Podcast 052 – Organ Donation in the ED


Organ Donation in the Emergency Department Though it may not seem as important as some of the things we do in ED Critical Care, managing the potential organ donor can lead to many lives saved. In this episode I interview Isaac Tawil, an Emergency Intensivist of University of New Mexico Health Sciences and associate medical […]

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Podcast # 51: Fibrinolysis in Pulmonary Embolism


Jeff Kline is the master of all things pulmonary embolism in emergency medicine. This is a lecture he gave on fibrinolysis for pulmonary embolism. He discusses both massive and sub-massive PE.

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AHA PE Guidelines


I extracted only the stuff relevant to ED w/u and management (from Circulation 2011;123:1788)

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Imaging in PE Diagram

An algorithm to decide upon imaging in PE

One possible way to go for initial diagnosis of PE

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A Debate on PE Decision Rules


This may be of interest to you EBM Wonks out there. At one of the resident conferences, I debated David Newman of SMARTEM fame on whether a low risk Wells’ score can be used as a PE rule out criteria.

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EMCrit Podcast 50 – Acid Base Part IV – Choose the Solution Based on the Problem

The components and SID of common fluids

This is Part 4 of the Acid Base saga. In this episode, I discuss the acid base effects of fluids and when and how to use sodium bicarbonate.

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Hemostatic Resuscitation by Richard Dutton, MD


Richard Dutton is a trauma anesthesiologist who was one of the primary formulators of the concept of 1:1:1 resuscitation. Here he is speaking on hemostatic resuscitation.

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EMCrit Podcast 49 – The Mind of a Resus Doc: Logistics over Strategy


This Part I of the Mind of a Resus Doc Series, in which we delve into the philosophies that make a good resuscitationist.

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Bleeding Patients on Dabigatran aka Pradaxa


 Reversal of Dabigatran   The incredible folks from hqmeded have put up a video on how to deal with bleeding patients on the new oral anticoagulant, dabigatran…     Here is the Hennepin County Reversal Protocol from the Video What I took from this excellent resource: Thrombin Time is probably the best available way to […]

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EMCrit Podcast 48 – PhD in EKGs Part II: Left Bundle Branch Block


A few months ago, we had Dr. Stephen Smith on the podcast to discuss a variety of EKG issues. Dr. Smith has an EKG blog that is required reading for every ED and ICU doc. This is Part II and I think it discusses an incredibly important issue: right now major medical societies including the AHA and ACEP are asking us to fibrinolyse or PCI patients with new or presumed new LBBB. However, your interventionalists will tell you that this strategy is a ridiculous waste given how few acute occlusions will actually be found. Why this discrepancy?

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