Neuroprognostication from the TTM Trial Excerpted from Life in the Fast Lane CCC The TTM trial (Nielsen et al, 2013) used a standardized protocol for neurological prognostication to guide decisions regarding treatment withdrawal following targeted temperature management post-cardiac arrest: All patients in the trial were actively treated until a minimum 72 hours after the intervention […]
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All in the Game: The Psychology of FOAM Part 2 by Mike Lauria
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Imperturbability: William Osler, Resilience, and Redefining Mental Toughness by Mike Lauria
Imperturbability and Rethinking Resilience in Medicine by @ResusPadawan
Guillain Barre Syndrome (GBS)
CONTENTS Definition and variants Epidemiology Signs & symptoms Diagnosis Differential diagnosis (neuromuscular chapter) CSF examination Electromyography MRI Ganglioside serology Diagnostic criteria Treatment IVIG versus plasmapheresis Management of dysautonomia Analgesia Monitoring pulmonary function tests Noninvasive respiratory support Intubation GBS in COVID-19 Podcast Questions & discussion Pitfalls Guillain Barre Syndrome (GBS) refers to a group of acute, […]
Neuromuscular Disorders
CONTENTS Initial approach to acute, diffuse weakness History & physical examination Causes of acute, diffuse weakness Brain Spinal cord Anterior horn cells Neuropathy NMJ (neuromuscular junction) Myopathy Laboratory evaluation Evaluation of respiratory muscle strength: Bedside pulmonary function tests Single breath count test Blood gas measurement Specific neuromuscular disorders Myasthenia gravis ➡️ Guillain-Barre syndrome ➡️ Botulism […]
EMCrit Wee – The Targeted Temperature Trial Changes Everything
Cold, but not all that cold may be the way
Nonconvulsive Status Epilepticus (NCSE)
CONTENTS Definition of NCSE Epidemiology and causes of NCSE Various clinical presentations General clues to the diagnosis of NCSE Common differential diagnostic considerations EEG: Indications to obtain an EEG Duration of continuous EEG monitoring Antiepileptic trial for ictal/interictal continuum abnormalities Management of NCSE Subtypes of NCSE NCSE with coma Absence NCSE with onset in adulthood […]
Spinal Cord
CONTENTS Spinal cord basics Anatomy Recognizing spinal cord injury Lesion localization Bowel and bladder symptoms Spinal cord radiology Patterns of axial involvement Patterns of longitudinal involvement Acute & subacute myelopathy Potential causes Investigation Blood tests CSF evaluation Imaging Specific myelopathies Spinal cord infarction Spinal dural arteriovenous fistula (dAVF) Spinal epidural hematoma Cauda equina syndrome Nitrous […]
EMCrit Wee – On Editing Comments and Ad Hominem Attacks
On the editorial policy of EMCrit
People are illogical, unreasonable, and self-centered. Love them anyway. If you do good, people will accuse you of selfish ulterior motives. Do good anyway. If you are successful, you win false friends and true enemies. Succeed anyway. The good you do today will be forgotten tomorrow. Do good anyway. Honesty and […]
https://emcrit.org/tidbit/people-are-illogical-unreasonable-and/
EMCrit 186 – Coma with Eelco Wijdicks
How to Diagnose and Manage Coma
IBNCC index
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z drug interaction checker IBNCC […]
IBCC – Neuroprognostication after cardiac arrest
CONTENTS Rapid Reference 🚀 Introduction Early brain death is (still) death Prognostic value of historical information Confounding factors & hypothermia Timing & serial evaluation Prognostic tests Neurological examination EEG Myoclonus SSEPs (Somatosensory evoked potentials) CT scan MRI Neuron-specific enolase Multimodal prognostication Podcast Questions & discussion Pitfalls PDF of this chapter (or create customized PDF) timing of tests […]
Neuroprognostication after cardiac arrest
CONTENTS Rapid Reference 🚀 Introduction Early brain death is (still) death Prognostic value of historical information Confounding factors & hypothermia Timing & serial evaluation Prognostic tests Neurological examination EEG Myoclonus SSEPs (Somatosensory evoked potentials) CT scan MRI Neuron-specific enolase Multimodal prognostication Podcast Questions & discussion Pitfalls PDF of this chapter (or create customized PDF) timing of tests […]
The Necessity of Emergency Reflex Action Drills
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