EMDocs

JANUARY 11, 2024

Author: Brit Long, MD (@long_brit) // Reviewed by Alex Koyfman, MD (@EMHighAK) The American Heart Association (AHA) and Neurocritical Care Society (NCS) released their 2023 Scientific Statement on the critical care management of post ROSC patients. Instead, target 92-98%. Keep hemoglobin > 7 g/dL. Treat seizures if present.

Critical Care 96

Critical Care E-9-1-1 OR ICU 96

Emergency Medicine Ireland

JULY 3, 2023

Welcome back to the tasty morsels of critical care podcast. This segues relatively nicely into a section of the document on palliative care. Welcome back to the tasty morsels of critical care podcast. Today we tackle a somewhat nebulous syndrome. With me so far? And this indeed portends a poor prognosis.

Critical Care 96

Critical Care ACS OR ALS 96

Core EM

JANUARY 25, 2024

Consider these medications if there are signs of end-organ dysfunction, there is a considerable delta in baseline BP, systolic is less than 90 and/or MAP is less than 65 Norepinephrine is a good pressor for a lot of the situations that we encounter in the emergency department, such as septic shock, undifferentiated shock and hypovolemic shock.

Epinephrine 246

Epinephrine Critical Care ED Emergency Department 246

Critical Care Scenarios

JULY 24, 2022

How the arc of disease peaks and falls, and how the curve of our care should match it to avoid under- or over-treatment. How the arc of disease peaks and falls, and how the curve of our care should match it to avoid under- or over-treatment.

Critical Care 100

Critical Care OR 100

Core EM

JANUARY 25, 2024

Hosts: Joseph Offenbacher, MD Audrey Bree Tse, MD [link] Download Leave a Comment Tags: calcium , Critical Care , Endocrine Show Notes Swami’s CoreEM Post Hypocalcemia Repletion: IV calcium supplementation with 100-300 mg Ca2+ raises serum Ca2+ by 0.5 – 1.5

Critical Care 246

Critical Care ED ALS OR 246

Don't Forget the Bubbles

MAY 29, 2023

Incivility, whether during a critical case or during day-to-day practice, influences the overall culture of the workplace. Incivility, whether during a critical case or during day-to-day practice, influences the overall culture of the workplace. link] Isn’t it just ‘part of the job?’ Where do we go from here?

Critical Care 98

Critical Care E-9-1-1 Paramedicine Paramedicine 98

Emergency Medicine Ireland

APRIL 29, 2024

Welcome back to the tasty morsels of critical care podcast. Last time i was butchering my way through a diagnostic approach to hyponatraemia, particularly the forms likely to end up in the critical care end of the hospital. Neurocritical Care 1–6 (2024) doi:10.1007/s12028-024-01941-3.

Critical Care 75

Critical Care Plasma OR ED 75

The Skeptics' Guide to EM

FEBRUARY 11, 2023

Research interests include simulation-based assessment, transport medicine, and critical care analgesia. first appeared on The Skeptics Guide to Emergency Medicine. Date: February 7, 2023 Reference: Cheskes et al. One issue that has not been covered on the SGEM is pad placement and double sequential external defibrillation.

Defibrillator 140

Defibrillator Medical Transportation OR CPR 140

St. Emlyn's

OCTOBER 26, 2024

This review critically examines the methodology, results, and potential implications for emergency medicine practice, especially regarding the prehospital administration of TXA for TBI patients. Key insights for trauma care providers included. The post 2g or 1+1g TXA in traumatic brain injury? appeared first on St.Emlyn's.

OR 123

OR Critical Care 123

Emergency Medicine Ireland

APRIL 16, 2024

Welcome back to the tasty morsels of critical care podcast. We’ll often find 1 or 2 of these in our high dependency unit at any given time, mainly due to the requirement for frequent testing of Na levels that seems beyond the remit of normal ward level care. Caveat emptor and all that. There is indeed.

Critical Care 74

Critical Care Plasma OR ED 74

The Skeptics' Guide to EM

SEPTEMBER 2, 2023

The flow nurse has similar questions for you and wants to know if she should clear out a bed in the critical care bay so that the patient can have appropriate nursing requirements for an insulin infusion. He is wondering, “Hey doc, do I have to go back to the ICU strapped to an IV pole?”

ICU 271

ICU ED Critical Care ALS 271

ALiEM

NOVEMBER 3, 2023

Digital Impact Factor: A Quality Index for Educational Blogs and Podcasts in Emergency Medicine and Critical Care. These posts have been flagged by and agreed upon by AIR Board members as worthwhile, accurate, unbiased, and appropriately referenced despite an average score. Please go to the above link. Ann Emerg Med. 2023;82(1):55-65.

Critical Care 211

Critical Care EMS Emergency Department ALS 211

Critical Care Scenarios

JANUARY 23, 2022

An overview of the role and contributions of a clinical pharmacist in the ICU, with Laura Means Ebbitt of the University of Kentucky, a clinical pharmacist specializing in colorectal/ENT surgery and critical care. Takeaway lessons A clinical pharmacist is a “knowledge pharmacist,” dispensing advice rather than medications.

ICU 130

ICU Critical Care OR 130

ALiEM

FEBRUARY 5, 2024

Digital Impact Factor: A Quality Index for Educational Blogs and Podcasts in Emergency Medicine and Critical Care. These posts have been flagged by and agreed upon by AIR Board members as worthwhile, accurate, unbiased, and appropriately referenced despite an average score. Please go to the above link. Ann Emerg Med. 2023;82(1):55-65.

Overdose 215

Overdose Critical Care EMS Emergency Department 215

Critical Care Scenarios

JUNE 14, 2020

The book Buy the new textbook (Bryan edited, Brandon authored a chapter) here or on Amazon: Concepts in Surgical Critical Care, First Edition ed.

Critical Care 130

Critical Care ED ALS OR 130

Emergency Medicine Ireland

OCTOBER 14, 2024

Welcome back to the tasty morsels of critical care podcast. Welcome back to the tasty morsels of critical care podcast. Following on from our initial post in this entirely accidental series on “things you don’t want to find in the chest drain” we turn our eyes (if not our noses) to empyema. Wilson, S. &

Critical Care 52

Critical Care ICU ALS OR 52

REBEL EM

NOVEMBER 18, 2024

Day 1 • Didactic presentations by Dr. Levitan and Dr. Rezaie on crisis performance, oxygenation, airway anatomy, laryngoscopy, endoscopy, pediatrics, rescue oxygenation techniques and critical care. End of day will involve discussion of challenging airway management cases from participants and faculty.

Critical Care 71

Critical Care EMS OR 71

Emergency Medicine Ireland

APRIL 19, 2021

Welcome back to the tasty morsels of critical care podcast. A meandering monologue through critical care fellowship exam preparation. Read More » Welcome back to the tasty morsels of critical care podcast. A meandering monologue through critical care fellowship exam preparation.

Critical Care 52

Critical Care ICU Overdose OR 52

Emergency Medicine Ireland

MAY 17, 2021

Welcome back to the tasty morsels of critical care podcast. Today we’re going to talk about a fairly rare and niche issue in critical care – gas embolism. Read More » Welcome back to the tasty morsels of critical care podcast. The venerated stone tablets of Oh’s Manual do not mention it in.

Critical Care 52

Critical Care OR 52

Emergency Medicine Ireland

MAY 24, 2021

Welcome back to the tasty morsels of critical care podcast. In a further scandalous departure from Oh’s Manual today we’re going to look at a chapter of verified Irish Critical Care legend, Martin Tobin’s huge mechanical ventilation textbook. Read More » Welcome back to the tasty morsels of critical care podcast.

Critical Care 52

Critical Care OR 52

St. Emlyn's

OCTOBER 26, 2024

This review critically examines the methodology, results, and potential implications for emergency medicine practice, especially regarding the prehospital administration of TXA for TBI patients. Key insights for trauma care providers included. The post 2g or 1+1g TXA in traumatic brain injury? appeared first on St.Emlyn's.

OR 98

OR Critical Care 98

Emergency Medicine Ireland

JUNE 10, 2024

Welcome back to the tasty morsels of critical care podcast. We’re much less likely to see this cohort in the critical care side of things. Intensive Care Medicine 37 , 486–492 (2011). Welcome back to the tasty morsels of critical care podcast.

Critical Care 52

Critical Care EMS ICU ALS 52

Critical Care Scenarios

FEBRUARY 20, 2022

The hows, whys, logistics, and applications of focused, bedside transesophageal echocardiography performed by critical care and EM providers, with Felipe Teran, assistant professor of emergency medicine at Weill Cornell and director of the Resuscitative TEE Project.

Critical Care 130

Critical Care EMS OR 130

Emergency Medicine Ireland

MARCH 7, 2022

Welcome back to the tasty morsels of critical care podcast. Read More » Welcome back to the tasty morsels of critical care podcast. Of the many things I poorly understand, I suspect that haematology holds a special place. Of the many things I poorly understand, I suspect that haematology holds a special place.

Critical Care 52

Critical Care Plasma ICU OR 52

The Skeptics' Guide to EM

JUNE 12, 2022

Guest Skeptic: Dr. Aaron Skolnik is an Assistant Professor of Emergency Medicine at the Mayo Clinic Alix School of Medicine and Consultant in the Department of Critical Care Medicine at Mayo Clinic Arizona. Balanced Multielectrolyte Solution versus Saline in Critically Ill Adults. Early work suggested potential harm from 0.9%

ICU 132

ICU Plasma Critical Care ALS 132

Emergency Medicine Ireland

JUNE 7, 2021

Welcome back to the tasty morsels of critical care podcast. It is with trepidation that I approach any topic that involves the negative feedback loops of endocrine control as I really struggle to keep it all straight in my head, Read More » Welcome back to the tasty morsels of critical care podcast.

Critical Care 52

Critical Care Plasma ICU OR 52

Life in the Fastlane

AUGUST 26, 2024

Caleb Lin Hyperbaric Oxygen for the ICU Patient OVERVIEW INTENSIVE CARE INDICATIONS PRACTICAL ISSUES IN CRITICAL CARE Consideration & Prior to Treatment In the Chamber A: ETT cuff to be filled with sterile water or connected to dynamic cuff inflator B: Titrate ventilation to PaCO2, note that EtCO2 is not linearly proportionate at higher pressures (..)

ICU 101

ICU Critical Care OR 101

The Skeptics' Guide to EM

SEPTEMBER 29, 2018

Annals of EM May 2018 Guest Skeptic: Andrew Merelman is a critical care paramedic and first year medical student at Rocky Vista University in Colorado. Annals of EM May 2018 Guest Skeptic: Andrew Merelman is a critical care paramedic and first year medical student at Rocky Vista University in Colorado.

BLS 130

BLS Defibrillator Critical Care CPR 130

Critical Care Scenarios

JANUARY 31, 2024

We discuss assessing patients prior to intubation or other airway management, including both elective and emergent circumstances, with Dr. Jed Wolpaw, anesthesiologist and intensivist from Johns Hopkins, anesthesiology residency program director, and host of the ACCRAC podcast. Find us on Patreon here! Buy your merch here! Find us on Patreon here!

OR 286

OR 286

Emergency Medicine Ireland

JUNE 21, 2021

Welcome back to the tasty morsels of critical care podcast. Read More » Welcome back to the tasty morsels of critical care podcast. This is something we’re kind of used to in intensive care as it involves deep sedation and even paralysis. optimise perfusion.

Critical Care 52

Critical Care ACS OR 52

ACEP Now

JANUARY 5, 2025

The key is a stepwise, three-pronged approachresuscitation, early ENT consultation with transport arrangements, and temporizing measures applied to control bleedingto keep the patient safe until shes transferred to definitive care. Her vital signs are normal, except for a heart rate of 115 bpm. CREDIT: Dr. P.

Operating Room 98

Operating Room Epinephrine ALS ED 98

Core EM

JANUARY 25, 2024

Background: The lumbar puncture (LP or spinal tap) is a procedure that has been in the medical arsenal since first described in 1891 by German physician Heinrich Quincke. Technique: Probe selection: The linear probe is more ideal for pediatric patients and adults with a leaner body habitus. High-quality images obtained in <1 minute in 87.9%

ALS 246

ALS Critical Care OR 246

Emergency Medicine Ireland

JULY 18, 2022

Welcome back to the tasty morsels of critical care podcast. We are very interested in lung compliance in the intensive care unit. This is best explained on a critical care now post by Matt Siuba, linked in the show notes. Reading Deranged Physiology Critical Care Now Sahetya, S. Stiff lungs do worse.

Critical Care 52

Critical Care OR 52

Pediatric EM Morsels

JULY 26, 2024

While it is important for us to maintain a safe work environment for our patients and our team, managing the agitated patient requires more of us than administering Droperidol or Ketamine. Make sure to consult your friendly neighborhood pediatric neurologist and/or rheumatologist! The prevalence ranges from 12.5%-61%

Plasma 274

Plasma OR ED Critical Care 274

Pediatric EM Morsels

JULY 19, 2024

Your support staff…depending on the amount of bleeding, you are about to have your hands full and may need IV access, medications, airway management, etc. Get a hold of ENT early as OR management and/or admission are common. Set up suction x2 in the room! Using a Mac Laryngoscope as a tongue blade can be helpful! Headlamps can also be helpful!

E-9-1-1 293

E-9-1-1 Epinephrine OR Emergency Department 293

Emergency Medicine Ireland

JUNE 14, 2021

Welcome back to the tasty morsels of critical care podcast. While not commonly seen you can rest assured that critical care will be expected to turn up and manage these. Read More » Welcome back to the tasty morsels of critical care podcast. Oh dedicates an entire chapter, number 88 to CBRN issues.

Critical Care 52

Critical Care OR 52

Emergency Medicine Ireland

MAY 30, 2022

Welcome back to the tasty morsels of critical care podcast. Today we’re going to talk about some of the basics of some of our favorite drugs intensive care – the diuretics. Welcome back to the tasty morsels of critical care podcast. Lose the Na and the water will follow. Verbrugge, F. Bell, R. &

Critical Care 52

Critical Care ICU OR 52