Critical Care Scenarios

MAY 22, 2022

Discussing ICU triage, risk stratification, and patient disposition with intensivist Eddy Joe Gutierrez (@eddyjoemd) of the Saving Lives Podcast. Takeaway lessons * When a patient has borderline indications for requiring the ICU, generally, in the real world, they should go to the ICU. When a sending provider (e.g.

ICU 100

ICU Critical Care ED OR 100

Core EM

JANUARY 25, 2024

The standard of care of treating DKA is fluid resuscitation, electrolyte management, and intravenous insulin infusion in the intensive care unit (ICU) setting for close glucose and electrolyte monitoring. Recent research aims at investigating the treatment of DKA with subcutaneous insulin in non-ICU settings. Image from cited article.

ICU 246

ICU EMS ED OR 246

The Skeptics' Guide to EM

SEPTEMBER 2, 2023

The patient states he has had multiple “diabetic emergencies” in the past and usually ends up in the intensive care unit (ICU) on a drip. He is wondering, “Hey doc, do I have to go back to the ICU strapped to an IV pole?” However, the ICU is full and the patient will likely be boarding in your ED for a bit before coming upstairs.

ICU 273

ICU ED Critical Care ALS 273

Critical Care Scenarios

OCTOBER 16, 2024

We discuss the practical barriers to implementing the A-F ICU liberation bundle, with Kali Dayton, ACNP-BC (@HomeIcu), host of the Walking Home from the ICU podcast, and consultant to ICUs working on these issues. Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here! Find us on Patreon here!

ICU 210

ICU 210

Critical Care Scenarios

DECEMBER 12, 2021

Bryan and Brandon talk about the physical exam: how we apply it in the ICU, its utility and changing role in the setting of modern diagnostic modalities, and its best and most practical use-cases. References McNamara LC, Kanjee Z. Counterpoint: Routine Daily Physical Exams Add Value for the Hospitalist and Patient. J Hosp Med. J Hosp Med.

ICU 100

ICU 100

EMCrit Project

APRIL 25, 2023

However, it also causes a variety of unique and severe side-effects, which frequently cause ICU admission. CAR-T cell therapy is rapidly expanding as a miraculous therapy for numerous malignancies.

ICU 109

ICU 109

Critical Care Scenarios

OCTOBER 12, 2022

To claim your CME … Continue reading "Episode 52: Pleural effusions in the ICU with Emily Fridenmaker" Discussing pleural effusions in the critically ill, including how and when to drain them, methods of drainage, interpreting laboratory studies, and managing complications, with Dr.

ICU 130

ICU OR 130

Critical Care Scenarios

FEBRUARY 6, 2022

Brandon and Bryan talk about the practicalities of communication, collaboration, and compromise in a surgical ICU, when the surgical and critical care teams are both involved, one is the “primary” team on paper, but everyone needs to be heard.

ICU 100

ICU Critical Care 100

Critical Care Scenarios

MARCH 7, 2021

He is also director of their Outcomes After Critical Illness … Continue reading "Episode 26: ICU sedation, mobility, and delirium with Dale Needham" How to manage the intubated critically ill patient while keeping them awake, non-delirious, and mobile, with Dr. Dale Needham, FCPA, MD, PhD.

ICU 100

ICU Critical Care OR 100

REBEL EM

DECEMBER 17, 2024

A large observational study of > 2000 patients found an association with fever at presentation and ICU survival for patients with severe sepsis or septic shock ( Sunden-Culberg 2017 ). Fever in the Emergency Department predicts survival of patients with severe sepsis and septic shock admitted to the ICU.

ICU 75

ICU ALS Emergency Department EMS 75

Life in the Fastlane

AUGUST 20, 2024

James Pearlman Introduction to an ICU rotation Introduction to an ICU rotation. This page is intended as an introduction to ICU core topics why the author enjoys Intensive Care Medicine

ICU 59

ICU 59

EMCrit Project

JANUARY 15, 2024

Who gets an ICU bed? EMCrit Project by Scott Weingart, MD FCCM.

ICU 88

ICU 88

Core EM

JULY 1, 2025

Granulomatosis with Polyangiitis (GPA) – Recognition and Management in the ED Hosts: Phoebe Draper, MD Brian Gilberti, MD [link] Download Leave a Comment Tags: Rheumatology Show Notes Background A vasculitis affecting small blood vessels causing inflammation and necrosis Affects upper respiratory tract (sinusitis, otitis media, saddle nose deformity), (..)

Plasma 130

Plasma ICU ED OR 130

Critical Care Scenarios

JUNE 11, 2025

Octreotide is not the treatment of choice for HRS in the ICU; use norepinephrine and titrate up until you see an increase in urine output (or it doesn’t work). Terlipressin works too but is pricey and more appropriate for outside the ICU. Otherwise, challenge with fluid (albumin is not a magical choice, use anything).

ICU 139

ICU OR 139

The Skeptics' Guide to EM

JULY 27, 2024

All of the secondary outcomes (mortality at 90 days, misdiagnoses, hospital length of stay, ICU admission rate, ICU length of stay, and quality of life) also did not show a statistical difference between the intervention group and the control group (SGEM#207).

ICU 245

ICU ALS Ambulance OR 245

Core EM

JANUARY 1, 2025

Supportive Care Intensive monitoring, often in an ICU setting. Adjunct Therapies Hyperbaric Oxygen Therapy (if available) for resistant cases. Evidence is mixed; not universally accessible. Fluid resuscitation & vasopressors for septic shock.

Critical Care 130

Critical Care ICU OR 130

Critical Care Scenarios

JUNE 26, 2024

We discuss the field of rehabilitation psychology, and how it can help patients with persistent critical illness, with Dr. Megan Hosey (@DrMeganHoseyPhD), clinical psychologist and assistant professor at Johns Hopkins School of Medicine, where she practices in the medical ICU. Delirium often dominates the patient experience of the ICU.

ICU 173

ICU OR 173

Critical Care Scenarios

JUNE 25, 2025

Andrew Schulman, medical musician, former ICU patient, and president of the Medical Musician Initiative, tells us how music can help the critically ill. Andrew Schulman, medical musician, former ICU patient, and president of the Medical Musician Initiative , tells us how music can help the critically ill.

ICU 110

ICU 110

EMOttawa

JANUARY 25, 2024

Mechanical ventilation has a lot of nuance associated with it, but a lot of reference guides focus on care in the ICU. With both ER and ICU experience, this post acts as a quick […] The post Mechanical Ventilation Basics appeared first on EMOttawa Blog.

ICU 143

ICU ED OR Critical Care 143

The Skeptics' Guide to EM

APRIL 27, 2024

Date: April 25, 2024 Guest Skeptic: Missy Carter is a PA working in an ICU in the Tacoma area and an adjunct faculty member with the Tacoma Community College paramedic program. Reference: Tanner et al, A retrospective comparison of upper and lower extremity intraosseous access during out-of-hospital cardiac arrest resuscitation.

ICU 230

ICU Defibrillator CPR ALS 230

EMCrit Project

JUNE 24, 2025

Furthermore, the ICU team often has never met the patient before the onset of severe illness. Family meetings are often necessary to communicate with families and determine the next steps in caring for patients. For most of these family meetings, the patient may be too ill to participate.

ICU 86

ICU 86

EMCrit Project

JANUARY 30, 2024

Polypharmacy is technically defined as taking five or more medications on a daily basis. Polypharmacy is increasingly becoming the norm among adults, due to several factors (an aging population, increasing numbers of medical problems, and increasingly complex regimens available to treat chronic disorders such as heart failure).

ICU 119

ICU OR 119

The Bottom Line

APRIL 21, 2023

In patients in the ICU with delirium, does haloperidol compared with placebo, increase the number of days alive and out of the hospital at 90 days?

ICU 52

ICU 52

Critical Care Scenarios

OCTOBER 2, 2024

We chat with Noelia Bischoff, recently off orientation in the medical ICU at Johns Hopkins as a nurse practitioner, about the transition from her role as a bedside ICU nurse. Check out the Intensive Care Academy here! Find us on Patreon here! Buy your merch here! Check out the Intensive Care Academy here! Find us on Patreon here!

ICU 126

ICU 126

EMOttawa

OCTOBER 24, 2024

Historically, it has been used more frequently in the ICU than in Emergency Departments, likely due to provider comfort. […] The post Is there a Precedence for Precedex in the ED? It offers a unique profile of sedation without respiratory depression, making it an attractive option in various clinical scenarios.

ED 131

ED ICU Critical Care Emergency Department 131

Critical Care Scenarios

FEBRUARY 14, 2024

Resources * ICU Liberation.org * ICU Delirium * ICU Rehab Network Resources A roundup of opinions from attendees at SCCM’s 2024 Critical Care Congress in Phoenix on strategies for rescuing the patient stuck in a loop of deep sedation and agitation.

ICU 139

ICU Critical Care 139

EMDocs

JUNE 18, 2025

The patient is admitted to the ICU and slowly improves over time. Doppler study of portal vein and renal venous velocity predict the appropriate fluid response to diuretic in ICU: a prospective observational echocardiographic evaluation. References Beaubien-Souligny W, Rola P, Haycock K, et al. Ultrasound J. 2023;15(1):24.

E-9-1-1 110

E-9-1-1 ALS ICU Emergency Department 110

ALiEM

JUNE 1, 2023

Several studies have indicated that dosing with phenobarbital (PO or IV) is safe and effective at decreasing the need for escalating doses of benzodiazepines for EtOH withdrawal [1-6].

Emergency Department 246

Emergency Department ICU ED OR 246

The Skeptics' Guide to EM

FEBRUARY 22, 2025

2022 Population: Adults admitted to various clinical settings, particularly the ED, intensive care unit (ICU), and one infectious diseases unit (I dont have one of those Ken do you?). Clinical Chemistry and Laboratory Medicine 2022; 60(5):786-792 Clin Chem Lab Med.

Critical Care 151

Critical Care ICU ALS ED 151

EMCrit Project

APRIL 13, 2024

10 heuristics for the new Crit Care doc from Ross Prager EMCrit Project by Scott Weingart, MD FCCM.

ICU 104

ICU 104

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

EMCrit Project

SEPTEMBER 3, 2023

Consequently, a single person will often be responsible for both inpatient ICU management as well as inpatient pulmonary consultation. In many countries, pulmonary and critical care are commonly bundled together. Honestly, I have some doubts about whether this is an ideal system.

Critical Care 145

Critical Care ICU 145

EMCrit Project

AUGUST 26, 2022

It is unacceptable to have the rates of Awareness during Paralysis seen in a recent ED sedation study--We are better than this. EMCrit Project by Scott Weingart, MD FCCM.

ICU 101

ICU ED 101

Critical Care Scenarios

SEPTEMBER 27, 2023

Leon is an Adult/Gerontology Acute Care Nurse Practitioner in the ICU, Clinical Program Manager of Research and Simulated Learning, and an Associate Professor at Columbia University School of Nursing. We chat with Leon Chen about his work setting up infrastructure for clinical POCUS at Memorial Sloan Kettering. Find us on Patreon here!

ICU 130

ICU Critical Care 130

The Skeptics' Guide to EM

MAY 25, 2024

This is based, in large part, on indirect evidence illustrating the benefits of adjunctive phenobarbital including, but not limited to, reduction on the need for intubation, decreased hospital length of stay, decreased ICU admission and length of stay.

ED 251

ED Emergency Department ICU ALS 251

EMCrit Project

APRIL 3, 2023

Stress hyperglycemia is an everyday occurence in the ICU, but we hardly know how to treat it. (Blogitorials are short, informal blogs that are written in the spirit of a tweetorial). I've been waiting years for this topic to be clarified… but I've realized that such clarity will probably never be reached.

ICU 140

ICU 140

REBEL EM

NOVEMBER 25, 2024

Intubation performed in all settings (out-of-hospital, emergency department, ICU, and operating room). Clinically Diverse Patient Population : The study included patients from varied clinical settings (ED, ICU, OR, and pre-hospital). Randomized controlled trials or comparative non-randomized observational studies.

Operating Room 102

Operating Room Emergency Department ICU ALS 102