• Home
  • EMCrit
  • PulmCrit
  • IBCC
  • ODR
  • About
    • About EMCrit
    • PulmCrit – The Full Story
    • EMCrit FAQ
    • Subscribe to the Newsletter
  • Contact
  • Join
    • Why Should I Become a Member?
    • Questions Before Joining (FAQ)
    • Join Now!

EMCrit Project

Online Medical Education on Emergency Department (ED) Critical Care, Trauma, and Resuscitation

  • EMCrit Archives
  • EDICUs
You are here: Home / Archives for Josh Farkas

PulmCrit – ACEP task force on septic shock should replace the Surviving Sepsis Campaign

April 16, 2021 by Josh Farkas 14 Comments

The critical care community has long been plagued by a series of antiquated, overbearing guidelines created by the Surviving Sepsis Campaign (SSC).  The campaign was originally sponsored by Eli Lilly and Edwards Life Sciences, as a commercial marketing campaign.  The backbone of the original guidelines was a single center trial by Rivers, which has failed […]

IBCC – Local Anesthetic Systemic Toxicity (LAST)

April 15, 2021 by Josh Farkas Leave a Comment

Local Anesthetic Systemic Toxicity (LAST) is fortunately extremely rare.  However, with the ongoing expansion of nerve blocks and lidocaine infusions in a variety of different contexts, this is likely to be seen more often over time.  Prompt recognition and antidotal therapy are essential. The IBCC chapter is located 👉 here. The podcast & comments are […]

IBCC – Calcium channel blocker & beta blocker poisoning

April 12, 2021 by Josh Farkas Leave a Comment

Calcium channel blocker poisoning is one of the most formidable intoxications encountered critical care.  As for most topics in toxicology, there is no level-I evidence regarding this.  This chapter explores treatment options for beta blocker and calcium channel blocker poisoning, with the admitted limitation that it’s impossible to know which treatments are optimal and in […]

IBCC – Necrotizing Fasciitis

April 8, 2021 by Josh Farkas Leave a Comment

Let’s be honest, necrotizing fasciitis is a perennial source of errors.  This is a difficult diagnosis to make.  It can be tedious to continually maintain a high level of suspicion for it, but suspicion and early diagnosis are critical. The IBCC chapter is located 👉 here. The podcast & comments are below. Follow us on […]

IBCC – Sympathomimetic intoxication

April 5, 2021 by Josh Farkas Leave a Comment

Sympathomimetic intoxication is increasingly common (e.g., with increasing use of methamphetamine).  Although this is a classic topic in toxicology, recent controversy has surrounded the optimal therapy for acute intoxication (benzodiazepines vs. antipsychotics).  This chapter will attempt to provide a general approach to sympathomimetics, recognizing that in many cases it may be impossible to determine precisely […]

IBCC – Malignant Hyperthermia

April 3, 2021 by Josh Farkas 1 Comment

Malignant hyperthermia is a rare diagnosis, but nonetheless one worth being aware of.  Very rarely, malignant hyperthermia may be triggered by succinylcholine, causing it to present initially in the emergency department or ICU.  Far more often, malignant hyperthermia will be diagnosed in the operating room – with intensivists involved in providing follow-up care. The IBCC […]

IBCC – Interpreting coagulation labs

March 29, 2021 by Josh Farkas 1 Comment

We obtain coagulation labs on nearly every critically ill patient.  However, our understanding of these labs remains relatively superficial.  Meanwhile, the addition of thromboelastography (TEG) has rendered matters even more complex, by providing an alternative strategy for monitoring coagulation.  This chapter attempts to sift through a rational approach to coagulation labs, but much work remains […]

IBCC – Alcoholic hepatitis

March 25, 2021 by Josh Farkas Leave a Comment

We are seeing an increased volume of alcoholic liver disease due to the COVID pandemic.  Previously admissions to ICU for alcoholic hepatitis were rare, but these are now occurring with regularity. The IBCC chapter is located 👉 here. The podcast & comments are below. Follow us on iTunes

IBCC – Stupor & Coma

March 22, 2021 by Josh Farkas 1 Comment

Stupor and coma can be a challenging presentation, because it has a broad differential filled with very severe diseases.  An organized approach is essential.  One core feature of that approach is the coma neurologic examination, which remains central to the evaluation even in the era of abundant CT and MRI scanning. The IBCC chapter is […]

PulmCrit Rant – Intermediate DVT prophylaxis in COVID: We need for better pants

March 19, 2021 by Josh Farkas 3 Comments

COVID will eventually lead to many improvements in our approach to critical illness.  I’ve been hoping that one of these would be an improved understanding of venous thromboembolism (VTE) prophylaxis, but perhaps that was overly optimistic. We provide VTE prophylaxis to nearly every patient in the ICU.  Consequently, even tiny changes in our VTE prophylaxis […]

IBCC – Acute Eosinophilic Pneumonia (AEP)

March 18, 2021 by Josh Farkas Leave a Comment

Acute Eosinophilic Pneumonia is rare, but it definitely happens.  It typically causes relatively rapid-onset ARDS, frequently leading to mechanical ventilation.  Prompt recognition is critical, because AEP responds beautifully tosteroid therapy. The IBCC chapter is located 👉 here. The podcast & comments are below. Follow us on iTunes  

IBCC – Acute on Chronic Liver Failure (ACLF)

March 15, 2021 by Josh Farkas 3 Comments

Acute on Chronic Liver Failure (ACLF) refers to decompensated cirrhosis causing failure of at least two organs (e.g. hepatic encephalopathy, hepatorenal syndrome, shock, or respiratory failure).  It may be useful to conceptualize these patients as having ACLF (rather than, for example, hepatic encephalopathy plus hepatorenal syndrome), because this provides a more accurate global understanding of […]

PulmCrit Wee – Therapeutic anticoagulation for COVID ICU patients: Is the heparin vial half empty, or half full?

March 13, 2021 by Josh Farkas 5 Comments

A fresh preprint reveals the results of combining three trials to evaluate therapeutic anticoagulation among severe COVID patients (defined as patients requiring high flow nasal cannula, noninvasive ventilation, intubation, vasopressors, or inotropes).  Patients were randomized to therapeutic anticoagulation versus thromboprophylaxis per usual care guidelines.  REMAP-CAP also simultaneously randomized some patients to receive aspirin as well.  […]

PulmCrit Wee: High-titer convalescent plasma fails again for hospitalized COVID patients

March 13, 2021 by Josh Farkas 1 Comment

Convalescent plasma use against epidemic respiratory viruses dates back to the influenza pandemic of 1918.  This intervention has persisted for over a century based on high face-validity, rather than any high-quality evidence.  The COVID epidemic reignited enthusiasm for this therapy, leading to its use in tens of thousands of patients (e.g., an expanded-use program organized […]

IBCC – Acute Liver Failure

March 8, 2021 by Josh Farkas 5 Comments

Acute liver failure is rare, but when it does occur it requires an organized diagnostic and therapeutic approach.  Success often relies upon aggressive support of other organs (e.g. renal failure and management of intracranial hypertension). The IBCC chapter is located 👉 here. The podcast & comments are below. Follow us on iTunes

  • « Previous Page
  • 1
  • …
  • 3
  • 4
  • 5
  • 6
  • 7
  • …
  • 32
  • Next Page »

Login

 
 
Forgot Password

Feel Social?

  • Facebook
  • RSS
  • Twitter
  • YouTube
Metasin Coaching
RCM
SCRAM Bag

Other Stuff

  • Have a great idea for the next podcast? Share it here!
  • Tough Questions. Maybe you have an answer!
  • When you're done listening to the podcast,
    check out these great sites.

Who We Are

We are the EMCrit Project, a team of independent medical bloggers and podcasters joined together by our common love of cutting-edge care, iconoclastic ramblings, and FOAM.

Resus Leadership Academy

Subscribe by Email

EMCrit is a trademark of Metasin LLC. Copyright 2009-. This site represents our opinions only. See our full disclaimer, our privacy policy, commenting policy and here for credits and attribution.

Insert/edit link

Enter the destination URL

Or link to existing content

    No search term specified. Showing recent items. Search or use up and down arrow keys to select an item.