Cold, but not all that cold may be the way
Search Results for: septic shock
EM Nerd-The Case of the Tarnished Standard
Anyone who has spent some time in a cardiac intensive care unit understands the physiologic appeal of the intra-aortic balloon pump (IABP). Anecdotally its use improves multiple clinical endpoints that for years have been considered surrogates for patient important outcomes. And yet, despite these physiologic advantages when examined in a rigorous fashion, IABPs have failed […]
CV-EMCrit 327 – Acute Valve Disasters Part 2 – Management of Critical Aortic Stenosis
Part 2 of crashing valves: aortic stenosis
Type-1 Myocardial Infarction (OMI & NOMI)
CONTENTS diagnosis & risk stratification Nomenclature & types of MI Diagnosis DDx of MI EKG findings in MI Anterior OMI Inferior OMI RV OMI (RVMI, including management) Posterior OMI High lateral OMI OMI in LBBB or RV-pacing OMI vs aneurysm Hyperacute T-waves & de Winter pattern Wellens patterns Subendocardial ischemia patterns Risk stratification management General […]
A Case of Shadows
In medicine we frequently propagate half-truths and unsubstantiated certainties. Thus, truth is a relative experience, dependent primarily on how we choose to define it rather than any concrete state of reality. Increasingly we have favored a technological definition of truth over that of the clinical perspective. As such we are driven to act in disease […]
EMCrit RACC Lit Review – January 2024
All the lit goodness for Jan 2024
AHA PE Guidelines
I extracted only the stuff relevant to ED w/u and management (from Circulation 2011;123:1788)
EMCrit 330 – Rural Resus Explosion
more on rural resus
PulmCrit: ARDS vs. pseudoARDS – Failure of the Berlin definition.
Did this woman have ARDS? According to the Berlin Definition shown below, she had moderately severe ARDS while on conventional low tidal-volume ventilation (P/F ratio of 166). However, she didn’t meet the definition of ARDS while she was APRV, a few hours earlier (P/F ratio 475). Her overall clinical course with prompt recovery and weaning off oxygen is inconsistent with the natural history of ARDS.
EMCrit Special – Burnout with Liz Crowe
More on burnout with an expert…
Pericardial tamponade
CONTENTS Rapid Reference 🚀 Causes of tamponade Symptoms Physical exam Pulsus paradoxus Kussmaul’s sign EKG Radiology Echocardiography Diagnosis: Overall approach Low pressure tamponade Management Initial stabilization measures Ultrasound-guided pericardial drainage Interventional radiology or surgical drainage Tamponade patient in cardiac arrest Finer points: Limitations of this chapter Physiology Podcast Questions & discussion Pitfalls Key tests to […]
EMCrit – Idiopathic Ventricular Tachycardias for the EM Physician by H Pendell Meyers
Not your classic VT
PulmCrit- My favorite 20 abstracts from SCCM
The Society of Critical Care Medicine published over 1,800 abstracts to go along with their latest conference. I sifted through them to come up with my favorite 20. Kudos to all the authors on creating diverse and thoughtful work – the future of critical care is indeed bright! The abstracts are divided into six groups: […]
Diabetic Ketoacidosis (DKA)
CONTENTS Rapid Reference 🚀 Getting started Evaluating anion gap & ketoacidosis Definition & severity of DKA Evaluating the cause of DKA Core components of DKA resuscitation Fluid administration Electrolyte management Insulin infusion Long-acting, basal insulin Management of severe or refractory ketoacidosis NAGMA management Monitoring & management of DKA recurrence Special situations DKA in a hemodialysis […]
GI Bleeding
CONTENTS Rapid Reference: Overview & Checklist 🚀 Investigations Diagnosis & bedside evaluation Risk stratification Resuscitation basics Causes Specific bleeding location/types Approach to upper GI bleed Variceal bleed Hematochezia and (presumed) lower GI bleed Podcast Questions & discussion Pitfalls history & physical History: NSAID use? Abdominal pain? Alcoholism? Liver disease? Surgical history: Gastric bypass surgery? AAA […]
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