Podcast 98 – Cyclic (Tricyclic) Antidepressant Overdose

I had a crazy case of Tricyclic Overdose while on an overnight shift at Janus General. Initial and Post-Treatment EKGsList of Tricyclic Agents from Wikipedia.orgAmitriptyline (Tryptomer, Elavil) Amitriptylinoxide (Amioxid, Ambivalon, Equilibrin) Butriptyline … Continue reading →

Podcast 97 – Acid-Base VI – Chloride-Free Sodium

Just returned from Castlefest 2013--best ultrasound conference ever!So last podcast, I bashed on sodium bicarbonate or as John Kellum and David Story call it: chloride-free sodium. This episode I talk about all the good reasons to use NaBicarb. A physiology quandary Owen, an anaesthesia … Continue reading →

Podcast 96 – Acid Base in the Critically Ill – Part V – Enough with the Bicarb Already

This is Part V of the EMCrit Acid-Base Talks. If you haven't listened to the initial series, you may be better off starting there:Part I lays out the background of the quantitative approach Part II puts it in mathematical terms to allow calculation of acid base status Part III takes … Continue reading →

Podcast 95 – Thomas Scalea on Cutting-Edge ICP Management

Thomas Scalea is a legend! He is Physician-in-chief at the Shock Trauma Center in Balitmore. He started the EM program at Kings County in 1991. He is also an excellent doctor and a wonderful person. At the 2012 EMCrit Conference, he gave an amazing lecture on the cutting edge techniques they are … Continue reading →

Podcast 94 – Has Video Laryngoscopy Killed the Direct Laryngoscope?

Paul Mayo and I seem to have established a tradition of debating each other at the annual Greater NY Hospital Association Critical Care Controversies Conference.Last year, we debated whether paralytics should be used for emergent intubations.This year, the topic was Should All Intubations … Continue reading →