Managing Organ Dysfunction in the ICU

Multimedia Medical Education

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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

20-year-old Saudi female who presented to the emergency room primarily with acute painful localized dry digital gangrene...

46-year-old woman was diagnosed with threatened preterm labor (TPL) and placenta previa at 26 weeks of gestation. She had...

66-year-old male with a history of hypertension and is status post-liver transplant in 2014 due to end-stage liver disease;...

7-year-old patient and present the CT images.

19-year-old morbid obese male presented to the emergency department (ED) following a motor vehicle accident.He had a left...

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In the News

Prehospital Epinephrine Improves Return of Circulation in Paediatric Patients With Cardiac Arrest
Prehospital epinephrine administration was associated with return of spontaneous circulation (ROSC) in paediatric patients who experienced an out-of-hospital cardiac arrest (OHCA), according to a study published in the Journal of the American College of Cardiology. However, there were no...
Reducing Albuterol Use in Infants With Bronchiolitis Is Safe
Using a multidisciplinary group that redesigned a clinical pathway and order sets for bronchiolitis, physicians were able to substantially reduce albuterol use at a large children’s hospital without impacting other outcome measures, according to a study published in Pediatrics. “Given the...
Changes in Pupils After Asymptomatic High-Acceleration Head Impacts Indicate Changes in Brain Function
Researchers have found significant pupillary changes in high school football athletes after they had sustained a high-acceleration head impact, and the changes were detected using a noninvasive, hand-held, quantitative pupillometry (QP) device, which potentially could be used in a nonclinical...
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...
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Conference Reports

Immediate MRI in Emergency Department Improves Diagnosis of Scaphoid Fractures

By Nancy Melville

CHICAGO -- December 2, 2019 -- The use of immediate magnetic resonance imaging (MRI) in the emergency department (ED) improves diagnostic accuracy in identifying scaphoid and other wrist fractures while reducing overall costs, according to a study presented here at the...

Immediate Coronary Angiography After Cardiac Arrest Does Not Improve 1-Year Survival

By Walter Alexander

PHILADELPHIA -- November 19, 2019 -- Compared with delayed coronary angiography, immediate coronary angiography did not improve1-year survival after out-of-hospital cardiac arrest, according to a study presented here at the 2019 American Heart Association (AHA)...

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...

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Recently Published

Abstracts in Multiple Sclerosis

Archives de Pediatrie
Potassium disorders in pediatric emergency department: Clinical spectrum and management
O Barbance, D De Bels, P M Honoré, D Bargalzan, A Tolwani, K Ismaili, D Biarent, S Redant
BMJ Case Reports
Rupture of mitral valve papillary muscle: a rare complication following myocardial infarction
Vinit Sawhney, Shivasankar Murugan, Fahad Iqbal, Amal Muthumala
Revue Médicale Suisse
[Emergency medicine : update 2019]
Laurent Suppan, Christophe Fehlmann, Jérôme Bertrand, Sybille Dvorak, Alexandre Bentvelzen, François-Xavier Ageron, Frédéric Rouyer
Resuscitation
Cardiac Arrest: An Interdisciplinary Review of the Literature from 2018
Sarah S Gul, Scott A Cohen, Leslie Avery, Meenakshi P Balakrishnan, Ramani Balu, Muhammad Abdul Baker Chowdhury, David Crabb, Karl W Huesgen, Charles W Hwang, Carolina B Maciel, Travis W Murphy, Francis Han, Torben K Becker, Interdisciplinary Cardiac Arrest Research Review (ICARE) group
Circulation
Survival After Intravenous Versus Intraosseous Amiodarone, Lidocaine, or Placebo in Out-of-Hospital Shock-Refractory Cardiac Arrest
Mohamud R Daya, Brian G Leroux, Paul Dorian, Thomas D Rea, Craig D Newgard, Laurie J Morrison, Joshua R Lupton, James J Menegazzi, Joseph P Ornato, George Sopko, Jim Christenson, Ahamed Idris, Purav Mody, Gary M Vilke, Caroline Herdeman, David Barbic, Peter J Kudenchuk, Resuscitation Outcomes Consortium Investigators
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Full-Text Articles

Internal medicine (Tokyo; Japan)
The Usefulness and Limitations of Point-of-care Cardiac Troponin Measurement in the Emergency Department
Kenichiro Suzuki, Kimiaki Komukai, Kotaro Nakata, Renshi Kan, Yuhei Oi, Eri Muto, Yusuke Kashiwagi, Mitsutoshi Tominaga, Satoru Miyanaga, Tetsuya Ishikawa, Kenji Okuno, Masahiko Uzura, Michihiro Yoshimura
BMC Emergency Medicine
Do Bacteremic patients with end-stage renal disease have a fever when presenting to the emergency department? A paired, retrospective cohort study
Sarah L Weatherall, Alison B Chambers, Leonard A Mermel
British Medical Journal (BMJ)
Post-discharge acute care and outcomes following readmission reduction initiatives: national retrospective cohort study of Medicare beneficiaries in the United States
Rohan Khera, Yongfei Wang, Susannah M Bernheim, Zhenqiu Lin, Harlan M Krumholz
BMC Pulmonary Medicine
Predictors of one-year mortality after hospitalization for an exacerbation of COPD
Cristóbal Esteban, Ady Castro-Acosta, Carlos Jose Alvarez-Martínez, Alberto Capelastegui, José Luis López-Campos, Francisco Pozo-Rodriguez
BMJ Open
Diagnostic accuracy of presepsin in predicting bacteraemia in elderly patients admitted to the emergency department: prospective study in Japan
Yoshiro Imai, Kohei Taniguchi, Ryo Iida, Masahiko Nitta, Kazuhisa Uchiyma, Akira Takasu
See more >>

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Helpful resources for your practice and patients.


Resource Library

CRRT Online: Acute Therapy Resources

Cardiac and Vascular Surgery–Associated Acute Kidney Injury: The 20th International Consensus Conference of the ADQI (Acute Disease Quality Initiative) Group

Nadim MK et al. J Am Heart Assoc. 2018;7:e008834

KDIGO Clinical Practice Guideline for Acute Kidney Injury

Kidney Int Suppl. 2012;2:1-128

Fluid Management for the Prevention and Attenuation of Acute Kidney Injury

Prowle JR et al. Nat Rev Nephrol. 2014;10:37-47

Fluid Management in Acute Kidney Injury

Goldstein SL. J Intensive Care Med. 2014;29:183-189

Indications and Management of Mechanical Fluid Removal in Critical Illness

Rosner MH et al. Br J Anaesth. 2014;113:764-771

Recovery After Acute Kidney Injury

Kellum JA et al. Am J Respir Crit Care Med. 2017;195:784-791

Prevention of Cardiac Surgery–Associated AKI by Implementing the KDIGO Guidelines in High-Risk Patients Identified by Biomarkers: The PrevAKI Randomised Controlled Trial

Meersch M et al. Intensive Care Med. 2017;43:1551-1561

Effect of Remote Ischaemic Preconditioning on Kidney Injury Among High-Risk Patients Undergoing Cardiac Surgery: A Randomised Clinical Trial

Zarbock A et al. JAMA. 2015;313:2133-2141

Strategies for the Optimal Timing to Start Renal Replacement Therapy in Critically Ill Patients With Acute Kidney Injury

Bagshaw SM, Wald R. Kidney Int. 2017;91:1022-1032

Early vs Late Initiation of Renal Replacement Therapy Impacts Mortality in Patients With Acute Kidney Injury Post-Cardiac Surgery: A Meta-Analysis

Zou H et al. Crit Care. 2017;21:150