The critical care literature 2018

An emergency physician (EP) is often the first health care provider to evaluate, resuscitate, and manage a critically ill patient. In recent years, the annual hours of critical care delivered in emergency departments (EDs) across the United States increased more than 200% (Herring et al., 2013). In...

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Published inThe American journal of emergency medicine Vol. 38; no. 3; pp. 670 - 680
Main Authors Winters, Michael E., Hu, Kami, Martinez, Joseph P., Mallemat, Haney, Brady, William J.
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.03.2020
Elsevier Limited
Subjects
Acidosis
Airway management
Cardiopulmonary resuscitation
CPR
Critical care
Drug dosages
Emergency medical care
Hospitals
Intubation
Mechanical ventilation
Metabolic acidosis
Morbidity
Patients
Septic shock
Ventilators
United States > US
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Summary:An emergency physician (EP) is often the first health care provider to evaluate, resuscitate, and manage a critically ill patient. In recent years, the annual hours of critical care delivered in emergency departments (EDs) across the United States increased more than 200% (Herring et al., 2013). In addition to seeing more critically ill patients, EPs are often tasked with providing critical care long beyond the initial resuscitation period. In fact, more than 50% of ED patients that require admission to the intensive care unit (ICU) remain in the ED for more than 6 h (Rose et al., 2016). Longer ED boarding times for critically ill patients is associated with a negative impact on inpatient morbidity and mortality (Mathews et al., 2018). It is during these early hours of critical illness, while the patient is in the ED, where lives can be saved or lost. Therefore, it is important for the EP to be knowledgeable about recent developments in critical care medicine. This review summarizes important articles published in 2018 pertaining to the resuscitation and care of select critically ill patients. We chose these articles based on our opinion of the importance of the study findings and their application to clinical care in the ED. The following topics are covered: cardiac arrest, post-arrest care, septic shock, rapid sequence intubation, mechanical ventilation, fluid resuscitation, and metabolic acidosis.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
content type line 23
ObjectType-Review-1
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2019.11.032