PulmCrit (EMCrit)

No high-quality evidence exists on fibrinogen monitoring in PE.  Most practitioners don’t check fibrinogen levels for patients getting TPA for PE.  This is a bit paradoxical, because fibrinogen is usually monitored in patients receiving catheter-directed thrombolysis – a procedure involving lower doses of TPA with a markedly lower risk of intracranial hemorrhage.

Every hospital and pharmacopeia have their own “maximum dose” of vasopressors. Which one is correct?

Recently Geert Meyfroidt published an article in Intensive Care Medicine describing ten false beliefs in neurocritical care shown here: It’s a great article, but I think they could have been more aggressive about challenging neurocritical care dogmas (1).  In response, here is a list of ten dubious beliefs that goes farther to challenge the status quo.  […]

I recently got back from the inaugural Hospitalist & Resuscitationist conference, a fantastic FOAMy conference in Montreal organized by Phillipe Rola (@ThinkingCC).  It was inspiring to participate alongside fantastic folks including Rory Speigel (@EMNerd), Jon-Emile Kenny (@heart_lung), Kylie Baker (@kyliebaker88), Lawrence Lynn(@PatientStormDoc), Andre Denault, and Segun Olusanya (@iceman_ex).  Screencasts of my talks, audio clips, some videos […]

The literature describes various techniques for the drowned airway.  However, there doesn’t appear to be any airway algorithm which integrates these into a coherent strategy.  A collection of airway tricks without any plan is a formula for disaster.