Introduction: Medicine is stressful. Humor helps. Here are some of the funniest medical videos I’ve seen. If there is a video you love that’s not here, drop it in the comments section. Disclaimer: These videos are intended only for healthcare professionals with intact senses of humor. They contain some foul language. Watch them at your […]
Search Results for: acid base
Pulmonary hypertension (PH)
CONTENTS Symptoms of PH Functional assessment Diagnosis Chest radiograph CT scan Echocardiography Pulmonary artery catheterization (PAC) Vasoreactivity testing Causes of PH Evaluation for PH of unknown etiology Treatment – array of available therapies Basic supportive care for PH Calcium channel blockers Endothelin-receptor antagonists Phosphodiesterase-5 inhibitors & guanylate cyclase stimulators Prostacyclins & prostacyclin receptor agonists Systemic […]
IBCC chapter & cast – Pneumocystis Jirovicii Pneumonia
Pneumocystic Jirovicii Pneumonia (previously Pneumocystic Carinii Pneumonia) remains an important opportunistic infection in critical care. Improved treatment for HIV has reduced the frequency of PJP due to AIDS, but meanwhile the development of increasingly sophisticated immunosuppressive regimens for other patient populations has increased the incidence of non-HIV PJP. New diagnostic tests are improving our ability […]
Procedure: Fiberoptic Stylet-aided Cricothyrotomy by Seth Manoach
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.
Fungal infections of CNS
CONTENTS Cryptococcal meningitis Dimorphic fungi (endemic mycoses) Histoplasmosis Coccidioidomycosis Blastomycosis Molds Aspergillosis Rhinocerebral mucormycosis Candidiasis Podcast Questions & discussion Pitfalls basics Cryptococcus neoformans is a widespread opportunistic fungus found in soil and bird droppings. Cryptococcus gattii causes infection in immunocompetent patients, but it is restricted to specific geographic locales (British Columbia and the Pacific Northwest; […]
EEG interpretation and ictal-interictal continuum
CONTENTS When & how long to monitor EEG: Indications for EEG monitoring in the ICU Duration of EEG monitoring Basics EEG leads Background pattern Reactivity Paralysis to eliminate artefacts EEG in encephalopathy/coma Beta coma Alpha coma Theta coma Delta coma Spindle coma Seizures Epileptiform discharges Seizures BIRDs – Brief Potentially Ictal Rhythmic Discharges 🐥 Ictal-Interictal […]
Decompensated Hypothyroidism (“Myxedema Coma”)
CONTENTS Rapid Reference 🚀 Diagnosis Epidemiology (including triggers) Recognition of the clinical syndrome Catalog of potential findings Investigations Definition & differential Treatment Treatment of cause Supportive care Hormonal manipulations Stress dose steroid IV levothyroxine (T4) Liothyronine (T3) Followup Podcast Questions & discussion Pitfalls basic workup should include: Endocrine evaluation: TSH & free T4. Random serum […]
The Adventure of the Speckled Band
Blood pressure is one of the least understood and yet most intervened on metrics in modern medicine. Though we have found meager success in controlling blood pressure over the long-term (1,2) our attempts to translate these benefits to the acute setting of the emergency room have not been met with improved short-term outcomes. Traditionally acutely […]
EMCrit 53 – Needle vs. Knife: Part I – Needle Cricothyrotomy
What technique should we use in the can’t intubate/can’t oxygenate (CICO) situation: Needle Cricothyrotomy vs. Bougie Cricothyrotomy.
The Adventure of the Crooked Man
A recent study entitled, “Outcomes at 12 Months After Early Magnetic Resonance Imaging in Acute Trauma Patients With Persistent Midline Cervical Tenderness and Negative Computed Tomography” published in the June 2013 issue of Spine has attempted to shine a small amount of light on a topic that has cast a large shadow of doubt on […]
EMCrit 371 – Iodinated Contrast Issues: Part 2 – Contrast Reactions
Continuing on our contrast issues theme…
EHPR Part 4: Mastering Your Internal Dialogue by Mike Lauria
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Pulmonary vasculitis & diffuse alveolar hemorrhage
CONTENTS Diffuse Alveolar Hemorrhage (DAH) Clinical presentation Radiology Bronchoscopy Causes Evaluation Management ANCA-associated vasculitides Overview of ANCA-associated vasculitides in the ICU Laboratory findings in GPA and MPA Clinical features of granulomatosis with polyangiitis (GPA) Radiology Tracheobronchial involvement Treatment pathway for GPA or MPA Podcast Questions & discussion Pitfalls clinical presentation (1) May present with hemoptysis […]
ODR 004 – Email [1/x] – Email is Not the Problem, You Are!
Email is not really the issue–our relationship with email is the problem!
Submassive & Massive PE
CONTENTS Most useful material: Crashing patient: Massive PE resuscitation guide 🚀 General approach to (sub)massive PE: (#1) Investigation package (#2) Risk stratification (#3) Thrombolytic contraindications (#4) Treatment approach Resuscitation of massive PE Avoid procedures if possible Fluid management Inotropes & vasopressors Inhaled pulmonary vasodilator(s) Hematologic management: Anticoagulation (heparin) Thrombolysis Regimens: Full dose Half dose Quarter […]
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