A Debate on PE Decision Rules

newman-debate

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.

Continue reading...

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.

Continue reading...

Hemostatic Resuscitation by Richard Dutton, MD

trauma

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.

Continue reading...

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

logistics-small

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

Continue reading...

Bleeding Patients on Dabigatran aka Pradaxa

dabigatran_f1

 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 […]

Continue reading...

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

lbbb-my

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?

Continue reading...

EMCrit Podcast 47 – Failure to Plan for Failure: A Discussion of Airway Disasters

itunes

Cliff Reid of Resus.Me fame put out an incredible post on NAP4, the audit done on all of the airway complications in Great Britain. It was such a phenomenal post that I got in touch with Cliff and asked if he wanted to come on the podcast to speak about it. He did me one better and got an interview with one of the authors of the Emergency and Critical Care Section.

Continue reading...

EMCrit Podcast 46 – Acid Base: Part III

acid-base-case-2nd-part

In part III, we go through 2 cases of acid base abnormalities step by step.

Continue reading...

Bonus – Passing the Esophageal Temperature Probe

probe-small

It can be a b*tch to pass the esophageal temperature probe for hypothermia. Here’s how to get er done.

Continue reading...

EMCrit Podcast 45 – Acid Base: Part II

acid-base-problem-1

This second lecture discusses a quantitative approach to acid base management. I lay out the formula I use to approach an acid-base problem.

Continue reading...