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

Emergency Medicine Education

OCTOBER 10, 2023

A recent prospective study was published in CHEST regarding the use of peripheral administration of Norepinephrine in ICU. 603 patients received medication through peripheral IV access, and they found almost half of patients did not require central access, and 35 patients had extravasation with no significant complications. Link to article

ICU 40

ICU Critical Care 40

EMCrit Project

JANUARY 15, 2024

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

ICU 68

ICU 68

The Skeptics' Guide to EM

NOVEMBER 18, 2017

Fever in the Emergency Department Predicts Survival of Patients With Severe Sepsis and Septic Shock Admitted to the ICU. Outside his family and work, Jesse pours […] The post SGEM#195: Some Like It Hot – ED Temperature and ICU Survival first appeared on The Skeptics Guide to Emergency Medicine. Critical Care Medicine 2017.

ICU 130

ICU ED Emergency Department Critical Care 130

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

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 142

ICU ED OR Critical Care 142

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.

Critical Care 136

Critical Care ICU 136

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 98

ICU OR 98

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 264

ICU ED Critical Care Emergency Department 264

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 218

ICU Defibrillator Paramedic CPR 218

EMCrit Project

APRIL 13, 2024

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

ICU 92

ICU 92

EMCrit Project

JULY 26, 2022

Management of the a patient following craniotomy focuses on the fundamentals of supportive neurocritical care. However, special attention is required to unique postoperative complications that may occur (depending on the procedure). The IBCC chapter is located 👉 here. The podcast & comments are below. Follow us on iTunes.

ICU 61

ICU 61

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

Emergency Medicine Ireland

JANUARY 4, 2021

So, from the ultra broad topic of AKI in the last podcast to the super specific question of when we should pursue an open lung biopsy in an ICU patient. So, from the ultra broad topic of AKI in the last podcast to the super specific question of when we should pursue an open lung biopsy in an ICU patient.

Critical Care 52

Critical Care ICU OR 52

Emergency Medicine Ireland

FEBRUARY 18, 2021

HIV in the ICU is becoming a bit of a rare beast as the ID docs seem to have it so. HIV in the ICU is becoming a bit of a rare beast as the ID docs seem to have it so well controlled that it becomes a chronic co-morbidity rather than the cause of their presence in the ICU. Breaks in treatment can lead to resistance.

Critical Care 40

Critical Care ICU OR 40

EMCrit Project

SEPTEMBER 28, 2023

background Today the Van de Bergh group in Belgium released a RCT investigating tight versus liberal glycemic control in the ICU. Major interest in tight glycemic control in the ICU began in 2001 with an RCT by the same group of investigators, also […] EMCrit Project by Josh Farkas.

ICU 121

ICU 121

Critical Care Scenarios

MAY 31, 2023

A brief overview and call to arms around the key concepts of ICU liberation. A brief overview and call to arms around the key concepts of ICU liberation.

OR 100

OR ICU 100

Emergency Medicine Ireland

DECEMBER 14, 2020

This is a mammoth topic that listening to 5 mins of me rambling will in no way seriously prepare you to either practice clinically or write a semi coherent exam answer. That being said here we go.

Critical Care 40

Critical Care ICU OR 40

Emergency Medicine Ireland

SEPTEMBER 20, 2021

After 2 years of frequent, if not daily use of the bronch, I find it hard to see how I would manage in an ICU without it. Why might we pull out the bronch in the ICU? Now, when I say bronch I want to be clear that I’m talking about the flexible, disposable pieces of gear.

Critical Care 40

Critical Care ICU OR EMS 40

Critical Care Scenarios

DECEMBER 28, 2022

On today’s TIRBO: A couple common lines I’d rather stop hearing people say in the ICU. On today’s TIRBO: A couple common lines I’d rather stop hearing people say in the ICU.

ICU 100

ICU 100

Core EM

JANUARY 25, 2024

The reality of ever increasing ED volumes and longer boarding times to the ICU makes it imperative for emergency physicians to learn how to manage these critical patients. It was found that patients exposed to deep sedation in the ED had an independent higher incidence of continued deep sedation on ICU day one ( Fuller, 2019 ).

Emergency Department 188

Emergency Department ICU Critical Care ALS 188

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 100

ICU ED 100

REBEL EM

JANUARY 18, 2024

PMID: 35387313 Clinical Question: Do prehospital antibiotics impact 28 day mortality, length of stay in the hospital and ICU length of stay for patients triggering sepsis compared to usual care (No prehospital antibiotics)? to 0.97; p = 0.02 to 2.07; p = 0.91 to 12.33; p = 0.26 to 0.97; p = 0.02 to 2.07; p = 0.91 to 12.33; p = 0.26

ICU 119

ICU ALS EMS 119

Critical Care Scenarios

NOVEMBER 23, 2022

Bryan and Brandon go through their default, go-to drugs for common clinical indications in the ICU: stress ulcer prophylaxis, empiric antibiotics, hypertension, and more. Bryan and Brandon go through their default, go-to drugs for common clinical indications in the ICU: stress ulcer prophylaxis, empiric antibiotics, hypertension, and more.

ICU 100

ICU 100

EMDocs

NOVEMBER 29, 2023

Question: In adult patients admitted to the ICU with severe CAP, does hydrocortisone compared to placebo reduce 28-day all-cause mortality? Question: In adult patients admitted to the ICU with severe CAP, does methylprednisolone compared to placebo reduce 60-day all-cause? Consider CT on the way up to the ICU once stabilized.

ICU 80

ICU CAD ALS OR 80

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

Critical Care Scenarios

JULY 10, 2022

Time is always a factor in the ICU, but some time matters more than other time. Time is always a factor in the ICU, but some time matters more than other time.

ICU 100

ICU 100

Critical Care Scenarios

JULY 17, 2022

Takeaway lessons * Invasive aspergillosis is among the most common diseases identified on autopsy studies of ICU patients that was not recognized prior to death. Infection in the ICU patient arises when there are abnormalities in the flow of fluid, anatomical barriers, and/or the immune defenses (particularly neutrophil function).*

ICU 100

ICU Critical Care OR 100

Critical Care Scenarios

JULY 3, 2022

Brandon and Bryan share their approaches to the chest x-ray in the ICU. Brandon and Bryan share their approaches to the chest x-ray in the ICU. Plus: Bryan’s an FCCM! Here’s the Radiology Masterclass. Plus: Bryan’s an FCCM! Here’s the Radiology Masterclass.

ICU 100

ICU 100

ACEP Now

OCTOBER 13, 2023

Our residents are currently the primary staff members in our Shoreline emergency department, had of the medical ICU, and the entire Trauma ICU. “We feel that this decision was made without adequate assessment of the negative impacts this WILL have on our patients.

ICU 132

ICU Emergency Department EMS 132

REBEL EM

APRIL 22, 2024

Population: Adult patients ( > 18 years of age) admitted to the ICU with COVID-19 and severe hypoxemia (defined as receiving supplemental O2 with a flow rate of at least 10L/min or receiving mechanical ventilation or non-invasive ventilation. Absolute number of days alive and out of hospital in 90 days.

Life Support 72

Life Support ICU EMS OR 72

Critical Care Scenarios

DECEMBER 21, 2022

Two-part blog post at Critical Concepts on palliative care ICU admissions, including a detailed script for the conversation. Two-part blog post at Critical Concepts on palliative care ICU admissions , including a detailed script for the conversation. Three-part blog post at Critical Concepts on our biases

ICU 100

ICU 100

Critical Care Scenarios

MARCH 6, 2022

Brandon and Bryan reflect on the qualities that define good and bad ICU nurses, the challenges they face, and how APPs and physicians can enable them to be their best. Brandon and Bryan reflect on the qualities that define good and bad ICU nurses, the challenges they face, and how APPs and physicians can enable them to be their best.

ICU 100

ICU 100

Critical Care Scenarios

MAY 10, 2023

Podcasts * CORE IM * EMcrit * Gobbet ‘o Pus * Simulcast * Intensive Care Network * ACCRAC * Blood Bank Guy Essentials * Traumacast * Maryland Critical Care Project * PulmPEEPS * IBCC podcast * Pharmacy Joe’s Elective Rotation * Trauma ICU Rounds * PulmCast * Jeff Guy’s ICU Rounds * SMACC/CODA * Ultrasound Podcast/Core Ultrasound Blogs/websites (..)

Critical Care 100

Critical Care Life Support ICU 100

The Skeptics' Guide to EM

FEBRUARY 25, 2023

Sodium bicarbonate use during pediatric cardiopulmonary resuscitation: a secondary analysis of the icu-resuscitation project trial. Sodium bicarbonate use during pediatric cardiopulmonary resuscitation: a secondary analysis of the icu-resuscitation project trial. Reference: Cashen K, Reeder RW, Ahmed T, et al. Pediatric Crit Care Med.

CPR 130

CPR ICU Critical Care Defibrillator 130

Critical Care Scenarios

MARCH 20, 2022

A look at rehabilitation and mobility in the critically ill, from the perspective of our skilled therapists—with Heidi Engel, PT, DPT of UC San Francisco, long-term provider of acute care therapy, researcher in ICU rehabilitation, and founding member of the SCCM’s ICU Liberation program. Omicron has not been as bad.*

ICU 100

ICU OR 100

The Bottom Line

APRIL 19, 2024

2023.24391 Clinical Question In adults with a decreased conscious level from suspected acute poisoning, does withholding intubation versus routine practice reduce in-hospital death, and length of ICU stay and hospital stays? DOI: 10.1001/jama.2023.24391 Background The decision to intubate a poisoned patient with […]

ICU 57

ICU 57