Critical Care Module

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Critical Care

Journal Club EMPACS.org Pubmed Audio Resources Procedure videos EKG resources

Critical Care

This module focuses on the diagnosis and treatment of the critically ill adult and pediatric patient. Topics include shock, ventilator management, resuscitation, management of intracranial pressure abnormalities, stroke, sepsis, trauma, and acute lung injury.

Resident resources

Suggested readings

Electronic resources from Emedicine.com/EMERG

Readings for Critical Care 7-1-2011

Below are landmark articles that altered how we care for patients today. Please be familiar with the abstracts

Surviving Sepsis Campaign 2010 Critical Care Medicine: February 2010 - Volume 38 - Issue 2 - pp 367-374

Early Goal Directed Therapy N Engl J Med 2001;345:1368-77

Lactic Acid, Occult Hypoperfusion and Sepsis Claridge JA, et al. J Trauma 2000, 48(1):8-14

ARDSnet Study Ventilation with Lower Tidal Columes as Compared with Traditional Tidal Volumes for Acute Lung Injury and the Acute Respiratory Distress Syndrome. NEJM 2000;342(18):1301-1308.

A MULTICENTER, RANDOMIZED, CONTROLLED CLINICAL TRIAL OF TRANSFUSION REQUIREMENTS IN CRITICAL CARE N Engl J Med 1999;340:409-17.

The CRIT Study: Anemia and blood transfusion in the critically ill—Current clinical practice in the United States* Crit Care Med 2004; 32:39 –52

Efficacy of red blood cell transfusion in the critically ill: A systematic review of the literature* Crit Care Med 2008; 36:2667–2674)

Below, topics we've considered in previous years....

NEJM dexamethasone for adults with meningitis

NEJM CT before LP in suspected meningitis

Clinical Infectious Diseases: sensitivity of classic signs of meningitis

JAMA: Does this adult patient have meningitis?

How should septic patients be resuscitated? What endpoints should guide therapeutic decisions?

What drugs should be used for sedation in RSI for septic patients?

What ventilator settings should be used for patients with acute lung injury?

Should steroids be given to patients with sepsis?

Electronic resources from Emedicine.com/EMERG Acute Respiratory Distress Syndrome

Tracheal Intubation, Rapid Sequence Intubation

Shock, Cardiogenic

Shock, Distributive

Shock, Hypovolemic

Shock, Hemorrhagic

Procedures Tracheal Intubation, Rapid Sequence Intubation

Central venous access

Central Line Ki t

Internal Jugular I

Internal Jugular II

Subclavian (supra)

Subclavian (infra) I

Subclavian (infra) II

Retro Intubation I

Retro Intubation II

Exams CORD tests: http://www.cordtests.org/

Module exam (7-2011)

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