EMCrit Blog – Emergency Department Critical Care & Resuscitation

Podcast 67 – Tranexamic Acid (TXA), Crash 2, & Pragmatism with Tim Coats

by emcrit 19 February 2012

One of the most exciting and underutilized therapies for trauma is tranexamic acid (txa).

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EMCrit Wee – More on C-Spine Imaging

by emcrit 17 February 2012

A response to a question on c-spine imaging

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Guest Post: More from Minh Le Cong on Needle Cricothyrotomy

by emcrit 17 February 2012

Oxygenation with a needle cricothyrotomy based technique:

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EMCrit Wee: The Lewis Lead and a course in ECGs with Christopher Watford

by emcrit 15 February 2012

The Lewis Lead (S5) allows you detect atrial activity that cannot be discerned on the standard 12-lead

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Podcast 66 – …Until they are warm and dead: Severe Accidental Hypothermia

by emcrit 7 February 2012

It is winter and that means cardiac arrests coming in with extremely low body temperatures after environmental exposure. How do you treat these patients? How do you rewarm if you don’t have bypass?

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Podcast 65 – A Primer on BVM Ventilation with Reuben Strayer

by emcrit 22 January 2012

Today I want to talk about proper ventilation with a Bag-Valve-Mask, aka the BVM. I am joined by my friend Reuben Strayer, MD of EM Updates. You’ll see Reub’s talk from this year’s EMCrit ED Critical Care Conference and hear some of my thoughts as well.

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Podcast 64 – Fluid Responsiveness with Dr. Paul Marik

by emcrit 8 January 2012

Today I had the pleasure to interview Dr. Paul Marik, Professor and Division Chief of Pulmonary Critical Care at Eastern Virginia Medical Center. We got to speak on the topic of fluid responsiveness–one of the toughest questions in critical care.

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More on a Diagnostic Strategy for C-Spine Injuries

by emcrit 2 January 2012

Podcast 63 set off some expected controversy given my take that plain films are a dead imaging modality for c-spine injuries. I wanted to briefly outline my impression of the existing evidence:

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Podcast 63 – A Pain in the Neck – Part I

by emcrit 25 December 2011

In this episode, I discuss the diagnosis of c-spine injuries. I argue that we should not send patients to imaging unless we have used the NEXUS rule and then added the Canadian C-spine Rule to the sequence. If we are imaging, it should be with a 3-view reconstructed CT scan. And even after that is done, you still need a clearance exam before removing the collar.

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