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 […]
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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 […]
Reversible Cerebral Vasoconstriction Syndrome (RCVS)
CONTENTS Introduction Epidemiology Triggers & associated conditions Clinical features Diagnosis Management Prognosis Related topics: Primary angiitis of the CNS (PACNS) Podcast Questions & discussion Pitfalls basics of Reversible Cerebral Vasoconstriction Syndrome (RCVS) RCVS typically presents with thunderclap headache due to diffuse cerebral vasospasm. RCVS is usually benign, but can cause severe sequelae (most notably, ischemic […]
EMCrit 20 – The Crashing Atrial Fibrillation Patient
Your patient is pale and diaphoretic. Blood pressure is 70/50. Heart rate is 178. EKG shows atrial fibrillation… What are you going to do???
Yeah, yeah the Pavlovian ACLS response–You cardiovert. Wonderful, except it didn’t change a thing. Now what?
In this episode, I discuss the crashing atrial fibrillation patient.
Credits and Attributions
EMCrit Wee Image Observe the Banana Wee – Two Awake Intubations Photo credit: basheertome Podcast 165 Photo credit: cliff1066™ Stress Inoculation Post Photo credit: USACE Europe District Podcast 163 Photo Credit Love for Tetris by CookiemagiK Sepsis Measures Post Photo credit Legoexpress Tumblr Podcast 149-Thyroid Storm photo credit: Strike III Podcast 145-Awake Intubation photo credit: […]
PulmCrit – Oscar awards for the best COVID prognostic models
We are continually tasked with triaging COVID patients, a situation which will become more complex as the numbers continue to rise. This involves making educated guesses about which patients are most likely to deteriorate, and which patients may benefit most from critical care. That’s enormously difficult. At this point, we’re quite familiar with individual risk […]
Situation Awareness in Resuscitation by Mike Lauria
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Movement disorder emergencies
CONTENTS Hypokinetic Parkinson’s disease Managing Parkinson’s medications in the ICU Parkinsonism-hyperpyrexia syndrome Acute parkinsonism Psychosis in Parkinson’s disease Neuroleptic malignant syndrome (NMS) Catatonia Baclofen withdrawal Hyperkinetic Acute ballismus or chorea Akathisia Myoclonus Dystonia Acute dystonia Dystonic storm Post-hypoxic myoclonus Tetanus Propofol frenzy Podcast Questions & discussion Pitfalls general challenges (1) Parkinson’s medications must generally be […]
Clinical Recommended Reading
Looking for Non-Medical and Pleasure Reading Recs–I got you covered: EMCrit’s Shelf for Fiction EMCrit’s Shelf for Non-Fiction Medical Books Please Note: If you buy anything from Amazon directly from these links, the podcast gets a small commission at no cost to you. If you feel uncomfortable with this, just search for the book […]
EMNerd-The Case of the Anatomic Injury Part II
The total-body CT (typically referred to as the pan-scan) has quickly become a key component in the initial evaluation of trauma patients presenting to the Emergency Department. Despite this, the evidence supporting the benefits of the trauma pan-scan is lacking. Its rise to prominence due more so to riotous indignation than true evidentiary support. This […]
EMCrit 244 – Incredibly Important Wrinkles to Titrated Vasopressors during CPR in Cardiac Arrest with PO Berve
We’ve been doing it all wrong–mysteries solved thanks to PO Berve
Imperturbability: William Osler, Resilience, and Redefining Mental Toughness by Mike Lauria
Imperturbability and Rethinking Resilience in Medicine by @ResusPadawan
Resus.ME: Learning To Speak Resuscitese
Avoid the whimperatives
EMCrit 358 – Dizziness Makes Me Dizzy Still! – GRACE-3 and more with Peter Johns
Do you still cringe when a dizzy patient appears on your board? If so, we need to fix that and Peter Johns is here to help!
PulmCrit – Correlation confounded by timing: One reason we believe bad therapies are awesome
example 1: anti-emetics Let’s get started with a RCT comparing droperidol versus ondansetron for the treatment of nausea in the emergency department. Meek et. al randomized 144 nauseated patients to receive either droperidol or ondansetron.1 The rates of symptom improvement were indistinguishable (75% vs 80%). So, you might conclude that these drugs are equally efficacious. […]
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