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dc.contributor.authorWinters, Michael E.
dc.contributor.authorHu, Kami
dc.contributor.authorMartinez, Joseph P.
dc.contributor.authorMallemat, Haney
dc.contributor.authorBrady, William J.
dc.date.accessioned2021-10-25T16:06:44Z
dc.date.available2021-10-25T16:06:44Z
dc.date.issued2021-09-29
dc.identifier.urihttp://hdl.handle.net/10713/16940
dc.description.abstractGiven the dramatic increase in critically ill patients who present to the emergency department for care, along with the persistence of boarding of critically ill patients, it is imperative for the emergency physician to be knowledgeable about recent developments in resuscitation and critical care medicine. This review summarizes important articles published in 2020 that pertain to the resuscitation and care of select critically ill patients. These articles have been selected based on the authors annual review of key critical care, emergency medicine and medicine journals and their opinion of the importance of study findings as it pertains to the care of critically ill ED patients. Several key findings from the studies discussed in this paper include the administration of dexamethasone to patients with COVID-19 infection who require mechanical ventilation or supplemental oxygen, the use of lower levels of positive end-expiratory pressure for patients without acute respiratory distress syndrome, and early initiation of extracorporeal membrane oxygenation for out-of-hospital cardiac arrest patients with refractory ventricular fibrillation if resources are available. Furthermore, the emergency physician should not administer tranexamic acid to patients with acute gastrointestinal bleeding or administer the combination of vitamin C, thiamine, and hydrocortisone for patients with septic shock. Finally, the emergency physician should titrate vasopressor medications to more closely match a patient's chronic perfusion pressure rather than target a mean arterial blood pressure of 65 mmHg for all critically ill patients.en_US
dc.description.urihttps://doi.org/10.1016/j.ajem.2021.09.056en_US
dc.language.isoenen_US
dc.publisherElsevier Inc.en_US
dc.relation.ispartofAmerican Journal of Emergency Medicineen_US
dc.subjectCardiac arresten_US
dc.subjectCOVID-19en_US
dc.subjectMechanical ventilationen_US
dc.subjectPost-cardiac arresten_US
dc.subjectSeptic shocken_US
dc.subjectVasopressorsen_US
dc.titleThe critical care literature 2020en_US
dc.typeArticleen_US
dc.identifier.doi10.1016/j.ajem.2021.09.056
dc.source.volume50
dc.source.beginpage683
dc.source.endpage692


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