International Journal of

Critical Care and Emergency MedicineISSN: 2474-3674


 Open Access DOI:10.23937/2474-3674/1510113

Management of Multiple Rib Fractures-Results from a Major Trauma Centre with Review of the Existing Literature

D Chowdhury, P Okoh and H Dambappa

Article Type: Review Article | First Published: December 21, 2020

The main respiratory complications that arise from fractured ribs are multifactorial. It is well known that inadequate pain management in these patients lead to complications arising from poor ventilatory function. With an already compromised underlying pulmonary system this compounds on the effect on an already failing system leading to significant pulmonary complications. Rib fractures in the form of flail segments pose a particular problem in this regard. When one considers an elderly patient...

 Open Access DOI:10.23937/2474-3674/1510112

Extracorporeal Membrane Oxygenation (ECMO) Transpires to be a Promising Surrogate Therapy for Severe Refractory near Fatal Asthma: A Case Report

Ali Al Bshabshe, MD, FRCP, Omprakash Palanivel, Mohammed Amer Bahis, Nasser Mohammed Alwadai, RRT and Ali Mushabebassiri

Article Type: Case Report | First Published: December 03, 2020

The standard first-line therapy for severe asthma exacerbation is bronchodilators and corticosteroids. Any patients not responding to this standard therapy often needs invasive ventilation, which can promote numerous related complications and mortality. Recent studies conclude that ECMO can be adopted as an alternative approach as it significantly enhances the survival rate in severe respiratory failure compared to standard invasive ventilation. In contrast, ECMO effectiveness in near-fatal asth...

 Open Access DOI:10.23937/2474-3674/1510111

A Surprising Cause of Shock

Bernhard Baumeister MD and Reto Nueesch MD

Article Type: Case Report | First Published: November 28, 2020

A mayor challenge in emergency medicine is identifying life threatening conditions and simultaneously starting an adequate therapy. Therefore physicians often have to quickly commit themselves to the most likely diagnosis to avoid any delay of treatment. Nevertheless clinicians have to stay alert, repeatedly reassess differential diagnoses and change the initial treatment when needed. A 59-year-old man was admitted to our emergency department by ambulance in state of shock. He presented with red...

 Open Access DOI:10.23937/2474-3674/1510110

Delayed Intubation during Cardiac Arrest in Covid-19 Patients

Arash Harzand, MD, MBA, A Maziar Zafari, MD, PhD

Article Type: Commentary | First Published: July 16, 2020

Recent guidance from the American Heart Association (AHA) on resuscitation strategies in coronavirus disease disease of 2019 (Covid-19) includes several notable departures from before, including to proceed directly to endotracheal intubation over non-invasive ventilation (NIV) and to actively pause chest compressions during intubation attempts to minimize the likelihood of unsuccessful attempts. Although such recommendations have a dual focus on protecting frontline rescuers from aerosolizing pr...

Volume 6
Issue 4