All the lit goodness for Oct 2023
PulmCrit blogitorial: Why I don’t believe the AMIKINHAL trial
Some folks on twitter asked my thoughts on AMIKINHAL trial, so I thought I’d jot them here. AMIKINHAL is a multi-center RCT that evaluated the ability of inhaled amikacin to prevent VAP (ventilator-associated pneumonia) among patients who had been intubated for three days. It’s available here at NEJM. It was a positive trial, which is […]
PulmCrit Blogitorial – New IDSA/SCCM guidelines on fever evaluation in ICU
More guidelines! Today we’ll walk through some interesting bits of the new IDSA/SCCM guideline on evaluation of new fever in the adult ICU patient (available free here). how should temperature be evaluated? This is frankly a mess. Bladder catheter or esophageal probe are best, but usually not used. Rectal temperature is 2nd best, but unwieldy […]
EMCrit 360 – A Taxonomy of Key Performance Errors for Emergency Intubation (Primer)
We categorized intubation errors and published a paper about it…
PulmCrit Blogitorial – Why the new brain death guidelines are unacceptable
Hello fellow nerds, let’s take a look at the new American Association of Neurology (AAN) brain death guidelines. Instead of a tweetorial, I’ll jot my thoughts here, so they’re accessible to everyone. Disclaimer: the following discussion applies only to adult medicine. Most of these guidelines are consistent with the 2020 World Brain Death Project, so […]
EMCrit 359 – FoundStab Project – Foundational Stabilization Provisional Guideline for Post-Intubation Sedation
The first version of the first guideline in the foundational stabilization project – post-intubation sedation
ODR 011 – Kettlebells for the Brain – Meditation
A slightly different kind of topic was my inspiration for the John Hinds Keynote at SMACC
PulmCrit Hot Take: Aggressive glycemic control is dead (TGC-Fast Trial)
background Today the Van de Bergh group in Belgium released a RCT investigating tight versus liberal glycemic control in the ICU. Before diving into this study, let’s take a walk down memory lane. Major interest in tight glycemic control in the ICU began in 2001 with an RCT by the same group of investigators, also […]
EMCrit 358 – Dizziness Makes Me Dizzy Still! – GRACE-3 and more with Peter Johns
Do you still cringe when a dizzy patient appears on your board? If so, we need to fix that and Peter Johns is here to help!
EMCrit RACC Lit Review – September 2023
All the amazing RACC literature for September 2023
EMCrit – Lessons from a Master Trainer – Cliff Reid on Training Team Performance
Another amazing lecture from Cliff Reid
EMCrit 357 – AMAX4 Crashing Anaphylaxis Explosion with Ben McKenzie
The explosion follow-up on the AMAX4 protocol for crashing anaphylaxis and asthma with Ben McKenzie [@amax4]
PulmCrit – Introducing the IBHP (Internet Book of Hospital Pulmonology)
In many countries, pulmonary and critical care are commonly bundled together. Consequently, a single person will often be responsible for both inpatient ICU management as well as inpatient pulmonary consultation. Honestly, I have some doubts about whether this is an ideal system. As both pulmonology and critical care medicine become increasingly complex, it’s becoming impossible […]
EMCrit Shadowboxing Case 5 – NeuroEMCrit Case
A NeuroEMCrit Shadowboxing Case
EMCrit 356 – More on Accidental Hypothermia with Ken Zafren
A deeper dive on accidental hypothermia in anticipation of my much awaited winter
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