The management of severe ETOH withdrawal and Delirium Tremens
Mohamed, a listener from Sudan, emailed asking about the treatment of acute pulmonary edema in patients with low blood pressure. This is in distinction to SCAPE patients (see podcast 1). If the patients have pulmonary edema and low BP from a cardiac cause, then they are in Cardiogenic shock. First, consider the etiology: Rate-related Valve […]
Does the EM ban on letting sick patients go to CT scan make sense? Listen to the podcast and then register your opinion.
This week’s podcast is on the management of a the patient with SAH. It’s not a complete review, just some tips and reminders. Best article for EM that I’ve found, comes out of Columbia For more reviews on mostly ICU issues see here and here. Update: Critical Care Management of Patients Following Aneurysmal SAH Guidelines […]
Hi folks, this podcast is really brief–I gave a lecture at Jacobi last week (thanks for having me Jacobites!), and in response to a question I gave this rant on my vision of sedation after intubation.
Note: Please listen to the PDP update episode either before or immediately after listening to this one 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 […]
We’ve had a few gruesome airways in patients with GI bleeds and bellies full of coffee ground emesis. This is a top 10 list encompassing my approach to this difficult situation: 1. Empty the Stomach Place a salem sump and suck out all of the stomach contents. Varices are not a contraindication (see: Digest Dis 1973;18(12):1032, Gastrointest Endosc. 2004 […]
How to avoid killing the metabolically acidotic patient during intubation
A primer on the uses of ETCO2
The introduction of the term SCAPE to resuscitation and how to take care of a patient who has it.
an Intro to all things EMCrit