PulmCrit (EMCrit)

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.  To avoid being overly … [Read more...]

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 … [Read more...]

The drowned airway refers to massive regurgitation of blood or vomitus that prevents either intubation or mask-ventilation.  This is a rare and uniquely perilous situation.  Massive vomiting simultaneously impairs many airway techniques (e.g. direct laryngoscopy, indirect laryngoscopy, mask ventilation, fiberoptic intubation).The literature describes various techniques for … [Read more...]

Friends,Concern regarding the Surviving Sepsis Campaign (SSC) guidelines dates back to their inception.  Guideline development was sponsored by Eli Lilly and Edwards Life Sciences as part of a commercial marketing campaign (1).  Throughout its history, the SSC has a track record of conflicts of interest, making strong recommendations based on weak evidence, and being poorly … [Read more...]

The CDC guidelines recommend placing subclavian lines to reduce the risk of catheter-related bloodstream infections.  Meanwhile, mounting evidence suggests that we should probably be placing lines with ultrasound guidance.  Unfortunately, the ultrasound-guided subclavian can be tricky.  This post describes a slight modification that could make the technique easier and … [Read more...]