Dr. David Schriger gave a fantastic lecture on risk in emergency medicine at the ALL LA Conference. If you have not heard it, go and listen now; it is vitally important to our specialty. This is a brief EMCrit rant on some of my thoughts on the lecture.
EMCrit 21 – A Bad Sedation Package Leaves your Patient Trapped in a Nightmare
Pushing some ativan followed by vecuronium is no longer an acceptable strategy to manage post-intubation sedation. A good analgesia and sedation package is essential if you care about your patient’s comfort and well-being. We need to move to PAIN-FIRST paradigm. Optimize analgesia and then add in sedative agents as a bonus. In this episode of the EMCrit Podcast, I expand on a previous rant to discuss the optimal way to handle routine post-intubation patients and some special scenarios you may encounter.
EMCrit 20 – The Crashing Atrial Fibrillation Patient
Your patient is pale and diaphoretic. Blood pressure is 70/50. Heart rate is 178. EKG shows atrial fibrillation… What are you going to do???
Yeah, yeah the Pavlovian ACLS response–You cardiovert. Wonderful, except it didn’t change a thing. Now what?
In this episode, I discuss the crashing atrial fibrillation patient.
EMCrit 19 – Non-Invasive Positive Pressure Ventilation (NIPPV)
Intubation is a sexy procedure, there is no doubt about it.
NIV does not have the glamour; it’s not nearly as cinematic. But for the patient, to spend 30 minutes on a NIV mask is preferable to a couple of days on the ventilator. In this episode, I discuss some of the basic ideas and methods of NIV.
Downstairs Patients, Upstairs
The Utopian College of Emergency for Medicine with the help of the lifeinthefastlane blog, has taken my Upstairs Care, Downstairs philosophy to its next logical conclusion. I can’t believe I did not see this myself.
EMCrit 16 – Coding Asthmatic, DOPES and Finger Thoracostomy
DOPES will save your butt on crashing vent pts
EMCrit 15 – The Severe Asthmatic
To PEEP or not to PEEP, that is the question…in the management of the severe asthmatic
Video for the Laryngoscope as a Murder Weapon Lecture
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EMCrit 14 – EGDT Tirade (Historical Use Only)
In this episode I rant and rave about why for the most part Emergency Medicine has disappointed me by not doing something about our sick septic patients. If you are offering aggressive (Early Goal Directed) therapy in the ED, then good on you.
EMCrit 13 – Trauma Resus II: Massive Transfusion
2nd part of the trauma resus lecture
EMCrit 12 – Trauma Resus: Part I
First EMCrit lecture on trauma resus
EMCrit 11 – Delirium Tremens
The management of severe ETOH withdrawal and Delirium Tremens
EMCrit 10 – Cardiogenic Shock
If the patients have pulmonary edema and low BP from a cardiac cause, then they are in… Cardiogenic shock
EMCrit 9 – Can you take sick patients to CT?
Does the EM ban on letting sick patients go to CT scan make sense? Listen to the podcast and then register your opinion.
EMCrit 8 – Subarachnoid Hemorrhage (SAH) Tips and Tricks
SAH Tips and Tricks