Welcome to the e-resources for Day #2 of the Northern New England Critical Care Conference 2018. I really enjoyed the conference and picked up some great pearls. Some of the key points are mapped out in live-tweet threads (see below). delirium talk Slides from my talk are here. Best single source of information about this talk is […]
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Neurological Prognostication from the TTM Trial
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 […]
EMCrit Wee – The Physiology of Oxygenation with Alex of Deranged Physiology
So we used a mean guy on twitter to spur a discussion on Oxygenation Physiology and talk about when PaO2s are necessary and you can’t use the pulse ox (hint: not often). My discussant is Alex Yartsev.
Extubating COVID Patients with thoughts from Guest EMCritter, Sahar Ahmad
If you put it in, you need to be able to take it out.
NeuroEMCrit – Demystifying the EEG Report
EEGs are tougher than EKGs–but you can master the basics
PulmCrit- Ten dubious beliefs in neurocritical care
Recently Geert Meyfroidt published an article in Intensive Care Medicine describing ten false beliefs in neurocritical care shown here: It’s a great article, but I think they could have been more aggressive about challenging neurocritical care dogmas (1). In response, here is a list of ten dubious beliefs that goes farther to challenge the status quo. […]
Street Chalking
Not tonight Netflix, I’ve found something else to watch till at least midnight. pic.twitter.com/1JzqqNWrXT — Lee Madgwick (@LeeMadgwick) May 22, 2020
PulmCrit Wee – What is the correct loading dose?
Question: Perampanel is an oral antiseizure medication that may occasionally be used for refractory status epilepticus. It has a half-life of 105 hours. Different sources recommend three different regimens for its dosing: (a) 18-24 mg load followed by 12 mg/day.(33830480) (b) 32 mg load followed by 12 mg/day.(31565443) (c) 36 mg on day #1, 24 […]
EMCrit 86 – IVC Ultrasound for Fluid Tolerance in Spontaneously Breathing Patients
Can the Inferior Vena Cava Ultrasound guide our fluid administration in the ED? Of course it can!
NeuroEMCrit – Team NeuroEMCrit’s H&R Conference Talk, Part 1
3 great cases from the NeuroEMCrit Team
Salicylate intoxication
CONTENTS Rapid Reference 🚀 Diagnosis Epidemiology Signs & symptoms General laboratory abnormalities Salicylate level Treatment Airway management & decontamination Delirium & dysglycemia Alkalinization Volume resuscitation Hemodialysis Lab monitoring When to stop Podcast Questions & discussion Pitfalls Salicylate intoxication checklist ✅ Labs & targets (cycle q2hr until resolution) 📖 Glucose: Target >80-100 mg/dL if altered mental […]
EMCrit 346 – COMMS Lab – Resus Communication with Hayden Richards
Hayden Richards is a communications maven…
Approach to Stupor & Coma
CONTENTS Front matter: Most clinically relevant: Rapid Reference – Clinical approach 🚀 Causes of stupor & coma Definitions Distinctive states that mimic coma: Locked-in syndrome Abulia and akinetic mutism Hypokinetic catatonia Functional unresponsiveness Malingering Management – some additional comments Airway management Related Coma syndromes (section of Exam chapter) Podcast Questions & discussion Pitfalls diagnostic approach […]
IBCC chapter & cast: Bradycardia
Bradycardia emergencies are uncommon, but these cases can go sideways fast. An appropriately aggressive approach is needed to avoid cardiac arrest. Sometimes the answer is as simple as the appropriate epinephrine dose.
Frequently Asked Questions (FAQ) regarding Sepsis
Severe Sepsis FAQ The FAQ below was designed to provide teams with a concise framework to describe the clinical rationale for undertaking the non-invasive and invasive severe sepsis protocols, and to link evidence and clinical resources to the protocols. The following sections outline key features of the components of the severe sepsis invasive and non-invasive […]
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