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Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
Published on: January 16, 2019
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The critical care literature 2021.
Michael E Winters1, Kami Hu1, Joseph P Martinez1
1Departments of Emergency Medicine and Medicine, University of Maryland School of Medicine, Baltimore, MD 21201, USA.
The American Journal of Emergency Medicine
|October 28, 2022
Summary
Emergency physicians are increasingly providing critical care. Staying updated on resuscitation and critical care medicine is vital for managing critically ill patients in the emergency department (ED).
Area of Science:
- Emergency Medicine
- Critical Care Medicine
- Resuscitation Science
Background:
- Emergency physicians (EPs) are primary providers for critically ill patients.
- Critical care in US emergency departments (EDs) has significantly increased over the past two decades.
- Prolonged ED boarding for critically ill patients correlates with adverse outcomes.
Purpose of the Study:
- To highlight the growing role of EPs in critical care.
- To emphasize the need for EPs to stay current with evidence-based resuscitation and critical care medicine.
- To review key findings relevant to critically ill ED patients.
Main Methods:
- Review of key journals in critical care, resuscitation, and emergency medicine.
- Selection of studies based on author opinion regarding importance to ED critical care.
- Thematic organization of selected topics.
Main Results:
- Critical care provided in EDs increased by ~80% from 2006-2014.
- Intubated patients in EDs increased by ~16% during the same period.
- Prolonged ED boarding is linked to increased mortality and resource utilization.
Conclusions:
- EPs manage a growing volume of critically ill patients requiring extended care.
- Knowledge of current resuscitation and critical care advancements is imperative for EPs.
- This review covers essential topics including cardiac arrest, mechanical ventilation, and sepsis.
Keywords:
Cardiac arrestCardiogenic shockCritical careFluid resuscitationPost-arrest careRapid sequence intubationSepsisTransfusionMore Related Videos
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