This Part I of the Mind of a Resus Doc Series, in which we delve into the philosophies that make a good resuscitationist.
EMCrit Wee – Reversal of Bleeding Patients on Dabigatran aka Pradaxa
Reversal of Dabigatran
EMCrit 48 – PhD in EKGs Part II – Left Bundle Branch Block
A few months ago, we had Dr. Stephen Smith on the podcast to discuss a variety of EKG issues. Dr. Smith has an EKG blog that is required reading for every ED and ICU doc. This is Part II and I think it discusses an incredibly important issue: right now major medical societies including the AHA and ACEP are asking us to fibrinolyse or PCI patients with new or presumed new LBBB. However, your interventionalists will tell you that this strategy is a ridiculous waste given how few acute occlusions will actually be found. Why this discrepancy?
EMCrit 47 – Failure to Plan for Failure: A Discussion of Airway Disasters and the NAP4 Study
Cliff Reid of Resus.Me fame put out an incredible post on NAP4, the audit done on all of the airway complications in Great Britain. It was such a phenomenal post that I got in touch with Cliff and asked if he wanted to come on the podcast to speak about it. He did me one better and got an interview with one of the authors of the Emergency and Critical Care Section.
EMCrit 46 – Acid Base – Part III
In part III, we go through 2 cases of acid base abnormalities step by step.
Bonus – Passing the Esophageal Temperature Probe
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:
EMCrit Wee – Is Kayexalate Useless?
Dr. Siamak (Mak) Moayedi, MD found nothing to indicate that kayexalate is effective for the acute management of hyperkalemia.
EMCrit – Inserting the Air-Q (AirQ) LMA / SGA
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.
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