What to actually do (besides nothing) for severe hyponatremia
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The Adventure of the Cardboard Box Revisited
Meta-analyses function under the assumption that the summation of data from multiple sources is a more accurate estimate of the true effect size than any one individual trial. And yet sometimes such statistical endeavors serve only to add dirt to the already muddy water. Such is the case with the recent trials examining endovascular therapy […]
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
Management of COVID-19 patients admitted to stepdown or ICU
CONTENTS Rapid Reference 🚀 Initial tests to guide management Chest CT findings Organ support Cardiovascular Respiratory Noninvasive respiratory support Invasive mechanical ventilation Infectious disease – antibiotics Renal Hematology Neurology Immunomodulation Steroid Tocilizumab Baricitinib Tofacitinib Things that don’t work Remdesivir Convalescent plasma Questions & Discussion References checklist for COVID admission to ICU/stepdown ✅ Review medication list […]
The Adventure of the Cardboard Box Continues
For those whose beliefs are already firmly in favor of endovascular therapy for acute ischemic stroke, the publication of the MR CLEAN trial earlier this year and more recently the EXTEND-IA and ESCAPE trials only serve as a big fat, “I TOLD YOU SO!” For the perpetual disbelievers, each of these trials possesses enough flaws […]
EMCrit 258 – Should Andexxa be added to a Hospital’s Formulary?
Should hospitals stock Andexxa?
DasSMACC Tickets on Sale this Week
get them before they sell out
So much a better way. Also: and: https://www.youtube.com/watch?v=7TA4Whui_xA and (Source: https://www.youtube.com/)
PulmCrit Rant – Intermediate DVT prophylaxis in COVID: We need for better pants
COVID will eventually lead to many improvements in our approach to critical illness. I’ve been hoping that one of these would be an improved understanding of venous thromboembolism (VTE) prophylaxis, but perhaps that was overly optimistic. We provide VTE prophylaxis to nearly every patient in the ICU. Consequently, even tiny changes in our VTE prophylaxis […]
Point of Care Ultrasound Handbook – RUSH Chapter
A free chapter from a POC ultrasound book
EMCrit 362 – Jonathan Edlow, Lead Author of GRACE-3, on Dizziness
Dizziness and Vertigo with the lead author of GRACE-3
Understanding lactate in sepsis & Using it to our advantage
Introduction with a case 0 Once upon a time a 60-year-old man was transferred from the oncology ward to the ICU for treatment of neutropenic septic shock. Over the course of the morning he started rigoring and dropped his blood pressure from 140/70 to 70/40 within a few hours, refractory to four liters of crystalloid. […]
PulmCrit Blogitorial – Use of ECGs for management of (sub)massive PE
(A blogitorial is like a tweetorial in blog form, so folks on different platforms can see it). Our approach to risk stratification and management of (sub)massive PE tends to be dominated by CT scan and echocardiography (eye-candy modalities). And these are great. But I think there are situations where ECG can be really helpful – […]
PulmCrit- Montreal Hospitalist & Resuscitationist Conference FOAMed
I recently got back from the inaugural Hospitalist & Resuscitationist conference, a fantastic FOAMy conference in Montreal organized by Phillipe Rola (@ThinkingCC). It was inspiring to participate alongside fantastic folks including Rory Speigel (@EMNerd), Jon-Emile Kenny (@heart_lung), Kylie Baker (@kyliebaker88), Lawrence Lynn(@PatientStormDoc), Andre Denault, and Segun Olusanya (@iceman_ex). Screencasts of my talks, audio clips, some videos […]
“The Adventure of the Greek Interpreter Revisited”
If our affair with thrombolytics had not started off with the success it did, we may not still be trying to nostalgically relive our yesteryears of throbolytic glory. Whether it was streptokinase, alteplase or tenectoplase (TNK), thrombolytics have consistently demonstrated a mortality benefit when used in patients experiencing an ST-elevation infarction (1). If it […]
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