Neurogenic pulmonary edema isn’t particularly common, but it’s probably more common than we realize. Most cases are likely mistaken as cardiogenic pulmonary edema or aspiration pneumonitis. Treatment is predominantly supportive, with a focus on defending the injured brain (rather than focusing too much on the lungs). The IBCC chapter is located 👉 here. The podcast […]
EMCrit 322 – Shadowboxing Case 2 – Frack the EJ
The 2nd of the shadowboxing cases…
IBNCC – Spinal Epidural Abscess (SEA)
Spinal Epidural Abscess is rare, but it is increasingly encountered (especially within the context of the opioid epidemic, and an aging population with increasing comorbidity). SEA may be part of the patient’s initial presentation to the ICU, or it may arise during the course of a prolonged ICU admission. The IBCC chapter is located 👉 […]
EMCrit Wee – Saving EM: Is Less More? with Atkinson and Innes
Atkinson and Innes discuss saving EM
Protected: Acid Base for Iain’s Course
There is no excerpt because this is a protected post.
IBNCC – Baclofen intoxication & withdrawal
Baclofen is one of the most effective treatments for spasticity, but also perhaps the most toxic. Baclofen intoxication may lead to severe mental status suppression requiring intubation and occasionally hemodialysis. However, intrathecal baclofen withdrawal is more difficult to treat if it’s not possible to immediately re-institute intrathecal therapy. The IBCC chapter is located 👉 here. […]
Introducing the Internet Book of NeuroCritical Care (IBNCC)
Friends, Over the next several months we’ll be adding ~26 additional chapters to the neurology section of the IBCC. The ultimate goal is to create a complete neurocritical care textbook that is fully integrated into the IBCC. (You can preview the final table of contents here.) Why more neurocrit? The brain is one of the […]
EMCrit 321 – CV-EMCrit – Acute Valve Disasters – Critical Aortic & Mitral Regurgitation and Bonus: VSDs with Trina Augustin
Valve Disasters Part 1 – Regurg…
NeuroEMCrit – Time is Brain – Acute Ischemic Stroke Part 2: Mechanical Thrombectomy
part II of the stroke update…
EMCrit 320 – MotR – Tension & Relaxation | Flow & Burnout
Seek flow and avoid burnout…
EMCrit RACC-Lit Review for March 2022
All the RACC-Lit goodness for March 2022:
EMCrit 319 – Safe and Smart Reversal of Anticoagulation / Anti-platelet Agents in 2022
Reversal of Anti-Coag and Anti-PLT is confusing and essential!
EMCrit 318 – SSC Guidelines 2021 – The Good, The Bad, & The Ugly and What You Need to Know in Sepsis Resuscitation
It has been a while since we did a sepsis and septic shock update, so the time has come! No better framework for the discussion than the most recent iteration of the Surviving Sepsis Campaign Guidelines. Foreshadowing: they don’t suck as hard as in prior years.
PulmCrit Wee – Who needs a second lumbar puncture to exclude HSV encephalitis?
the question Some patients with HSV encephalitis may initially have a negative CSF PCR for HSV, with a repeat being positive some days later. This has led to confusion regarding who, exactly, needs a repeat lumbar puncture? Montmollin E et al: HSV encephalitis with initial negative PCR: Prevalence, associated factors, and clinical impact. This is […]
NeuroEMCrit – Time is Brain – Acute Ischemic Stroke Part I: Vascular Syndromes and Thrombolysis
All things Ischemic Stroke – Part 1
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