It can be a PitA to pass the esophageal temperature probe for hypothermia. Here’s how to get er done.
EMCrit 45 – Acid Base – Part II
This second lecture discusses a quantitative approach to acid base management. I lay out the formula I use to approach an acid-base problem.
EMCrit 44 – Acid Base – Part I
This lecture discusses a quantitative approach to acid base management. This is also known as the Fencl-Stewart approach, the strong-ion approach or the physicochemical approach. It provides explanations for why acid base disorders occur in human pathophysiology.
Listener Questions – Episode 1
Since we had the Kayexalate episode, I did not want to do a full podcast, so I thought I would just air some listener questions:
Bonus – Is Kayexalate Useless?
Dr. Siamak (Mak) Moayedi, MD found nothing to indicate that kayexalate is effective for the acute management of hyperkalemia.
Video for Podcast 43 – Inserting the Air-Q
Here is a video to go along with podcast 43 on the insertion and use of the Air-Q intubating laryngeal airway
EMCrit 43 – Laryngeal Airways with Daniel Cook, MD (Part I)
My favorite supraglottic airway is the Cookgas Air-Q; it was created by an anesthesiologist, Dr. Daniel Cook. He just created a new device that allows the placement of an esophageal blocker through the laryngeal airway. I gave him a call to hear about the new product and in the course of that conversation, he gave me a ton of tips on the placement of laryngeal airways. Part II will specifically discuss the new device.
EMCrit 42 – A phD in EKG with Steve Smith
Electrocardiograms can be subtle; but you can’t miss them or patients die. Today, I interview, Dr. Stephen Smith of the incredible blog: Dr. Smith’s EKG Blog.
EMCrit 41 – Interview with Cliff Reid of RESUS.me
I was lucky to cajole Cliff Reid of the amazing blog, resus.me on to the EMCrit program. Cliff is truly a doc after my own heart as you will hear from the cast.
EMCrit 40 – Delayed Sequence Intubation (DSI)
Delayed Sequence Intubation (DSI) is a procedural sedation, the procedure in this case being effective preoxygenation. Give ketamine, put them on the mask, and in 3 minutes paralyze and intubate.
Origins of the Dope Mnemonic
All the way back in episode 16, I asked if anyone knew the origins of the DOPE mnemonic for post-intubation desaturation. Nobody had an answer until now. Here is an email from Ahad…
EMCrit 39 – Hyponatremia
Hmm… he’s tasty, but he just needs a little salt! In this podcast, I discuss the management of hyponatremia in the ED.
EMCrit 37 – Lactate in Sepsis
When an ED starts providing advanced care for severe sepsis, lactate testing is an absolute requirement. Lactate use brings up a lot of questions, especially if it is not commonly ordered in your department. In this podcast, I discuss all of the lactate questions that have come up in the course of the NYC Sepsis Collaborative.
EMCrit 36 – Traumatic Arrest
Management of traumatic arrest. Many things to do in these patients, but two things you definitely should not be doing are closed-chest CPR or giving ACLS medications. We discuss who gets a thoracotomy, what to do if a thoracotomy is not indicated, and when to stop.
EMCrit 35 – Extubation in the ED
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.
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