International Journal of

Critical Care and Emergency MedicineISSN: 2474-3674


 Open Access DOI:10.23937/2474-3674/1510036

Ventricular Tachycardias in Structurally Normal Hearts - A Case Report and Review of the Literature

Juergen Schiefermueller

Article Type: Case Report | First Published: June 21, 2018

The acute management of broad complex tachycardias in the Emergency Department (ED) can often pose a significant challenge, not just for the more inexperienced of doctors. This is often due to the potentially lethal nature of this arrhythmia, the perceived complexity of ECG interpretation or handling of antiarrhythmic drugs. Whilst most doctors are aware that broad complex tachycardias are in the vast majority of cases related to structural abnormalities e.g. previous myocardial infarction, it i...

 Open Access DOI:10.23937/2474-3674/1510035

Acute Inferior Wall ST Segment Elevation Myocardial Infarction diagnosed During Bi-Ventricular Pacing

Jaspreet Singh, Shankar K Thampi, Amit Alam, Rajiv Jauhar, Apoor Patel, and Avneet Singh

Article Type: Case Report | First Published: June 15, 2018

Specific criteria have been developed for the diagnosis of acute myocardial infarction in patients with right ventricular pacing, but not for patients with bi-ventricular pacing. We present a case of a patient with a biventricular implantable cardioverter defibrillator (BiVICD), who presented with symptoms consistent with acute coronary syndrome (ACS), new ST elevations of the inferior leads, and was found to have acute occlusion of right coronary artery (RCA)....

 Open Access DOI:10.23937/2474-3674/1510034

Noise Pollution in the Pediatric Intensive Care Unit and its Effect on Sedation

Bree Kramer and Christopher Heard

Article Type: Research Article | First Published: June 14, 2018

Noise exposure is an important factor in the management of intensive care patients. There are many different causes of noise in the ICU such as equipment, monitors, staff, family plus other additional sources. Patients in the ICU are exposed to these noise sources for 24 hours a day with no respite. The noise levels can vary significantly during the day as well as significantly between patient bed-spaces. There are detrimental effects from excessive noise exposure; some of this is related to the...

 Open Access DOI:10.23937/2474-3674/1510033

Acute Dyspnoea with Co-Incidental Finding of Carbon Monoxide Poisoning - A Case Report with Review of Current Literature

Teresa A Hand and Debkumar Chowdhury

Article Type: Case Report | First Published: June 06, 2018

Carbon monoxide poisoning can present in subtle ways with a variable range of symptoms from mild headaches to profound neurological impairment. The primary aim of this article is to highlight the importance of early detection of carbon monoxide poisoning through meticulous clinical assessment. The secondary aim of this article is to review the current treatment strategies. ...

 Open Access DOI:10.23937/2474-3674/1510032

Effective Neurally Adjusted Ventilatory Assist (NAVA) Ventilation in a Child with a Large Bronchopleural Fistula

Jean-Michel Liet, Alexis Chenouard, Sebastien Faraj, Armelle Garenne and Pierre Bourgoin

Article Type: Case Report | First Published: June 06, 2018

Managing mechanical ventilation in patients with bronchopleural fistula (BPF) can be hazardous, especially in case of large air leaks and underlying parenchymal lung disease. The fistulous tract offers low airflow resistance, and air escapes through the BPF to the detriment of the tidal volume, jeopardizing the minute ventilation and oxygenation. ...

 Open Access DOI:10.23937/2474-3674/1510031

Bilateral Diaphragmatic Paresis after Cardiac Surgery: The Key is the Clinical Point-of-Care Ultrasound

Jose Luis Vazquez Martinez, Aida Lopez de Pedro, Ana Coca Perez, Raul Montero Yeboles and Cesar Perez-Caballero Macarron

Article Type: Case Report | First Published: January 31, 2018

Bilateral diaphragmatic paresis following cardiac surgery is rare. We present a case in which several extubation attempts failed in an infant after cardiac surgery. Point-of-care ultrasonography (POCUS) showed a slight but symmetric decrease of diaphragmatic motion, confirmed by fluoroscopy. Phrenic electromyography (EMG) was informed inconsistently as normal. After eight weeks of non-invasive ventilation the patient was weaned to room air, revealing the POCUS a recovery on the left side but per...

Volume 4
Issue 1