Is it safe? Is it a no-no?
Search Results for: airway
EMCrit 51 – Fibrinolysis in Pulmonary Embolism with Jeff Kline
Jeff Kline is the master of all things pulmonary embolism in emergency medicine. This is a lecture he gave on fibrinolysis for pulmonary embolism. He discusses both massive and sub-massive PE.
EMCrit 153 – In Memory – John Hinds, On How He Ran His Unit
In Memory of Our Friend, John Hinds
More on a Diagnostic Strategy for C-Spine Injuries
Podcast 63 set off some expected controversy given my take that plain films are a dead imaging modality for c-spine injuries. I wanted to briefly outline my impression of the existing evidence:
PulmCrit – It’s insane to keep using mortality as a primary endpoint in critical care trials
There, I’ve said it. That’s a bit of a bold statement, but it seems to be supported by the evidence. failure to prove mortality benefit A post in 2018 explored the difficulty of proving mortality benefit from any intervention. To summarize, there are many barriers to proving all-cause mortality benefit: Mortality is decreasing over time […]
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: […]
EMCrit 48 – PhD in EKGs Part II – Left Bundle Branch Block
A few months ago, we had Dr. Stephen Smith on the podcast to discuss a variety of EKG issues. Dr. Smith has an EKG blog that is required reading for every ED and ICU doc. This is Part II and I think it discusses an incredibly important issue: right now major medical societies including the AHA and ACEP are asking us to fibrinolyse or PCI patients with new or presumed new LBBB. However, your interventionalists will tell you that this strategy is a ridiculous waste given how few acute occlusions will actually be found. Why this discrepancy?
The Adventure of the Second Stain Continues
The CT-LP (lumbar puncture) diagnostic pathway has been a permanent fixture in the arsenal of the Emergency Physician for what seems like an eternity. Steadfast in its dependability, for many generations, the LP was a necessity for Emergency Physicians to safely exclude the diagnosis of subarachnoid hemorrhage (SAH). And yet, rarely a moment has passed over […]
EMCrit RACC-Lit Review – March 2024
All the literature goodness for March 2024
EMCrit – RACC Lit Update 2021-12-22
All the Resus and Acute Crit Care Goodness in 10 minutes
The Case of the Aimless Convoy
Never has a biomarker with so much evidence demonstrating its disutility, enjoyed such a long reign of prosperity as BNP and its natriuretic analogs. And while evidence discrediting BNP’s use for the diagnosis and inpatient management of acute exacerbations of heart failure (HF) is well documented, its utility to guide outpatient therapy in patients […]
Autoimmune Encephalitis
CONTENTS Definitions & classifications General clinical features Diagnostic evaluation CSF evaluation MRI EEG Evaluation for underlying malignancy Anatomic classification Limbic encephalitis Cortical-subcortical encephalitis Basal ganglia involvement, including striatal encephalitis Diencephalic encephalitis Brainstem encephalitis Cerebellitis Meningoencephalitis Encephalomyelitis Classification by antibody Antibodies against intracellular proteins Antibodies against cell surface proteins Management of autoimmune encephalitis Specific disorders Anti-NMDA […]
Approach to CNS infection
CONTENTS Infectious disease history Clinical syndromes Blood tests to consider Lumbar puncture (LP) Test to obtain & opening pressure Normal CSF & CSF patterns Specific CSF tests: CSF erythrocytes CSF differential cell count CSF protein CSF glucose CSF lactate CSF microarray (e.g., BioFire) Lumbar puncture & coagulopathy Specific risk groups Patients status post transplantation Patients […]
PulmCrit Wee: Is piperacillin-tazobactam nephrotoxic?
A recent series of articles suggest that the combination of vancomycin and piperacillin-tazobactam are synergistically nephrotoxic. Is piperacillin-tazobactam truly nephrotoxic, or is this merely pseudo-nephrotoxicity?
EMCrit – A Debate on the Use of Cognitive Decision Aids for Resuscitation and why Twitter is absolute, utter Crap
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