Montemerani, Luca Castellani, Gianni Guazzi, Marcello Pastorelli

Pediatric Emergency Care

Prescribing Patterns of Oral Opioid Analgesic for Acute Pain at a Tertiary Care Children's Hospital Emergency Departments and Urgent Cares

George Sam Wang, Jennifer Reese, Leigh Anne Bakel, Jan Leonard, Alan Bielsky, Ashley Reid, Tod Bos, Sarah Nickels, Lalit Bajaj

Full-Text Articles

BMJ Open

Prevalence of organ failure and mortality among patients in the emergency department: a population-based cohort study

Peter Bank Pedersen, Daniel Pilsgaard Henriksen, Mikkel Brabrand, Annmarie Touborg Lassen

Annals Of Thoracic And Cardiovascular Surgery

Mediastinal Ancient Schwannoma Causing Intrathoracic Bleeding

Chika Nakashima, Hiroaki Harada, Satoshi Shibata

BMJ Open

A comprehensive validation of very early rule-out strategies for non-ST-segment elevation myocardial infarction in emergency departments: protocol for a multicentre prospective cohort study

Masafumi Tada, Hiroyuki Azuma, Naoki Yamada, Ken-Ichi Kano, Hideya Nagai, Shigenobu Maeda, Hiroshi Ishida, Takahiko Aoyama, Ryota Okada, Takahisa Kawano, Taketsune Kobuchi, Hiroyasu Uzui, Hideyuki Matano, Hose Iwasaki, Koji Maeno, Yoshimitsu Shimada, Hiroyuki Yoshida, Masaki Ando, Yoshimasa Murakami, Naotsugu Iwakami, Sanae Kishimoto, Taku Iwami, Hiroshi Tada, Andrew Chapman, Nicholas Mills, Hiroyuki Hayashi, Toshi A Furukawa, Norio Watanabe

BMJ Open

Early point-of-care focused echocardiographic asystole as a predictive factor for absence of return of spontaneous circulatory in out-of-hospital cardiac arrests: a study protocol for a prospective, multicentre observational study

François Javaudin, Philippe Pes, Emmanuel Montassier, Arnaud Legrand, Aline Ordureau, Christelle Volteau, Idriss Arnaudet, Philippe Le Conte

BMJ Open

Glucocorticoids for acute urticaria: study protocol for a double-blind non-inferiority randomised controlled trial

Nicolas Javaud, Angele Soria, Maxime Maignan, Ludovic Martin, Vincent Descamps, Olivier Fain, Laurence Bouillet, Frederic Berard, Karim Tazarourte, Pierre-Marie Roy, Jean-Paul Fontaine, Martine Bagot, Mehdi Khellaf, Helene Goulet, Frederic Lapostolle, Enrique Casalino, Marie-Sylvie Doutre, Cedric Gil-Jardine, Frederic Caux, Olivier Chosidow, Dominique Pateron, Eric Vicaut, Frederic Adnet