Bicar-ICU changes my practice with bicarb infusions and let’s end the great lactate debate on EMCrit 227:
Search Results for: john hinds
Enhancing Human Performance and Flow in Resuscitation Part 2: The Tao of Resuscitation Performance
Part II of Lauria’s discussion of flow and resuscitation
Peripheral 3% and 23.4% Hypertonic Saline is Safe
Peripheral 3-7.5% Hypertonic Saline There are still pharmacies that believe that 3% Hypertonic Saline can only be given through a central line. The evidence would go against this assertion: Brenkert TE et al. Intravenous Hypertonic Saline Use in the Pediatric Emergency Department (Pediatr Emer Care 2013;29: 71Y73) Bulger, Eileen M, Susanne May, Karen J Brasel, […]
EMCrit 27 – Calcium Channel Blocker Overdose
This week, I am joined by Leon Gussow, MD of the excellent blog: The Poison Review (TPR). TPR is my source for new toxicology articles; I highly recommend it as an incredible read. I got to meet Leon for a few beers a month ago; he is just a great guy. My Canadian pal, Ram, suggested calcium channel blocker OD as a podcast episode. Ram, here you go.
EMCrit 44 – Acid Base – Part I
This lecture discusses a quantitative approach to acid base management. This is also known as the Fencl-Stewart approach, the strong-ion approach or the physicochemical approach. It provides explanations for why acid base disorders occur in human pathophysiology.
Adrenal crisis
CONTENTS Epidemiology: at-risk populations Signs & symptoms Laboratory clues Evaluation of suspected adrenal crisis Clinical definition of adrenal crisis Treatment Prevention Physiology Podcast Questions & discussion Pitfalls Adrenal crisis is a bit like DKA. It can either be caused by chronic adrenal insufficiency plus a trigger, or it can be caused by acute adrenal insufficiency […]
EMCrit RACC Lit Review for March 2023
RACC Lit Review for March 2023
PulmCrit- Metoprolol causes harm in COPD?? Déjà vu all over again
We’ve been all over the road with beta-blockers and COPD. For a long time, there was a belief that beta-blockers were contraindicated in COPD. Eventually that concept fell out of favor. Subsequently, some correlative data suggested that beta-blockers might be beneficial in COPD. This led to the current BLOCK-COPD trial which (spoiler alert) shows that […]
EMCrit 305 – Post-Cardiac Arrest Hypothermia (or not) – TTM2 Synthesis with Niklas Nielsen and Josef Dankiewicz
The TTM2 trial changes game for post-cardiac arrest management. I am joined today with the study’s authors to discuss this amazing paper.
EMCrit 199 – Management of Massive Hemoptysis with Oren Friedman
Management of Massive Hemoptysis
Think You Understand Fluids–Cause I don’t have a grasp yet
Mind…Blown!
The Adventure of the Cardboard Box
There have been a number of seemingly negative studies published recently in which the authors, using ordinal analysis, have claimed their trials are in fact positive. Though not the first, the most notable of these studies was the IST3 trial published in May of last year. In this trial, the largest to date, comparing thrombolytics […]
Another Comment from Our Semi-Retired Critical Care Doctor on Fluids and the Lymphatics
More from John, this time the role of the lymphatics
A Comment on the Toughness Episode
from a listener
PulmCrit- Montreal Hospitalist & Resuscitationist Conference FOAMed
I recently got back from the inaugural Hospitalist & Resuscitationist conference, a fantastic FOAMy conference in Montreal organized by Phillipe Rola (@ThinkingCC). It was inspiring to participate alongside fantastic folks including Rory Speigel (@EMNerd), Jon-Emile Kenny (@heart_lung), Kylie Baker (@kyliebaker88), Lawrence Lynn(@PatientStormDoc), Andre Denault, and Segun Olusanya (@iceman_ex). Screencasts of my talks, audio clips, some videos […]
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