EMCrit Podcast - Critical Care and Resuscitation https://emcrit.org Online Medical Education on Emergency Department (ED) Critical Care, Trauma, and Resuscitation Tue, 21 Feb 2017 10:51:23 +0000 en-US hourly 1 https://wordpress.org/?v=4.7.2 http://emcrit.org/feed/podcast/ Help me fill in the blanks of the practice of ED Critical Care. In this podcast, we discuss all things related to the crashing, critically ill patient in the Emergency Department. Find the show notes at emcrit.org. Scott D. Weingart, MD clean Scott D. Weingart, MD spambin55@gmail.com spambin55@gmail.com (Scott D. Weingart, MD) 2009-2013 Online Medical Education on Emergency Department (ED) Critical Care, Trauma, & Resuscitation EMCrit Podcast - Critical Care and Resuscitation http://emcrit.org/wp-content/uploads/powerpress/3000x3000-emcrit.jpg https://emcrit.org Podcast 193 – Emergency Medicine is a Failed Paradigm https://emcrit.org/podcasts/podcast-193-emergency-medicine-failed-paradigm/ Mon, 20 Feb 2017 16:26:12 +0000 http://emcrit.org/?p=336999 https://emcrit.org/podcasts/podcast-193-emergency-medicine-failed-paradigm/#comments https://emcrit.org/podcasts/podcast-193-emergency-medicine-failed-paradigm/feed/ 7 <p>Yep, EM is indeed a failed paradigm</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Yep, EM is indeed a failed paradigm
At SmaccDUB, I got to debate my friend and head wizard of St. Emlyns, Simon Carley. Our topic was, Emergency Medicine (EM) is a Failed Paradigm. I took the pro side–it was a ton of fun. Take a watch and then tell me what you think in the comments section below.
The St. Emlyn's Post
Simon wrote a wonderful blogpost about the debate.
The Slides
Additional Links of Interest
Graham Walker on “Emergentology: Don't Worry; We'll Handle It
The Video

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Scott D. Weingart, MD clean 27:55 yes
EMCrit Wee – The Golden Fleece, the Golden Hour, and the Golden Rule by Ashley Liebig https://emcrit.org/podcasts/golden-rule-by-ashley-liebig/ Thu, 16 Feb 2017 00:40:32 +0000 https://emcrit.org/?p=438611 https://emcrit.org/podcasts/golden-rule-by-ashley-liebig/#comments https://emcrit.org/podcasts/golden-rule-by-ashley-liebig/feed/ 6 <p>Ashley crushes stigma and leaves us acutely aware of how our words and actions affect our colleagues and those that we love</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Ashley crushes stigma and leaves us acutely aware of how our words and actions affect our colleagues and those that we love
I have a friend named, Ash. She is a nurse, a veteran, a prehospital/retrieval provider, and a… badass. She gave this talk at SmaccDUB. I loved it so much; I hope you do as well:
Blurb
Time tested rules and myths explored in a real life adventure, meant to honor and display the courage, commitment and sacrifice made by emergency medicine and critical care professionals around the globe. In a painfully honest reflection, Ashley crushes stigma and leaves us acutely aware of how our words and actions affect our colleagues and those that we love.
The Talk

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Scott D. Weingart, MD clean 24:48 yes
Podcast 192 – Powerpoint and Meth – Presentation Creation from #TTC https://emcrit.org/podcasts/powerpoints-meth/ Mon, 06 Feb 2017 20:02:55 +0000 https://emcrit.org/?p=438242 https://emcrit.org/podcasts/powerpoints-meth/#comments https://emcrit.org/podcasts/powerpoints-meth/feed/ 1 <p>The slides are not the problem...</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> The slides are not the problem...
People have a tendency to blame powerpoint (or keynote) for the horrible presentations they are forced to sit through. But the slides are merely an external manifestation of a deeper problem, just like the teeth of a meth addict.
For the past two years, I have been speaking at The Teaching Course in NYC. Two years ago, I gave a 60-minute talk on presentation creation (you can see that original talk below). This year, the course directors reduced my time to 30-minutes…resulting in a tighter and much better talk. That is what I am posting today.
The Twelve Steps
1. Admit you have a problem
2. Choose your Topic and your Purpose
3. Create Brainstorming Spaces

* Template for folders
* Mindmap reference book

4. Choose a Structure
5. Add the flesh
6. Work the Transitions
7. Visualize the Visuals

* Where to get Images from First10EM

8. Edit to Time
9. Mark the Stage
10. Create a “Handout”
11. Give it for Real
12. Do it Again
Other Things mentioned in the Talk

* Beyond Bullet points template
* Recorder recommendations
* Rich Borden Reference
* How to Sequence a Talk
* Ira Glass Quote
* 10 ways to end your talk
* Cicero rules for good talk
* Lawrence Lessing talk
* Multimedia Learning book
* Slideument reference
* Feedback form (see slides)
* Brief Feedback form (see slides)
* Using space information
* Nancy Duarte Reference and this one
* Presentation Zen
* Scriptwriting: Story by McKee
* Ed Tufte on Data Presentation
* Posture Reference
* Up resolution to PPT link
* Screencast on how to save as jpg (pending)
* Iskysoft Imedia Converter for Mac or Windows
* Share your checklist (pending)
* Good remote
* Test slide

The Rehearsals as elaborated in the Public Words Blog
See the posts here: Rehearsals, Rehearsals

* Rehearsal 1 is for content (I would recommend doing this one twice, once before powerpoint and once after)
* Rehearsal 2 is for Body Language
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Scott D. Weingart, MD clean 32:15 yes
Wee – Warning: Nothing Useful Here – Politics and Why I’m “Divorcing” Twitter https://emcrit.org/wee/wee-warning-nothing-useful-politics-im-divorcing-twitter/ Wed, 01 Feb 2017 22:17:23 +0000 http://emcrit.org/?p=437662 https://emcrit.org/wee/wee-warning-nothing-useful-politics-im-divorcing-twitter/#comments https://emcrit.org/wee/wee-warning-nothing-useful-politics-im-divorcing-twitter/feed/ 35 <p>if you still want to listen after reading the title</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> if you still want to listen after reading the title
Politics
not even going to bother writing anything here, my country has gotten so ridiculous.
Why I'm Divorcing Twitter


* The Hey Girl Meme
* Feminist Ryan Gosling
* I was going to post he twitter threads from the EMCritConf discussing the meme here, but looking back at them today, I see a ton of them have been deleted. It prob. would have been poor form to call any particular person out by name anyway as I am sure there were innocents amongst the guilty.

The Intro to the EMCritConf 2017 – Full lectures will be posted on EMCrit soon
Now on to the Useless Wee…
 

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Scott D. Weingart, MD clean 13:21
Podcast 191 – Cardiac Arrest Update https://emcrit.org/podcasts/cardiac-arrest-update/ Mon, 23 Jan 2017 13:00:09 +0000 http://emcrit.org/?p=437743 https://emcrit.org/podcasts/cardiac-arrest-update/#comments https://emcrit.org/podcasts/cardiac-arrest-update/feed/ 30 <p>Cardiac Arrest Update & the Syndromes of Arrest</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Cardiac Arrest Update & the Syndromes of Arrest

The team has done a bunch of stuff on cardiac arrest here on the EMCrit site:

* Podcast 125 – The New Intra-Arrest (Cardiac Arrest Management)
* EMNerd: The Tell-Tale Heart
* Hemodynamic-Directed Dosing of Epinephrine for Arrest
* The Future of CPR

There has been a lot of interesting stuff that has come out since my SMACCgold talk. This podcast will bring you up to date on the crap running though my mind. Beware: very little evidence lies here.
The Syndromes of Cardiac Arrest
Refractory Vfib/Vtach (Electrical Storm)

* Anti-Dysrhythmics

See EMNERD's ALPS Post
* Dual-Sequential Defib



Amazing session on EMRAP by Zack Shinar (membership required)
* Esmolol

Driver et al. (Resuscitation. 2014 Oct;85(10):1337-41 PMID 25033747)

500 mcg/kg IVP, can add a drip starting at 50 mcg/kg/min
* Take them to the Lab
* ECMO anyone?

Vasoplegia

* High-Dose Epi
* Methylene Blue

What's the dose? Who knows? I give 2 mg/kg (but not in pts on SSRIs)
* REBOA
* Junctional Tourniquet

PREM/PRES
We did an episode on this topic on the EDECMO podcast (ignore the ECG stratification stuff–since been debunked).
 
Monitoring

* ETCO2
* Cerebral ox
* Ultrasound (preferably TEE)

Time Zero Prognostication

* What can we use??
* This retrospective study from France indicates that if the pt has the following 3: 1. OHCA not witnessed by emergency medical services personnel, 2. nonshockable initial cardiac rhythm, and 3. no return of spontaneous circulation before receipt of a third 1-mg dose of epinephrine then there was no RONF and the pts should be put on the donation path. (Ann Intern Med. 2016 Dec 6;165(11):770-778. doi: 10.7326/M16-0402. Epub 2016 Sep 13.  Early Identification of Patients With Out-of-Hospital Cardiac Arrest With No Chance of Survival and Consideration for Organ Donation)

Blood Gases during Cardiac Arrest

* From the book Cardiac Arrest
* Study on Blood Gases during Arrest

Nurse-Run Codes

* 30 seconds to rhythm check
* Rhythm Check
* Administer Epi
* Task-Handler

Peri-Shock Pause

* Pre

Look-Through Analysis

Precharge the Defib (blogpost), (Podcast)
* During

Shock during compressions!!!


* Post

Mechanical CPR

* Check a rhythm on EMS' monitor
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Scott D. Weingart, MD clean 24:26
Practical Evidence Podcast 015 – Surviving Sepsis Campaign (SSC) Guidelines 2016 (in 2017) https://emcrit.org/practicalevidence/ssc-guidelines-2016/ Sun, 22 Jan 2017 18:47:38 +0000 http://emcrit.org/?p=437733 https://emcrit.org/practicalevidence/ssc-guidelines-2016/#comments https://emcrit.org/practicalevidence/ssc-guidelines-2016/feed/ 16 <p>SSC 2016 Guidelines</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> SSC 2016 Guidelines We've discussed SEPSIS a ton on EMCrit.

* Podcast 154 – Preemptive Sepsis Panel SmaccBack
* Wee – Cliff Deutschman with Additional Thoughts on Sepsis 3.0
* Renoresuscitation: Sepsis resuscitation designed to avoid long-term complications
* Podcast 112 – A Response to the Marik Sepsis Fluids Lecture
* Podcast 169 – Sepsis 3.0 with Merv Singer
* Podcast 89 – Lessons from the STOP Sepsis Collaborative

Recently, the Surviving Sepsis Campaign released their 2016 guideline update. Overall, I think this iteration moves the guidelines closer to the best evidence out there. Of course, when you travel that path it forces a divergence from the distinctly non-evidence-based CMS guidelines. In this Practical Evidence Podcast, we will discuss the SSC guidelines, the aforementioned divergence, and various alcohol recommendations. I brought on my buddy, Jeremy Faust, to discuss the changes. Jeremy is 1/2 of the FOAMcast podcast which just discussed the new guidelines in a recent episode.
Guideline Stuff

* The SSC 2016 Guidelines
* PDF Version of the SSC 2016
* Users' Guide to the Guidelines
* Our Emergency Medicine Clinics Article

The Guideline Recommendations
The Definition of Sepsis

They basically ratified SEPSIS 3.0
(Jeremy found where he saw the remnants of the old definition; it was in the Users' guide figure 2–super contradictory)
Fluids
30 ml/kg in the first 3 hours
Crystalloid first, then maybe albumin
Use dynamic markers and/or fluid challenges
Goal MAP>65
EGDT is no longer recommended
Lactate
attempt to normalize lactate
Blood Cultures
get them before antibiotics, if obtaining them will not delay the provision of antibiotics
Antibiotics
Within 1 hour of sepsis or septic shock
Vasopressors
Norepi is the first choice, add in epi or vaso
Do not use dopamine
Steroids
200 mg Hydrocortisone for patients who are still unstable after fluids and vasopressors
Blood
In most circumstances, use a trigger of <7.0 g/dL
Glucose
goal is < 180 mg/dL
Bicarb
Not recommended if pH is >7.15 (which in no way means it is recommended for pHs less than that)
What are we Drinking?

* EMCrit is drinking South Hill Cider‘s Packbasket Still and Dry Cid...]]>
Scott D. Weingart, MD clean 24:38
Podcast 190 – Emergencies with a Side of Hypertension https://emcrit.org/podcasts/hypertensive-emergencies/ Tue, 10 Jan 2017 02:47:17 +0000 http://emcrit.org/?p=3008 https://emcrit.org/podcasts/hypertensive-emergencies/#comments https://emcrit.org/podcasts/hypertensive-emergencies/feed/ 27 <p>Hypertensive emergencies look like emergencies!</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Hypertensive emergencies look like emergencies!
The first thing to understand about Hypertensive Emergencies is that they look like emergencies
The second thing is in the short term, the only way to really fuck up non-emergent hypertension is by acutely lowering it too much
Hypertensive emergencies, hypertensive urgencies, markedly elevated blood pressure–ugggh! Hypertension is a real annoyance in emergency medicine. Folks get scared of numbers and encourage dangerous behavior because of them. It's a bit better in the ICU, where there is a filter to keep out non-emergent hypertension cases. “Hypertensive Emergencies” are a whole different bag. In these conditions, the hypertension is usually secondary to the actual emergency. So I prefer to call these emergencies with a side of hypertension.
Treatment Priorities
25% in the first hour

* Pain
* Inotropy/Chronotropy
* Arterial Vasodilation

The Meds

* Labetalol
* Esmolol
* Nitroglycerin
* Nitroprusside
* Nicardipine
* Clevidipine
* Fenoldopam
* Hydralazine Sucks

The Emergencies
ACS
SCAPE

* SCAPE Podcast

Aortic Dissection/AAA

*  Treatment of Aortic Dissection

Ischemic Stroke

* Stroke Podcast

ICH or TBI
aSAH

* Management of SAH

PreEclampsia/Eclampsia
Hypertensive Encephalopathy/Malignant Hypertension
a headache is not a hypertensive emergency unless the patient looks so bad that you are rushing her to CT
Usually (but not always) will have papilledema
Visual Changes, AMS, Confusion, Severe Headache, Coma
Tox
Sympathomimetic OD
MAO Inhibitors
Pheo
Acute Glomerulonephritis
Thyroid Storm

* Thyroid Storm Podcast

Want More Info?

* Great Htn Review Article from Paul Marik
* Fantastic post from the Strayer

Now on to the Podcast…

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Scott D. Weingart, MD clean 25:01
EMCrit 189 – End of Year Grab Bag https://emcrit.org/podcasts/end-year-grab-bag/ Wed, 28 Dec 2016 16:38:49 +0000 http://emcrit.org/?p=387430 https://emcrit.org/podcasts/end-year-grab-bag/#comments https://emcrit.org/podcasts/end-year-grab-bag/feed/ 16 <p>A brain dump at the end of 2016</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> A brain dump at the end of 2016
Some topics that have been batting around my head over the past few months:
The Secret Sixth Cause of Arterial Hypoxemia
You should know the standard five:

* V/Q Mismatch (Deadspace)
* Low FiO2
* Hypoventilation
* Diffusion Abnormality
* Shunt (Usually Physiologic)

but the sixth cause can be particularly dangerous with cause #5, the physiologic shunt. The sixth cause is Low Mixed Venous Saturation (SvO2).
Pure Vasoactives
It ain't phenlephrine anymore
Dissociated Awake for Critical AS/Pulmonary Hypertension
just keep loving this more and more
Subscribe to the EMCrit Mailing Lists (and open the messages)
Name

Email






Support the Show and Keep it on the Air
Sign Up at cme.emcrit.org
Now on the the Podcast and Happy New Year…

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Scott D. Weingart, MD clean 22:05
Podcast 188 – Rudeness Part II (the Brindley Sessions) https://emcrit.org/podcasts/rudeness-ii/ Mon, 12 Dec 2016 18:29:49 +0000 http://emcrit.org/?p=386776 https://emcrit.org/podcasts/rudeness-ii/#comments https://emcrit.org/podcasts/rudeness-ii/feed/ 1 <p>Brindley Session 2 - continuing the rudeness discussion</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Brindley Session 2 - continuing the rudeness discussion
This is part II of the Brindley Sessions on Rudeness. If you haven't yet, you should listen to Part I:
Brindley Session I – On Rudeness
In this podcast, we discuss some more concrete approaches to dealing with rudeness. I also had a chat with Paul Jhun on these issues with the ALiEM wellness thinktank.
Some Things We Mentioned
Vic Brazil's Tribalism Talk
Timing, Tribes, and STEMI from SMACC Gold
and the book she mentions:
Very Rough Sketch of the EM Culture Requests for Folks Visiting our Department

* Be Polite
* Be Kind
* Be Open Minded
* Be Communicative
* Be Non-Accustory – errors should be looked at as an opportunity to discuss, learn, and make things better in the future

Links of Interest

* Seems these issues are going on in the UK as well

Buy a Ticket to the EMCrit Conference

* EMCritConference Site

Now on to the Podcast…

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Scott D. Weingart, MD clean 22:22
Podcast 187 – Hypernatremia (Uggggh!) https://emcrit.org/podcasts/hypernatremia/ Mon, 28 Nov 2016 17:24:56 +0000 http://emcrit.org/?p=10134 https://emcrit.org/podcasts/hypernatremia/#comments https://emcrit.org/podcasts/hypernatremia/feed/ 3 <p>Hypernatremia -- not sexy, but we gotta get 'im done</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Hypernatremia -- not sexy, but we gotta get 'im done  
So we've discussed hyponatremia a ton on the blog site. That's because hyponatremia has become a little bit sexy. Not so with sodium that is too high. But I've seen a bunch of less than ideal management of hypernatremia, so I figured it is time to put out a podcast about it. This is mostly so I have a place to go to look all of this up.
Join us at the EMCrit Conference Jan 11 2017
EMCrit Conference Site
Articles

* Androgue-Madias from NEJM
* Hypo and Hypernatremia in the Crit Ill
* Hypernatremia in the Critically Ill

Read this Book

* Joel Topf is of PBF is 2nd author of an excellent fluids and electrolyte text. He has released it for free on the Precious Body Fluids Blog

How do you become Hypernatremic
Loss of free water and/or
Loss of hypotonic fluid and/or
Increased Solute and
thirst or access to water must be thwarted
Hypernatremia Results in…

* Impaired glucose metabolism
* Rhabdo
* AMS
* Seizures

Avoid Iatrogenic Complications
Cerebral Shrinkage is Bad


Causes of  Hypernatremia



Extrarenal water loss

* Dehydration by exposure
* Burns
* Gastric losses
* Diarrhea (Lactulose)
* Fever

Salt gain

* Infusion of sodium-rich fluids of some sort (eg. hypertonic saline)
* Ingestion of sea water
* Salt pica


Nephrogenic DI

* Hypercalcemia
* hypokalemia
* Lithium
* Pyelonephritis
* Medullary sponge kidney
* Multiple myeloma
* Amyloid
* Sarcoid


Central DI

* Traumatic brain injury
* Pituitary tumour
* Meningitis
* Encephalitis
* Tuberculosis
* Sarcoidosis
* Idiopathic
* ICH


Renal losses

* Glucosuria
* Mannitol
* Urea therapy
* Loop diuretics
* Post obstructive diuresis
* Hyperaldosteronism
* Cushings





This table stolen directly from Deranged Physiology (primarily b/c I hate making html tables)
Chart of Figuring Out What the Hell is Going On
Treatment
Stop or Correct the Underlying Cause
Correct Quickly if Na got high superrapid-style (Idiots drinking a quart of soy sauce)
Correct < 10 meq/day (< 0.5 mmol/L/hr) if the Na went up gradually (2-3 mmol/L/hr if rapid rise in sodium)
Oral/Gastric Tube is the safest way to correct
Administer Hypotonic Fluids (D5W, 1/4 NS, 1/2 NS, sterile water (central line))
Do not administer NS unless pt is HYPOVOLEMIC (NS doesn't work!!!; see Androgue-Madias for mathematical demonstration of this)
Calculating Required Volume
remember to account for daily losses

Probably the best way to go is to calculate with the AM-formula, resend a sodium every 2 hours for the first few hours and then recalculate with each new sodi...]]>
Scott D. Weingart, MD clean 21:09
Podcast 186 – Coma with Eelco Wijdicks https://emcrit.org/podcasts/coma/ Sun, 13 Nov 2016 16:33:29 +0000 http://emcrit.org/?p=347218 <p>How to Diagnose and Manage Coma</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> How to Diagnose and Manage Coma Scott D. Weingart, MD clean 21:31 Podcast 185 – Disruption, Danger and Droperidol by Reub Strayer https://emcrit.org/podcasts/disruption-danger-droperidol/ Mon, 31 Oct 2016 12:41:00 +0000 http://emcrit.org/?p=283072 <p>Danger, Disruption, and Reub Strayer</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Danger, Disruption, and Reub Strayer Scott D. Weingart, MD clean 26:09 The Brindley Sessions: Rudeness https://emcrit.org/wee/brindley-sessions-rudeness/ Wed, 26 Oct 2016 15:07:27 +0000 http://emcrit.org/?p=56151 <p>The first Brindley Session is on Rudeness</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> The first Brindley Session is on Rudeness Scott D. Weingart, MD clean 22:08 Response to Letters on my Mechanical Ventilation Article in the Ann Emerg Med https://emcrit.org/wee/response-mechanical-ventilation/ Fri, 21 Oct 2016 17:18:25 +0000 http://emcrit.org/?p=234409 <p>Response to letters to the editor on mechanical ventilation article</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Response to letters to the editor on mechanical ventilation article Scott D. Weingart, MD clean 30:36 Podcast 184 – Needle Cric (Again) and Transtracheal Jet Ventilation with Laura Duggan https://emcrit.org/podcasts/needle-cric-again/ Sun, 16 Oct 2016 16:22:18 +0000 http://emcrit.org/?p=190532 <p>The needle vs. knife debate rages on, but it looks like the knife may be winning</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> The needle vs. knife debate rages on, but it looks like the knife may be winning Scott D. Weingart, MD clean 21:46 Podcast 183 – Driving Pressure with Dr. Roy Brower https://emcrit.org/podcasts/driving-pressure/ Mon, 03 Oct 2016 18:10:28 +0000 http://emcrit.org/?p=62998 <p>Driving Pressure with Dr. Roy Brower</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Driving Pressure with Dr. Roy Brower Scott D. Weingart, MD clean 19:25 Podcast 181 – Pulmonary Hypertension and Right Ventricular Failure with Susan Wilcox https://emcrit.org/podcasts/pulmonary-hypertension-right-ventricular-failure/ Mon, 05 Sep 2016 17:46:41 +0000 http://emcrit.org/?p=11368 <p>Pulmonary Hypertension and Acute on Chronic RV Failure</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Pulmonary Hypertension and Acute on Chronic RV Failure Scott D. Weingart, MD clean 25:26 Podcast 180 – On Argumentation, Fallacies, and Twitter Misery https://emcrit.org/podcasts/argumentation/ Mon, 22 Aug 2016 23:11:21 +0000 http://emcrit.org/?p=96429 <p>A slight diversion to discuss how to argue better</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> A slight diversion to discuss how to argue better Scott D. Weingart, MD clean 24:43 Podcast 179 – An Interview with Gary Klein https://emcrit.org/podcasts/decision-making-gary-klein/ Sun, 07 Aug 2016 19:10:58 +0000 http://emcrit.org/?p=19054 <p>Today, I am joined by my friend, Mike Lauria, to interview Gary Klein, PhD. Dr. Klein is a masterful cognitive psychologist. He is known for many groundbreaking works, including: the Recognition-Primed Decision (RPD) model to describe how people actually make decisions in natural settings; a Data/Frame model of sensemaking; a Management by Discovery model of […]</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Today, I am joined by my friend, Mike Lauria, to interview Gary Klein, PhD. Dr. Klein is a masterful cognitive psychologist. He is known for many groundbreaking works, including: the Recognition-Primed Decision (RPD) model to describe how people actual... Scott D. Weingart, MD clean 53:19 Modification of Scalpel Finger Bougie Technique https://emcrit.org/wee/modification-scalpel-finger-bougie-technique/ Mon, 01 Aug 2016 03:52:20 +0000 http://emcrit.org/?p=73030 <p>No more bougie hold-up for scalpel-finger-bougie cric</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> No more bougie hold-up for scalpel-finger-bougie cric Scott D. Weingart, MD clean 9:03 Rapid Sequence Awake – An Awake Intubation Update https://emcrit.org/wee/awake-intubation-update/ Fri, 29 Jul 2016 16:11:03 +0000 http://emcrit.org/?p=5480 <p>Rapid Sequencing of Awake Intubation</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Rapid Sequencing of Awake Intubation Scott D. Weingart, MD clean 7:59 Podcast 178 – A Better Management Strategy for Symptomatic Hyponatremia (dDAVP Clamp) https://emcrit.org/podcasts/better-management-hyponatremia/ Mon, 25 Jul 2016 20:47:45 +0000 http://emcrit.org/?p=16722 <p>What to actually do (besides nothing) for severe hyponatremia</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> What to actually do (besides nothing) for severe hyponatremia Scott D. Weingart, MD clean 20:30 EMCrit Wee – Should a Nasal Cannula be Part of Denitrogenation / Preoxygenation https://emcrit.org/wee/nasal-cannula-denitrogenation-preoxygenation/ Tue, 19 Jul 2016 21:56:37 +0000 http://emcrit.org/?p=18398 <p>NC: yea or nay</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> NC: yea or nay Scott D. Weingart, MD clean 11:56 Podcast 177 – Chris Hicks on the Fog of War: Training the Resuscitationist Mindset https://emcrit.org/podcasts/chris-hicks-fog-of-war/ Mon, 11 Jul 2016 17:18:46 +0000 http://emcrit.org/?p=61116 <p>Team Performance from Chris Hicks</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Team Performance from Chris Hicks Scott D. Weingart, MD clean 49:06 How Not to be a #ResusWANKER https://emcrit.org/wee/how-not-to-be-a-resuswanker/ Fri, 01 Jul 2016 14:15:15 +0000 http://emcrit.org/?p=17745 <p>The seven folks that ruin your day...</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> The seven folks that ruin your day... Scott D. Weingart, MD clean 34:43 Podcast 176 – Updated EMCrit Rapid Sequence Intubation Checklist https://emcrit.org/podcasts/intubation-checklist-2-0/ Mon, 27 Jun 2016 17:06:09 +0000 http://emcrit.org/?p=57608 <p>The new improved version of the EMCrit RSI checklist</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> The new improved version of the EMCrit RSI checklist Scott D. Weingart, MD clean 20:30 EMCrit Wee – Vipassana Meditation https://emcrit.org/wee/vipassana-meditation/ Sun, 19 Jun 2016 21:42:12 +0000 http://emcrit.org/?p=55387 <p>My opening talk at SMACCdub was on meditation: vipassana and stoic negative contemplation. It will be available in the next few months. Hopefully this wee will tide you over.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> My opening talk at SMACCdub was on meditation: vipassana and stoic negative contemplation. It will be available in the next few months. Hopefully this wee will tide you over. Scott D. Weingart, MD clean 20:26 EMCrit Podcast 175 – A Follow-Up on the Fluids in Sepsis Panel with Phillipe Rola https://emcrit.org/podcasts/fluids-sepsis-rola/ Tue, 31 May 2016 21:07:53 +0000 http://emcrit.org/?p=22004 <p>Fluids in Sepsis</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Fluids in Sepsis Scott D. Weingart, MD clean 29:31 SMACC-Back – On Marik and Lactate https://emcrit.org/blogpost/smacc-back-marik-lactate/ Sat, 21 May 2016 20:06:17 +0000 http://emcrit.org/?p=20667 <p>Banging -- My -- Head -- Against -- Wall -- Repeatedly...</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Banging -- My -- Head -- Against -- Wall -- Repeatedly... Scott D. Weingart, MD clean 9:52 Podcast 174 – LaMW – Oxygenation Kills Part II https://emcrit.org/podcasts/lamw-oxygenation-kills-ii/ Sun, 15 May 2016 21:17:58 +0000 http://emcrit.org/?p=20333 <p>Laryngoscope as a Murder Weapon - Oxygenation Kills Part II</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Laryngoscope as a Murder Weapon - Oxygenation Kills Part II Scott D. Weingart, MD clean 18:13 Podcast 173 – LaMW – Oxygenation Kills Part I https://emcrit.org/podcasts/lamw-oxygenation-kills/ Tue, 03 May 2016 00:29:43 +0000 http://emcrit.org/?p=19962 <p>Laryngoscope as a Murder Weapon - Oxygenation Kills, Part I</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Laryngoscope as a Murder Weapon - Oxygenation Kills, Part I Scott D. Weingart, MD clean 30:16 Reddit and A Free Sepsis Webinar https://emcrit.org/misc/reddit/ Thu, 21 Apr 2016 19:28:05 +0000 http://emcrit.org/?p=19421 <p>G+ is dead, long live reddit</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> G+ is dead, long live reddit Scott D. Weingart, MD clean 7:53 EMCrit Podcast 172d – Enough with the Can you Trust Podcasts/Blogs/New Media https://emcrit.org/podcasts/emcrit-podcast-172d-enough-can-trust-podcastsblogsnew-media/ Sun, 17 Apr 2016 17:52:51 +0000 http://emcrit.org/?p=19329 <p>Yes, you can trust medical podcasters</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Yes, you can trust medical podcasters Scott D. Weingart, MD clean 10:41 EMCrit Podcast 172c – Vent as Bag & VAPOX https://emcrit.org/podcasts/emcrit-wee-vapox/ Sun, 17 Apr 2016 17:52:32 +0000 http://emcrit.org/?p=19234 <p>the BVM is the most dangerous device in medicine--let's do better</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> the BVM is the most dangerous device in medicine--let's do better Scott D. Weingart, MD clean 7:09 EMCrit Podcast 172b – MoTR – Get Faster! https://emcrit.org/podcasts/faster/ Sun, 17 Apr 2016 17:52:05 +0000 http://emcrit.org/?p=17669 <p>Slow is Smooth, Smooth is Fast. Now, get faster</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Slow is Smooth, Smooth is Fast. Now, get faster Scott D. Weingart, MD clean 4:03 EMCrit Podcast 172a – The Mind Palace? https://emcrit.org/podcasts/mind-palace/ Sun, 17 Apr 2016 17:51:47 +0000 http://emcrit.org/?p=18360 <p>I want the perfect external mind palace...</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> I want the perfect external mind palace... Scott D. Weingart, MD clean 12:51 Podcast 171 – OODA Loops https://emcrit.org/podcasts/ooda-loops/ Sat, 02 Apr 2016 21:08:12 +0000 http://emcrit.org/?p=14229 <p>Resuscitation is a System I Game...</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Resuscitation is a System I Game... Scott D. Weingart, MD clean 38:56 Wee – Cliff Deutschman with Additional Thoughts on Sepsis 3.0 https://emcrit.org/wee/wee-cliff-deutschman-additional-thoughts-sepsis-3-0/ Fri, 11 Mar 2016 17:56:00 +0000 http://emcrit.org/?p=18846 <p>More on Sepsis 3.0</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> More on Sepsis 3.0 Scott D. Weingart, MD clean 27:00 Podcast 169 – Sepsis 3.0 with Merv Singer https://emcrit.org/podcasts/sepsis-3/ Mon, 07 Mar 2016 22:19:46 +0000 http://emcrit.org/?p=18796 <p>Hear from the lead author of the new Sepsis 3.0 definitions</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Hear from the lead author of the new Sepsis 3.0 definitions Scott D. Weingart, MD clean 32:33 Podcast 168 – Kyle Gunnerson and the EC3 https://emcrit.org/podcasts/ec3/ Tue, 23 Feb 2016 16:23:32 +0000 http://emcrit.org/?p=18706 <p>The USA's first stand-alone EDICU, the EC3</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> The USA's first stand-alone EDICU, the EC3 Scott D. Weingart, MD clean 32:26 Podcast 167- Emergency Critical Care with Sara Gray https://emcrit.org/podcasts/emergency-critical-care-sara-gray/ Tue, 09 Feb 2016 02:07:12 +0000 http://emcrit.org/?p=18630 <p>Sara Gray is amazing--hear her talk about ED Critical Care from @smaccteam: </p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Sara Gray is amazing--hear her talk about ED Critical Care from @smaccteam: Scott D. Weingart, MD clean 18:06 Podcast 165 – The Semantics of End of Life Discussions with Ashley Shreves https://emcrit.org/podcasts/semantics-end-of-life-discussions/ Sun, 10 Jan 2016 20:29:18 +0000 http://emcrit.org/?p=18356 <p>How to have an end of life conversation in the ED</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> How to have an end of life conversation in the ED Scott D. Weingart, MD clean 42:47 Podcast 164 – The Day I Didn’t Use Ultrasound by Mike Mallin https://emcrit.org/podcasts/day-i-didnt-use-ultrasound/ Sat, 26 Dec 2015 23:40:55 +0000 http://emcrit.org/?p=18168 <p>An amazing story from Mike Mallin</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> An amazing story from Mike Mallin Scott D. Weingart, MD clean 33:55 Resuscitation Program and FEMinEM discussion on Women as Conference Speakers and Unconscious Bias https://emcrit.org/blogpost/women-conference-speakers/ Sun, 20 Dec 2015 22:52:00 +0000 http://emcrit.org/?p=17690 <p>ART Program and FEMinEM Hangout</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> ART Program and FEMinEM Hangout Scott D. Weingart, MD clean 2:09 Response to a Letter to the Editor on DSI Study https://emcrit.org/blogpost/response-to-a-letter-dsi/ Sat, 19 Dec 2015 00:41:22 +0000 http://emcrit.org/?p=17995 <p>A response to some DSI questions in the Annals</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> A response to some DSI questions in the Annals Scott D. Weingart, MD clean 20:26 Podcast 163 – MotR – The Post-Resuscitation https://emcrit.org/podcasts/post-resuscitation/ Tue, 15 Dec 2015 19:30:40 +0000 http://emcrit.org/?p=16636 <p>You saved a life or blew an airway--Now What? Handling the post-resuscitation on EMCrit # 163: </p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> You saved a life or blew an airway--Now What? Handling the post-resuscitation on EMCrit # 163: Scott D. Weingart, MD clean 23:06 Podcast 162 – Assessing Fluid Responsiveness https://emcrit.org/podcasts/assessing-fluid-responsiveness/ Sun, 29 Nov 2015 18:51:06 +0000 http://emcrit.org/?p=5410 <p>yep, more on fluid responsiveness</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> yep, more on fluid responsiveness Scott D. Weingart, MD clean 26:57 Podcast 161 – The New Fluid Assessment in Sepsis with Jean-Francois Lanctot https://emcrit.org/podcasts/new-fluid-assessment-sepsis/ Fri, 20 Nov 2015 16:41:09 +0000 http://emcrit.org/?p=17258 <p>Fluids, Sepsis, Ultrasound, French-Canadian: what more do you want?</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Fluids, Sepsis, Ultrasound, French-Canadian: what more do you want? Scott D. Weingart, MD clean 25:52 Podcast 160 – Sepsis smaccDOWN https://emcrit.org/podcasts/sepsis-smaccdown/ Wed, 04 Nov 2015 03:19:09 +0000 http://emcrit.org/?p=16675 <p>An all-star panel of world sepsis experts discuss the controversial areas</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> An all-star panel of world sepsis experts discuss the controversial areas Scott D. Weingart, MD clean 1:18:08 Huge Announcement for EMCrit.org https://emcrit.org/pulmcrit/huge-announcement-for-emcrit-org/ Mon, 02 Nov 2015 20:14:31 +0000 http://emcrit.org/?p=16736 <p>Big news...</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Big news... Scott D. Weingart, MD clean 2:05 Podcast 159 – Rounding in the RACC https://emcrit.org/podcasts/rounding-racc/ Fri, 30 Oct 2015 01:26:07 +0000 http://emcrit.org/?p=16690 <p>Rounding on critically ill patients in the ED</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Rounding on critically ill patients in the ED Scott D. Weingart, MD clean 20:01 Podcast 158 – The FELLOW Trial on Apneic Oxygenation in ICU Patients https://emcrit.org/podcasts/fellow-trial/ Tue, 06 Oct 2015 18:07:18 +0000 http://emcrit.org/?p=16581 <p>Matt Semler, MD and colleagues performed an RCT on Apneic Oxygenation in Medical ICU patients</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Matt Semler, MD and colleagues performed an RCT on Apneic Oxygenation in Medical ICU patients Scott D. Weingart, MD clean 24:18 Podcast 157 – Central Lines II – Placement Tips https://emcrit.org/podcasts/central-lines-placement-tips/ Sun, 13 Sep 2015 22:43:22 +0000 http://emcrit.org/?p=16270 <p>Part II of the Central Line Series discusses placement tips</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Part II of the Central Line Series discusses placement tips Scott D. Weingart, MD clean 30:12 EMCrit Wee – Central Line MicroSkills (Deliberate Practice) https://emcrit.org/wee/central-line-micro-skills-deliberate-practice/ Sat, 12 Sep 2015 17:08:21 +0000 http://emcrit.org/?p=16417 <p>A break down of the skills needed for Seldinger technique</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> A break down of the skills needed for Seldinger technique Scott D. Weingart, MD clean 11:37 Podcast 156 – The Central Line Show – Part I: Avoiding Complications https://emcrit.org/podcasts/central-line-show/ Sat, 29 Aug 2015 19:39:02 +0000 http://emcrit.org/?p=13722 <p>Stop Effing Up Your Central Lines</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Stop Effing Up Your Central Lines Scott D. Weingart, MD clean 31:50 Wee – Avoiding Disaster – Endotracheal Tube Cuff Leaks and Tube Exchanges https://emcrit.org/wee/tube-exchanges/ Sat, 29 Aug 2015 00:15:13 +0000 http://emcrit.org/?p=116699 <p>It seems simple, but not treating this situation with respect can lead to disaster.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> It seems simple, but not treating this situation with respect can lead to disaster. Scott D. Weingart, MD clean 18:33 Podcast 155 – Status Epilepticus with Tom Bleck https://emcrit.org/podcasts/status-epilepticus/ Fri, 14 Aug 2015 00:43:03 +0000 http://emcrit.org/?p=11067 <p>Tom Bleck on Status Epilepticus</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Tom Bleck on Status Epilepticus Scott D. Weingart, MD clean 24:11 Podcast 154 – Preemptive Sepsis Panel SmaccBack https://emcrit.org/podcasts/sepsis-panel-smaccback/ Wed, 29 Jul 2015 01:17:11 +0000 http://emcrit.org/?p=15810 <p>A preemptive smaccback on the SMACC Chicago Sepsis Panel</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> A preemptive smaccback on the SMACC Chicago Sepsis Panel Scott D. Weingart, MD clean 38:34 Podcast 153 – In Memory – John Hinds, On How He Ran His Unit https://emcrit.org/podcasts/john-hinds-on-how-he-ran-his-unit/ Sun, 05 Jul 2015 16:01:39 +0000 http://emcrit.org/?p=15365 <p>In Memory of Our Friend, John Hinds</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> In Memory of Our Friend, John Hinds Scott D. Weingart, MD clean 41:33 Podcast 152 – High Flow Nasal Cannulae – Just Blowin’ Hot Air? https://emcrit.org/podcasts/hfnc/ Mon, 29 Jun 2015 19:50:20 +0000 http://emcrit.org/?p=14930 <p>HFNC--the new hot thing or just blowin' hot air?</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> HFNC--the new hot thing or just blowin' hot air? Scott D. Weingart, MD clean 21:49 EMCrit Podcast 151 – Procedural Sedation Part 3 with Jim Miner https://emcrit.org/podcasts/procedural-sedation-3/ Sun, 14 Jun 2015 20:12:56 +0000 http://emcrit.org/?p=15143 <p>Jim Miner discusses the fine points of ED/ICU procedural sedation</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Jim Miner discusses the fine points of ED/ICU procedural sedation Scott D. Weingart, MD clean 23:34 Stuff Update (RCM, Reanimate, Developing EM) https://emcrit.org/podcasts/stuff-update-june-2015/ Tue, 09 Jun 2015 22:13:04 +0000 http://emcrit.org/?p=15069 <p>RCM and 2 Conferneces</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> RCM and 2 Conferneces Scott D. Weingart, MD clean 2:39 Podcast 150 – A Look Back https://emcrit.org/podcasts/a-look-back/ Mon, 01 Jun 2015 17:59:51 +0000 http://emcrit.org/?p=14967 <p>Can't believe we made it this far...and it's all thanks to the emcritters!</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Can't believe we made it this far...and it's all thanks to the emcritters! Scott D. Weingart, MD clean 24:32 Podcast 149 – Thyroid Storm https://emcrit.org/podcasts/thyroid-storm/ Sat, 16 May 2015 22:17:01 +0000 http://emcrit.org/?p=13728 <p>When hyperthyroidism goes really wrong...</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> When hyperthyroidism goes really wrong... Scott D. Weingart, MD clean 20:16 Stuff Update https://emcrit.org/misc/stuff-may-2015/ Tue, 12 May 2015 17:52:30 +0000 http://emcrit.org/?p=14527 <p>A whole bunch of stuff</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> A whole bunch of stuff Scott D. Weingart, MD clean 6:07 Podcast 148 – Airway Decisions and Online Etiquette https://emcrit.org/podcasts/airway-decisions/ Mon, 27 Apr 2015 01:52:54 +0000 http://emcrit.org/?p=14481 <p>More on the recent cric case from the perspective of airway decision making</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> More on the recent cric case from the perspective of airway decision making Scott D. Weingart, MD clean 26:28 EMCrit Wee – Mind Blowing Cricothyrotomy Video https://emcrit.org/wee/real-surgical-airway/ Sat, 18 Apr 2015 19:26:26 +0000 http://emcrit.org/?p=14366 <p>An amazing surgical airway case</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> An amazing surgical airway case Scott D. Weingart, MD clean 13:19 EMCrit Podcast 147 – Who Needs an Acute PCI with Steve Smith (Part II) https://emcrit.org/podcasts/who-needs-an-acute-pci-ii/ Sun, 12 Apr 2015 17:09:23 +0000 http://emcrit.org/?p=14193 <p>Finally in one place, all of the STEMI equivalents with Steve Smith--Part II</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Finally in one place, all of the STEMI equivalents with Steve Smith--Part II Scott D. Weingart, MD clean 23:27 EMCrit Podcast 146 – Who Needs an Acute PCI with Steve Smith (Part I) https://emcrit.org/podcasts/who-needs-acute-pci/ Sun, 29 Mar 2015 13:00:57 +0000 http://emcrit.org/?p=10568 <p>Finally in one place, all of the STEMI equivalents with Steve Smith</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Finally in one place, all of the STEMI equivalents with Steve Smith Scott D. Weingart, MD clean 23:49 EMCrit Conference BLAST Winner – Ice Water Baths for Rapid Cooling of Hyperthermia https://emcrit.org/wee/ice-bath-hyperthermia/ Wed, 25 Mar 2015 03:52:40 +0000 http://emcrit.org/?p=14136 <p>How to cool the too hot tox patient</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> How to cool the too hot tox patient Scott D. Weingart, MD clean 7:06 Podcast 145 – Awake Intubation Lecture from SMACC https://emcrit.org/podcasts/awakeintubation/ Mon, 16 Mar 2015 18:14:12 +0000 http://emcrit.org/?p=14059 <p>Awake Intubation from SMACC 2015</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Awake Intubation from SMACC 2015 Scott D. Weingart, MD clean 26:46 EMCrit Wee – The RLA and the Slope of Resuscitation https://emcrit.org/wee/slope-of-resuscitation/ Mon, 02 Mar 2015 17:46:52 +0000 http://emcrit.org/?p=13897 <p>The RLA and Resus Graphs</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> The RLA and Resus Graphs Scott D. Weingart, MD clean 14:08 Podcast 144 – The PROPPR trial with John Holcomb https://emcrit.org/podcasts/proppr/ Sun, 22 Feb 2015 18:01:36 +0000 http://emcrit.org/?p=13784 <p>The biggest news in the management of traumatic hemorrhage is the PROPPR Trial. Want to hear from the lead author?</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> The biggest news in the management of traumatic hemorrhage is the PROPPR Trial. Want to hear from the lead author? Scott D. Weingart, MD clean 20:35 Podcast 143 – Hemodynamic Management of Massive Pulmonary Embolism (PE) https://emcrit.org/podcasts/hemodynamic-management-massive-pulmonary-embolism-pe/ Mon, 16 Feb 2015 00:56:32 +0000 http://emcrit.org/?p=13261 <p>Hemodynamic Management of Massive PE</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Hemodynamic Management of Massive PE Scott D. Weingart, MD clean 32:33 Podcast 142 – Airway Things I Learned from George Kovacs at the NYC Airway Course https://emcrit.org/podcasts/airway-kovacs/ Sun, 25 Jan 2015 17:18:04 +0000 http://emcrit.org/?p=11222 <p>In this 3rd post for JanuAirway, I am joined by airway educator extraordinaire: George Kovacs.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> In this 3rd post for JanuAirway, I am joined by airway educator extraordinaire: George Kovacs. Scott D. Weingart, MD clean 26:21 EMCrit Wee – Preoxygenation Update 2015 https://emcrit.org/wee/preoxygenation-update/ Thu, 22 Jan 2015 21:00:30 +0000 http://emcrit.org/?p=11337 <p>It's Janu-Airway: Here's a little update on preox (you know the topic I think about 20 hours a day)</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> It's Janu-Airway: Here's a little update on preox (you know the topic I think about 20 hours a day) Scott D. Weingart, MD clean 19:08 Podcast 141 – A Janu-Airway Case Presented Live https://emcrit.org/podcasts/emcrit-live-2015/ Sat, 10 Jan 2015 20:36:44 +0000 http://emcrit.org/?p=13334 <p>A case of anatomically and physiologically difficult airway presented live at #EMCritConf 2015.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> A case of anatomically and physiologically difficult airway presented live at #EMCritConf 2015. Scott D. Weingart, MD clean 22:04 Podcast 140 – Top Picks for 2014 https://emcrit.org/podcasts/top-picks-2014/ Wed, 31 Dec 2014 20:33:59 +0000 http://emcrit.org/?p=6429 <p>Welcome to our annual rehash of the goodness of the past year.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Welcome to our annual rehash of the goodness of the past year. Scott D. Weingart, MD clean 9:35 Podcast 139 – Opioid-Free ED with Sergey Motov https://emcrit.org/podcasts/opioid-free-ed/ Sun, 14 Dec 2014 18:56:25 +0000 http://emcrit.org/?p=12200 <p>Can we manage pain more effectively without Opioids?</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Can we manage pain more effectively without Opioids? Scott D. Weingart, MD clean 28:35 Podcast 138 – Vasopressor Basics https://emcrit.org/podcasts/vasopressor-basics/ Mon, 01 Dec 2014 17:25:23 +0000 http://emcrit.org/?p=4215 <p>There is a ton to speak about regarding vasopressors, but before we get to the edge cases, we need to set-up a foundation.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> There is a ton to speak about regarding vasopressors, but before we get to the edge cases, we need to set-up a foundation. Scott D. Weingart, MD clean 30:33 EMCrit Podcast 136 – Getting Shit Done https://emcrit.org/podcasts/getting-shit-done/ Mon, 03 Nov 2014 18:44:20 +0000 http://emcrit.org/?p=11900 <p>Not quite ED Critical Care, but I hope this discussion of EM/Resus Productivity may be helpful to some of you out there.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Not quite ED Critical Care, but I hope this discussion of EM/Resus Productivity may be helpful to some of you out there. Scott D. Weingart, MD clean 47:34 EMCrit Podcast 135 – Trauma Thoughts with John Hinds https://emcrit.org/podcasts/trauma-thoughts-john-hinds/ Mon, 20 Oct 2014 01:23:38 +0000 http://emcrit.org/?p=11422 <p>John Hinds on Blunt Traumatic Arrest</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> John Hinds on Blunt Traumatic Arrest Scott D. Weingart, MD clean 25:55 EMCrit Wee – I Thought This Would be the One, but Nope…. https://emcrit.org/podcasts/more-on-arise/ Mon, 13 Oct 2014 00:10:38 +0000 http://emcrit.org/?p=11458 <p>Smells like some confirmation bias here</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Smells like some confirmation bias here Scott D. Weingart, MD clean 10:14 Podcast 134 – ARISE has arisen; now where do we stand on Severe Sepsis in 2014 https://emcrit.org/podcasts/arise-trial-sepsis-2014/ Fri, 03 Oct 2014 22:55:35 +0000 http://emcrit.org/?p=11289 <p>the Arise Study (Australasian Resuscitation In Sepsis Evaluation) and Severe Sepsis Care in 2014</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> the Arise Study (Australasian Resuscitation In Sepsis Evaluation) and Severe Sepsis Care in 2014 Scott D. Weingart, MD clean 21:53 EMCrit Podcast 133 – The First Prehospital REBOA https://emcrit.org/podcasts/emcrit-podcast-133-first-prehospital-reboa/ Wed, 24 Sep 2014 14:58:07 +0000 http://emcrit.org/?p=11128 <p>London HEMS docs peform REBOA and save a life</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> London HEMS docs peform REBOA and save a life Scott D. Weingart, MD clean 25:54 EMCrit Wee – Aggressiveness and the New Cutdown with Leon Boudourakis, MD https://emcrit.org/wee/aggressiveness-and-the-new-cutdown/ Wed, 17 Sep 2014 22:13:55 +0000 http://emcrit.org/?p=11035 <p>Need access--this may be a way</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Need access--this may be a way Scott D. Weingart, MD clean 9:40 EMCrit Wee – A Case to Threaten Current ECMO Evidence from Sam Ghali https://emcrit.org/wee/prolonged-cpr-case/ Fri, 15 Aug 2014 14:35:53 +0000 http://emcrit.org/?p=7951 <p>Should we be extending ACLS in patients we really want to save?</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Should we be extending ACLS in patients we really want to save? Scott D. Weingart, MD clean 5:44 EMCrit Podcast 130 – Hemodynamic-Directed Dosing of Epinephrine for Cardiac Arrest https://emcrit.org/podcasts/hemodynamic-directed-dosing-epinephrine/ Sun, 10 Aug 2014 19:22:21 +0000 http://emcrit.org/?p=9761 <p>Today on the podcast, I address the last little bit from my SMACC lecture on the new management of the intra-arrest: hemodynamic, individualized dosing of epinephrine.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Today on the podcast, I address the last little bit from my SMACC lecture on the new management of the intra-arrest: hemodynamic, individualized dosing of epinephrine. Scott D. Weingart, MD clean 18:24 MotR – Mike Lauria on “Making the Call” https://emcrit.org/podcasts/motr-mike-lauria/ Thu, 31 Jul 2014 13:26:47 +0000 http://emcrit.org/?p=10394 <p>You'll be hearing more from Mike</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> You'll be hearing more from Mike Scott D. Weingart, MD clean 42:52 Podcast 129 – LAMW: The Neurocritical Care Intubation https://emcrit.org/podcasts/neurocritical-care-intubation/ Sat, 26 Jul 2014 16:36:12 +0000 http://emcrit.org/?p=4458 <p>This is the another of the Laryngoscope as a Murder Weapon lectures; though in this case it is really more of an aggravated assault.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> This is the another of the Laryngoscope as a Murder Weapon lectures; though in this case it is really more of an aggravated assault. Scott D. Weingart, MD clean 31:00 Podcast 128 – Pulmonary Embolism Treatment Options and the PEAC Team with Oren Friedman https://emcrit.org/podcasts/pulmonary-embolism-treatment-team/ Mon, 14 Jul 2014 14:24:33 +0000 http://emcrit.org/?p=9513 <p>We now have way too many treatment options for sub-massive and massive pulmonary embolism (PE) patients who aren't coding in front of you. How do you decide which one is right for your patient? To help answer this question, I am joined today by Oren Friedman, pulmonary critical care doc and one of the members […]</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> We now have way too many treatment options for sub-massive and massive pulmonary embolism (PE) patients who aren't coding in front of you. How do you decide which one is right for your patient? To help answer this question, Scott D. Weingart, MD clean 33:08 Podcast 127 – The Oxylator with Jim DuCanto https://emcrit.org/podcasts/oxylator/ Sun, 29 Jun 2014 19:15:45 +0000 http://emcrit.org/?p=3881 <p>BVMs are ridiculously crappy and downright dangerous. The solution? the Oxylator</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> BVMs are ridiculously crappy and downright dangerous. The solution? the Oxylator Scott D. Weingart, MD clean 20:19 SMACC-Back – On the Beliefs of Early Adopters and Straw Men https://emcrit.org/wee/on-the-beliefs-adopters-straw-men/ Tue, 24 Jun 2014 19:45:36 +0000 http://emcrit.org/?p=9899 <p>The First SMACC-Back from SMACCgold</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> The First SMACC-Back from SMACCgold Scott D. Weingart, MD clean 16:30 Podcast 126 – TTM Trial Right from Niklas Nielsen’s Mouth https://emcrit.org/podcasts/ttm-trial-niklas-nielsen/ Sun, 15 Jun 2014 19:29:40 +0000 http://emcrit.org/?p=7745 <p>In this episode, I speak with Niklas Nielsen on his thoughts on the TTM trial.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> In this episode, I speak with Niklas Nielsen on his thoughts on the TTM trial. Scott D. Weingart, MD clean 18:09 EMCrit Wee – Four More Minutes with Rob Mac Sweeney https://emcrit.org/wee/rob-mac-sweeneys-stuff/ Wed, 11 Jun 2014 17:45:26 +0000 http://emcrit.org/?p=9485 <p>I told you today we would have a bit of discussion on Rob Mac Sweeney's FOAM. Well here it is...</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> I told you today we would have a bit of discussion on Rob Mac Sweeney's FOAM. Well here it is... Scott D. Weingart, MD clean 4:32 EMCrit Wee – Rob Mac Sweeney on Intra-Arrest Meds https://emcrit.org/wee/rob-mac-sweeney/ Tue, 10 Jun 2014 18:28:46 +0000 http://emcrit.org/?p=9471 <p>Rob Mac Sweeny on the Intra-Arrest Talk</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Rob Mac Sweeny on the Intra-Arrest Talk Scott D. Weingart, MD clean 16:40 Mind of the Resuscitationist – Errors of Commission and Omission https://emcrit.org/wee/motr-commission-and-omission/ Fri, 06 Jun 2014 18:20:58 +0000 http://emcrit.org/?p=9389 <p>Should we err towards errors of commission or omission?</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Should we err towards errors of commission or omission? Scott D. Weingart, MD clean 5:22 Podcast 125 – The New Intra-Arrest (Cardiac Arrest Management) https://emcrit.org/podcasts/new-intra-arrest/ Mon, 02 Jun 2014 15:59:28 +0000 http://emcrit.org/?p=9246 <p>Enough with cook book medicine and courses for dermatologists--let's provide cutting edge intra-arrest care</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Enough with cook book medicine and courses for dermatologists--let's provide cutting edge intra-arrest care Scott D. Weingart, MD clean 21:11 EMCrit Wee – Cricolol by Dr. John Hinds https://emcrit.org/wee/cricolol/ Wed, 28 May 2014 15:29:42 +0000 http://emcrit.org/?p=9170 <p>My favorite part of SMACCgold; buy some Cricolol</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> My favorite part of SMACCgold; buy some Cricolol Scott D. Weingart, MD clean 8:36 Podcast 124 – The Logistics of Proning for ARDS https://emcrit.org/podcasts/logistics-proning/ Mon, 19 May 2014 00:10:08 +0000 http://emcrit.org/?p=8001 <p>Proning is one of the only evidence-based techniques to affect the mortality of ARDS patients. I've been wanting to do an episode on proning for a while.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Proning is one of the only evidence-based techniques to affect the mortality of ARDS patients. I've been wanting to do an episode on proning for a while. Scott D. Weingart, MD clean 23:21 EMCrit Wee – Sean Townsend of the SSC and the ProCESS Trial https://emcrit.org/wee/ssc-process-trial-response/ Fri, 09 May 2014 19:36:30 +0000 http://emcrit.org/?p=8239 <p>I talk with a member of the surviving sepsis campaign steering committee re: ProCESS</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> I talk with a member of the surviving sepsis campaign steering committee re: ProCESS Scott D. Weingart, MD clean 17:33 Podcast 123 – Selective Aortic Arch Perfusion (SAAP) with Jim Manning https://emcrit.org/podcasts/selective-aortic-arch-perfusion/ Tue, 06 May 2014 14:50:06 +0000 http://emcrit.org/?p=8441 <p>What if you had a REBOA catheter through which you could give blood and drugs?</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> What if you had a REBOA catheter through which you could give blood and drugs? Scott D. Weingart, MD clean 28:31 EMCrit Wee – A Cric Case with Rob Bryant https://emcrit.org/wee/cric-case-rob-bryant/ Thu, 24 Apr 2014 23:07:14 +0000 http://emcrit.org/?p=8147 <p>Rob Bryant presents a case</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Rob Bryant presents a case Scott D. Weingart, MD clean 12:12 Podcast 122 – Cardiac Arrest after the Toxicology of Smoke Inhalation with Lewis Nelson https://emcrit.org/podcasts/cardiac-arrest-after-smoke-inhalation/ Mon, 21 Apr 2014 02:46:07 +0000 http://emcrit.org/?p=8131 <p>What is the proper care for a patient in cardiac arrest or shock after smoke inhalation if they don't have severe burns?</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> What is the proper care for a patient in cardiac arrest or shock after smoke inhalation if they don't have severe burns? Scott D. Weingart, MD clean 18:01 EMCrit Podcast 121 – REBOA https://emcrit.org/podcasts/reboa/ Sun, 06 Apr 2014 19:05:12 +0000 http://emcrit.org/?p=7061 <p>This episode, we discuss REBOA (resuscitative endovascular balloon occlusion of the aorta).</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> This episode, we discuss REBOA (resuscitative endovascular balloon occlusion of the aorta). Scott D. Weingart, MD clean 20:31 Podcast 120 – The ProCESS Trial with Derek Angus https://emcrit.org/podcasts/process-trial/ Mon, 24 Mar 2014 23:55:24 +0000 http://emcrit.org/?p=7717 <p>I speak to the lead author of the ProCESS trial, Dr. Derek Angus</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> I speak to the lead author of the ProCESS trial, Dr. Derek Angus Scott D. Weingart, MD clean 25:35 Wee – What the heck is a Mapleson B Circuit and Why You Probably Shouldn’t Care https://emcrit.org/wee/what-the-heck-is-a-mapleson-b-circuitu-probably-shouldnt-care/ Tue, 11 Mar 2014 21:47:14 +0000 http://emcrit.org/?p=6781 <p>There is a really smart anesthesiologist out there called Nicholas Chrimes. He along with his mate Peter Fritz invented the Vortex Approach to Airway Management. He also runs a blog called Clinical CrEd. He did a post advocating the Mapleson B Circuit as the Ultimate Preox Device What is the Mapleson B? The Mapleson circuits were […]</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> There is a really smart anesthesiologist out there called Nicholas Chrimes. He along with his mate Peter Fritz invented the Vortex Approach to Airway Management. He also runs a blog called Clinical CrEd. He did a post advocating the Mapleson B Circuit ... Scott D. Weingart, MD clean 19:11 Podcast 119 – Rich Levitan on the Surgical Airway https://emcrit.org/podcasts/levitan-surgical-airway/ Mon, 10 Mar 2014 16:50:49 +0000 http://emcrit.org/?p=7174 <p>Rich Levitan on Surgical Airway from EMCrit/ISMMS 2014 Conference</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Rich Levitan on Surgical Airway from EMCrit/ISMMS 2014 Conference Scott D. Weingart, MD clean 26:45 Podcast 118 – EMCrit Book Club – On Combat by Dave Grossman https://emcrit.org/podcasts/emcrit-book-club-on-combat-by-grossman/ Sun, 23 Feb 2014 15:00:28 +0000 http://emcrit.org/?p=6686 <p>Cliff Reid joins me for the 1st EMCrit book club on the book, On Combat by Dave Grossman</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Cliff Reid joins me for the 1st EMCrit book club on the book, On Combat by Dave Grossman Scott D. Weingart, MD clean 34:42 Practical Evidence 014 – ACEP Procedural Sedation Update for 2013 https://emcrit.org/practicalevidence/acep-procedural-sedation-update-2013/ Tue, 18 Feb 2014 22:26:30 +0000 http://emcrit.org/?p=6812 <p>This one is really good!</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> This one is really good! Scott D. Weingart, MD clean 8:42 Podcast 117 – Everyday Emergency Kits with Keith Conover https://emcrit.org/podcasts/everyday-emergency-kits-keith-conover/ Mon, 10 Feb 2014 16:09:36 +0000 http://emcrit.org/?p=5153 <p>If you are an EM:RAP listener, you have probably heard Mel Herbert's story of 2 cars crashing right outside of his house. Mel realized he did not stock a medical kit in his house with the necessary crucial supplies for an emergency scene. I realized I don't either (there is one in my car). So, I reached out to the master of preparedness, Dr. Keith Conover. </p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> If you are an EM:RAP listener, you have probably heard Mel Herbert's story of 2 cars crashing right outside of his house. Mel realized he did not stock a medical kit in his house with the necessary crucial supplies for an emergency scene. Scott D. Weingart, MD clean 30:42 Podcast 116 – the tPA for Ischemic Stroke Debate https://emcrit.org/podcasts/tpa-for-ischemic-stroke-debate/ Mon, 27 Jan 2014 15:30:02 +0000 http://emcrit.org/?p=6532 <p>Dr. Andy Jagoda debates my friend Dr. Anand Swaminathan on the use of tPA for Ischemic Stroke in the Emergency Department</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Dr. Andy Jagoda debates my friend Dr. Anand Swaminathan on the use of tPA for Ischemic Stroke in the Emergency Department Scott D. Weingart, MD clean 52:21 Podcast 115 – A New Paradigm for Post-Intubation Pain, Agitation, and Delirium (PAD) https://emcrit.org/podcasts/post-intubation-sedation-2014/ Mon, 13 Jan 2014 21:00:48 +0000 http://emcrit.org/?p=4297 <p>What you do in the ED for post-intubation sedation will determine whether your patient lives or dies</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> What you do in the ED for post-intubation sedation will determine whether your patient lives or dies Scott D. Weingart, MD clean 21:21 Best of 2013 – Eight is Enough & Social Media Update https://emcrit.org/wee/best-of-2013/ Tue, 31 Dec 2013 21:43:29 +0000 http://emcrit.org/?p=4657 <p>Best of 2013</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Best of 2013 Scott D. Weingart, MD clean 20:45 Podcast 114 – Post-Arrest Care in 2013 with Stephen Bernard – Part II https://emcrit.org/podcasts/post-arrest-care-2013-ii/ Mon, 16 Dec 2013 18:19:58 +0000 http://emcrit.org/?p=5607 <p>Part 2 of an interview with Stephen Bernard on the Care of the Post-Arrest Patient in 2013</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Part 2 of an interview with Stephen Bernard on the Care of the Post-Arrest Patient in 2013 Scott D. Weingart, MD clean 19:13 Five Minutes with Jon Rittenberger on the TTM Trial https://emcrit.org/wee/five-minutes-jon-rittenberger-ttm-trial/ Mon, 18 Nov 2013 22:56:43 +0000 http://emcrit.org/?p=5422 <p>More on TTM Trial</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> More on TTM Trial Scott D. Weingart, MD clean 5:35 EMCrit Wee – The Targeted Temperature Trial Changes Everything https://emcrit.org/podcasts/emcrit-wee-targeted-temperature-trial-changes-everything/ Mon, 18 Nov 2013 20:28:29 +0000 http://emcrit.org/?p=5416 <p>Cold, but not all that cold may be the way</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Cold, but not all that cold may be the way Scott D. Weingart, MD clean 2:53 Podcast 111 – Fluids in Sepsis, A New Paradigm – Paul Marik https://emcrit.org/podcasts/paul-marik-fluids-sepsis/ Sat, 09 Nov 2013 17:50:58 +0000 http://emcrit.org/?p=5394 <p>Our favorite critical care skeptic, Dr. Paul Marik, on fluids in severe sepsis</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Our favorite critical care skeptic, Dr. Paul Marik, on fluids in severe sepsis Scott D. Weingart, MD clean 51:37 SMACC Back 3 – Simon Carley on Leadership https://emcrit.org/wee/simon-carley-on-leadership/ Wed, 06 Nov 2013 20:44:47 +0000 http://emcrit.org/?p=5385 <p>A SMACC back on Simon Carley's talk on Educational Leadership</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> A SMACC back on Simon Carley's talk on Educational Leadership Scott D. Weingart, MD clean 7:51 Podcast 110 – Exsanguinating Hemorrhage from Mid-Face Fractures https://emcrit.org/podcasts/exsanguinating-hemorrhage-mid-face-fractures/ Fri, 01 Nov 2013 19:33:56 +0000 http://emcrit.org/?p=5242 <p>Management of Severe Hemorrhage from Mid-Face Blunt Trauma</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Management of Severe Hemorrhage from Mid-Face Blunt Trauma Scott D. Weingart, MD clean 18:39 Practical Evidence 013 – ACEP Management of Asymptomatic Blood Pressure 2013 https://emcrit.org/practicalevidence/2013-acep-management-of-asymptomatic-htn/ Tue, 22 Oct 2013 21:17:17 +0000 http://emcrit.org/?p=5354 <p>Management of asymptomatic markedly elevated blood pressure</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Management of asymptomatic markedly elevated blood pressure Scott D. Weingart, MD clean 10:26 Podcast 109 – Mind of the Resuscitationist from SMACC 2013 https://emcrit.org/podcasts/mind-of-the-resuscitationist-smacc/ Mon, 14 Oct 2013 09:00:13 +0000 http://emcrit.org/?p=5305 <p>Mind of the Resuscitationist Lecture from SMACC 2013 and Blakemore Placement</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Mind of the Resuscitationist Lecture from SMACC 2013 and Blakemore Placement Scott D. Weingart, MD clean 17:07 Blakemore Tube Placement for Massive Upper GI Hemorrhage https://emcrit.org/procedures/blakemore-tube-placement/ Sun, 13 Oct 2013 19:31:45 +0000 http://emcrit.org/?p=5306 <p>How to place a Blakemore tube for esophageal varices with massive bleeding.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> How to place a Blakemore tube for esophageal varices with massive bleeding. Scott D. Weingart, MD clean 10:30 Podcast 108 – How to Be a Hero with Cliff Reid https://emcrit.org/podcasts/how-to-be-a-hero/ Mon, 30 Sep 2013 18:34:05 +0000 http://emcrit.org/?p=5252 <p>This was my favorite lecture from SMACC 2013. If you are not moved and inspired then your heart is made of stone.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> This was my favorite lecture from SMACC 2013. If you are not moved and inspired then your heart is made of stone. Scott D. Weingart, MD clean 24:33 Podcast 107 – Peripheral Vasopressor Infusions and Extravasation https://emcrit.org/podcasts/peripheral-vasopressors-extravasation/ Mon, 16 Sep 2013 14:59:35 +0000 http://emcrit.org/?p=5074 <p>Can we give vasopressors peripherally? And if we do, what if they leak?</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Can we give vasopressors peripherally? And if we do, what if they leak? Scott D. Weingart, MD clean 20:08 SMACC Gold Promo https://emcrit.org/misc/smacc-gold-promo/ Sat, 07 Sep 2013 20:20:37 +0000 http://emcrit.org/?p=5164 <p>SMACC Gold is March 18-21st on the Gold Coast of Australia--best ED conference you will ever attend</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> SMACC Gold is March 18-21st on the Gold Coast of Australia--best ED conference you will ever attend Scott D. Weingart, MD clean 8:16 Podcast 106 – Making Things Happen with Cliff Reid https://emcrit.org/podcasts/making-things-happen/ Tue, 03 Sep 2013 00:04:15 +0000 http://emcrit.org/?p=5133 <p>Cliff Reid runs the amazing Resus.me site and any listener of EMCrit knows that I have an enduring (and purely platonic) love for Cliff and all of his teachings.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Cliff Reid runs the amazing Resus.me site and any listener of EMCrit knows that I have an enduring (and purely platonic) love for Cliff and all of his teachings. Scott D. Weingart, MD clean 24:55 Podcast 105 – The Path to Insanity https://emcrit.org/podcasts/path-to-insanity/ Tue, 20 Aug 2013 13:38:49 +0000 http://emcrit.org/?p=5041 <p>This was my favorite lecture assigned to me at SMACC 2013. It discusses the search for excellence in our profession. I hope you enjoy!</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> This was my favorite lecture assigned to me at SMACC 2013. It discusses the search for excellence in our profession. I hope you enjoy! Scott D. Weingart, MD clean 22:57 Podcast 104 – Laryngoscope as a Murder Weapon (LAMW) Series – Hemodynamic Kills https://emcrit.org/podcasts/intubation-patient-shock/ Mon, 05 Aug 2013 19:02:17 +0000 http://emcrit.org/?p=4945 <p>A lecture from SMACC2013 on how not to kill the shocked patient when intubating</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> A lecture from SMACC2013 on how not to kill the shocked patient when intubating Scott D. Weingart, MD clean 30:43 EMCrit Wee – Vasopressin, Steroids, and Epinephrine for Cardiac Arrest https://emcrit.org/wee/vasopressin-steroids-epinephrine-for-cardiac-arrest/ Fri, 02 Aug 2013 22:08:02 +0000 http://emcrit.org/?p=4934 <p>New medication therapy for cardiac arrest</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> New medication therapy for cardiac arrest Scott D. Weingart, MD clean 3:54 SMACC Back 2 – IVC for Decisions on Fluid Status https://emcrit.org/wee/ivc-for-decisions-on-fluid-status/ Mon, 29 Jul 2013 15:45:02 +0000 http://emcrit.org/?p=4837 <p>A SMACC Back on Justin Bowra's IVC Ultrasound bashing.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> A SMACC Back on Justin Bowra's IVC Ultrasound bashing. Scott D. Weingart, MD clean 17:21 Podcast 103 – Avoiding Resuscitation Medication Errors – Part II https://emcrit.org/podcasts/avoiding-resuscitation-medication-errors-2/ Sun, 21 Jul 2013 20:32:12 +0000 http://emcrit.org/?p=4795 <p>I am joined by Bryan Hayes for Part II of our discussion on the avoidance of critical medication errors during resuscitations.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> I am joined by Bryan Hayes for Part II of our discussion on the avoidance of critical medication errors during resuscitations. Scott D. Weingart, MD clean 17:51 Podcast 102 – Don’t Half-Ass your FAST! https://emcrit.org/podcasts/fast-exam/ Sun, 07 Jul 2013 15:58:52 +0000 http://emcrit.org/?p=3902 <p>I've wanted to discuss tips and pitfalls for the FAST exam for a while now, but I needed a master to talk with. Luckily at Castlefest, I met Laleh Gharahbaghian, MD.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> I've wanted to discuss tips and pitfalls for the FAST exam for a while now, but I needed a master to talk with. Luckily at Castlefest, I met Laleh Gharahbaghian, MD. Scott D. Weingart, MD clean 28:27 SMACC-Back – Myburgh on Catecholamines https://emcrit.org/wee/myburgh-on-catecholamines/ Wed, 26 Jun 2013 22:49:57 +0000 http://emcrit.org/?p=4754 <p>SMACC Back 1 on Catecholamines</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> SMACC Back 1 on Catecholamines Scott D. Weingart, MD clean 4:52 Podcast 101 – Avoiding Resuscitation Medication Errors – Part I https://emcrit.org/podcasts/avoiding-resuscitation-medication-errors/ Sun, 23 Jun 2013 17:26:49 +0000 http://emcrit.org/?p=4714 <p>I am joined by Bryan Hayes to discuss the avoidance of critical medication errors during resuscitations.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> I am joined by Bryan Hayes to discuss the avoidance of critical medication errors during resuscitations. Scott D. Weingart, MD clean 23:50 Podcast 100 – What is Critical Care and What is EMCrit? https://emcrit.org/podcasts/essence-critical-care/ Sun, 09 Jun 2013 20:06:27 +0000 http://emcrit.org/?p=4702 <p>Keynote from SMACC 2013</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Keynote from SMACC 2013 Scott D. Weingart, MD clean 21:45 EMCrit Wee – Is Lactate Clearance a Flawed Paradigm? https://emcrit.org/wee/lactate-clearance-flawed/ Wed, 05 Jun 2013 20:27:48 +0000 http://emcrit.org/?p=4751 <p>Is lactate clearance a flawed paradigm? I don't think it is.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Is lactate clearance a flawed paradigm? I don't think it is. Scott D. Weingart, MD clean 7:28 Podcast 99 – Combat Aviation Paradigms for Resuscitationists https://emcrit.org/podcasts/combat-aviation-paradigms/ Sun, 26 May 2013 18:42:58 +0000 http://emcrit.org/?p=4720 <p>Aviation is to anesthesia as Combat Aviation is to Resuscitation</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Aviation is to anesthesia as Combat Aviation is to Resuscitation Scott D. Weingart, MD clean 26:06 Podcast 98 – Cyclic (Tricyclic) Antidepressant Overdose https://emcrit.org/podcasts/tricyclic-antidepressant-overdose/ Tue, 14 May 2013 21:44:44 +0000 http://emcrit.org/?p=4633 <p>Tricyclic overdoses are not uncommon and these patients can be incredibly ill.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Tricyclic overdoses are not uncommon and these patients can be incredibly ill. Scott D. Weingart, MD clean 22:39 EMCrit Wee – Janus General and Service Update https://emcrit.org/service/janus-general-service-update/ Mon, 06 May 2013 23:00:23 +0000 http://emcrit.org/?p=4639 <p>Learn about Janus General</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Learn about Janus General Scott D. Weingart, MD clean 7:40 Podcast 97 – Acid-Base VI – Chloride-Free Sodium https://emcrit.org/podcasts/chloride-free-sodium/ Thu, 02 May 2013 17:16:18 +0000 http://emcrit.org/?p=4591 <p>So last podcast, I bashed on sodium bicarbonate or as John Kellum and David Story call it: chloride-free sodium. This episode I talk about all the good reasons to use NaBicarb.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> So last podcast, I bashed on sodium bicarbonate or as John Kellum and David Story call it: chloride-free sodium. This episode I talk about all the good reasons to use NaBicarb. Scott D. Weingart, MD clean 18:01 Podcast 96 – Acid Base in the Critically Ill – Part V – Enough with the Bicarb Already https://emcrit.org/podcasts/enough-with-the-bicarb-already/ Sun, 14 Apr 2013 15:33:56 +0000 http://emcrit.org/?p=4572 <p>More on Bicarb in the Critically Ill and a discussion with John Kellum, MD</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> More on Bicarb in the Critically Ill and a discussion with John Kellum, MD Scott D. Weingart, MD clean 20:07 Episode 12 – New Trauma Guidelines: ATLS and Spine https://emcrit.org/practicalevidence/atls-and-spine/ Sun, 14 Apr 2013 02:06:29 +0000 http://practicalevidence.org/?p=318 <p>New Trauma Guidelines: ATLS and Spine</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> New Trauma Guidelines: ATLS and Spine Scott D. Weingart, MD clean 11:37 Podcast 95 – Thomas Scalea on Cutting-Edge ICP Management https://emcrit.org/podcasts/cutting-edge-icp-management/ Tue, 02 Apr 2013 05:46:57 +0000 http://emcrit.org/?p=4563 <p>Thomas Scalea discusses new frontiers in the management of ICP and TBI</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Thomas Scalea discusses new frontiers in the management of ICP and TBI Scott D. Weingart, MD clean 44:34 EMCrit Wee – The Vortex Approach https://emcrit.org/wee/vortex-approach/ Thu, 28 Mar 2013 15:38:44 +0000 http://emcrit.org/?p=4351 <p>The vortex approach is a new paradigm for airway management in all areas of the hospital</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> The vortex approach is a new paradigm for airway management in all areas of the hospital Scott D. Weingart, MD clean 9:33 EMCrit Wee – The Holy Grail of Fluid Resuscitation is just a Tin Cup https://emcrit.org/wee/holy-grail-fluid-resuscitation/ Thu, 21 Mar 2013 18:34:07 +0000 http://emcrit.org/?p=4513 <p>Chad Meyers' lecture on fluid resus in severe sepsis</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Chad Meyers' lecture on fluid resus in severe sepsis Scott D. Weingart, MD clean 17:40 EMCrit WEE – SMACC 2013 Summary and Learning Points https://emcrit.org/wee/smacc2013/ Mon, 18 Mar 2013 22:24:17 +0000 http://emcrit.org/?p=4501 <p>SMACC - The best Critical Care Conference...EVER!!</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> SMACC - The best Critical Care Conference...EVER!! Scott D. Weingart, MD clean 19:32 Episode 11 – Ischemic Stroke 2013 https://emcrit.org/practicalevidence/ischemic-stroke-2013/ Mon, 04 Mar 2013 04:26:53 +0000 http://practicalevidence.org/?p=261 <p>2013 Ischemic Stroke Guidelines from AHA/ASA and ACEP</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> 2013 Ischemic Stroke Guidelines from AHA/ASA and ACEP Scott D. Weingart, MD clean 15:15 Podcast 94 – Has Video Laryngoscopy Killed the Direct Laryngoscope? https://emcrit.org/podcasts/has-video-laryngoscopy-killed-the-dl-star/ Sun, 03 Mar 2013 23:05:36 +0000 http://emcrit.org/?p=4462 <p>I debate Paul Mayo on whether standard laryngoscopy still has a role in emergency and critical care intubation</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> I debate Paul Mayo on whether standard laryngoscopy still has a role in emergency and critical care intubation Scott D. Weingart, MD clean 23:02 Podcast 93 – Critical Care Palliation with Ashley Shreves https://emcrit.org/podcasts/critical-care-palliation/ Mon, 18 Feb 2013 04:40:08 +0000 http://emcrit.org/?p=4412 <p>One of the best palliative care lectures I have ever heard.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> One of the best palliative care lectures I have ever heard. Scott D. Weingart, MD clean 25:03 EMCrit Wee – Tacit Knowledge and Medical Podcasting https://emcrit.org/wee/tacit-knowledge-podcasting/ Wed, 13 Feb 2013 20:36:01 +0000 http://emcrit.org/?p=4400 <p>I received a distressed email from a fan who was dismayed that other residents in her program were bashing medical podcasting; this is my response.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> I received a distressed email from a fan who was dismayed that other residents in her program were bashing medical podcasting; this is my response. Scott D. Weingart, MD clean 10:46 EMCrit Conference Blast Winner: Peri-Mortem C-Section https://emcrit.org/wee/peri-mortem-c-section/ Tue, 12 Feb 2013 21:02:44 +0000 http://emcrit.org/?p=4378 <p>Peri-Mortem C-Section</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Peri-Mortem C-Section Scott D. Weingart, MD clean 12:55 Join the EMCrit G+ Community Page https://emcrit.org/podcasts/emcrit-google-community-page/ Sun, 10 Feb 2013 18:56:48 +0000 http://emcrit.org/?p=4383 <p>A place for your Clinical Cases and Questions that are not podcast specific</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> A place for your Clinical Cases and Questions that are not podcast specific Scott D. Weingart, MD clean 2:38 Podcast 92 – EMCrit Intubation Checklist https://emcrit.org/podcasts/emcrit-intubation-checklist/ Tue, 05 Feb 2013 19:14:18 +0000 http://emcrit.org/?p=3036 <p>Since Peter Pronovost's landmark study on how a simple checklist can nearly abolish central line infections, checklists have been the darling of the medical literature</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Since Peter Pronovost's landmark study on how a simple checklist can nearly abolish central line infections, checklists have been the darling of the medical literature Scott D. Weingart, MD clean 28:36 2012 Surviving Sepsis Campaign Guidelines https://emcrit.org/misc/2012-surviving-sepsis-campaign-guidelines/ Thu, 24 Jan 2013 17:48:23 +0000 http://emcrit.org/?p=4318 <p>2012 Surviving Sepsis Campaign Guidelines from my Practical Evidence Podcast</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> 2012 Surviving Sepsis Campaign Guidelines from my Practical Evidence Podcast Scott D. Weingart, MD clean 18:35 Podcast 91 – Treatment of Aortic Dissection https://emcrit.org/podcasts/aortic-dissection/ Thu, 24 Jan 2013 02:25:41 +0000 http://emcrit.org/?p=4298 <p>You can't pick a more critical diagnosis than acute aortic dissection. Mess it up and the patient dies.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> You can't pick a more critical diagnosis than acute aortic dissection. Mess it up and the patient dies. Scott D. Weingart, MD clean 24:01 Episode 10 – Surviving Sepsis Campaign (SSC) Guidelines 2012 https://emcrit.org/practicalevidence/surviving-sepsis-campaign-guidelines-2012/ Thu, 24 Jan 2013 02:12:55 +0000 http://practicalevidence.org/?p=217 <p>SSC Guidelines 2012</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> SSC Guidelines 2012 Scott D. Weingart, MD clean 18:35 Podcast 90 – Mind of the Resuscitationist Series: Cliff Reid’s Own the Resus Room https://emcrit.org/podcasts/own-the-resus-room/ Tue, 08 Jan 2013 00:41:08 +0000 http://emcrit.org/?p=4258 <p>Cliff Reid on owning the resuscitation room</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Cliff Reid on owning the resuscitation room Scott D. Weingart, MD clean 15:23 Natural Seven for 2012 https://emcrit.org/wee/picks-for-2012/ Sun, 30 Dec 2012 23:08:36 +0000 http://emcrit.org/?p=3791 <p>The rundown of things I liked from 2012</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> The rundown of things I liked from 2012 Scott D. Weingart, MD clean 6:01 Podcast 89 – Lessons from the STOP Sepsis Collaborative https://emcrit.org/podcasts/lessons-sepsis-collaborative/ Wed, 26 Dec 2012 04:00:25 +0000 http://emcrit.org/?p=4229 <p>We have hit the 10,0000 patient mark in the NYC STOP Sepsis collaborative. Here are some of the lessons learned...</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> We have hit the 10,0000 patient mark in the NYC STOP Sepsis collaborative. Here are some of the lessons learned... Scott D. Weingart, MD clean 18:08 EMCrit Wee – MOPETT Trial https://emcrit.org/wee/mopett-trial/ Wed, 12 Dec 2012 01:57:24 +0000 http://emcrit.org/?p=4188 <p>A new trial on half-dose thrombolysis for PE for sub-massive PE</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> A new trial on half-dose thrombolysis for PE for sub-massive PE Scott D. Weingart, MD clean 4:08 EMCrit Podcast 88 – Oxygen Physiology with Daniel Davis https://emcrit.org/podcasts/oxygen-physiology/ Mon, 10 Dec 2012 18:00:40 +0000 http://emcrit.org/?p=3471 <p>One of the last few airway topics for a little while: Pulse Ox Lag and an Understanding of the Oxyhemoglobin Dissociation Curve</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> One of the last few airway topics for a little while: Pulse Ox Lag and an Understanding of the Oxyhemoglobin Dissociation Curve Scott D. Weingart, MD clean 19:07 Episode 9 – Blunt Cardiac Injury from EAST https://emcrit.org/practicalevidence/blunt-cardiac-injuries/ Fri, 07 Dec 2012 06:33:59 +0000 http://practicalevidence.org/?p=166 <p>EAST Trauma Guidelines on Blunt Cardiac Injury</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> EAST Trauma Guidelines on Blunt Cardiac Injury Scott D. Weingart, MD clean 8:35 SMACC Conference https://emcrit.org/wee/smacc-conference/ Fri, 07 Dec 2012 00:53:04 +0000 http://emcrit.org/?p=4177 <p>SMACC Conference and SIMWars</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> SMACC Conference and SIMWars Scott D. Weingart, MD clean 4:07 Podcast 87 – Mind of the Resuscitationist: Stop Points https://emcrit.org/podcasts/stop-points/ Mon, 26 Nov 2012 23:40:08 +0000 http://emcrit.org/?p=4147 <p>In this Mind of the Resuscitationist Episode, I discuss stop points: one for when you are using multiple vasopressors and especially about a cognitive stop point whenever things are going south.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> In this Mind of the Resuscitationist Episode, I discuss stop points: one for when you are using multiple vasopressors and especially about a cognitive stop point whenever things are going south. Scott D. Weingart, MD clean 23:32 Podcast 86 – IVC Ultrasound for Fluid Tolerance in Spontaneously Breathing Patients – EAT IT STONE https://emcrit.org/podcasts/ivc-ultrasound-for-fluid-tolerance-in-spontaneously-breathing-patients/ Mon, 12 Nov 2012 00:23:36 +0000 http://emcrit.org/?p=4050 <p>Can the Inferior Vena Cava Ultrasound guide our fluid administration in the ED? Of course it can!</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Can the Inferior Vena Cava Ultrasound guide our fluid administration in the ED? Of course it can! Scott D. Weingart, MD clean 20:52 Episode 8 – ACEP Opioid Prescription Policy https://emcrit.org/practicalevidence/acep-opioid-prescription-policy/ Sat, 03 Nov 2012 03:51:17 +0000 http://practicalevidence.org/?p=146 <p>ACEP 2012 Opioid Prescription Policy</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> ACEP 2012 Opioid Prescription Policy Scott D. Weingart, MD clean 9:19 Podcast 85 – A Confirmation of Prejudices: Chloride and Pressure Poisoning https://emcrit.org/podcasts/chloride-pressure-poisoning/ Mon, 29 Oct 2012 22:05:11 +0000 http://emcrit.org/?p=4027 <p>In this Hurricane Sandy episode of the EMCrit podcast, I talk about the confirmation of two of my clinical prejudices.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> In this Hurricane Sandy episode of the EMCrit podcast, I talk about the confirmation of two of my clinical prejudices. Scott D. Weingart, MD clean 18:53 Podcast 84 – The Post-Intubation Package https://emcrit.org/podcasts/post-intubation-package/ Tue, 16 Oct 2012 19:00:56 +0000 http://emcrit.org/?p=4003 <p>There is a ton of stuff to do post-intubation besides confirming the tube and giving the team high-fives. What we do in the ED has ramifications on the patient's course in the hospital.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> There is a ton of stuff to do post-intubation besides confirming the tube and giving the team high-fives. What we do in the ED has ramifications on the patient's course in the hospital. Scott D. Weingart, MD clean 23:46 Podcast 83 – Crack to Cure – ED Thoracotomy https://emcrit.org/podcasts/procedure-of-thoracotomy/ Tue, 02 Oct 2012 05:37:16 +0000 http://emcrit.org/?p=3890 <p>Crack to cure; in the right circumstances you may save a life. ER thoracotomy--do it improperly and you put you and your team at risk. </p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Crack to cure; in the right circumstances you may save a life. ER thoracotomy--do it improperly and you put you and your team at risk. Scott D. Weingart, MD clean 37:16 Episode 7 – Rule-Out Criteria and Screening https://emcrit.org/practicalevidence/rule-out-criteria-screening/ Tue, 25 Sep 2012 01:49:41 +0000 http://practicalevidence.org/?p=140 <p>For Ariel...</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> For Ariel... Scott D. Weingart, MD clean 10:20 Podcast 82 – Mind of the Resuscitationist with Cliff Reid https://emcrit.org/podcasts/mind-resuscitationist-reid/ Mon, 17 Sep 2012 17:25:24 +0000 http://emcrit.org/?p=3941 <p>Today, I put on my head-shrinker cap (it is a fez) and get Cliff Reid on the coach</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Today, I put on my head-shrinker cap (it is a fez) and get Cliff Reid on the coach Scott D. Weingart, MD clean 29:40 Episode 6 – ACCP Antithrombotics and VTE Guidelines https://emcrit.org/practicalevidence/antithrombotic-therapy/ Fri, 07 Sep 2012 06:47:16 +0000 http://practicalevidence.org/?p=99 <p>Antithrombotic Therapy and Prevention of Thrombosis, 9th ed Guidelines from the American College of Chest Physicians</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Antithrombotic Therapy and Prevention of Thrombosis, 9th ed Guidelines from the American College of Chest Physicians Scott D. Weingart, MD clean 8:40 Podcat 081 – An Interview on Severe Trauma with Karim Brohi https://emcrit.org/podcasts/severe-trauma-karim-brohi/ Sun, 02 Sep 2012 21:23:58 +0000 http://emcrit.org/?p=3895 <p>Let's talk trauma. I interview Karim Brohi on traumatic arrest, massive transfusion and hypotensive resuscitation.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Let's talk trauma. I interview Karim Brohi on traumatic arrest, massive transfusion and hypotensive resuscitation. Scott D. Weingart, MD clean 20:21 Podcast 80 – Uhmmmm, Maybe Groin Lines Are Not So Bad with Paul Marik https://emcrit.org/podcasts/femoral-central-lines/ Mon, 20 Aug 2012 00:14:38 +0000 http://emcrit.org/?p=3863 <p>When I read a recent meta-analysis by Paul Marik on femoral central lines, the first thing I did was bang my head against the wall 10 or 20 times.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> When I read a recent meta-analysis by Paul Marik on femoral central lines, the first thing I did was bang my head against the wall 10 or 20 times. Scott D. Weingart, MD clean 27:29 Podcast 79 – Reducing Door to tPA Time in Ischemic Stroke https://emcrit.org/podcasts/reducing-door-to-tpa-time/ Mon, 06 Aug 2012 00:16:36 +0000 http://emcrit.org/?p=3828 <p>Reducing door to tPA time in Ischemic Stroke. Strategies and tips to optimize patient care.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Reducing door to tPA time in Ischemic Stroke. Strategies and tips to optimize patient care. Scott D. Weingart, MD clean 25:17 Podcast 78 – Increased Intra-Cranial Pressure (ICP) and Herniation, aka Brain Code https://emcrit.org/podcasts/high-icp-herniation/ Sun, 22 Jul 2012 23:51:54 +0000 http://emcrit.org/?p=3780 <p>Today we are going to discuss increased intracranial pressure (ICP) and herniation</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Today we are going to discuss increased intracranial pressure (ICP) and herniation Scott D. Weingart, MD clean 23:54 EMCrit Wee – Airway Outsourcing and Suction Henching https://emcrit.org/wee/airway-outsourcing-and-suction-henching/ Mon, 16 Jul 2012 22:00:22 +0000 http://emcrit.org/?p=3764 <p>Further discussion of prepassing the bougie and why fiberoptic laryngoscopy may obviate all of the classic teaching on bimanual laryngoscopy.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Further discussion of prepassing the bougie and why fiberoptic laryngoscopy may obviate all of the classic teaching on bimanual laryngoscopy. Scott D. Weingart, MD clean 4:39 Left Ventricular Assist Devices (LVADS) https://emcrit.org/wee/left-ventricular-assist-devices-lvads-2/ Mon, 09 Jul 2012 00:21:32 +0000 http://emcrit.org/?p=3495 <p>LVADs are complicated especially when the patient starts going downhill. Zack Shinar is going to attempt to make it a bit easier.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> LVADs are complicated especially when the patient starts going downhill. Zack Shinar is going to attempt to make it a bit easier. Scott D. Weingart, MD clean 19:39 Episode 5 – Upper GI Bleed Guidelines https://emcrit.org/practicalevidence/acute-upper-gi-bleeding-guidelines/ Sat, 07 Jul 2012 07:14:32 +0000 http://practicalevidence.org/?p=105 <p>National Institute for Health and Clinical Excellence: Acute upper GI bleeding: NICE guideline</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> National Institute for Health and Clinical Excellence: Acute upper GI bleeding: NICE guideline Scott D. Weingart, MD clean 10:49 EMCrit Wee – Bougie Prepass and CricCon for Difficult Airway https://emcrit.org/wee/bougie-prepass-and-criccon/ Thu, 05 Jul 2012 03:00:35 +0000 http://emcrit.org/?p=3736 <p>So my friend, Darren Braude and a colleague had a horrible airway case, which they presented on EM:RAP. I wanted to comment on the case.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> So my friend, Darren Braude and a colleague had a horrible airway case, which they presented on EM:RAP. I wanted to comment on the case. Scott D. Weingart, MD clean 29:35 Are Extraglottic Airways Harmful in Cardiac Arrest? https://emcrit.org/wee/extraglottic-airways-harmful-cardiac-arrest/ Sun, 17 Jun 2012 21:23:53 +0000 http://emcrit.org/?p=3680 <p>Are we creating a blockage of blood flow to the brain with EGAs in cardiac arrest?</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Are we creating a blockage of blood flow to the brain with EGAs in cardiac arrest? Scott D. Weingart, MD clean 7:07 EMCrit Podcast 75 – Live Show # 2 https://emcrit.org/podcasts/emcrit-live-2/ Wed, 13 Jun 2012 05:07:18 +0000 http://emcrit.org/?p=3672 <p>The 2nd EMCrit Live Show</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> The 2nd EMCrit Live Show Scott D. Weingart, MD clean 27:57 Episode 4 – Subarachnoid Hemorrhage Guidelines https://emcrit.org/practicalevidence/aha-sah-guidelines-2012/ Thu, 07 Jun 2012 07:19:37 +0000 http://practicalevidence.org/?p=108 <p>The New AHA/ASA SAH Guidelines</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> The New AHA/ASA SAH Guidelines Scott D. Weingart, MD clean 10:15 EMCrit Podcast 74 – Who the Heck to Cool after Cardiac Arrest with Ben Abella https://emcrit.org/podcasts/who-to-cool-after-arrest/ Tue, 29 May 2012 00:26:43 +0000 http://emcrit.org/?p=3615 <p> Today we are joined by Benjamin Abella, MD to discuss who to cool after cardiac arrest.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Today we are joined by Benjamin Abella, MD to discuss who to cool after cardiac arrest. Scott D. Weingart, MD clean 25:06 Pain and Terror as Effective Pressors https://emcrit.org/wee/pain-terror-pressor/ Wed, 16 May 2012 22:42:58 +0000 http://emcrit.org/?p=3588 <p>Psychic Terror as an Effective Pressor</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Psychic Terror as an Effective Pressor Scott D. Weingart, MD clean 6:24 Podcast 73 – Airway Tips and Tricks with Jim DuCanto, MD https://emcrit.org/podcasts/james-ducanto-airway-tips/ Mon, 14 May 2012 00:15:07 +0000 http://emcrit.org/?p=3556 <p>James DuCanto on fiberoptics and airway management in general.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> James DuCanto on fiberoptics and airway management in general. Scott D. Weingart, MD clean 29:59 Episode 3 – ACEP 2012 Management of Early Pregnancy https://emcrit.org/practicalevidence/management-of-early-pregnancy/ Mon, 07 May 2012 07:47:25 +0000 http://practicalevidence.org/?p=110 <p>ACEP's Policy on the Management of Early Pregnancy Presenting to the ED</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> ACEP's Policy on the Management of Early Pregnancy Presenting to the ED Scott D. Weingart, MD clean 16:34 How to Post a Case or Question to EMCrit Google Plus https://emcrit.org/service/post-a-case-emcrit-google-plus/ Tue, 01 May 2012 19:08:13 +0000 http://emcrit.org/?p=3528 <p>How to Post a Case or Question to EMCrit Google Plus</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> How to Post a Case or Question to EMCrit Google Plus Scott D. Weingart, MD clean 5:09 Severe Pelvic Trauma https://emcrit.org/podcasts/severe-pelvic-trauma/ Mon, 30 Apr 2012 20:59:49 +0000 http://emcrit.org/?p=3447 <p>Hemodynamically unstable pelvic fractures are a talk-and-die situation. These folks require aggressive, rapid treatment if they are going to survive the injury. Inspired by my mentor, Thomas Scalea, I discuss the management of the unstable pelvic trauma patient.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Hemodynamically unstable pelvic fractures are a talk-and-die situation. These folks require aggressive, rapid treatment if they are going to survive the injury. Inspired by my mentor, Thomas Scalea, I discuss the management of the unstable pelvic traum... Scott D. Weingart, MD clean 26:42 EMCrit Wee – ETCO2 with EGA? https://emcrit.org/wee/emcrit-wee-etco2-with-ega/ Sun, 22 Apr 2012 15:18:18 +0000 http://emcrit.org/?p=3475 <p>Can we monitor ETCO2 with extraglottic airways? The answer is definitively: I don't know.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Can we monitor ETCO2 with extraglottic airways? The answer is definitively: I don't know. Scott D. Weingart, MD clean 5:08 Podcast 71 – Critical Questions on Massive Transfusion Protocols with Kenji Inaba https://emcrit.org/podcasts/massive-transfusion-kenji/ Mon, 16 Apr 2012 16:33:18 +0000 http://emcrit.org/?p=3184 <p>Today, I got to interview Kenji Inaba; an incredibly prolific trauma surgeon from LA County, California.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Today, I got to interview Kenji Inaba; an incredibly prolific trauma surgeon from LA County, California. Scott D. Weingart, MD clean 21:18 Episode 2 – ACEP 2011 Clinical Policy on Pulmonary Embolism (PE) https://emcrit.org/practicalevidence/acep-pulmonary-embolism/ Sat, 07 Apr 2012 07:22:48 +0000 http://practicalevidence.org/?p=111 <p>Welcome to the second episode of Practical Evidence, a podcast about the evidence you NEED to know but may not have time to read.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Welcome to the second episode of Practical Evidence, a podcast about the evidence you NEED to know but may not have time to read. Scott D. Weingart, MD clean 9:57 EMCrit Wee – Abandon Epinephrine? https://emcrit.org/wee/abandon-epinephrine/ Thu, 05 Apr 2012 21:42:02 +0000 http://emcrit.org/?p=3404 <p>Should we stop using Epi in the field for cardiac arrest</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Should we stop using Epi in the field for cardiac arrest Scott D. Weingart, MD clean 5:31 Podcast 70 – Airway Management with Rich Levitan https://emcrit.org/podcasts/rich-levitan-airway-lecture/ Sun, 01 Apr 2012 19:38:05 +0000 http://emcrit.org/?p=3379 <p>Rich Levitan is one of the best teachers on the skills of airway management and laryngoscopy--or as he would probably put it, epiglottoscopy. Here is an hour long lecture he delivered last month at Mount Sinai School of Medicine.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Rich Levitan is one of the best teachers on the skills of airway management and laryngoscopy--or as he would probably put it, epiglottoscopy. Here is an hour long lecture he delivered last month at Mount Sinai School of Medicine. Scott D. Weingart, MD clean 1:15:13 EMCrit Wee – On Editing Comments and Ad Hominem Attacks https://emcrit.org/wee/editing-comments-and-ad-hominem-attacks/ Mon, 19 Mar 2012 22:15:34 +0000 http://emcrit.org/?p=3333 <p>On the editorial policy of EMCrit</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> On the editorial policy of EMCrit Scott D. Weingart, MD clean 5:05 EMCrit Podcast 69 – The Future of CPR with Keith Lurie and Demetris Yannopoulos https://emcrit.org/podcasts/future-of-cpr/ Mon, 19 Mar 2012 04:16:36 +0000 http://emcrit.org/?p=3195 <p>Drs. Keith Lurie and Demetris Yannopoulos elaborate on the future of CPR</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Drs. Keith Lurie and Demetris Yannopoulos elaborate on the future of CPR Scott D. Weingart, MD clean 25:33 EMCrit Wee – Cliff Reid’s Tips for Occasional Intubators https://emcrit.org/wee/emcrit-wee-cliff-reids-tips-for-occasional-intubators/ Wed, 14 Mar 2012 16:47:16 +0000 http://emcrit.org/?p=3307 <p>Prehospital Doc Cliff Reid's tips for intubation</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Prehospital Doc Cliff Reid's tips for intubation Scott D. Weingart, MD clean 5:01 Episode 1 – Penetrating Neck Trauma Guidelines https://emcrit.org/practicalevidence/penetrating-neck-trauma-guidelines/ Wed, 07 Mar 2012 07:23:34 +0000 http://practicalevidence.org/?p=112 <p>Welcome to the first episode of Practical Evidence, a podcast about the evidence you NEED to know but may not have time to read.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Welcome to the first episode of Practical Evidence, a podcast about the evidence you NEED to know but may not have time to read. Scott D. Weingart, MD clean 9:32 EMCrit Live Show # 1 https://emcrit.org/podcasts/emcrit-live-show-1/ Wed, 07 Mar 2012 04:16:04 +0000 http://emcrit.org/?p=3273 <p>The first ever live EMCrit Podcast</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> The first ever live EMCrit Podcast Scott D. Weingart, MD clean 26:38 Podcast 67 – Tranexamic Acid (TXA), Crash 2, & Pragmatism with Tim Coats https://emcrit.org/podcasts/tranexamic-acid-trauma/ Mon, 20 Feb 2012 01:21:51 +0000 http://emcrit.org/?p=3084 <p>One of the most exciting and underutilized therapies for trauma is tranexamic acid (txa).</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> One of the most exciting and underutilized therapies for trauma is tranexamic acid (txa). Scott D. Weingart, MD clean 22:00 EMCrit Wee – More on C-Spine Imaging https://emcrit.org/wee/more-on-c-spine-imaging/ Fri, 17 Feb 2012 21:18:06 +0000 http://emcrit.org/?p=3219 <p>A response to a question on c-spine imaging</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> A response to a question on c-spine imaging Scott D. Weingart, MD clean 3:27 EMCrit Wee: The Lewis Lead and a course in ECGs with Christopher Watford https://emcrit.org/wee/lewis-lead/ Wed, 15 Feb 2012 17:22:25 +0000 http://emcrit.org/?p=2880 <p>The Lewis Lead (S5) allows you detect atrial activity that cannot be discerned on the standard 12-lead</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> The Lewis Lead (S5) allows you detect atrial activity that cannot be discerned on the standard 12-lead Scott D. Weingart, MD clean 7:57 Podcast 66 – …Until they are warm and dead: Severe Accidental Hypothermia https://emcrit.org/podcasts/severe-accidental-hypothermia/ Tue, 07 Feb 2012 17:14:18 +0000 http://emcrit.org/?p=3166 <p>It is winter and that means cardiac arrests coming in with extremely low body temperatures after environmental exposure. How do you treat these patients? How do you rewarm if you don't have bypass?</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> It is winter and that means cardiac arrests coming in with extremely low body temperatures after environmental exposure. How do you treat these patients? How do you rewarm if you don't have bypass? Scott D. Weingart, MD clean 20:50 Podcast 65 – A Primer on BVM Ventilation with Reuben Strayer https://emcrit.org/podcasts/bvm-ventilation/ Mon, 23 Jan 2012 01:44:26 +0000 http://emcrit.org/?p=3129 <p>Today I want to talk about proper ventilation with a Bag-Valve-Mask, aka the BVM. I am joined by my friend Reuben Strayer, MD of EM Updates. You'll see Reub's talk from this year's EMCrit ED Critical Care Conference and hear some of my thoughts as well.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Today I want to talk about proper ventilation with a Bag-Valve-Mask, aka the BVM. I am joined by my friend Reuben Strayer, MD of EM Updates. You'll see Reub's talk from this year's EMCrit ED Critical Care Conference and hear some of my thoughts as well. Scott D. Weingart, MD clean 23:00 Podcast 64 – Fluid Responsiveness with Dr. Paul Marik https://emcrit.org/podcasts/fluid-responsiveness-with-dr-paul-marik/ Sun, 08 Jan 2012 16:43:41 +0000 http://emcrit.org/?p=3003 <p>Today I had the pleasure to interview Dr. Paul Marik, Professor and Division Chief of Pulmonary Critical Care at Eastern Virginia Medical Center. We got to speak on the topic of fluid responsiveness--one of the toughest questions in critical care.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Today I had the pleasure to interview Dr. Paul Marik, Professor and Division Chief of Pulmonary Critical Care at Eastern Virginia Medical Center. We got to speak on the topic of fluid responsiveness--one of the toughest questions in critical care. Scott D. Weingart, MD clean 24:07 More on a Diagnostic Strategy for C-Spine Injuries https://emcrit.org/podcasts/why-should-we-kill-off-plain-films-c-spine/ Tue, 03 Jan 2012 00:00:18 +0000 http://emcrit.org/?p=3074 <p>Podcast 63 set off some expected controversy given my take that plain films are a dead imaging modality for c-spine injuries. I wanted to briefly outline my impression of the existing evidence:</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Podcast 63 set off some expected controversy given my take that plain films are a dead imaging modality for c-spine injuries. I wanted to briefly outline my impression of the existing evidence: Scott D. Weingart, MD clean 17:28 Podcast 63 – A Pain in the Neck – Part I https://emcrit.org/podcasts/cervical-spine-injuries-i/ Sun, 25 Dec 2011 23:07:04 +0000 http://emcrit.org/?p=3058 <p>In this episode, I discuss the diagnosis of c-spine injuries. I argue that we should not send patients to imaging unless we have used the NEXUS rule and then added the Canadian C-spine Rule to the sequence. If we are imaging, it should be with a 3-view reconstructed CT scan. And even after that is done, you still need a clearance exam before removing the collar.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> In this episode, I discuss the diagnosis of c-spine injuries. I argue that we should not send patients to imaging unless we have used the NEXUS rule and then added the Canadian C-spine Rule to the sequence. If we are imaging, Scott D. Weingart, MD clean 21:58 EMCrit Podcast – Hard Six – My Picks from 2011 https://emcrit.org/podcasts/emcrit-picks-from-2011/ Sun, 25 Dec 2011 23:05:47 +0000 http://emcrit.org/?p=3055 <p>My favorite discoveries in the medical blogosphere and podcast land</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> My favorite discoveries in the medical blogosphere and podcast land Scott D. Weingart, MD clean 3:14 Replay of the Emergency Ultrasound Podcast – Wall Motion Abnormality Lecture https://emcrit.org/podcasts/replay-emergency-ultrasound-podcast/ Fri, 16 Dec 2011 21:33:30 +0000 http://emcrit.org/?p=3030 <p>Replay of the incredible Wall Motion Abnormality Talk from the Emergency Ultrasound Podcast</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Replay of the incredible Wall Motion Abnormality Talk from the Emergency Ultrasound Podcast Scott D. Weingart, MD clean Podcast 62 – Needle vs. Knife II: Needle Thoracostomy? https://emcrit.org/podcasts/needle-finger-thoracostomy/ Sun, 11 Dec 2011 18:10:24 +0000 http://emcrit.org/?p=1815 <p>In this podcast, I explain why I don't think needle compression is such a clever idea. Main points are: most people can't find anterior target, most angiocaths won't reach, and if used diagnostically you may not be in the pleura leading to an unidentified pneumo or hemothorax. Also, when used diagnostically, if the chest was negative you just caused a pneumothorax.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> In this podcast, I explain why I don't think needle compression is such a clever idea. Main points are: most people can't find anterior target, most angiocaths won't reach, and if used diagnostically you may not be in the pleura leading to an unidentif... Scott D. Weingart, MD clean 17:21 Podcast 061 – Debate: Paralytics for ICU Intubations? https://emcrit.org/podcasts/paralytics-for-icu-intubations/ Mon, 28 Nov 2011 00:04:38 +0000 http://emcrit.org/?p=2907 <p>I recently spoke at a symposium at the Greater NY Hospital Assoc's with the title: Controversies in Critical Care. I debated Paul Mayo, MD on the topic of whether paralytics should be used for ICU emergent intubations. Of course, I took the pro side of the debate. Dr. Mayo based his con side on an amazing study that came out of his ICU at LIJ hospital in NY.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> I recently spoke at a symposium at the Greater NY Hospital Assoc's with the title: Controversies in Critical Care. I debated Paul Mayo, MD on the topic of whether paralytics should be used for ICU emergent intubations. Of course, Scott D. Weingart, MD clean How to generate constant CPAP with a BVM for Preoxygenation and Reoxygenation https://emcrit.org/misc/bvm-preoxygenation-and-reoxygenation/ Fri, 04 Nov 2011 20:09:51 +0000 http://emcrit.org/?p=2785 <p>How to make your crappy BVM into a powerful preoxygenation device--on the cheap.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> How to make your crappy BVM into a powerful preoxygenation device--on the cheap. Scott D. Weingart, MD clean Podcast 059 – Bath Salts with Leon Gussow https://emcrit.org/podcasts/bath-salts/ Wed, 26 Oct 2011 03:35:45 +0000 http://emcrit.org/?p=2713 <p>Today I am joined by toxicology master, Leon Gussow to discuss a new quasi-legal class of drugs: Bath Salts. I saw my first OD of this a month ago; despite the drug's name, this patient was neither clean nor pleasantly refreshed. He was violent, agitated, and overheated.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Today I am joined by toxicology master, Leon Gussow to discuss a new quasi-legal class of drugs: Bath Salts. I saw my first OD of this a month ago; despite the drug's name, this patient was neither clean nor pleasantly refreshed. He was violent, Scott D. Weingart, MD clean 18:02 Podcast 058 – Interview with Cliff Reid – Part II https://emcrit.org/podcasts/ems-physician-2/ Tue, 11 Oct 2011 00:16:05 +0000 http://emcrit.org/?p=2576 <p>Part II of an interview with EMS Physician Cliff Reid of the amazing blog, resus.me.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Part II of an interview with EMS Physician Cliff Reid of the amazing blog, resus.me. Scott D. Weingart, MD clean 23:41 Podcast 057 – Resuscitative Extra-Corporeal Life Support (ECMO) https://emcrit.org/podcasts/ecmo/ Mon, 26 Sep 2011 23:03:16 +0000 http://emcrit.org/?p=2479 <p> Joe Bellezzo, MD along with his partner-in-crime, Zack Shinar, MD have started an ED ECMO service at Sharp Memorial Hospital in San Diego. I am so jealous! In this episode of the podcast, I get to talk to Joe about how it works.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Joe Bellezzo, MD along with his partner-in-crime, Zack Shinar, MD have started an ED ECMO service at Sharp Memorial Hospital in San Diego. I am so jealous! In this episode of the podcast, I get to talk to Joe about how it works. Scott D. Weingart, MD clean 28:03 Podcast 056 – Dr. Rivers on Severe Sepsis – Part III https://emcrit.org/podcasts/rivers-sepsis-iii/ Tue, 13 Sep 2011 06:21:29 +0000 http://emcrit.org/?p=2411 <p>Part III of an amazing talk by Dr. Emanuel Rivers on Severe Sepsis, Septic Shock, and early goal directed therapy.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Part III of an amazing talk by Dr. Emanuel Rivers on Severe Sepsis, Septic Shock, and early goal directed therapy. Scott D. Weingart, MD clean 20:00 Podcast 055 – Dr. Rivers on Severe Sepsis – Part II https://emcrit.org/podcasts/rivers-sepsis-ii/ Tue, 06 Sep 2011 00:17:31 +0000 http://emcrit.org/?p=2388 <p>Part II of an amazing talk by Dr. Emanuel Rivers on Severe Sepsis.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Part II of an amazing talk by Dr. Emanuel Rivers on Severe Sepsis. Scott D. Weingart, MD clean Podcast 054 – Dr. Rivers on Severe Sepsis – Part I https://emcrit.org/podcasts/rivers-sepsis-i/ Mon, 29 Aug 2011 16:40:24 +0000 http://emcrit.org/?p=2196 <p>Part I of an amazing talk by Dr. Emanuel Rivers on Severe Sepsis.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Part I of an amazing talk by Dr. Emanuel Rivers on Severe Sepsis. Scott D. Weingart, MD clean 24:00 Minh Discusses Three Examples of Airway Management gone Bad https://emcrit.org/misc/three-airway-disasters/ Tue, 09 Aug 2011 23:46:31 +0000 http://emcrit.org/?p=2227 <p>In this podcast short, Minh Le Cong discusses three airway disasters.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> In this podcast short, Minh Le Cong discusses three airway disasters. Scott D. Weingart, MD clean 5:59 Podcast 053 – Needle vs. Knife: Part I https://emcrit.org/podcasts/cricothyrotomy-needle-or-knife/ Tue, 09 Aug 2011 05:37:03 +0000 http://emcrit.org/?p=2203 <p>What technique should we use in the can't intubate/can't oxygenate (CICO) situation: Needle Cricothyrotomy vs. Bougie Cricothyrotomy.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> What technique should we use in the can't intubate/can't oxygenate (CICO) situation: Needle Cricothyrotomy vs. Bougie Cricothyrotomy. Scott D. Weingart, MD clean 36:22 Podcast 052 – Organ Donation in the ED https://emcrit.org/podcasts/organ-donation-brain-death/ Wed, 27 Jul 2011 04:53:30 +0000 http://emcrit.org/?p=2092 <p>Organ Donation in the Emergency Department Though it may not seem as important as some of the things we do in ED Critical Care, managing the potential organ donor can lead to many lives saved. In this episode I interview Isaac Tawil, an Emergency Intensivist of University of New Mexico Health Sciences and associate medical […]</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Organ Donation in the Emergency Department Though it may not seem as important as some of the things we do in ED Critical Care, managing the potential organ donor can lead to many lives saved. In this episode I interview Isaac Tawil, Scott D. Weingart, MD clean 33:30 Podcast # 51: Fibrinolysis in Pulmonary Embolism https://emcrit.org/podcasts/fibrinolysis-in-pulmonary-embolism/ Mon, 11 Jul 2011 05:00:07 +0000 http://emcrit.org/?p=2055 <p>Jeff Kline is the master of all things pulmonary embolism in emergency medicine. This is a lecture he gave on fibrinolysis for pulmonary embolism. He discusses both massive and sub-massive PE.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Jeff Kline is the master of all things pulmonary embolism in emergency medicine. This is a lecture he gave on fibrinolysis for pulmonary embolism. He discusses both massive and sub-massive PE. Scott D. Weingart, MD clean 30:36 EMCrit Podcast 50 – Acid Base Part IV – Choose the Solution Based on the Problem https://emcrit.org/podcasts/acid-base-4-use-of-fluids/ Mon, 27 Jun 2011 03:16:37 +0000 http://emcrit.org/?p=1817 <p>This is Part 4 of the Acid Base saga. In this episode, I discuss the acid base effects of fluids and when and how to use sodium bicarbonate.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> This is Part 4 of the Acid Base saga. In this episode, I discuss the acid base effects of fluids and when and how to use sodium bicarbonate. Scott D. Weingart, MD clean 21:23 Hemostatic Resuscitation by Richard Dutton, MD https://emcrit.org/podcasts/hemostatic-resuscitation/ Sun, 12 Jun 2011 01:41:56 +0000 http://emcrit.org/?p=1962 <p>Richard Dutton is a trauma anesthesiologist who was one of the primary formulators of the concept of 1:1:1 resuscitation. Here he is speaking on hemostatic resuscitation.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Richard Dutton is a trauma anesthesiologist who was one of the primary formulators of the concept of 1:1:1 resuscitation. Here he is speaking on hemostatic resuscitation. Scott D. Weingart, MD clean 51:35 EMCrit Podcast 49 – The Mind of a Resus Doc: Logistics over Strategy https://emcrit.org/podcasts/mind-resus-doc-logistics/ Tue, 07 Jun 2011 05:48:07 +0000 http://emcrit.org/?p=1938 <p>This Part I of the Mind of a Resus Doc Series, in which we delve into the philosophies that make a good resuscitationist.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> This Part I of the Mind of a Resus Doc Series, in which we delve into the philosophies that make a good resuscitationist. Scott D. Weingart, MD clean 9:41 EMCrit Podcast 48 – PhD in EKGs Part II: Left Bundle Branch Block https://emcrit.org/podcasts/left-bundle-branch-block/ Mon, 23 May 2011 03:56:35 +0000 http://emcrit.org/?p=1879 <p>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?</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> 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... Scott D. Weingart, MD clean 17:56 EMCrit Podcast 47 – Failure to Plan for Failure: A Discussion of Airway Disasters and the NAP4 Study https://emcrit.org/podcasts/nap4-airway-disasters/ Mon, 09 May 2011 15:42:38 +0000 http://emcrit.org/?p=1771 <p>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.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> 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 abou... Scott D. Weingart, MD clean 32:57 EMCrit Podcast 46 – Acid Base: Part III https://emcrit.org/podcasts/acid-base-part-iii/ Wed, 04 May 2011 03:00:35 +0000 http://emcrit.org/?p=1789 <p>In part III, we go through 2 cases of acid base abnormalities step by step.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> In part III, we go through 2 cases of acid base abnormalities step by step. Scott D. Weingart, MD clean 18:42 Bonus – Passing the Esophageal Temperature Probe https://emcrit.org/misc/passing-the-esophageal-temperature-probe/ Sat, 30 Apr 2011 19:33:14 +0000 http://emcrit.org/?p=1780 <p>It can be a b*tch to pass the esophageal temperature probe for hypothermia. Here's how to get er done.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> It can be a b*tch to pass the esophageal temperature probe for hypothermia. Here's how to get er done. Scott D. Weingart, MD clean EMCrit Podcast 45 – Acid Base: Part II https://emcrit.org/podcasts/acid-base-part-ii/ Sun, 24 Apr 2011 20:59:45 +0000 http://emcrit.org/?p=1758 <p>This second lecture discusses a quantitative approach to acid base management. I lay out the formula I use to approach an acid-base problem.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> This second lecture discusses a quantitative approach to acid base management. I lay out the formula I use to approach an acid-base problem. Scott D. Weingart, MD clean EMCrit Podcast 44 – Acid Base: Part I https://emcrit.org/podcasts/acid-base-i/ Mon, 11 Apr 2011 23:02:29 +0000 http://emcrit.org/?p=1714 <p>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.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> 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 path... Scott D. Weingart, MD clean 25:00 Listener Questions – Episode 1 https://emcrit.org/misc/listener-questions-episode-1/ Wed, 30 Mar 2011 01:47:36 +0000 http://emcrit.org/?p=1686 <p>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:</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> 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: Scott D. Weingart, MD clean 11:48 Bonus – Is Kayexalate Useless? https://emcrit.org/misc/is-kayexalate-useless/ Wed, 23 Mar 2011 03:58:35 +0000 http://emcrit.org/?p=1661 <p>Dr. Siamak (Mak) Moayedi, MD found nothing to indicate that kayexalate is effective for the acute management of hyperkalemia.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Dr. Siamak (Mak) Moayedi, MD found nothing to indicate that kayexalate is effective for the acute management of hyperkalemia. Scott D. Weingart, MD clean 16:31 Video for Podcast 43 – Inserting the Air-Q https://emcrit.org/misc/air-q-video/ Wed, 16 Mar 2011 21:23:15 +0000 http://emcrit.org/?p=1634 <p>Here is a video to go along with podcast 43 on the insertion and use of the Air-Q intubating laryngeal airway</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Here is a video to go along with podcast 43 on the insertion and use of the Air-Q intubating laryngeal airway Scott D. Weingart, MD clean 6:06 EMCrit Podcast 43 – Laryngeal Airways with Daniel Cook, MD (Part I) https://emcrit.org/podcasts/supraglottic-airway/ Sun, 13 Mar 2011 00:40:50 +0000 http://emcrit.org/?p=1626 <p>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.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> 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. Scott D. Weingart, MD clean 21:27 EMCrit Podcast 42: A phD in EKG with Steve Smith https://emcrit.org/podcasts/phd-in-ekg/ Sun, 27 Feb 2011 21:34:26 +0000 http://emcrit.org/?p=1564 <p>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.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> 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. Scott D. Weingart, MD clean 28:30 EMCrit Podcast 41 – Interview with Cliff Reid of RESUS.me https://emcrit.org/podcasts/ems-physician-1/ Mon, 14 Feb 2011 18:04:53 +0000 http://emcrit.org/?p=1538 <p>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.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> 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. Scott D. Weingart, MD clean 25:00 EMCrit Podcast 40 – Delayed Sequence Intubation (DSI) https://emcrit.org/podcasts/dsi/ Mon, 31 Jan 2011 17:57:51 +0000 http://emcrit.org/?p=1242 <p>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.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> 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. Scott D. Weingart, MD clean 19:51 EMCrit Podcast 39 – Hyponatremia https://emcrit.org/podcasts/hyponatremia/ Mon, 17 Jan 2011 18:18:14 +0000 http://emcrit.org/?p=1184 <p>Hmm… he’s tasty, but he just needs a little salt! In this podcast, I discuss the management of hyponatremia in the ED.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Hmm… he’s tasty, but he just needs a little salt! In this podcast, I discuss the management of hyponatremia in the ED. Scott D. Weingart, MD clean 21:26 EMCrit Podcast 38 – The ED Critical Care Dirty Dozen for 2010 https://emcrit.org/podcasts/dirty-dozen-2010/ Sun, 02 Jan 2011 22:15:54 +0000 http://emcrit.org/?p=1127 <p>My favorite ED things for 2010...the EMCrit dirty dozen.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> My favorite ED things for 2010...the EMCrit dirty dozen. Scott D. Weingart, MD clean 13:09 EMCrit Podcast 37 – Lactate in Sepsis https://emcrit.org/podcasts/lactate/ Mon, 20 Dec 2010 15:16:14 +0000 http://emcrit.org/?p=1050 <p>When an ED starts providing advanced care for severe sepsis, lactate testing is an absolute requirement. Lactate use brings up a lot of questions, especially if it is not commonly ordered in your department. In this podcast, I discuss all of the lactate questions that have come up in the course of the NYC Sepsis Collaborative.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> When an ED starts providing advanced care for severe sepsis, lactate testing is an absolute requirement. Lactate use brings up a lot of questions, especially if it is not commonly ordered in your department. In this podcast, Scott D. Weingart, MD clean 28:56 EMCrit Podcast 36 – Traumatic Arrest https://emcrit.org/podcasts/traumatic-arrest/ Sat, 04 Dec 2010 23:04:00 +0000 http://emcrit.org/?p=969 <p>Management of traumatic arrest. Many things to do in these patients, but two things you definitely should not be doing are closed-chest CPR or giving ACLS medications. We discuss who gets a thoracotomy, what to do if a thoracotomy is not indicated, and when to stop.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Management of traumatic arrest. Many things to do in these patients, but two things you definitely should not be doing are closed-chest CPR or giving ACLS medications. We discuss who gets a thoracotomy, what to do if a thoracotomy is not indicated, Scott D. Weingart, MD clean 20:19 EMCrit Podcast 35 – Extubation in the ED https://emcrit.org/podcasts/extubation/ Thu, 18 Nov 2010 22:28:11 +0000 http://emcrit.org/?p=879 <p>In this podcast, I discuss extubating patients in the ED. Specifically, I deal with patients who have only been intubated for a few hours in distinction to extubation of the patient who has been lingering in your ED for 2-3 days. The best patients for this short-term extubation are those intox folks with a low GCS and signs of trauma, overdoses, or endoscopy cases.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> In this podcast, I discuss extubating patients in the ED. Specifically, I deal with patients who have only been intubated for a few hours in distinction to extubation of the patient who has been lingering in your ED for 2-3 days. Scott D. Weingart, MD clean 14:27 EMCrit Podcast 34 – 2010 ACLS Guidelines https://emcrit.org/podcasts/acls-guidelines-2010/ Tue, 26 Oct 2010 03:51:44 +0000 http://emcrit.org/?p=823 <p>The brand new ACLS & BCLS guidelines were published last week. Not huge changes, but some good stuff! The free full text is available at the Circulation website. It takes hours to make your way through all of it. I boiled it down to just the facts and posted a summary on the EMCrit site. In this EMCrit Podcast I discuss some of the highlights that I think are particularly important.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> The brand new ACLS & BCLS guidelines were published last week. Not huge changes, but some good stuff! The free full text is available at the Circulation website. It takes hours to make your way through all of it. Scott D. Weingart, MD clean 19:59 Video for Diagnosing Posterior Stroke https://emcrit.org/misc/posterior-stroke-video/ Sun, 10 Oct 2010 03:11:00 +0000 http://emcrit.org/?p=765 <p>This is the video for cerebellar stroke diagnosis. Listen to the podcast first.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> This is the video for cerebellar stroke diagnosis. Listen to the podcast first. Scott D. Weingart, MD clean EMCrit Podcast 33 – Diagnosis of Posterior Stroke https://emcrit.org/podcasts/posterior-stroke/ Sun, 10 Oct 2010 02:52:17 +0000 http://emcrit.org/?p=755 <p>What if I told you that I think that patient you just sent home with vertigo may have been a missed cerebellar stroke? Would you be dialing risk management or could you tell me all of the reasons why I'm wrong? Isolated vertigo without other neurological findings can't be a stroke, right? That is true, if you are doing the right exam, but if you are just doing your standard ED neuro screening exam then you might be missing serious pathology. In this episode of the EMCrit podcast, I discuss how to perform the tests that will differentiate a peripheral cause of continuous vertigo from a cerebellar stroke.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> What if I told you that I think that patient you just sent home with vertigo may have been a missed cerebellar stroke? Would you be dialing risk management or could you tell me all of the reasons why I'm wrong? Scott D. Weingart, MD clean 11:38 EMCrit Podcast 32 – Treatment of Severe Hyperkalemia https://emcrit.org/podcasts/hyperkalemia/ Wed, 22 Sep 2010 18:36:40 +0000 http://emcrit.org/?p=744 <p>Hey folks. As I get ready for ACEP, I just wanted to get a quick podcast put up. One of the listeners requested an episode on the treatment of hyperkalemia in the ED.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Hey folks. As I get ready for ACEP, I just wanted to get a quick podcast put up. One of the listeners requested an episode on the treatment of hyperkalemia in the ED. Scott D. Weingart, MD clean 12:57 EMCrit Podcast 31 – Intra-Arrest Management https://emcrit.org/podcasts/intra-arrest/ Sun, 05 Sep 2010 21:47:53 +0000 http://emcrit.org/?p=734 <p>This week we talk about managing the intra-arrest period of cardiac arrest. My paradigm has changed dramatically over the past few years. In the past, I viewed the arrest as a period to teach my residents how to place a subclavian central line, how to intubate when the patient is moving, and how to cram as many drugs as possible into a patient in a short period of time. Looking at how I manage an arrest today, so much has changed.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> This week we talk about managing the intra-arrest period of cardiac arrest. My paradigm has changed dramatically over the past few years. In the past, I viewed the arrest as a period to teach my residents how to place a subclavian central line, Scott D. Weingart, MD clean 22:33 ACEP Preview – Hemostasis: Stopping the bleeding in a crashing trauma patient https://emcrit.org/podcasts/hemostasis-acep/ Mon, 23 Aug 2010 03:25:35 +0000 http://emcrit.org/?p=704 <p>I'm lecturing at ACEP in Las Vegas this year. This is one of two lectures I'm giving there. If you are going to the conference and plan on coming to my lecture, don't listen to this lecture; I'd rather you here the real one in person. </p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> I'm lecturing at ACEP in Las Vegas this year. This is one of two lectures I'm giving there. If you are going to the conference and plan on coming to my lecture, don't listen to this lecture; I'd rather you here the real one in person. Scott D. Weingart, MD clean 53:03 EMCrit Podcast 30 – Hemorrhagic Shock Resuscitation https://emcrit.org/podcasts/trauma-resuscitation-dutton/ Sun, 15 Aug 2010 17:33:15 +0000 http://emcrit.org/?p=694 <p>This week we discuss the resuscitation of the hemorrhagic shock patient with Dr. Richard Dutton, MD.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> This week we discuss the resuscitation of the hemorrhagic shock patient with Dr. Richard Dutton, MD. Scott D. Weingart, MD clean 31:07 EMCrit Podcast 29 – Procedural Sedation, Part II https://emcrit.org/podcasts/procedural-sedation-part-2/ Mon, 02 Aug 2010 00:19:36 +0000 http://emcrit.org/?p=682 <p>It seems the government and other specialties are trying hard to make sedation as difficult as possible in the ED. We must persevere to provide the best procedural sedation to allow maximal comfort and safety for our patients. This continues the discussion started in Part I.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> It seems the government and other specialties are trying hard to make sedation as difficult as possible in the ED. We must persevere to provide the best procedural sedation to allow maximal comfort and safety for our patients. Scott D. Weingart, MD clean 15:39 Procedural Sedation Guidelines Update https://emcrit.org/misc/procedural-sedation-guidelines/ Mon, 26 Jul 2010 23:51:13 +0000 http://emcrit.org/?p=679 <p>Here is a piece I wrote for EMPGU</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Here is a piece I wrote for EMPGU Scott D. Weingart, MD clean Procedural Sedation, Part I (Audio Only) https://emcrit.org/archive-podcasts/procedural-sedation-i-audio/ Mon, 26 Jul 2010 23:42:44 +0000 http://emcrit.org/?p=677 <p>This is the audio only version of the previous post (Part I of the Sedation Talk).</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> This is the audio only version of the previous post (Part I of the Sedation Talk). Scott D. Weingart, MD clean 27:29 Procedural Sedation – Part I https://emcrit.org/archive-podcasts/procedural-sedation-part-1/ Mon, 26 Jul 2010 23:39:01 +0000 http://emcrit.org/?p=669 <p>It seems the government and other specialties are trying hard to make sedation as difficult as possible in the ED. We must persevere to provide the best procedural sedation to allow maximal comfort and safety for our patients. This brief lecture was originally posted on the defunct EMCrit Lecture Site on 8/7/2009.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> It seems the government and other specialties are trying hard to make sedation as difficult as possible in the ED. We must persevere to provide the best procedural sedation to allow maximal comfort and safety for our patients. Scott D. Weingart, MD clean 27:14 EMCrit Podcast 28 – Severe CNS Infections https://emcrit.org/podcasts/meningitis/ Tue, 13 Jul 2010 20:25:02 +0000 http://emcrit.org/?p=665 <p>Severe CNS Infections are time dependent diagnoses! You must have a high index of suspicion, a good plan for your work-up, and rapid provision of treatment. After seeing a severely ill meningitis patient, I figured I would do a podcast on some tips and pearls on this topic.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Severe CNS Infections are time dependent diagnoses! You must have a high index of suspicion, a good plan for your work-up, and rapid provision of treatment. After seeing a severely ill meningitis patient, I figured I would do a podcast on some tips and... Scott D. Weingart, MD clean 25:33 EMCrit Podcast 27 – Calcium Channel Blocker Overdose https://emcrit.org/podcasts/calcium-channel-blocker-od/ Tue, 29 Jun 2010 16:36:27 +0000 http://emcrit.org/?p=634 <p>This week, I am joined by Leon Gussow, MD of the excellent blog: The Poison Review (TPR). TPR is my source for new toxicology articles; I highly recommend it as an incredible read. I got to meet Leon for a few beers a month ago; he is just a great guy. My Canadian pal, Ram, suggested calcium channel blocker OD as a podcast episode. Ram, here you go.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> This week, I am joined by Leon Gussow, MD of the excellent blog: The Poison Review (TPR). TPR is my source for new toxicology articles; I highly recommend it as an incredible read. I got to meet Leon for a few beers a month ago; he is just a great guy.... Scott D. Weingart, MD clean 29:48 EMCrit Lecture – Top Ten Hypothermia Tips https://emcrit.org/archive-podcasts/hypothermia-tips/ Wed, 16 Jun 2010 04:07:03 +0000 http://emcrit.org/?p=627 <p>At this stage of the game, if your hospital is not offering hypothermia to out-of-hospital cardiac arrests, you are probably lagging behind optimal care. For shockable rhythms, you essentially double your patient's chances of leaving the hospital with good neurological outcome. However hypothermia can be tough, unless you have done a bunch. Learn from my mistakes in this lecture.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> At this stage of the game, if your hospital is not offering hypothermia to out-of-hospital cardiac arrests, you are probably lagging behind optimal care. For shockable rhythms, you essentially double your patient's chances of leaving the hospital with ... Scott D. Weingart, MD clean 42:38 EMCrit Lecture – Dominating the Vent: Part II https://emcrit.org/podcasts/vent-part-2/ Tue, 01 Jun 2010 06:12:51 +0000 http://emcrit.org/?p=617 <p>When I was a resident, every vent lecture either put me to sleep or left me dazed and bewildered. I gave a lecture of that ilk when I started working after fellowship--I had become part of the problem. I decided there must be a way to make vent management more understandable and if not interesting, at least bearable.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> When I was a resident, every vent lecture either put me to sleep or left me dazed and bewildered. I gave a lecture of that ilk when I started working after fellowship--I had become part of the problem. I decided there must be a way to make vent managem... Scott D. Weingart, MD clean EMCrit Lecture – Dominating the Vent: Part I https://emcrit.org/archive-podcasts/vent-part-1/ Mon, 24 May 2010 18:22:04 +0000 http://emcrit.org/?p=565 <p>When I was a resident, every vent lecture either put me to sleep or left me dazed and bewildered. I gave a lecture of that ilk when I started working after fellowship--I had become part of the problem. I decided there must be a way to make vent management more understandable and if not interesting, at least bearable.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> When I was a resident, every vent lecture either put me to sleep or left me dazed and bewildered. I gave a lecture of that ilk when I started working after fellowship--I had become part of the problem. I decided there must be a way to make vent managem... Scott D. Weingart, MD clean 30:00 Vent Handout https://emcrit.org/podcasts/vent-handout/ Mon, 24 May 2010 18:10:08 +0000 http://emcrit.org/?p=569 <p>This post is just to place the vent handout into itunes.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> This post is just to place the vent handout into itunes. Scott D. Weingart, MD clean EMCrit Podcast 26 – Patient Controlled Analgesia by Edward Gentile https://emcrit.org/podcasts/gentile-pain/ Wed, 12 May 2010 03:02:23 +0000 http://emcrit.org/?p=553 <p>Even when we can't cure a patient, we can relieve suffering. On average, we kind of stink at pain control in the ED. One physician, Dr. Ed Gentile, has created a simple path to optimal acute pain control in the ED. I heard this lecture on the EM:RAP podcast and got permission from Drs. Gentile and Herbert to repost it here. This is not a critical care topic per se, but it is applicable to the critically ill, the non-critically ill--basically any patient who is in pain in the ED.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Even when we can't cure a patient, we can relieve suffering. On average, we kind of stink at pain control in the ED. One physician, Dr. Ed Gentile, has created a simple path to optimal acute pain control in the ED. Scott D. Weingart, MD clean 29:19 Service Update – How to get old episodes into Itunes https://emcrit.org/service/old-episodes-itunes/ Sun, 02 May 2010 18:24:26 +0000 http://emcrit.org/?p=544 <p>I received a bunch of emails asking how to get the old episodes into itunes. I expanded the RSS feed to include them, now you just need to bring them into itunes, this 40 second video shows you how.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> I received a bunch of emails asking how to get the old episodes into itunes. I expanded the RSS feed to include them, now you just need to bring them into itunes, this 40 second video shows you how. Scott D. Weingart, MD clean IVC Ultrasound for Non-Invasive Sepsis Protocol https://emcrit.org/procedures/ivc-ultrasound/ Thu, 29 Apr 2010 00:01:28 +0000 http://emcrit.org/?p=521 <p>We're still working on the Greater NY Sepsis Initiative. The next step towards making a non-invasive protocol possible is to teach folks how to use ultrasound of the IVC to assess fluid responsiveness. I developed this video to get ED & ICU docs up to speed. If you can do ANY ultrasound exam, you can do this one.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> We're still working on the Greater NY Sepsis Initiative. The next step towards making a non-invasive protocol possible is to teach folks how to use ultrasound of the IVC to assess fluid responsiveness. I developed this video to get ED & ICU docs up to ... Scott D. Weingart, MD clean EMCrit Podcast 25 – End of Life and Palliative Care in the ED https://emcrit.org/podcasts/end-of-life-care/ Sat, 24 Apr 2010 23:18:21 +0000 http://emcrit.org/?p=508 <p>Aggressive palliative care is just as important as aggressive critical care in the ED. Sometimes we will be the first physicians to talk to a family about end of life issues, even if their loved one is terminally ill. Now that is not how it should be, but it just means that we must be just as skilled at family palliative care discussions as we are at floating a transvenous pacer. In this podcast, I discuss my vision of how to handle palliative care issues in the ED.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Aggressive palliative care is just as important as aggressive critical care in the ED. Sometimes we will be the first physicians to talk to a family about end of life issues, even if their loved one is terminally ill. Now that is not how it should be, Scott D. Weingart, MD clean 29:43 Q&A: The Two Rams https://emcrit.org/podcasts/the-two-rams/ Sat, 17 Apr 2010 21:24:17 +0000 http://emcrit.org/?p=493 <p>Two listener questions answered in 5 minutes. One on awake intubation in trauma and the other on intubating the patient with severe RESP acidosis.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Two listener questions answered in 5 minutes. One on awake intubation in trauma and the other on intubating the patient with severe RESP acidosis. Scott D. Weingart, MD clean 5:04 Bougie-Aided Cricothyrotomy by Darren Braude https://emcrit.org/procedures/bougie-aided-cric/ Tue, 13 Apr 2010 14:45:46 +0000 http://emcrit.org/?p=480 <p>Darren Braude, Aiway and EMS master from New Mexico demonstrates the use of a bougie to make the cric procedure MUCH easier. For more great Braude magic, see his site at airway911.com.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Darren Braude, Aiway and EMS master from New Mexico demonstrates the use of a bougie to make the cric procedure MUCH easier. For more great Braude magic, see his site at airway911.com. Scott D. Weingart, MD clean Procedure: Fiberoptic Stylet-aided Cricothyrotomy by Seth Manoach https://emcrit.org/procedures/fiberoptic-stylet-cric/ Sun, 11 Apr 2010 17:01:30 +0000 http://emcrit.org/?p=451 <p>This video demonstrates the fiberoptic styler-aided cric. In this case he is using a Levitan Scope, but an adult bonfils or any other rigid fiberoptic should work fine.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> This video demonstrates the fiberoptic styler-aided cric. In this case he is using a Levitan Scope, but an adult bonfils or any other rigid fiberoptic should work fine. Scott D. Weingart, MD clean Procedure: Open Cricothyrotomy for Historical Purposes Only https://emcrit.org/procedures/cricothyrotomy/ Sun, 11 Apr 2010 17:01:01 +0000 http://emcrit.org/?p=444 <p>Here is my video on performing open cricothyrotomy in 3 situations: with a trach set and an assistant, with a trach set when alone, and when you only have a scalpel.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Here is my video on performing open cricothyrotomy in 3 situations: with a trach set and an assistant, with a trach set when alone, and when you only have a scalpel. Scott D. Weingart, MD clean EMCrit Podcast 24 – The Cric Show https://emcrit.org/podcasts/crics/ Sun, 11 Apr 2010 05:31:50 +0000 http://emcrit.org/?p=255 <p>Ok, Ok, I promise this is the last airway episode for at least a little while. I am perhaps a bit obsessed. Had this show in the works for a while. The cric is the last barrier between a failed airway and death. EM docs need to be able to perform this procedure without hesitation. This requires training and practice until you can perform the procedure in < 30 seconds literally with your eyes closed! </p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Ok, Ok, I promise this is the last airway episode for at least a little while. I am perhaps a bit obsessed. Had this show in the works for a while. The cric is the last barrier between a failed airway and death. Scott D. Weingart, MD clean 24:15 EMCrit Podcast 23 – Awake Intubation for Trauma and Medical Patients https://emcrit.org/podcasts/who-to-intubate/ Sat, 27 Mar 2010 03:45:47 +0000 http://emcrit.org/?p=418 <p>So after the intubation video went up on emrap tv, I got a flurry of emails telling me how cool the concept is, but questioning who this would actually be usable on.</p> <p>To answer that question, we first must discuss who actually requires intubation. If you wait until the patient is apneic, then of course you can't use awake intubation. The idea is to intubate before the patient stops breathing.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> So after the intubation video went up on emrap tv, I got a flurry of emails telling me how cool the concept is, but questioning who this would actually be usable on. - To answer that question, we first must discuss who actually requires intubation. Scott D. Weingart, MD clean 15:40 EMCrit Rant – Risk in Emergency Medicine https://emcrit.org/archive-podcasts/risk-in-em/ Sun, 21 Mar 2010 21:44:13 +0000 http://emcrit.org/?p=406 <p>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. </p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> 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. Scott D. Weingart, MD clean 12:44 EMCrit Podcast 22 – Non-Invasive Severe Sepsis Care https://emcrit.org/podcasts/non-invasive-sepsis/ Sun, 14 Mar 2010 00:29:36 +0000 http://emcrit.org/?p=394 <p>Young patient, lactate of 5.2, pneumonia... You know what you're supposed to do--put in the central line and start early goal directed therapy. Problem is, most people can't see sticking a central line in a patient that does not need pressors and otherwise looks well. Yet these patient have an annoying habit of going on to decompensate and perish. Well now there may be another way. Thanks to an article just published in JAMA, we may have a path to non-invasive treatment of severe sepsis. In this EMCrit Podcast, I interview Dr. Alan E. Jones, author of the article, Lactate clearance vs central venous oxygen saturation as goals of early sepsis therapy: a randomized clinical trial. Then I discuss how this article changes the game when it comes to caring for severe sepsis patients.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Young patient, lactate of 5.2, pneumonia... You know what you're supposed to do--put in the central line and start early goal directed therapy. Problem is, most people can't see sticking a central line in a patient that does not need pressors and other... Scott D. Weingart, MD clean 21:16 EMCrit Podcast 21 – A Bad Sedation Package Leaves your Patient Trapped in a Nightmare https://emcrit.org/podcasts/post-intubation-sedation/ Fri, 26 Feb 2010 19:55:17 +0000 http://emcrit.org/?p=369 <p>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.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> 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. Scott D. Weingart, MD clean 26:40 EMCrit Podcast 20 – The Crashing Atrial Fibrillation Patient https://emcrit.org/podcasts/crashing-a-fib/ Sat, 13 Feb 2010 03:14:51 +0000 http://emcrit.org/?p=324 <p>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???</p> <p>Yeah, yeah the Pavlovian ACLS response--You cardiovert. Wonderful, except it didn't change a thing. Now what?</p> <p>In this episode, I discuss the crashing atrial fibrillation patient.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> 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. Scott D. Weingart, MD clean 9:13 EMCrit Podcast 19 – Non-Invasive Ventilation https://emcrit.org/podcasts/niv/ Fri, 05 Feb 2010 17:32:50 +0000 http://emcrit.org/?p=305 <p>Intubation is a sexy procedure, there is no doubt about it.</p> <p>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.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> 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, Scott D. Weingart, MD clean 19:35 EMCrit Podcast 17 – Reversal of Anti-coagulant and Anti-platelet Drugs in Head Bleeds https://emcrit.org/podcasts/reversal-head-bleeds/ Tue, 12 Jan 2010 21:53:51 +0000 http://emcrit.org/?p=263 <p>So you have a patient with intracranial bleeding or you have a high pre-ct suspicion of intracranial bleeding and they are taking coumadin, aspirin, or clopidogrel. Should you reverse them? If so, how?</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> So you have a patient with intracranial bleeding or you have a high pre-ct suspicion of intracranial bleeding and they are taking coumadin, aspirin, or clopidogrel. Should you reverse them? If so, how? Scott D. Weingart, MD clean 18:12 EMCrit Podcast 16 – Coding Asthmatic, DOPES and Finger Thoracostomy https://emcrit.org/podcasts/finger-thoracostomy/ Thu, 24 Dec 2009 03:09:21 +0000 http://emcrit.org/?p=250 <p>Hi folks, Sorry about the voice–got a cold off those damn ED keyboards Thanks to my friend Reuben, this week we'll talk about the asthmatic patient that codes while on the vent The DOPE mnemonic gives you a path to figure out why a patient is desaturating (If anyone knows who created the DOPE mnemonic, […]</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Hi folks, Sorry about the voice–got a cold off those damn ED keyboards Thanks to my friend Reuben, this week we'll talk about the asthmatic patient that codes while on the vent The DOPE mnemonic gives you a path to figure out why a patient is desaturat... Scott D. Weingart, MD clean 17:03 EMCrit Podcast 15 – the Severe Asthmatic https://emcrit.org/podcasts/severe-asthmatic/ Wed, 09 Dec 2009 02:02:48 +0000 http://emcrit.org/?p=232 <p>To PEEP or not to PEEP, that is the question...in the management of the severe asthmatic</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> To PEEP or not to PEEP, that is the question...in the management of the severe asthmatic Scott D. Weingart, MD clean 22:56 Video for the Laryngoscope as a Murder Weapon Lecture https://emcrit.org/misc/preox/ Thu, 26 Nov 2009 03:49:12 +0000 http://emcrit.org/?p=198 <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Scott D. Weingart, MD clean EMCrit Podcast 14.5 – A bit more on EGDT https://emcrit.org/podcasts/more-on-egdt/ Mon, 23 Nov 2009 07:20:39 +0000 http://emcrit.org/?p=183 <p>Chris Nickson is an Aussie, oops Kiwi, who is a lead author of a great blog: lifeinthefastlane.com and tweets under the moniker @precordialthump; check him out, he's doing really good stuff. He wrote a comment about the last podcast– Hey Scott, Great to hear your views and approach to EGDT. I agree with the need […]</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Chris Nickson is an Aussie, oops Kiwi, who is a lead author of a great blog: lifeinthefastlane.com and tweets under the moniker @precordialthump; check him out, he's doing really good stuff. He wrote a comment about the last podcast– Hey Scott, Scott D. Weingart, MD clean 10:16 EMCrit Podcast 14 – EGDT Tirade https://emcrit.org/podcasts/emcrit-podcast-14-egdt-tirade/ Sat, 21 Nov 2009 04:53:36 +0000 http://emcrit.org/?p=178 <p>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. </p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> 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. Scott D. Weingart, MD clean 20:42 EMCrit Podcast 13 – Trauma Resus II: Massive Transfusion https://emcrit.org/podcasts/massive-trans/ Sat, 31 Oct 2009 21:49:35 +0000 http://emcrit.org/?p=168 <p>On this podcast, I recap from last show, especially the concept of bare minimum normotension (called erroneously permissive hypotension by just about everyone else) and why we should keep the MAP higher if there is suspected elevations in intracranial pressure I then talk about massive transfusion. This is probably the best strategy for a patient […]</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> On this podcast, I recap from last show, especially the concept of bare minimum normotension (called erroneously permissive hypotension by just about everyone else) and why we should keep the MAP higher if there is suspected elevations in intracranial ... Scott D. Weingart, MD clean 16:53 EMCrit Podcast 12 – Trauma Resus: Part I https://emcrit.org/podcasts/trauma-resus-part-i/ Wed, 14 Oct 2009 04:10:05 +0000 http://emcrit.org/?p=152 <p>Thought we'd talk about some trauma stuff, specifically the resuscitation of the critically ill hemorrhagic shock patient. There is much to discuss, so this will be a multi-episode affair. Today, we'll concentrate on the Lethal Triad and BP Goals. Lethal Triad The picture says it all. Bleeding causes acidosis, hypothermia, and coagulopathy. Then the cycle […]</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Thought we'd talk about some trauma stuff, specifically the resuscitation of the critically ill hemorrhagic shock patient. There is much to discuss, so this will be a multi-episode affair. Today, we'll concentrate on the Lethal Triad and BP Goals. Scott D. Weingart, MD clean 14:33 EMCrit Podcast 11 – Delirium Tremens https://emcrit.org/podcasts/delirium-tremens/ Tue, 29 Sep 2009 05:14:22 +0000 http://emcrit.org/?p=137 <p>The management of severe ETOH withdrawal and Delirium Tremens</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> The management of severe ETOH withdrawal and Delirium Tremens Scott D. Weingart, MD clean 18:48 Podcast 10 – Cardiogenic Shock https://emcrit.org/podcasts/cardiogenic-shock/ Wed, 16 Sep 2009 17:02:43 +0000 http://emcrit.org/?p=128 <p>Mohamed, a listener from Sudan, emailed asking about the treatment of acute pulmonary edema in patients with low blood pressure. This is in distinction to SCAPE patients (see podcast 1). If the patients have pulmonary edema and low BP from a cardiac cause, then they are in Cardiogenic shock. First, consider the etiology: Rate-related Valve […]</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Mohamed, a listener from Sudan, emailed asking about the treatment of acute pulmonary edema in patients with low blood pressure. This is in distinction to SCAPE patients (see podcast 1). If the patients have pulmonary edema and low BP from a cardiac ca... Scott D. Weingart, MD clean 13:37 EMCrit Podcast 9 – Can you take sick patients to ct? https://emcrit.org/podcasts/sick-pts-to-c/ Tue, 01 Sep 2009 00:49:52 +0000 http://emcrit.org/?p=122 <p>Does the EM ban on letting sick patients go to CT scan make sense? Listen to the podcast and then register your opinion.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Does the EM ban on letting sick patients go to CT scan make sense? Listen to the podcast and then register your opinion. Scott D. Weingart, MD clean 7:20 EMCrit Podcast 8 – Subarachnoid Hemorrhage https://emcrit.org/podcasts/sah/ Mon, 17 Aug 2009 01:28:11 +0000 http://emcrit.org/?p=106 <p>This week's podcast is on the management of a the patient with SAH. It's not a complete review, just some tips and reminders. Best article for EM that I've found, comes out of Columbia For more reviews on mostly ICU issues see here and here. Update: Critical Care Management of Patients Following Aneurysmal SAH Guidelines […]</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> This week's podcast is on the management of a the patient with SAH. It's not a complete review, just some tips and reminders. Best article for EM that I've found, comes out of Columbia For more reviews on mostly ICU issues see here and here. Scott D. Weingart, MD clean 15:35 EMCrit Podcast 7 – Sedation Tirade https://emcrit.org/podcasts/sedation-tirade/ Thu, 23 Jul 2009 22:52:06 +0000 http://emcrit.org/?p=93 <p>Hi folks, this podcast is really brief–I gave a lecture at Jacobi last week (thanks for having me Jacobites!), and in response to a question I gave this rant on my vision of sedation after intubation.</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Hi folks, this podcast is really brief–I gave a lecture at Jacobi last week (thanks for having me Jacobites!), and in response to a question I gave this rant on my vision of sedation after intubation. Scott D. Weingart, MD clean 3:52 EMCrit Podcast 6 – Push-Dose Pressors https://emcrit.org/podcasts/bolus-dose-pressors/ Fri, 10 Jul 2009 16:43:20 +0000 http://emcrit.org/?p=76 <p>Finally a non-intubation topic! Bolus dose pressors and inotropes have been used by the anesthesiologists for decades, but they have not penetrated into standard emergency medicine practice. I don’t know why. They are the perfect solution to short-lived hypotension, e.g. post-intubation or during sedation. They also can act as a bridge to drip pressors while they are being mixed or while […]</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Finally a non-intubation topic! Bolus dose pressors and inotropes have been used by the anesthesiologists for decades, but they have not penetrated into standard emergency medicine practice. I don’t know why. Scott D. Weingart, MD clean 11:00 EMCrit Podcast 5 – Intubating the Critical GI Bleeder https://emcrit.org/podcasts/intubating-gi-bleeds/ Mon, 22 Jun 2009 00:52:01 +0000 http://emcrit.org/?p=62 <p>We've had a  few gruesome airways in patients with GI bleeds and bellies full of coffee ground emesis. This is a top 10 list encompassing my approach to this difficult situation: 1. Empty the Stomach Place a salem sump and suck out all of the stomach contents. Varices are not a contraindication (see: Digest Dis 1973;18(12):1032, Gastrointest Endosc. 2004 […]</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> We've had a  few gruesome airways in patients with GI bleeds and bellies full of coffee ground emesis. This is a top 10 list encompassing my approach to this difficult situation: 1. Empty the Stomach Place a salem sump and suck out all of the stomach c... Scott D. Weingart, MD clean 12:25 Podcast 3 – Laryngoscope as a Murder Weapon (LAMW) Series – Ventilatory Kills – Intubating the patient with Severe Metabolic Acidosis https://emcrit.org/podcasts/tube-severe-acidosis/ Sat, 23 May 2009 00:22:21 +0000 http://emcrit.org/?p=37 <p>This lecture is part of the Laryngoscope as a Murder Weapon Series: Hemodynamic Kills Oxygenation Kills Ventilatory Kills Sorry about the voice–blame the swine flu. Case Thanks to Joe Chiang Severe DKA; Obtunded with pH 6.65, PaCO2 18, Bicarb 5 Pt’s mental status is worsening The decision is made to intubate Should you give NaBicarb? […]</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> This lecture is part of the Laryngoscope as a Murder Weapon Series: Hemodynamic Kills Oxygenation Kills Ventilatory Kills Sorry about the voice–blame the swine flu. Case Thanks to Joe Chiang Severe DKA; Obtunded with pH 6.65, PaCO2 18, Scott D. Weingart, MD clean 8:32 EMCrit Podcast 2 – ETCO2 https://emcrit.org/podcasts/etco2-podcast/ Tue, 05 May 2009 04:51:28 +0000 http://emcrit.org/?p=13 <p>I did a spot on ETCO2 for Amal Mattu's podcast a couple of weeks ago. I try to clear up some of the myths on the use of ETCO2. Of course the most pervasive and potentially dangerous myth is that ETCO2=PaCO2. Long story short, in our patients, it doesn't. Listen to the podcast for more…</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> I did a spot on ETCO2 for Amal Mattu's podcast a couple of weeks ago. I try to clear up some of the myths on the use of ETCO2. Of course the most pervasive and potentially dangerous myth is that ETCO2=PaCO2. Long story short, in our patients, Scott D. Weingart, MD clean 22:08 EMCrit Podcast 1 – Sympathetic Crashing Acute Pulmonary Edema (SCAPE) https://emcrit.org/podcasts/scape/ Sat, 25 Apr 2009 18:22:38 +0000 http://emcrit.org/?p=17 <p>Here it is, the 1st EMCrit podcast. It's on the topic of Sympathetic Crashing Acute Pulmonary Edema (SCAPE). To boil it down to 10 seconds: Start patient on Non-invasive ventilation with a PEEP of 6-8; quickly titrate to a PEEP of 10-12. Start the patient on a nitroglycerin drip. Administer a loading dose of 4oo […]</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> Here it is, the 1st EMCrit podcast. It's on the topic of Sympathetic Crashing Acute Pulmonary Edema (SCAPE). To boil it down to 10 seconds: Start patient on Non-invasive ventilation with a PEEP of 6-8; quickly titrate to a PEEP of 10-12. Scott D. Weingart, MD clean 10:32 EMCrit Podcast 0 – The Intro https://emcrit.org/podcasts/introduction/ Sun, 01 Mar 2009 04:56:09 +0000 http://emcrit.org/?p=102 <p>In which I introduce you to me and explain what this whole thing is about. (better late than never)</p> <p><a rel="nofollow" href="https://emcrit.org">EMCrit</a> by <a rel="nofollow" href="https://emcrit.org/author/emcrit-2/">Scott Weingart</a>.</p> In which I introduce you to me and explain what this whole thing is about. (better late than never) Scott D. Weingart, MD clean 2:51