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EMCrit Podcast 17 – Reversal of Anti-coagulant and Anti-platelet Drugs in Head Bleeds

by emcrit 12 January 2010

So you have a patient with intracranial bleeding or you have a high pre-ct suspicion of intracranial bleeding and they are taking coumadin, aspirin, or clopidogrel. Should you reverse them? If so, how?

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Best of 2009

by emcrit 2 January 2010

Happy New Year! Here are three of the most popular posts from 2009. Check them out if you missed them:   Sympathetic-surge Crashing Acute Pulmonary Edema – When a patient gets wheeled in with crackles up to their clavicles and a BP of 280/190, the problem is NOT volume overload. These patients need afterload reduction. [...]

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EMCrit Podcast 16 – Coding Asthmatic, DOPES and Finger Thoracostomy

by emcrit 23 December 2009

Hi folks, Sorry about the voice–got a cold off those damn ED keyboards Thanks to my friend Reuben, this week we’ll talk about the asthmatic patient that codes while on the vent The DOPE mnemonic gives you a path to figure out why a patient is desaturating (If anyone knows who created the DOPE mnemonic, [...]

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EMCrit Podcast 15 – the Severe Asthmatic

by emcrit 8 December 2009
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To PEEP or not to PEEP, that is the question…in the management of the severe asthmatic

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Video for the Laryngoscope as a Murder Weapon Lecture

by emcrit 25 November 2009
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Podcast:

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EMCrit Podcast 14.5 – A bit more on EGDT

by emcrit 23 November 2009

Chris Nickson is an Aussie, oops Kiwi, who is a lead author of a great blog: lifeinthefastlane.com and tweets under the moniker @precordialthump; check him out, he’s doing really good stuff. He wrote a comment about the last podcast– Hey Scott, Great to hear your views and approach to EGDT. I agree with the need [...]

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EMCrit Podcast 14 – EGDT Tirade

by emcrit 21 November 2009

In this episode I rant and rave about why for the most part Emergency Medicine has disappointed me by not doing something about our sick septic patients. If you are offering aggressive (Early Goal Directed) therapy in the ED, then good on you.

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EMCrit Podcast 13 – Trauma Resus II: Massive Transfusion

by emcrit 31 October 2009

On this podcast, I recap from last show, especially the concept of bare minimum normotension (called erroneously permissive hypotension by just about everyone else) and why we should keep the MAP higher if there is suspected elevations in intracranial pressure I then talk about massive transfusion. This is probably the best strategy for a patient [...]

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EMCrit Podcast 12 – Trauma Resus: Part I

by emcrit 14 October 2009

Thought we’d talk about some trauma stuff, specifically the resuscitation of the critically ill hemorrhagic shock patient. There is much to discuss, so this will be a multi-episode affair. Today, we’ll concentrate on the Lethal Triad and BP Goals. Lethal Triad The picture says it all. Bleeding causes acidosis, hypothermia, and coagulopathy. Then the cycle [...]

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EMCrit Podcast 11 – Delirium Tremens

by emcrit 29 September 2009

The management of severe ETOH withdrawal and Delirium Tremens

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