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EMCrit Wee – Cardiovascular Intensive Care as a New Subspecialty of Critical Care
A new subspecialty training pathway?
IBNCC – Nonconvulsive status epilepticus
We throw around the term “nonconvulsive status epilepticus” a lot, and generally think that we know what that is. However, nonconvulsive status epilepticus is an enormously complex and heterogeneous diagnosis. This chapter attempts to clarify matters based on the most recent definitions, but in some situations the diagnosis may remain murky. The IBCC chapter is […]
PulmCrit Wee – Urine toxicology screens should be removed from brain death guidelines
Prior to declaring a patient brain dead, confounding factors which could falsely cause the patient to appear dead must be eliminated. One important confounder is intoxication. Failure to recognize that a patient is intoxicated could lead to an incorrect diagnosis of brain death that in turn can lead to withdrawal of life support – thereby […]
IBNCC – Traumatic Spinal Cord Injury (SCI)
Traumatic spinal cord injury is extremely common. In addition to the initial management of patients presenting with trauma, we should be comfortable in managing the longer-term sequelae (e.g., autonomic dysreflexia). The IBCC chapter is located 👉 here. The podcast & comments are below. Follow us on iTunes
EMCrit 328 – My Advice to New Residents (But Everyone Else Should Listen Too!)
things I’ve learned from my own mistakes and 2 decades of training residents
PulmCrit – Myth-busting the conditional nephrotoxicity of piperacillin-tazobactam
Most medical myths arose decades ago, prior to the era of modern evidence-based medicine. When investigating the origin story of those myths, we wind up reading grainy old papers from the 1950s. Surely, we think, such myths wouldn’t arise today – not in our shiny, interconnected, science-based, hyper-argumentative medical world. Unfortunately, new myths do continue […]
PulmCrit Wee – What is the correct loading dose?
Question: Perampanel is an oral antiseizure medication that may occasionally be used for refractory status epilepticus. It has a half-life of 105 hours. Different sources recommend three different regimens for its dosing: (a) 18-24 mg load followed by 12 mg/day.(33830480) (b) 32 mg load followed by 12 mg/day.(31565443) (c) 36 mg on day #1, 24 […]
IBNCC – External Ventricular Drains (EVD) & Lumbar Drains
External ventricular drains and lumbar drains will generally be managed primarily by the neurosurgical team. Nonetheless, some general understanding of their management, data interpretation, and potential complications is extremely helpful. The IBCC chapter is located 👉 here. The podcast & comments are below. Follow us on iTunes
CV-EMCrit 327 – Acute Valve Disasters Part 2 – Management of Critical Aortic Stenosis
Part 2 of crashing valves: aortic stenosis
IBNCC – Neurological complications of COVID
The neurological manifestations of COVID is a rapidly moving target. Different strains of virus, rising levels of immunity, and challenges in sorting out causation from correlation make it impossible to write a perfect chapter on this. Nonetheless, some patterns and concepts may be helpful. The IBCC chapter is located 👉 here. The podcast & comments […]
IBNCC – Acute Demyelinating Disorders
Acute demyelinating disorders are not a common cause of ICU admission. However, these are encountered occasionally (especially acute transverse myelitis, acute disseminated encephalomyelitis, and osmotic demyelination syndrome). Additionally, some of these disorders may be triggered by COVID, so this chapter will help us understand the neurological manifestations of COVID. The IBCC chapter is located 👉 […]
EMCrit 326 – NeuroEMCrit – 2022 Spontaneous Intracerebral Hemorrhage Guidelines with Casey & Neha
NeuroEMCrit dissects the new ASA sICH Guidelines
IBNCC – EEG interpretation and ictal-interictal continuum
EEG is an increasingly utilized tool among critically ill patients. This chapter explores how to interpret the clinical significance of various EEG patterns which are commonly encountered in the ICU. The IBCC chapter is located 👉 here. The podcast & comments are below. Follow us on iTunes
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