For this last podcast of the year, I had a couple of pieces that were going to become Wees, but I thought I would combine them for synergistic goodness and make this end-of-year podcast. Today, we speak about some tips from a EM Surgical Intensivist and discussion of a brand new sedative, Remimazolam.
Search Results for: COVID-19
EMCrit RACC-Lit Review for May 2022
All the Lit Goodness…
Table of Contents
SYSTEMS Cardiology Endocrinology Gastroenterology Hematology & Oncology Infectious diseases Nephrology Neurology Obstetrics Pulmonology Rheumatology Toxicology & Temperature Overview: Guide to supportive care in critical illness Medication reconciliation in the ICU About this book How to create your own IBCC smartphone app 📲 General Approaches to problems Cardiac arrest 🔜 Chest pain Hypertensive emergency SCAPE (Sympathetic […]
PulmCrit Theoretical Post – The COVID Severity Index (CSI 1.0)
Prognostication is tough. The challenge is often not that we have too little data, but rather that we have too much data. There are now about two dozen risk factors for poor outcomes with COVID-19. How are we supposed to integrate all these bits of information at the bedside? Which pieces of information are redundant […]
EMCrit 124 – The Logistics of Proning for ARDS
Proning is one of the only evidence-based techniques to affect the mortality of ARDS patients. I’ve been wanting to do an episode on proning for a while.
Guillain Barre Syndrome (GBS)
CONTENTS Definition and variants Epidemiology Signs & symptoms Diagnosis Differential diagnosis (neuromuscular chapter) CSF examination Electromyography MRI Ganglioside serology Diagnostic criteria Treatment IVIG versus plasmapheresis Management of dysautonomia Analgesia Monitoring pulmonary function tests Noninvasive respiratory support Intubation GBS in COVID-19 Podcast Questions & discussion Pitfalls Guillain Barre Syndrome (GBS) refers to a group of acute, […]
Thoracic Radiology – Septal thickening & reticular patterns
CONTENTS Septal thickening Nodular septal thickening Crazy paving Fibrosis (including honeycombing) Questions & discussion abbreviations used in the pulmonary section AE-ILD: Acute exacerbation of ILD 📖 AIP: Acute interstitial pneumonia (Hamman-Rich syndrome) 📖 ANA: Antinuclear antibody 📖 ANCA: Antineutrophil cytoplasmic antibodies 📖 ARDS: Acute respiratory distress syndrome 📖 ASS: Antisynthetase Syndrome 📖 BAL: Bronchoalveolar lavage […]
ARDS
CONTENTS Rapid Reference 🚀 Diagnosis of ARDS Definition of ARDS Cardiogenic pulmonary edema vs. ARDS Why is the patient in ARDS? Common causes of ARDS Evaluating the cause of ARDS ARDS pathophysiology: Intrapulmonary shunting Treatment: Basics Treating the cause of ARDS Steroid Conservative fluid strategy Treatment: Non-intubated patient High-flow nasal cannula & CPAP/BiPAP Awake proning […]
PulmCrit – Does Remdesivir reduce length of stay? SOLIDARITY vs. ACTT-1.
With the publication of the SOLIDARITY trial, there is increasing consensus that remdesivir doesn’t affect mortality. However, there continues to be debate about whether remdesivir affects hospital length of stay. Let’s dig into the data here to try to reconcile differences between ACTT-1 and SOLIDARITY. Did ACTT-1 actually show that remdesivir reduces the hospital length […]
PulmCrit – Mythbusting 40 mg enoxaparin daily for DVT prophylaxis in critical illness
The basics often aren’t exciting, but it’s important to get them right. DVT prophylaxis is a good example of this. Most critically ill patients will receive DVT prophylaxis at some point during their ICU stay (that’s 5 million patients per year in the United States alone). Thus, even minor tweaks in the optimal treatment for […]
Hemophagocytic LymphoHistiocytosis (HLH)
CONTENTS Basics – what is HLH? Clinical features of HLH Laboratory findings Ferritin Lumbar puncture Pathology – Hemophagocytosis Causes of HLH Differential diagnosis – Closest mimics of HLH Approach to the diagnosis of HLH Treatment Treatment of the underlying cause (if possible) Steroid IL1 antagonism JAK inhibition Etoposide Podcast Questions & discussion Pitfalls what is […]
EMCrit RACC-Lit Update – June 2023
So much lit goodness!!!
Severe influenza
CONTENTS Rapid Reference 🚀 Clinical presentation Radiology Bacterial coinfection Diagnostic panel Treatment Resuscitation Antibiotics Anti-viral therapy Respiratory support Adjunctive therapy Virus-associated hemophagocytic syndrome (VAHS) Approach to treatment failure Extrapulmonary complications Virology of influenza Podcast Questions & Discussions Pitfalls severe influenza checklist ✅ diagnostic tests (more) Nares PCR for MRSA. Blood cultures. Sputum gram stain & […]
EMCrit Wee – Follow-Up to the Ghali Grills Episode on APRV
More on yesterday’s APRV episode
Ventilator Associated Pneumonia (VAP)
CONTENTS Rapid Reference 🚀 Preamble: The riddle of VAP Stepwise approach to VAP Step #1 – Does the patient have probable VAP? Step #2 – Pulling the trigger on antibiotics & cultures Step #3 – Management of suspected VAP #3a) Cultures & repeat imaging #3b) Antibiotics for probable VAP Step #4 – Data review & […]
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