EMCrit http://emcrit.org Online Medical Education on Emergency Department (ED) Critical Care, Trauma, and Resuscitation Sun, 29 Mar 2015 23:08:18 +0000 en-US hourly 1 http://wordpress.org/?v=4.1.1 http://emcrit.org/feed/podcast/ Help me fill in the blanks of the practice of ED Critical Care. In this podcast, we discuss all things related to the crashing, critically ill patient in the Emergency Department. Find the show notes at emcrit.org. Scott D. Weingart, MD clean Scott D. Weingart, MD spam.bin55REMOVE@gmail.com spam.bin55REMOVE@gmail.com (Scott D. Weingart, MD) 2009-2013 Online Medical Education on Emergency Department (ED) Critical Care, Trauma, & Resuscitation EMCrit http://emcrit.org/wp-content/uploads/powerpress/rssimageart.png http://emcrit.org EMCrit Podcast 146 – Who Needs an Acute PCI with Steve Smith (Part I) http://emcrit.org/podcasts/who-needs-acute-pci/ http://emcrit.org/podcasts/who-needs-acute-pci/#comments Sun, 29 Mar 2015 13:00:57 +0000 http://emcrit.org/?p=10568 Finally in one place, all of the STEMI equivalents with Steve Smith

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http://emcrit.org/podcasts/who-needs-acute-pci/feed/ 3 Finally in one place, all of the STEMI equivalents with Steve Smith Finally in one place, all of the STEMI equivalents with Steve Smith Scott D. Weingart, MD clean 23:49
EMCrit Conference BLAST Winner – Ice Water Baths for Rapid Cooling of Hyperthermia http://emcrit.org/wee/ice-bath-hyperthermia/ http://emcrit.org/wee/ice-bath-hyperthermia/#comments Wed, 25 Mar 2015 03:52:40 +0000 http://emcrit.org/?p=14136 How to cool the too hot tox patient

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http://emcrit.org/wee/ice-bath-hyperthermia/feed/ 6 How to cool the too hot tox patient How to cool the too hot tox patient Scott D. Weingart, MD clean 7:06
Guest Post: Enhancing Human Performance and Flow in Resuscitation Part 2: The Tao of Resuscitation Performance http://emcrit.org/guest-post/guest-post-enhancing-human-performance-and-flow-in-resuscitation-part-2-the-tao-of-resuscitation-performance/ http://emcrit.org/guest-post/guest-post-enhancing-human-performance-and-flow-in-resuscitation-part-2-the-tao-of-resuscitation-performance/#comments Thu, 19 Mar 2015 20:53:35 +0000 http://emcrit.org/?p=14098 Part II of Lauria's discussion of flow and resuscitation

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Podcast 145 – Awake Intubation Lecture from SMACC http://emcrit.org/podcasts/awakeintubation/ http://emcrit.org/podcasts/awakeintubation/#comments Mon, 16 Mar 2015 18:14:12 +0000 http://emcrit.org/?p=14059 Awake Intubation from SMACC 2015

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http://emcrit.org/podcasts/awakeintubation/feed/ 3 Awake Intubation from SMACC 2015 Awake Intubation from SMACC 2015 Scott D. Weingart, MD clean 26:46
A Comment on the Toughness Episode http://emcrit.org/misc/toughness-comment/ http://emcrit.org/misc/toughness-comment/#comments Mon, 09 Mar 2015 15:44:23 +0000 http://emcrit.org/?p=13931 from a listener

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EMCrit Wee – The RLA and the Slope of Resuscitation http://emcrit.org/wee/slope-of-resuscitation/ http://emcrit.org/wee/slope-of-resuscitation/#comments Mon, 02 Mar 2015 17:46:52 +0000 http://emcrit.org/?p=13897 The RLA and Resus Graphs

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http://emcrit.org/wee/slope-of-resuscitation/feed/ 10 The RLA and Resus Graphs The RLA and Resus Graphs Scott D. Weingart, MD clean 14:08 yes
Podcast 144 – The PROPPR trial with John Holcomb http://emcrit.org/podcasts/proppr/ http://emcrit.org/podcasts/proppr/#comments Sun, 22 Feb 2015 18:01:36 +0000 http://emcrit.org/?p=13784 The biggest news in the management of traumatic hemorrhage is the PROPPR Trial. Want to hear from the lead author?

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http://emcrit.org/podcasts/proppr/feed/ 7 The biggest news in the management of traumatic hemorrhage is the PROPPR Trial. Want to hear from the lead author? The biggest news in the management of traumatic hemorrhage is the PROPPR Trial. Want to hear from the lead author? Scott D. Weingart, MD clean 20:35
Podcast 143 – Hemodynamic Management of Massive Pulmonary Embolism (PE) http://emcrit.org/podcasts/hemodynamic-management-massive-pulmonary-embolism-pe/ http://emcrit.org/podcasts/hemodynamic-management-massive-pulmonary-embolism-pe/#comments Mon, 16 Feb 2015 00:56:32 +0000 http://emcrit.org/?p=13261 Hemodynamic Management of Massive PE

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http://emcrit.org/podcasts/hemodynamic-management-massive-pulmonary-embolism-pe/feed/ 23 Hemodynamic Management of Massive PE Hemodynamic Management of Massive PE Scott D. Weingart, MD clean 32:33
Online Hierarchy of Needs now published on EMA http://emcrit.org/wee/online-hierarchy-needs/ http://emcrit.org/wee/online-hierarchy-needs/#comments Mon, 02 Feb 2015 19:44:38 +0000 http://emcrit.org/?p=13645 So Brent Thoma and I made a video as an introduction to Social Media and FOAM. Emergency Medicine Australasia was kind enough to publish it (Thank you Geof and Anthony!!). Here is the official published version. After watching, we’d really appreciate it if you retweet this tweet: Online hierarchy of needs with @Brent_Thoma & me […]

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http://emcrit.org/wee/online-hierarchy-needs/feed/ 4 So Brent Thoma and I made a video as an introduction to Social Media and FOAM. Emergency Medicine Australasia was kind enough to publish it (Thank you Geof and Anthony!!). Here is the official published version. After watching, So Brent Thoma and I made a video as an introduction to Social Media and FOAM. Emergency Medicine Australasia was kind enough to publish it (Thank you Geof and Anthony!!). Here is the official published version. After watching, we'd really appreciate it if you retweet this tweet: Online hierarchy of needs with @Brent_Thoma & me is published as a wee: http://t.co/xu7IyN44Fo. Please retweet this! http://t.co/vlPh8Jac0g— Scott Weingart (@emcrit) February 2, 2015 Then you can See the show-notes here Now on to the Video...     Scott D. Weingart, MD clean 35:45
Podcast 142 – Airway Things I Learned from George Kovacs at the NYC Airway Course http://emcrit.org/podcasts/airway-kovacs/ http://emcrit.org/podcasts/airway-kovacs/#comments Sun, 25 Jan 2015 17:18:04 +0000 http://emcrit.org/?p=11222 In this 3rd post for JanuAirway, I am joined by airway educator extraordinaire: George Kovacs.

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http://emcrit.org/podcasts/airway-kovacs/feed/ 5 In this 3rd post for JanuAirway, I am joined by airway educator extraordinaire: George Kovacs. In this 3rd post for JanuAirway, I am joined by airway educator extraordinaire: George Kovacs. Scott D. Weingart, MD clean 26:21
EMCrit Wee – Preoxygenation Update 2015 http://emcrit.org/wee/preoxygenation-update/ http://emcrit.org/wee/preoxygenation-update/#comments Thu, 22 Jan 2015 21:00:30 +0000 http://emcrit.org/?p=11337 It's Janu-Airway: Here's a little update on preox (you know the topic I think about 20 hours a day)

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http://emcrit.org/wee/preoxygenation-update/feed/ 8 It's Janu-Airway: Here's a little update on preox (you know the topic I think about 20 hours a day) It's Janu-Airway: Here's a little update on preox (you know the topic I think about 20 hours a day) Scott D. Weingart, MD clean 19:08
Podcast 141 – A Janu-Airway Case Presented Live http://emcrit.org/podcasts/emcrit-live-2015/ http://emcrit.org/podcasts/emcrit-live-2015/#comments Sat, 10 Jan 2015 20:36:44 +0000 http://emcrit.org/?p=13334 A case of anatomically and physiologically difficult airway presented live at #EMCritConf 2015.

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http://emcrit.org/podcasts/emcrit-live-2015/feed/ 42 A case of anatomically and physiologically difficult airway presented live at #EMCritConf 2015. A case of anatomically and physiologically difficult airway presented live at #EMCritConf 2015. Scott D. Weingart, MD clean 22:04
Podcast 140 – Top Picks for 2014 http://emcrit.org/podcasts/top-picks-2014/ http://emcrit.org/podcasts/top-picks-2014/#comments Wed, 31 Dec 2014 20:33:59 +0000 http://emcrit.org/?p=6429 Welcome to our annual rehash of the goodness of the past year.

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http://emcrit.org/podcasts/top-picks-2014/feed/ 3 Welcome to our annual rehash of the goodness of the past year. Welcome to our annual rehash of the goodness of the past year. Scott D. Weingart, MD clean 9:35
Enhancing Human Performance in Resuscitation Part 1: Going With The “Flow” http://emcrit.org/guest-post/flow/ http://emcrit.org/guest-post/flow/#comments Sat, 20 Dec 2014 19:37:11 +0000 http://emcrit.org/?p=12581 Mike Lauria on optimizing flow

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Podcast 139 – Opioid-Free ED with Sergey Motov http://emcrit.org/podcasts/opioid-free-ed/ http://emcrit.org/podcasts/opioid-free-ed/#comments Sun, 14 Dec 2014 18:56:25 +0000 http://emcrit.org/?p=12200 Can we manage pain more effectively without Opioids?

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http://emcrit.org/podcasts/opioid-free-ed/feed/ 53 Can we manage pain more effectively without Opioids? Can we manage pain more effectively without Opioids? Scott D. Weingart, MD clean 28:35
Podcast 138 – Vasopressor Basics http://emcrit.org/podcasts/vasopressor-basics/ http://emcrit.org/podcasts/vasopressor-basics/#comments Mon, 01 Dec 2014 17:25:23 +0000 http://emcrit.org/?p=4215 There is a ton to speak about regarding vasopressors, but before we get to the edge cases, we need to set-up a foundation.

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http://emcrit.org/podcasts/vasopressor-basics/feed/ 67 There is a ton to speak about regarding vasopressors, but before we get to the edge cases, we need to set-up a foundation. There is a ton to speak about regarding vasopressors, but before we get to the edge cases, we need to set-up a foundation. Scott D. Weingart, MD clean 30:33
EMCrit Podcast 137 – Delayed Sequence Intubation (DSI) Update http://emcrit.org/podcasts/dsi-update/ http://emcrit.org/podcasts/dsi-update/#respond Mon, 17 Nov 2014 19:25:00 +0000 http://emcrit.org/?p=12269 The DSI study is finally published! Listen to this podcast for a discussion of the paper and the things we have learned since the original DSI podcast.

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http://emcrit.org/podcasts/dsi-update/feed/ 0 The DSI study is finally published! Listen to this podcast for a discussion of the paper and the things we have learned since the original DSI podcast. The DSI study is finally published! Listen to this podcast for a discussion of the paper and the things we have learned since the original DSI podcast. Scott D. Weingart, MD clean 20:56
ICU Physiology http://emcrit.org/misc/icu-physiology/ http://emcrit.org/misc/icu-physiology/#respond Sun, 09 Nov 2014 16:00:36 +0000 http://emcrit.org/?p=11999 from Jon-Emile Kenny

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Antifragile in EM by George Kovacs http://emcrit.org/guest-post/antifragile/ http://emcrit.org/guest-post/antifragile/#comments Thu, 06 Nov 2014 04:55:35 +0000 http://emcrit.org/?p=11666 George Kovacs writes on a book he just finished.

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EMCrit Podcast 136 – Getting Shit Done http://emcrit.org/podcasts/getting-shit-done/ http://emcrit.org/podcasts/getting-shit-done/#comments Mon, 03 Nov 2014 18:44:20 +0000 http://emcrit.org/?p=11900 Not quite ED Critical Care, but I hope this discussion of EM/Resus Productivity may be helpful to some of you out there.

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http://emcrit.org/podcasts/getting-shit-done/feed/ 90 Not quite ED Critical Care, but I hope this discussion of EM/Resus Productivity may be helpful to some of you out there. Not quite ED Critical Care, but I hope this discussion of EM/Resus Productivity may be helpful to some of you out there. Scott D. Weingart, MD clean 47:34
Help out Niklas Nielsen of the TTM Trial http://emcrit.org/misc/ttm-survey/ http://emcrit.org/misc/ttm-survey/#respond Fri, 24 Oct 2014 15:12:09 +0000 http://emcrit.org/?p=11726 Help out that TTM guy

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EMCrit Podcast – Trauma Thoughts with John Hinds http://emcrit.org/podcasts/trauma-thoughts-john-hinds/ http://emcrit.org/podcasts/trauma-thoughts-john-hinds/#comments Mon, 20 Oct 2014 01:23:38 +0000 http://emcrit.org/?p=11422 John Hinds on Blunt Traumatic Arrest

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http://emcrit.org/podcasts/trauma-thoughts-john-hinds/feed/ 31 John Hinds on Blunt Traumatic Arrest John Hinds on Blunt Traumatic Arrest Scott D. Weingart, MD clean 25:55
EMDOCS.net hosted me on Ask Me Anything http://emcrit.org/blogpost/ask-me-anything/ http://emcrit.org/blogpost/ask-me-anything/#comments Tue, 14 Oct 2014 15:41:45 +0000 http://emcrit.org/?p=11524 EMDOCS.net brought me on for an AMA session

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EMCrit Wee – I Thought This Would be the One, but Nope…. http://emcrit.org/podcasts/more-on-arise/ http://emcrit.org/podcasts/more-on-arise/#comments Mon, 13 Oct 2014 00:10:38 +0000 http://emcrit.org/?p=11458 Smells like some confirmation bias here

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http://emcrit.org/podcasts/more-on-arise/feed/ 8 Smells like some confirmation bias here Smells like some confirmation bias here Scott D. Weingart, MD clean 10:14
Podcast 134 – ARISE has arisen; now where do we stand on Severe Sepsis in 2014 http://emcrit.org/podcasts/arise-trial-sepsis-2014/ http://emcrit.org/podcasts/arise-trial-sepsis-2014/#comments Fri, 03 Oct 2014 22:55:35 +0000 http://emcrit.org/?p=11289 the Arise Study (Australasian Resuscitation In Sepsis Evaluation) and Severe Sepsis Care in 2014

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http://emcrit.org/podcasts/arise-trial-sepsis-2014/feed/ 61 the Arise Study (Australasian Resuscitation In Sepsis Evaluation) and Severe Sepsis Care in 2014 the Arise Study (Australasian Resuscitation In Sepsis Evaluation) and Severe Sepsis Care in 2014 Scott D. Weingart, MD clean 21:53
Which Pacemaker/ICD is that Again http://emcrit.org/blogpost/which-pacemaker/ http://emcrit.org/blogpost/which-pacemaker/#comments Tue, 30 Sep 2014 02:44:43 +0000 http://emcrit.org/?p=11230 figure out which device from the xray

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EMCrit Podcast 133 – The First Prehospital REBOA http://emcrit.org/podcasts/emcrit-podcast-133-first-prehospital-reboa/ http://emcrit.org/podcasts/emcrit-podcast-133-first-prehospital-reboa/#comments Wed, 24 Sep 2014 14:58:07 +0000 http://emcrit.org/?p=11128 London HEMS docs peform REBOA and save a life

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http://emcrit.org/podcasts/emcrit-podcast-133-first-prehospital-reboa/feed/ 11 London HEMS docs peform REBOA and save a life London HEMS docs peform REBOA and save a life Scott D. Weingart, MD clean 25:54
EMCrit Wee – Aggressiveness and the New Cutdown with Leon Boudourakis, MD http://emcrit.org/wee/aggressiveness-and-the-new-cutdown/ http://emcrit.org/wee/aggressiveness-and-the-new-cutdown/#comments Wed, 17 Sep 2014 22:13:55 +0000 http://emcrit.org/?p=11035 Need access--this may be a way

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http://emcrit.org/wee/aggressiveness-and-the-new-cutdown/feed/ 22 Need access--this may be a way Need access--this may be a way Scott D. Weingart, MD clean 9:40
Podcast 132 – MoTR – Toughness Part I with Michael Lauria http://emcrit.org/podcasts/toughness-michael-lauria-i/ http://emcrit.org/podcasts/toughness-michael-lauria-i/#comments Sat, 06 Sep 2014 18:46:02 +0000 http://emcrit.org/?p=10379 Today, I interview Mike Lauria on the concepts of toughness and resilience.

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http://emcrit.org/podcasts/toughness-michael-lauria-i/feed/ 71 Today, I interview Mike Lauria on the concepts of toughness and resilience. Today, I interview Mike Lauria on the concepts of toughness and resilience. Scott D. Weingart, MD clean 31:56
EMCrit Podcast 131 – Cut to Air: Surgical Airway from SMACC Gold http://emcrit.org/podcasts/surgical-airway/ http://emcrit.org/podcasts/surgical-airway/#comments Tue, 26 Aug 2014 20:57:27 +0000 http://emcrit.org/?p=10806 Cut to Air: Crics from SMACC Gold

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http://emcrit.org/podcasts/surgical-airway/feed/ 24 Cut to Air: Crics from SMACC Gold Cut to Air: Crics from SMACC Gold Scott D. Weingart, MD clean 29:51 yes
EMCrit Wee – A Case to Threaten Current ECMO Evidence from Sam Ghali http://emcrit.org/wee/prolonged-cpr-case/ http://emcrit.org/wee/prolonged-cpr-case/#comments Fri, 15 Aug 2014 14:35:53 +0000 http://emcrit.org/?p=7951 Should we be extending ACLS in patients we really want to save?

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http://emcrit.org/wee/prolonged-cpr-case/feed/ 22 Should we be extending ACLS in patients we really want to save? Should we be extending ACLS in patients we really want to save? Scott D. Weingart, MD clean 5:44
Table-of-Contents and FOAMcc in One Bolus http://emcrit.org/blogpost/journal-opml/ http://emcrit.org/blogpost/journal-opml/#comments Tue, 12 Aug 2014 16:12:11 +0000 http://emcrit.org/?p=10612 All the journal goodness

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EMCrit Podcast 130 – Hemodynamic-Directed Dosing of Epinephrine for Cardiac Arrest http://emcrit.org/podcasts/hemodynamic-directed-dosing-epinephrine/ http://emcrit.org/podcasts/hemodynamic-directed-dosing-epinephrine/#comments Sun, 10 Aug 2014 19:22:21 +0000 http://emcrit.org/?p=9761 Today on the podcast, I address the last little bit from my SMACC lecture on the new management of the intra-arrest: hemodynamic, individualized dosing of epinephrine.

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http://emcrit.org/podcasts/hemodynamic-directed-dosing-epinephrine/feed/ 40 Today on the podcast, I address the last little bit from my SMACC lecture on the new management of the intra-arrest: hemodynamic, individualized dosing of epinephrine. Today on the podcast, I address the last little bit from my SMACC lecture on the new management of the intra-arrest: hemodynamic, individualized dosing of epinephrine. Scott D. Weingart, MD clean 18:24
Ebola Diagnosis and Treatment http://emcrit.org/blogpost/ebola-diagnosis-treatment/ http://emcrit.org/blogpost/ebola-diagnosis-treatment/#comments Sat, 09 Aug 2014 00:52:16 +0000 http://emcrit.org/?p=10576 Just in Case...

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MotR – Mike Lauria on “Making the Call” http://emcrit.org/podcasts/motr-mike-lauria/ http://emcrit.org/podcasts/motr-mike-lauria/#comments Thu, 31 Jul 2014 13:26:47 +0000 http://emcrit.org/?p=10394 You'll be hearing more from Mike

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http://emcrit.org/podcasts/motr-mike-lauria/feed/ 9 You'll be hearing more from Mike You'll be hearing more from Mike Scott D. Weingart, MD clean 42:52
Podcast 129 – LAMW: The Neurocritical Care Intubation http://emcrit.org/podcasts/neurocritical-care-intubation/ http://emcrit.org/podcasts/neurocritical-care-intubation/#comments Sat, 26 Jul 2014 16:36:12 +0000 http://emcrit.org/?p=4458 This is the another of the Laryngoscope as a Murder Weapon lectures; though in this case it is really more of an aggravated assault.

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http://emcrit.org/podcasts/neurocritical-care-intubation/feed/ 22 This is the another of the Laryngoscope as a Murder Weapon lectures; though in this case it is really more of an aggravated assault. This is the another of the Laryngoscope as a Murder Weapon lectures; though in this case it is really more of an aggravated assault. Scott D. Weingart, MD clean 31:00
2 Pitches http://emcrit.org/misc/2-pitches/ http://emcrit.org/misc/2-pitches/#comments Fri, 25 Jul 2014 02:14:37 +0000 http://emcrit.org/?p=10363 Airway Course and Neurocritical Care Course

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Podcast 128 – Pulmonary Embolism Treatment Options and the PEAC Team with Oren Friedman http://emcrit.org/podcasts/pulmonary-embolism-treatment-team/ http://emcrit.org/podcasts/pulmonary-embolism-treatment-team/#comments Mon, 14 Jul 2014 14:24:33 +0000 http://emcrit.org/?p=9513 We now have way too many treatment options for sub-massive and massive pulmonary embolism (PE) patients who aren’t coding in front of you. How do you decide which one is right for your patient? To help answer this question, I am joined today by Oren Friedman, pulmonary critical care doc and one of the members […]

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http://emcrit.org/podcasts/pulmonary-embolism-treatment-team/feed/ 8 We now have way too many treatment options for sub-massive and massive pulmonary embolism (PE) patients who aren't coding in front of you. How do you decide which one is right for your patient? To help answer this question, We now have way too many treatment options for sub-massive and massive pulmonary embolism (PE) patients who aren't coding in front of you. How do you decide which one is right for your patient? To help answer this question, I am joined today by Oren Friedman, pulmonary critical care doc and one of the members of the Cornell PEAC team. Cornell Pulmonary Embolism (PE) Advanced Care Team (PEAC), aka the CLOT Team Oren Friedman MD, Pulm Crit Care; James Horowitz MD, Cardiology; Arash Salemi MD, Cardiac Surgery; Akhilesh Sista MD, Interventional Radiology You can shoot the team an email: peadvancedcare at gmail dot com Who Should We Treat? 30% normotensive patients have RVD; 10% progressed to shock; 5% in hospital mortality The Better Risk Categories for Pulmonary Embolism Well and Stable Sub-Massive High-Risk Sub-Massive Massive PEITHO Trial NEJM 2014;370(15):1402 Full dose tenecteplase with concurrent heparin Death or hemodynamic decompensation occurred in 2.6% of the tenecteplase group as compared with 5.6% of the placebo group Extracranial bleeding occurred in 32 patients (6.3%) in the tenecteplase group and 6 patients (1.2%) in the placebo group (P<0.001) Intracranial Bleed 10 patients (2%) in the tenecteplase group and 1 patient (0.2%) in the placebo group (P=0.003) Also see my bud, Salim Rezaie's post on PEITHO and Konstantinides' prior study Ryan Radecki made some great observations in his post on PEITHO The criteria for myocardial injury was a troponin I >0.06 ?g/L or troponin T >0.01 ?g/L.  These may be relatively inclusive thresholds. Not all placebo patients developing hemodynamic collapse received subsequent thrombolysis; likewise, almost half of those who received open-label thrombolysis had no hemodynamic collapse. Half the deaths in the placebo arm were “sudden unexplained” or “other”, compared with bleeding or stroke complications in the thromboysis arm. TOPCOAT Trial Jeff Kline's trial was stopped midway through due to an institution change. Complicated primary endpoint with promising, but unusable results For the scoop on this one see the Bottom Line Review post on TOPCOAT MOPETT Trial Half-dose alteplase led to a marked reduction in pulmonary hypertension without sig. complications Sharifi M et al. Moderate pulmonary embolism treated with thrombolysis (from the “MOPETT trial). (J Cardiol 2013; 111: 273) See this prior EMCrit Wee as well on MOPPETT Update: This meta-analysis states that the half-dose may be appropriate, effective, and safe Meta-Analysis Chatterjee et al. have the most current meta-analysis on this topic (JAMA. 2014;311(23):2414-2421) See the Bottom Line Review post on this study Nakamura just published another MA this week; see Rory Spiegel's take on the two here Is it just in the Oldies? Markedly lower risk in <75 y/o in PEITHO and <65 in the Meta-Analysis The Treatment Options Heparin Alone tried and true. but even if some degree of resolution of presenting severe symptoms, there is the question of long-term consequences of leaving a large clot burden--namely, loss of exercise tolerance due to chronic pulmonary hypertension Systemic Thrombolysis With either full or half-dose alteplase or full-dose tenecteplase Catheter-Based Intra-Arterial Thombolytic Infusion Angiography guided placement of pulmonary artery catheters allowing a 24-hour infusion of low dose tPA. A newer therapy is the EKOS catheter. This uses ultrasound to continuously break up the clot during the IA Thrombolysis. Many of us wonder if this is any better than standard catheter-based therapy. , See the PulmCCM Post on the Circulation RCT of EKOS Interventional Mechanical Clot Disruption AngioJet-a catheter that breaks up the clot with a high speed jet of saline, heparin, or tPA that then sucks up clot using Bernoulli physics. Very little systemic drug is delivered. Oren's center doesn't like the device; other centers use it. Scott D. Weingart, MD clean 33:08
Expert Commentary on EMCrit http://emcrit.org/blogpost/expert-commentary/ http://emcrit.org/blogpost/expert-commentary/#comments Sun, 06 Jul 2014 19:43:01 +0000 http://emcrit.org/?p=10127 What this icon means

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Are you Following Jeff Kline’s Twitter Account http://emcrit.org/blogpost/following-jeff-klines-twitter-account/ http://emcrit.org/blogpost/following-jeff-klines-twitter-account/#comments Sun, 06 Jul 2014 17:49:09 +0000 http://emcrit.org/?p=10113 Jeff Kline is on twitter

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