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IBCC – Pericardial Tamponade
Pericardial tamponade is an uncommon but extremely important cause of cardiogenic shock, because it is highly treatable. Unfortunately, the precise definition of tamponade can be challenging – and patients can rapidly transition from an uncomplicated pericardial effusion towards the development of tamponade. The IBCC chapter is located 👉 here. The podcast & comments are below. […]
IBCC – LV Outflow Tract Obstruction (LVOTO)
Dynamic LV outflow tract causes an inversion of all hemodynamics. Diuresis and inotropes may cause cardiogenic pulmonary edema! Vasoconstrictors and beta-blockers may improve cardiogenic pulmonary edema! Down is up and up is down. As you might imagine, failure to recognize this physiology could easily lead to management strategies that make matters worse. The IBCC chapter […]
IBCC: Type-1 Myocardial Infarction
Management of myocardial infarction is the core of cardiovascular critical care. Recent advances in the OMI/NOMI paradigm offer the ability to detect significant infarctions earlier – allowing for prompt triage and management. The IBCC chapter is located 👉 here. The podcast & comments are below. Follow us on iTunes
PulmCrit wee: DDAVP Clamp-Bolus technique for severe hyponatremia
The DDAVP clamp technique has considerably simplified the management of severe hyponatremia. The fundamentals of the technique are as follows: Before the use of the DDAVP clamp, the primary cause of sodium overcorrection was endogenous free water excretion by the kidneys. For example, patients would present to the hospital with retention of free water due […]
EMCrit 312 – Tube Thoracostomy (Chest Tubes) Part 1 Peri-procedural Chest Tube Stuff
You need to understand and be able to perform perfectly in the rare circumstances that still demand chest tubes
IBCC – Acute Ischemic Stroke (AIS)
Acute ischemic stroke (AIS) is a common cause of admission to the neurological ICU, as well as a complication of critical illness that may occur among patients within any ICU. The stroke neurology team will take the lead in managing these patients (including decisions regarding tPA and endovascular intervention). This chapter focuses more on aspects […]
EMCrit 310 – Transvenous Pacemakers
As you might imagine on an EMCrit podcast, there are a ton of logistical details on placing and managing transvenous pacemakers.
PulmCrit Wee: COVID STEROID-2: Double the steroid, double the fun?
A billion years ago (or so it seems), the RECOVERY trial demonstrated mortality benefit from dexamethasone 6 mg/day for up to 10 days in hypoxemic COVID patients. This rapidly became a standard treatment. It’s a fundamental therapy that has saved lives. Nonetheless, questions linger about the optimal steroid dose. 6 mg/day dexamethasone is equivalent […]
EMCrit 309 – Critically Ill Diabetic Ketoacidosis (DKA)
Critically Ill diabetic ketoacidosis is usually a bit of a misnomer
EMCrit 308 – Risk Stratification and Treatment of Pulmonary Embolism (PE) 2021 – Is the PERT Wilted?
PE is hard–I think we make it harder than it needs to be
IBCC – Waveform capnography
Quantitative waveform capnography is rapidly becoming a standard of care for any intubated patient. Although this may appear simple, it provides a host of information about ventilation and cardiac output. When further integrated with clinical context (such as trends in minute ventilation), there is a potential for fundamentally changing how we monitor our patients. If […]
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