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). Indeed, the term “polypharmacy” is arguably antiquated now […]
EMCrit 367 – Panel: 4 Quadrant Hemodynamic Ultrasound Integration, IVC Ultrasound and Much More!
a ton of hemodynamic stuff…
EMCrit RACC Lit Review – January 2024
All the lit goodness for Jan 2024
PulmCrit hot take: VAP prophylaxis (PROPHY-VAP trial)
background: ANTHARTIC trial Prophylaxis against VAP (ventilator-associated pneumonia) is already supported by a few studies in the literature, perhaps most notably the ANTHARTIC trial. That was a multicenter RCT evaluating 48 hours of therapy with amoxicillin/clavulanate for patients intubated following cardiac arrest. Antibiotic therapy reduced early-onset VAP, with a trend towards more ventilator-free days (further […]
EMCrit Wee – Should Patients who “may” decompensate go to the ICU?
Who gets an ICU bed?
EMCrit 366 – Should Delayed Sequence Intubation (DSI) become the Standard for Critical Care Intubations?
Should DSI become the new standard?
PulmCrit – Validation of my model for converting VBGs to ABGs
background and general concept My research project in fellowship was the construction of a mathematical model to convert VBG values into ABG values. The fundamental concept for the model was pretty simple: we can approximate the respiratory quotient (RQ) of tissue in the hand as being constant. This indicates that changes in oxygen content and […]
EMCrit 365 – Setting PEEP and Righting the Right Ventricle in ARDS with Matt Siuba
Setting PEEP and Righting the RV in ARDS with Matt Siuba
EMCrit Wee – Zero Warning Resuscitation – Mind of the Resuscitationist
Is your mind ready for no preparation critical care?
EMCrit 364 – Emergency Care of Post-Bariatric Procedure Complications
Bariatric operations and how they go bad
PulmCrit: New ARDS guidelines reveal a shambolic state of affairs
Within the past year, two major societies have released guidelines on ARDS: the ATS (American Thoracic Society) and the ESICM (European Society of Intensive Care Medicine). Don’t be fooled by their names – both of these organizations are fundamentally international in scope. Some authors on the ATS document were from Europe, and similarly some authors […]
PulmCrit wee – Loading dose pharmacokinetics for antibiotics
A loading dose may be used to rapidly achieve steady-state pharmacokinetics. For drugs with a long half-life, this accelerates the attainment of therapeutic levels: For most drugs with single-compartment pharmacokinetics, a loading dose may be calculated using the following formula: (discussed further here) The graph below illustrates how this equation works: If (dosing interval)/(half life) […]
EMCrit Wee – Jason Bartos on the Minneapolis ECPR Experience
The best Resus ECMO Lecture EVER!!!!
EMCrit 363 – Retrograde Intubation
Retrograde, in 2023 is basically a backwards way of doing things…
ODR 013 – Should, Must, & Won’t
These 3 words are the path to burnout
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