International Journal of

Critical Care and Emergency MedicineISSN: 2474-3674


 Open Access DOI:10.23937/2474-3674/1510087

Extracorporeal Cardiopulmonary Resuscitation in a 36-Year-Old Man with Viral Myocarditis Who Survived Prolonged Cardiac Arrest and Bedside Decompressive Laparotomy Neurologically Intact

Elizabeth K Powell, MD, Gretchen A Lemmink, MD, Joshua T Trester, MD and Louis B Louis IV, MD

Article Type: Case Study | First Published: August 26, 2019

We report a case of prolonged cardiac arrest in a patient with viral myocarditis who was subsequently cannulated for veno-arterial extracorporeal membrane oxygenation (VA-ECMO) while in cardiac arrest. The patient developed bowel ischemia and abdominal compartment syndrome on ECMO and required a bedside decompressive laparotomy and hemicolectomy. This case demonstrates that prolonged downtime with high quality CPR and potential ischemic complications of VA-ECMO should not preclude ongoing resusc...

 Open Access DOI:10.23937/2474-3674/1510086

Psychosocial Considerations for Pediatric Care in Emergency Departments

Julie Lerwick, PhD, LPC, NCC, RPT

Article Type: Case Study | First Published: August 26, 2019

When pediatric patients are admitted into emergency departments a different course of psychological care is required. Often, when admitted, children are scared and in pain. Fear and pain at any age introduces unexpected behavioral responses, and this is not an exception for children. This makes children quite vulnerable in emergency departments, regardless if caregivers are trained to work with pediatric patients. Within the urgency of delivering emergent medical care, as well as maintaining str...

 Open Access DOI:10.23937/2474-3674/1510085

Hyponatremia in Children with Systemic Inflammatory Response Syndrome Presenting to the Emergency Department

Osama El-Assal, MD, PhD, Sarah A Marzec, MD, Michael L Forbes, MD, Michael Bigham, MD, Ryan Reichert, MD, Jeffrey D Solomon, MD and Miraides F Brown, MS

Article Type: Retrospective Study | First Published: July 25, 2019

Hyponatremia is observed in children with meningitis, encephalitis, pneumonia, urinary tract infections, and Kawasaki disease. The presence of hyponatremia is associated with increased morbidity and mortality in adults. The clinical significance of hyponatremia in febrile pediatric patients is unknown. The objective of this study was to evaluate the prevalence and prognostic value of hyponatremia in children presenting to the emergency department (ED) with systemic inflammatory response syndrome...

 Open Access DOI:10.23937/2474-3674/1510084

Comparison of the Sequential Organ Failure Assessment (SOFA) and Quick SOFA Scores in Predicting in-Hospital Mortality among Adult Critical Care Patients with Suspected Infection

Mohammed A Said, MBChB, MPH, Wangari-Waweru Siika, MBChB, Vitalis Mung'ayi, MBChB and Reena Shah, MBChB, MRCP, MSc

Article Type: Original Article | First Published: July 13, 2019

Sepsis is global health priority and the leading cause of death in critical care. The SEPSIS 3 criteria introduced in 2016 is the latest tool in diagnosing sepsis. It uses SOFA and qSOFA scores in place of the SIRS criteria for better ability to predict mortality in patients with suspected infections. The performance of these scores in critical care units outside high-income countries remains largely unknown....

 Open Access DOI:10.23937/2474-3674/1510083

Characterization of Pediatric Procedural Competency in Emergency Physicians

Daniel Slubowski, MD , Brian Wagers, MD and Jessica Kanis, MD

Article Type: Research Article | First Published: July 11, 2019

Medical and traumatic resuscitation are among the core competencies of emergency medicine. When compared to adult patients, the frequency of high acuity pediatric patients requiring procedures is low. Currently in emergency medicine practice, especially in academic settings, maintaining proficiency in high acuity and low frequency pediatric procedures may be a problem for physicians after completing training....

 Open Access DOI:10.23937/2474-3674/1510082

The 'SAFE PT' Handover: A Qualitative Study for Developing an Improvised Tool Facilitating Safe Patient Handover

Ahmed Mikky, MD, Mohamed Al Busafi, MD and Issa Al Salmi, MD, PHD

Article Type: Qualitative Study | First Published: July 03, 2019

The aim of this study is to identify and establish an effective and a standardized tool that is easily reproducible for the safe handover of patients at end of shift at the emergency department (ED) for continuity of care, smooth transition and minimising errors. This tool is designed to assist emergency physician and nurses in building a safe patient culture one that is reliable and upholds the standards of quality and improvement guided by international goals....

Volume 5
Issue 4