EMCrit Podcast 38 – The ED Critical Care Dirty Dozen for 2010

dirty-my

Here are my 12 favorite ED Critical Care things for 2010...the EMCrit Dirty Dozen: 12. SmartEM by David Newman and Ashley Shreves 11. The Poison Review by Leon Gussow 10. Academic Life in Emergency Medicine by Michelle Lin 9. Zdoggmd--the funniest internist I have ever come across 8. Emergency Medicine Cases Podcast by Anton Helman 7. One Night in the ED, an … [Read more...]

EMCrit Podcast 35 – Extubation in the ED

steps-to-extubate

In this podcast, I discuss extubating patients in the ED. Specifically, I deal with patients who have only been intubated for a few hours in distinction to extubation of the patient who has been lingering in your ED for 2-3 days. The best patients for this short-term extubation are those intox folks with a low GCS and signs of trauma, overdoses, or endoscopy cases. My … [Read more...]

EMCrit Podcast 18 – The Infamous Awake Intubation Video

This post marks the return of the Awake Intubation Video. If you've seen it, we will have a brand new post early next week. If you haven't, well you are in for a treat: A subsequent podcast discusses who should be intubated awake This is the best article I have found on Airway Topicalization for Awake Intubation Awake Intubation can save your butt! It requires … [Read more...]

EMCrit Podcast 6 – Push-Dose Pressors

ephed1

Finally a non-intubation topic! Bolus dose pressors and inotropes have been used by the anesthesiologists for decades, but they have not penetrated into standard emergency medicine practice. I don’t know why. They are the perfect solution to short-lived hypotension, e.g. post-intubation or during sedation. They also can act as a bridge to drip pressors while they are … [Read more...]

EMCrit Podcast 4 – Awake Intubation

The video for this lecture is up at this link. Awake intubation can save your butt. It requires forethought and humility--you must be able to say to yourself, "I am not sure I will be able to successfully intubate this patient." However, the payoff for this thought process is enormous. You can try an intubation in the ED with very few downsides. If you get it, you look … [Read more...]