Original Article

Intermediate or Intensive Care Unit Admission across Race and Ethnicity

Objectives: The aim of this study was to assess the association between race and ethnicity and admission to intermediate (IMCUs) or intensive care units (ICUs) among hospitalized patients. Methods: Using Florida hospital discharge data from the Agency for Healthcare Research and Quality–sponsored State Inpatient Database in 2017, we assessed the…

Posted in: critical care 12 disparity 5 ethnicity 6 race 15

Original Article

Risk Factors for Mortality in Mechanically Ventilated Patients with COVID-19 in a Mississippi Community Health System

Objective: To evaluate differences between survivors versus nonsurvivors undergoing mechanical ventilation for coronavirus disease 2019 (COVID-19)–associated respiratory failure at two community medical centers. Methods: This was a multicenter, retrospective cohort analysis of all adult patients mechanically ventilated for COVID-19–associated respiratory failure in two community hospital intensive care units in southern…

Posted in: COVID-19 55 critical care 12 SARS-CoV-2 7

Original Article

Effects of Norepinephrine Infusion on Cutaneous Surface Temperatures of the Distal Extremities

Objectives: The etiology of vasopressor-induced digital necrosis is poorly understood, but the skin changes resemble those of frostbite, and it is known from experience that patients taking vasopressors have decreased digital temperatures. We aimed to examine the effects of norepinephrine use on surface temperatures of the distal extremities because there…

Posted in: critical care 12

Original Article

Characteristics and Outcomes Based on Perceived Illness Severity in SARS-CoV-2

Objectives: The severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) epidemic is characterized by a global sense of uncertainty, partly driven by the paucity of real-life clinical data. This study assessed whether admission patient characteristics were associated with need for intensive care unit (ICU) care. Methods: The observational study included consecutive patients admitted…

Posted in: coronavirus disease 2019 (COVID-19) 8 critical care 12 prognosis 8 severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) 2

Review Article

Point-of-Care Ultrasound in Established Settings

The original and most widely accepted applications for point-of-care ultrasound (POCUS) are in the settings of trauma, shock, and bedside procedures. Trauma was the original setting for the introduction of POCUS and has been standardized under the four-plus view examination called the Focused Assessment with Sonography in Trauma (FAST). This…

Posted in: critical care 12 emergency medicine 7 internal medicine 17 POCUS 54 point-of-care ultrasound 18 Special Issue 75 ultrasound 13

Original Article

Analysis of Intensive Care Unit Admission and Sequelae in Patients Intravenously Abusing Extended-Release Oral Oxymorphone

Objectives: Prescription drug abuse is a major public health problem in the United States, with the rate of opioid-related deaths nearly quadrupling between 2000 and 2014. Extended-release oral oxymorphone hydrochloride (Opana ER) is a long-acting opioid prescribed for chronic pain; however, it also has the potential to be abused via…

Posted in: critical care 12 intensive care unit 2

Original Article

Making of a Successful Early Mobilization Program for a Medical Intensive Care Unit

Objectives: To provide a guideline for intensive care unit (ICU) early mobilization program development and implementation and to describe the patient characteristics and endpoints for those who participated in our hospital’s early mobilization program. Methods: An ICU early mobilization program was developed with five guiding principles: analgesia/sedation optimization, sedation minimization,…

Posted in: critical care 12 mechanical ventilation 8

Original Article

EMS Patients and Walk-In Patients Presenting With Severe Sepsis: Differences in Management and Outcome

Objectives: Sepsis is a significant problem. The differences between patients with sepsis who walk into the emergency department (ED) and those who are transported via emergency medical services (EMS) have not been clarified. The aim of the study was to determine whether there was a difference in outcome between patients…

Posted in: critical care 12 sepsis 6

Review Article

Acute Respiratory Distress Syndrome, Sepsis, and Cognitive Decline: A Review and Case Study

Abstract:The objective of this investigation is to review existing research pertaining to cognitive impairment and decline following critical illness and describe a case involving a 49-year-old female with sepsis and acute respiratory distress syndrome (ARDS) with no prior neurologic history who, compared to baseline neuropsychological test data, experienced dramatic cognitive…

Posted in: ARDS 3 brain injury 2 critical care 12 sepsis 6

Case Report

Prone Ventilation in a United States Marine with Acute Respiratory Distress Syndrome and an Open Abdominal Injury

Abstract:A United States Marine with an open abdominal injury from a single gunshot wound to the chest and abdomen was placed in the prone position after suffering from acute respiratory distress syndrome (ARDS). Prone ventilation in traumatic injuries involving an open abdomen has been rarely reported or attempted because of…

Posted in: ARDS 3 critical care 12 trauma 24

Original Article

Survival After In-Hospital Cardiopulmonary Resuscitation

Background: The use of postarrest variables to predict survival after discharge following in-hospital cardiopulmonary resuscitation has not been definitive. This study evaluates whether the duration of cardiopulmonary resuscitation (CPR) and other variables affect discharge rates and survival rates after discharge. Methods: Prospective cohort survival data and arrest variables were collected,…

Posted in: advance directives 3 critical care 12 resuscitation 5

Original Article

Automatic Transport Ventilator Versus Bag Valve in the EMS Setting: A Prospective, Randomized Trial

Purpose: The primary objective of this study was to compare Emergency Medical Technicians-Paramedics (EMT-P) perceptions of the usefulness of an automatic transport ventilator (ATV) compared with bag valve (BV) ventilation for intubated patients. Methods: Cardiopulmonary resuscitation or assisted ventilation patients were randomly assigned by day to the ATV or BV…

Posted in: critical care 12 emergency medical services 6
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