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Search Results for: motov
EMCrit 249 – You Can Either Learn or You Can Blame – Fixing the Morbidity and Mortality Conference with George Douros
How to make your M&M conference important and useful
Catatonia
CONTENTS Basics Pathophysiology Epidemiology Clinical presentation Differential diagnosis Diagnostic criteria Diagnostic challenge with lorazepam or ketamine Causes of catatonia Investigation for underlying cause Management Podcast Questions & discussion Pitfalls core concepts of catatonia Catatonia is a motor dysregulation syndrome involving difficulty initiating or terminating actions.(19884605) Most commonly this causes periods of physical rigidity, negativism, or […]
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 […]
EMCrit 301 – The Five Fears with Rob Orman (Mind of the Resuscitationist)
We need to carry fear, but we do not need to be afraid…
EEG interpretation and ictal-interictal continuum
CONTENTS When & how long to monitor EEG: Indications for EEG monitoring in the ICU Duration of EEG monitoring Basics EEG leads Background pattern Reactivity Paralysis to eliminate artefacts EEG in encephalopathy/coma Beta coma Alpha coma Theta coma Delta coma Spindle coma Seizures Epileptiform discharges Seizures BIRDs – Brief Potentially Ictal Rhythmic Discharges 🐥 Ictal-Interictal […]
Neuroleptic Malignant Syndrome (NMS)
CONTENTS Pathophysiology Epidemiology Clinical features Laboratory abnormalities Differential diagnosis & evaluation Diagnostic criteria Management Supportive care Bromocriptine Dantrolene Electroconvulsive therapy Podcast Questions & discussion Pitfalls As its name implies, NMS is often related to neuroleptic agents (i.e., antipsychotic medications) and is manifest by mental status changes, hyperthermia, rigidity, and autonomic dysfunction. It can present as […]
Traumatic Spinal Cord Injury (SCI)
CONTENTS Rapid Reference 🚀 Epidemiology Physiology Clinical presentation Evaluation of the injury Spinal shock Imaging Management Airway & breathing Blood pressure targets Dysautonomia: Neurogenic shock Vagal hyperactivity Autonomic dysreflexia Orthostatic hypotension Sphincter dysfunction DVT prophylaxis Steroid Surgery Podcast Questions & discussion Pitfalls common causes of spinal cord trauma (33896529) Motor vehicle collisions, especially among the […]
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 77 – Left Ventricular Assist Devices (LVADS)
LVADs are complicated especially when the patient starts going downhill. Zack Shinar is going to attempt to make it a bit easier.
NeuroEMCrit – Team NeuroEMCrit’s H&R Conference Talk, Part 1
3 great cases from the NeuroEMCrit Team
NeuroEMCrit – Clinical Pearls for Coma
Clinical pearls on the exam and differential of coma patients
Acute Ischemic Stroke (AIS)
CONTENTS Rapid Reference 🚀 Core topics in ICU stroke management Blood pressure control Anticoagulation & antiplatelet therapy Respiratory support Seizure management Dysphagia evaluation & nutritional support Additional supportive measures Specific management situations Neuroworsening in AIS Thrombolytic-induced angioedema Hemorrhagic transformation (including post-thrombolysis) Malignant MCA syndrome Cerebellar stroke & posterior fossa syndrome Basilar artery thrombosis Moyamoya disease […]
Confounding Questions in Resus – When is it safe to Perform an LP with Anti-Platelet Agents on Board
Can you tap a patient taking anti-platelet agents? CQiR:
Acute Demyelinating Disorders
CONTENTS Inflammatory demyelinating disorders Acute disseminated encephalomyelitis (ADEM) & acute hemorrhagic leukoencephalitis (AHLE) Neuromyelitis optica spectrum disorders (NMOSD) Multiple sclerosis Myelitis due to multiple sclerosis Tumefactive Multiple Sclerosis Acute Multiple Sclerosis (Marburg variant) Balo concentric sclerosis GFAP-IgG associated myelitis Idiopathic transverse myelitis Management considerations for inflammatory demyelinating disorders Emergency complications of demyelinating disorders Treatment Other […]