Tactical Medicine News Blog

Critical Care/ Resus, EMS, Expert Peer Reviewed (Clinical)
Mechanical CPR and the LINC trial
The first time I saw the Thumper performing CPR on a patient I thought “well, that makes sense.” Since then we have seen other devices, most notably the Zoll AutoPulse and...
Sean Kivlehan, MD MPH | December 10, 2013
Critical Care/ Resus, EMS
Prehospital: Does QUICKER hypothermia equal BETTER hypothermia?
The short answer to this question is NO. Since the landmark post-arrest, therapeutic hypothermia studies published in 2002, 1,2 extensive efforts have been made to ensure our post-arrest patients are...
Sean Kivlehan, MD MPH | December 5, 2013
Cardiovascular, Critical Care/ Resus, Pulmonary
Subsegmental Pulmonary Embolisms (SSPE) are Important
Multi-detector computed tomographic pulmonary angiography (CTPA) allows for better visualization of peripheral pulmonary arteries allowing for diagnosis of small peripheral emboli limited to the subsegmental pulmonary arteries. Interestingly as these...
Salim Rezaie, MD | November 27, 2013
Critical Care/ Resus, Expert Peer Reviewed (Clinical)
Shock Index: A Predictor of Morbidity and Mortality?
Emergent airway management and severe sepsis are both high-risk situations that are commonly encountered by emergency physicians. It is well known that complications can be high in both situations, which...
Salim Rezaie, MD | November 25, 2013
Cardiovascular, Critical Care/ Resus, EMS, Environmental, Gastrointestinal, Infectious Disease, Neurology, Orthopedic, Pediatrics, Pulmonary, Renal, Trauma, Ultrasound
52 Articles in 52 Weeks: Landmark EM Articles 2013
To provide a resource for evidence-based Emergency Medical education, this list of must-read landmark articles was created to supplement the Emergency Medicine (EM) internship year of training. There are 52...
Emily Junck, MD | November 12, 2013
Cardiovascular, Critical Care/ Resus, Expert Peer Reviewed (Clinical)
CPR: Hands-on or Hands-off Defibrillation?
Pauses in chest compressions are known to be detrimental to survival in cardiac arrest, so much so that the 2010 American Heart Association (AHA) emphasize high-quality compressions while minimizing interruptions....
Salim Rezaie, MD | October 28, 2013
Cardiovascular, Critical Care/ Resus
Mechanical vs Manual CPR Chest Compressions
When talking about Out of Hospital Cardiac Arrest (OHCA) there are really only three things that make a true difference on outcomes (i.e. survival and neurologic function): High quality, non-interrupted...
Salim Rezaie, MD | October 23, 2013
Critical Care/ Resus, Expert Peer Reviewed (Clinical), Neurology
Treating Ischemic Stroke with tPA in the ED: Time is Brain
Ischemic stroke is an emergent and devastating neurologic disorder, and is a leading cause of both death and disability in the United States. With each minute of brain ischemia, two...
Todd A. Seigel, MD | October 10, 2013
Critical Care/ Resus, Expert Peer Reviewed (Clinical)
Deciphering Acid-Base Disorders
Derangements in acid-base status are commonly discovered on routine emergency department evaluation and often suggest the presence of severe underlying disease. Many acute conditions can disrupt homeostatic mechanisms used to...
Todd A. Seigel, MD | September 16, 2013
Critical Care/ Resus, Expert Peer Reviewed (Clinical), Tox & Medications
Choosing the right vasopressor agent in hypotension
The incidence of critical illness in the ED is rising, with greater than 1 million ED patients requiring emergent resuscitation each year. In addition to definitive airway management, hemodynamic support...
Todd A. Seigel, MD | August 20, 2013
Critical Care/ Resus, Expert Peer Reviewed (Clinical)
Alarms from the ventilator: Troubleshooting high peak pressures
Airway management is one of the defining skills of an emergency physician, but our role in the care of intubated patients may continue long after endotracheal tube placement is confirmed....
Todd A. Seigel, MD | July 30, 2013
Critical Care/ Resus
Critical Care Series by new ALiEM writer Dr. Todd Seigel
Welcome a new superstar blogger, Dr. Todd Seigel (@ToddSeigelMD), to the ever-growing ALiEM team. I first met Todd at the recent Society of Academic Emergency Medicine meeting. At that time, he was...
Michelle Lin, MD | July 30, 2013

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