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New Onset Refractory Status Epilepticus (NORSE)
Taming NICU
New Onset Refractory Status Epilepticus (NORSE)
Taming NICU

I wanted to let you know about a website for patients and families experiencing New Onset Refractory Status Epilepticus (NORSE) called http://www.norseinstitute.org/. This is a privately funded organization that includes some value resources including an example of a diagnostic algorithm (might look familiar to those of you who’ve seen a similar one from a few years ago!) and patient resources including …….

Taming NICU
Point of Care Ultrasound for Critical Care Advanced Practice Providers: Meeting a Critical Standard of Care at the University of Cincinnati Medical Center
Taming NICU
Point of Care Ultrasound for Critical Care Advanced Practice Providers: Meeting a Critical Standard of Care at the University of Cincinnati Medical Center
Taming NICU

Advanced practice providers (APPs) are a growing part of the critical care team and play a crucial role in the care of approximately 6 million patients admitted to intensive care units annually [1]. Multiple studies support the quality care that advanced practice provide in these settings [2] and it is imperative that APPs continue to meet standards of care in these settings. This includes staying up-to-date on technology guiding practice change including Point-of-care ultrasound (POCUS).

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Forced Air Warming Criteria
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Forced Air Warming Criteria
Taming NICU

New Forced Air Warming Criteria in Protocols section

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Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient: SCCM and ASPEN
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Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient: SCCM and ASPEN
Taming NICU

(New) Guidelines for the Provision and Assessment of Nutrition Support Therapy in Guidelines Section

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NEUROCRITICAL CARE COVID-19
Jordan Bonomo
NEUROCRITICAL CARE COVID-19
Jordan Bonomo

It’s here. Time to learn. Please see the COVID19 Section on TamingtheNeuroICU menu here:

Jordan Bonomo
TTM and ECMO – How low should you go?
Logan Pyle, MD
TTM and ECMO – How low should you go?
Logan Pyle, MD

In 2002, two landmark clinical trials published back-to-back in the New England Journal of Medicine (Bernard and HACA), building upon animal models that showed a neuroprotective benefit to hypothermia after cardiac arrest, set the bar for post-cardiac arrest care in the new millennium. Practice patterns changed rapidly as intensivists and hospital systems attempted to replicate their results, with greater than 50% of their patients in the 33C hypothermia arm of each trial achieving a good neurological outcome.

Logan Pyle, MD
CVC Confirmation using POCUS
Vasisht Srinivasan, MD
CVC Confirmation using POCUS
Vasisht Srinivasan, MD

Central venous catheters (CVCs) are widely used in the resuscitation and treatment of critically ill and injured patients. Standard practice necessitates verification of line placement when inserted above the diaphragm. This has traditionally been accomplished in most institutions by use of post-insertion chest radiography, which will both identify the tip of the catheter at the cavoatrial junction and rule out pneumothorax ipsilateral to the insertion site.

Vasisht Srinivasan, MD
Retained Hemothorax: An Unusual Case
David Robinson, MD
Retained Hemothorax: An Unusual Case
David Robinson, MD

Traumatic hemothorax occurs frequently, with up to 300,000 cases occurring yearly in the United States.1  In cases of polytrauma, head and chest injuries frequently occur together,2 and thus it is important for all neurointensivists who see TBI to understand management of common traumatic chest injuries, including hemothorax.  While some small hemothoraces (<300cc’s) can be monitored clinically,3 standard of care for most large traumatic hemothoraces is rapid tube thoracostomy. 

David Robinson, MD