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All the Rest
EMCrit 300 – Airway Continuous Quality Improvement and the Resus Airway Bundle
If you are not measuring your success, it probably is not that great
IBCC – Reversible Cerebral Vasoconstriction Syndrome (RCVS)
Reversible Cerebral Vasoconstriction Syndrome (RCVS) is an important cause of stroke and intracranial hemorrhage, especially in younger people. This disorder may also complicate other neurologic disorders, especially Posterior Reversible Encephalopathy Syndrome (PRES). The IBCC chapter is located 👉 here. The podcast & comments are below. Follow us on iTunes
IBCC – Paroxysmal sympathetic hyperactivity
Paroxysmal sympathetic hyperactivity (previously known as sympathetic storming) is a pattern of recurrent episodic sympathetic activation which may occur after severe brain injury (most often traumatic or anoxic). Prompt recognition of this diagnosis may facilitate appropriate treatment, thereby stabilizing the patient and avoiding aggravation of the underlying brain injury. The IBCC chapter is located 👉 […]
IBCC – Autoimmune Encephalitis
Autoimmune encephalitis was nearly unknown a few decades ago, but currently it’s estimated that it may be as common as HSV encephalitis. Given that many forms respond well to treatment, prompt diagnosis is critical. The IBCC chapter is located 👉 here. The podcast & comments are below. Follow us on iTunes
Tox and Hound – Fellow Friday – Metal Hydrides I
Arsine (AsH3) – From Reconnaissance Balloons to Integrated Circuits Steven Curry, M.D.*George Warpinski, M.D.*Eugene Ngai, M.S.# * University of Arizona College of Medicine – PhoenixDepartment of Medical ToxicologyBanner – University Medical Center PhoenixPhoenix, AZ # ChemicallySpeakingLLC Introduction The famous 19th century scientist, John Tyndall, reported that inhalation of hydrogen gas produced a voice “so weakened […]
IBCC – Elevated intracranial pressure (ICP)
ICP elevation is an important dimension of many neuroICU patients. Unfortunately, it remains unclear precisely who might benefit from ICP monitoring, or exactly what the optimal ICP targets should be. The IBCC chapter is located 👉 here. The podcast & comments are below. Follow us on iTunes
Logistics of Whole Bowel Irrigation (WBI) for Toxicologic Overdose
Who Should Get WBI? Beats the frack out of me–way above my paygrade. You need to ask the nerds (meant in the most affectionate way possible). In general, WBI is indicated for poisons that… (stolen directly from Howard’s amazing post): don’t bind to charcoal (e.g. metals and ions – iron, lead, lithium, zinc, etc.) drugs […]
IBCC – Critical care nutrition
Critical care nutrition is a perpetually challenging topic, due to the difficulty in performing high-quality research on it. This chapter aims to describe reasonable practices, based largely on the 2019 ESPEN guidelines. The IBCC chapter is located 👉 here. The podcast & comments are below. Follow us on iTunes
IBCC – Cardiac glycoside poisoning (including digoxin)
Cardiac glycoside poisoning continues to be a relevent topic, due to both digoxin and plants containing cardiac glycosides. As with all things toxicologic, ongoing debate surrounds the precise dosing and indications for anti-digoxin antibody fragments. The IBCC chapter is located 👉 here. The podcast & comments are below. Follow us on iTunes
EMCrit 298 – Calcium in Exsanguinating Patients with Ricky Ditzel and Jeffrey Siegler
Something I have been preaching for a decade has finally gotten the attention and research it deserves. On this episode, I get two of the authors from the Lethal Diamond Paper to discuss hypocalcemia in the bleeding patient.
IBCC – Approach to the poisoned patient
Poisoning is one of the most common causes of ICU admission. The vast majority of these patients do fine, with minimal supportive therapy and observation. However, occasional patients will progress to organ failures and potentially death. This chapter explores how to approach these patients, with an eye towards identification and prompt treatment of the critically […]
IBCC – Thrombotic microangiopathies (TTP, HUS, et al.)
Thrombotic microangiopathy is a rapidly moving target, which has evolved considerably in just the past few years. Complementopathies (e.g., atypical hemolytic uremic syndrome) probably represent a largely unappreciated, yet critical, dimension of many diseases. Thrombotic thrombocytopenic purpura (TTP) remains an important hematologic emergency that must be promptly recognized. This chapter attempts to disentangle these entities, […]
EMCrit 297 – EVARs, TEVARs, and Endoleaks – Oh My! with Ani Aydin
EVAR complications can be deadly. Learn how they present and how to work them up.
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