The TTM2 trial changes game for post-cardiac arrest management. I am joined today with the study’s authors to discuss this amazing paper.
Search Results for: ecmo
EM Nerd-The Case of the Partial Cohort
The global suffering wrought by SARS-CoV-2 pandemic is undeniable. But so is the ferocity with which the world has pursued a cure. And while some potential remedies have held more promise than others, the enthusiasm supporting these novel treatments often outpaced their evidentiary support. In fact, none have demonstrated efficacy backed by high quality randomized […]
EMCrit 181 – Pulmonary Hypertension and Right Ventricular Failure with Susan Wilcox
Pulmonary Hypertension and Acute on Chronic RV Failure
PulmCrit- Is Lopinavir/Ritonavir down and out?
A lot has happened since the last post on Lopinavir/Ritonavir (it was only March 4, but it seems like a year ago). Here is a quick reminder of where we left off: Lopinavir/ritonavir (tradename KALETRA) is a combination of protease inhibitors used in HIV, which might also be effective in COVID-19. Prior studies on SARS […]
PulmCrit – Systemic racism of pulse oximetry: Even worse than we thought?
One and a half years ago, a landmark study by Sjoding et al. found that critically ill Black patients were more likely than White patients to have falsely reassuring pulse oximetry measurements (discussed here).1 Subsequently, six sizable studies have been published on this topic. Since this is of critical importance to acute care medicine, it’s […]
EMCrit Wee – A Theoretical Model of the Pathophysiology of COVID-19 with Farid Jalali (Not a Single Thing Verified–Pure Musings)
Today on the podcast, my guest lays out a theoretical framework for the pathophysiology of the lung effects of COVID-19.
EMCrit 355 – AMAX4 for Crashing Anaphylaxis and Asthma – Part I Primer
AMAX4 for crashing anaphylaxis and asthma
PulmCrit Instagram Links
Welcome to the PulmCrit Instagram page. This has recent posts with links for further information. –Cheers, josh HYPERION trial on therapeutic hypothermia for patients with non-shockable cardiac arrest: Link to PulmCrit blog. CITRIS-ALI: Fresh multi-center RCT of vitamin C in sepsis-induced ARDS: Link to PulmCrit blog The crashing asthmatic with Leo Stemp: Link to fresh […]
EMCrit RACC – Analyzing Difficult Resuscitation Cases #1 from ResusMe
STEPUP for case analysis
The Necessity of Emergency Reflex Action Drills
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Right Ventricular failure
CONTENTS Rapid Reference: Approach to RV failure 🚀 Preamble: Don’t forget the right ventricle! Pathophysiology of RV failure RV death spiral RV myocardial perfusion Falling off the Starling curve Occult systemic hypoperfusion Diagnosis of RV failure Defining RV failure Physical exam findings Lab findings Radiology EKG Echocardiography Causes of right ventricular failure Chronic pulmonary hypertension […]
EMCrit 308 – Risk Stratification and Treatment of Pulmonary Embolism (PE) 2021 – Is the PERT Wilted?
PE is hard–I think we make it harder than it needs to be
Thrombocytopenia
CONTENTS Rapid Reference 🚀 Overview & definition Differentials Overall classification of thrombocytopenia in the ICU Clinical clues & specific situations Investigation of thrombocytopenia Platelet transfusion Additional comments on specific causes of thrombocytopenia: Drug-induced immune thrombocytopenia (D-ITP) Transfusion related thrombocytopenia Heparin-Induced Thrombocytopenia Podcast Questions & discussion Pitfalls approach to thrombocytopenia in critical illness ✅ investigations (more) […]
COVID 19 Complete Chapter
CONTENTS Basic biology Infection control Transmission Personal protective equipment (PPE) Diagnosis Signs & symptoms Labs Imaging CXR & CT scan Lung ultrasonography General approach to imaging Bronchoscopy Diagnostic approach for admitted patients Treatment: General protocols ED patients getting admitted to the hospital Inpatient management of hypoxemic, non-intubated patients Intubated patients Treatment: Specific anti-viral & immunosuppressive […]
COVID Airway Management Thoughts
additional COVID airway management thoughts
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