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PulmCrit Wee: Michelin Chest Syndrome
I’ve seen the following sequence of events several times. I can’t prove the exact causality, but I have a strong suspicion about what is going on here. You can be the judge. clinical presentation A patient presents for management of a pleural effusion. A pigtail chest drain is inserted without difficulty or complication. The drain […]

EMCrit Wee – Some Philosophy of Surgical Airways (Crics) and What to Do When the Doom is Lower Down (Central Airway Obstruction)
Cric Thoughts, a Cric Case, and Central Airway Obstruction with @airwaycam

EMCrit 395 – Stellate Ganglion Block – Not Whether, but When?
The Stellate Ganglion Block for Electrical Storm

EMCrit 394 – CV-EMCrit – Inotrope Basics Part 2 – Specific Scenarios
Part 2 of Inotropes with Trina – we discuss specific scenarios…

EMCrit Wee (392.5) – Naughty or Nice? Bad Behavior in Healthcare with Liz Crowe, PhD
More amazing discussion with Liz Crowe

EMCrit 392 – All Things Defibrillation with Sheldon Cheskes
Nitty Gritty of All Things Defibrillation

EMCrit 391 – Pericardiocentesis and Tamponade Temporization
All things stabilizing tamponade and performing pericardiocentesis

PulmCrit: ADAPT and SCREEN trials are full of sound and fury, signifying little
I think ICU docs may have developed a bit of an RCT problem; not an addiction, but perhaps a dependency. It all started off fine at first. RCTs are the apex trial design, the only trial capable of proving causality. But we’ve taken it too far. Currently, a cluster-randomized trial is underway to study whether […]

EMCrit 389 – Massive Transfusion Update and Hemostatic Resuscitation
John Holcomb, author of the PROPPR trial, on massive transfusion in 2024

PulmCrit: How to quickly create a useful professional account in BlueSky
I discussed the reasons for migrating to BlueSky here. I’ve received positive feedback from several FOAMed expats who migrated to Bluesky and enjoy it there. I’ve also received some questions about getting started on BlueSky, so here is a brief guide to moving into MedSky. [1] Set up your account & profile This is essentially […]
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