{"title":"Hyperglycemic Crisis: A Serious Complication of Unknown Type II Diabetes Mellitus in Adolescent","authors":"Elisa, R. Pratiwi Woro","doi":"10.23937/2474-3674/1510139","DOIUrl":"https://doi.org/10.23937/2474-3674/1510139","url":null,"abstract":"","PeriodicalId":13937,"journal":{"name":"International Journal of Critical Care and Emergency Medicine","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91533304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P. Noelle, J. Olivia, Brophy Aaron, Monla-Hassan Jaber
{"title":"Transient Asystole Linked to Dexmedetomidine Infusion","authors":"P. Noelle, J. Olivia, Brophy Aaron, Monla-Hassan Jaber","doi":"10.23937/2474-3674/1510140","DOIUrl":"https://doi.org/10.23937/2474-3674/1510140","url":null,"abstract":"Background: Five adult medical, critically ill patients developed bradycardia leading to asystole while receiving dexmedetomidine infusion. Materials and methods: This is a case series of five adult patients obtained from the medical intensive care unit in a community teaching hospital between May 2019 through August 2020. These patients were each receiving dexmedetomidine infusion while on invasive mechanical ventilation leading to periods of asystole that resolved after stopping dexmedetomidine infusion in all five patients. Results: The five patients were mechanically ventilated while receiving dexmedetomidine infusion and experienced periods of brief asystole triggered by vagal stimulation induced by airways suctioning or coughing. Each episode was resolved without intervention. Despite the presence of confounding factors, such as other sedatives and chronotropic medications, it was concluded the main reason for the potentiated vagal response was the presence of dexmedetomidine infusion. Conclusions: The routine use of continued infusion of dexmedetomidine can lead to asystole if instigated by common vagal stimulation of the trachea during mechanical ventilation.","PeriodicalId":13937,"journal":{"name":"International Journal of Critical Care and Emergency Medicine","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87353464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Using Point-of-Care Ultrasound for Early Identification of Central Retinal Artery Occlusion","authors":"Qadeer Farhan, Judge Ramzan, Chiccarine Alina","doi":"10.23937/2474-3674/1510134","DOIUrl":"https://doi.org/10.23937/2474-3674/1510134","url":null,"abstract":"Central Retinal Artery Occlusion (CRAO) is the partial or complete blockage of the central retinal artery presenting as acute painless monocular vision loss with increased risk in those with cardiovascular disease. Diagnosis of CRAO requires a dilated fundoscopic exam performed by an Ophthalmologist. In resource limited hospitals, access to these expertise and resources may be difficult. Early recognition of CRAO in the emergency department (ED) can lead to reduced negative consequences and reduced cost to healthcare. Here we present a case using Point-of-Care Ultrasound (POCUS) to identify CRAO in a patient.","PeriodicalId":13937,"journal":{"name":"International Journal of Critical Care and Emergency Medicine","volume":"51 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73632889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hossain Mohammad Mojahidul, Kroeger Axel, Pervin Kamelia, N. George, Ahmed Be-Nazir, Ahmed Manzur Kadir, Busch Hans-Joerg
{"title":"Emergency Medical Rescue Services in Dhaka City, Bangladesh: A Situational Analysis and Needs Assessments","authors":"Hossain Mohammad Mojahidul, Kroeger Axel, Pervin Kamelia, N. George, Ahmed Be-Nazir, Ahmed Manzur Kadir, Busch Hans-Joerg","doi":"10.23937/2474-3674/1510138","DOIUrl":"https://doi.org/10.23937/2474-3674/1510138","url":null,"abstract":"Background: Deaths and disabilities due to the lack of proper Emergency Medical the poor structure of EMRS. Major concerns were: Policy deficit, corruption, no coordination centre with unique phone number, poor ambulance services, and traffic-jams. Conclusion: To reduce the number of deaths and disabilities, Dhaka needs to upgrade and improve its EMRS through a step-by-step process of telephone assisted emergency first responders led pre-clinical care.","PeriodicalId":13937,"journal":{"name":"International Journal of Critical Care and Emergency Medicine","volume":"78 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79312823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Chest X-Ray Findings in Asthma Exacerbation and the Association with Acute Asthma Management among Children","authors":"Sher Gul, Kupferman Fernanda E, Gaffoor Mohamed","doi":"10.23937/2474-3674/1510142","DOIUrl":"https://doi.org/10.23937/2474-3674/1510142","url":null,"abstract":"","PeriodicalId":13937,"journal":{"name":"International Journal of Critical Care and Emergency Medicine","volume":"143 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72908091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comparison of High-Dose, Short-Term Steroid and Low-Dose Long Term Steroid Use in ARDS Caused by COVID-19","authors":"Koc Suna, Kupeli Ilke","doi":"10.23937/2474-3674/1510143","DOIUrl":"https://doi.org/10.23937/2474-3674/1510143","url":null,"abstract":"","PeriodicalId":13937,"journal":{"name":"International Journal of Critical Care and Emergency Medicine","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73047663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ribeiro Daniela Alves de Moraes, Cavalcante Fabrício Vieira
{"title":"Effectiveness of a Protective Ventilatory Strategy Using Prone Decubitus in Patients with Severe Acute Respiratory Syndrome (SARS) after Covid-19: Integrate Review","authors":"Ribeiro Daniela Alves de Moraes, Cavalcante Fabrício Vieira","doi":"10.23937/2474-3674/1510137","DOIUrl":"https://doi.org/10.23937/2474-3674/1510137","url":null,"abstract":"Objective: The main objective of the present study is to investigate the effectiveness of the ventilatory strategy in decubitus in the prone position in patients with severe acute respiratory syndrome triggered by Covid-19. Method: This is an integrative literature review combined with the snowball technique, based on the following question: “What are the effects of the protective ventilatory strategy in prone decubitus in patients with SARS secondary to Covid-19? PUBMED and Academic Google were used as database, using the descriptors Artificial Respiration, Mechanical Ventilation, Cannula nasal high-flow, Pronation and Covid-19, from March 2020 to April 2021. Results: Seven articles were analyzed. The theoretical bases that supported this study are based on various sources, but may have as guiding elements the publications of the Ministry of Health, establishing an overview of conducts in respiratory treatments during the pandemic, combined with empirical research and perspectives, noting that in 10 SARS patients, all intubated, 6 of them were submitted to standard and PP position, 3 to PP and 1 only to standard, with satisfactory results. Similar research indicates that the prone position provides an increase in saturation to 95.9%, a decrease in pain complaints, an improvement in oxygenation and a decrease in mortality. Conclusion: The findings obtained from this scenario involving the various sources consulted were that the practice based on scientific evidence ensures quality care and offers subsidies that provide knowledge and updating. Although PP has been elucidated since 2008, with the pandemic this became more evident and showed that it is effective in improving the oxygenation of patients with a PaO 2 /FiO 2 ratio ≤ 150 mmHg and safe to be applied, as long as the institution train and qualify the team involved in the maneuver process and that they have strict controls and follow-up on possible complications.","PeriodicalId":13937,"journal":{"name":"International Journal of Critical Care and Emergency Medicine","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84333249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nunes Roosevelt Santos, Barrientto Larissa Christina Pires, Silva Viviane Barbosa, Iazzetta Kamila da Grazia, Jesus Taiana Bertacini Almas de, Alkmin Gil Cezar Teixeira
{"title":"Lung Recruitment Guided by Ultrasonography in Unilateral Lung Injury","authors":"Nunes Roosevelt Santos, Barrientto Larissa Christina Pires, Silva Viviane Barbosa, Iazzetta Kamila da Grazia, Jesus Taiana Bertacini Almas de, Alkmin Gil Cezar Teixeira","doi":"10.23937/2474-3674/1510132","DOIUrl":"https://doi.org/10.23937/2474-3674/1510132","url":null,"abstract":"Atelectasis is a common problem in the critical care setting and when it causes acute life-threatening hypoxemia it is necessary its re-expansion. Ultrasonography is capable to diagnose atelectasis at the bedside and accurately assesses lung aeration changes after reexpansion maneuver. We describe a case in which a male patient receiving mechanical ventilation developed acute hypoxemia due atelectasis, being applied recruitment maneuver guided by ultrasonography combined with lateral decubitus positioning to reexpansion of collapsed region. CASe RePoRT","PeriodicalId":13937,"journal":{"name":"International Journal of Critical Care and Emergency Medicine","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90067121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}