CONTENTS Rapid Reference 🚀 Introduction Clinical features 1) Manifestations of hepatic encephalopathy 2) Triggers of hepatic encephalopathy Diagnostic approach Differential diagnosis Laboratory testing Ammonia EEG Neuroimaging Treatment – overall strategy Cathartic Polyethylene glycol Lactulose Rifaximin Manage triggers & coexisting problems Avoid sedatives like the plague Nutritional support & gut access Treatments of desperation Podcast Questions […]
Search Results for: john hinds
EM Nerd-The Case of the Elemental Truancy
Much has been written regarding the benefits of apneic oxygenation. The physiological underpinnings are sound with minimal logistical and resource based costs. As such it has enjoyed widespread adoption throughout the Emergency Medicine and Critical Care world. Despite its popularity, the evidence supporting its use has been less inspirational. Recently, a meta-analysis published in Annals […]
Guest Post – The 3D Printed Endobronchial Trainer by Matt Mac Partlin
Train on massive hemoptysis
External Ventricular Drain (EVD) & Lumbar drain
CONTENTS Introduction Indications Contraindications EVD settings Troubleshooting Overdrainage Catheter occlusion EVD weaning ICP interpretation 📖 Complications Ventriculitis Hemorrhage Lumbar drain DVT prophylaxis Podcast Questions & discussion Pitfalls basics of what an external ventricular drain (EVD) is A burr hole is used to penetrate the skull, after which a catheter is blindly advanced into the lateral […]
Viral infections of CNS
CONTENTS Herpesviruses ⍺-herpesviruses HSV encephalitis HSV-2 radiculomyelitis Varicella zoster virus (VZV) β-herpesviruses Cytomegalovirus (CMV) Human herpesvirus 6 (HHV-6) Gamma-herpesviruses Epstein-Barr virus (EBV) Enteroviruses Arboviruses West Nile virus (WNV) Eastern equine encephalitis (EEE) JC virus and PML (progressive multifocal leukoencephalopathy) Podcast Questions & discussion Pitfalls basics Herpes simplex virus encephalitis is caused mostly by HSV-1 (95% […]
EMCrit – RACC Lit Review Oct/Nov 2022
Oct/Nov 2022
EMCrit Wee – The Targeted Temperature Trial Changes Everything
Cold, but not all that cold may be the way
PulmCrit- The siren’s call: Double-coverage for ventilator associated PNA
Some theories are so attractive that they are nearly irresistible. No matter how many times they are disproven, these theories still seem compelling. One example is double-coverage for pseudomonas. Recently, the IDSA recommended this for ventilator-associated PNA (VAP), despite openly admitting that RCTs found it to be ineffective.
The Case of Dubious Squire
I often get the sense that the makers of many biomarkers envision us as helpless damsels in distress drowning in an icy pond or trapped in a monumental tower with no obvious means of descent. I imagine they think in our desperate grasps for aid, we will cling to whatever assistance they may offer, independent […]
Guest Post – Down with STEMI – The OMI Manifesto by Pendell Meyers
Down with STEMI
Pulmonary amyloidosis
CONTENTS Amyloidosis basics Interstitial lung disease Tracheobronchial amyloidois Parenchymal nodular amyloidomas Other pulmonary manifestations Amyloid pleural effusion ➡️ Questions & discussion abbreviations used in the pulmonary section: 8 ABPA: Allergic bronchopulmonary aspergillosis 📖 AE-ILD: Acute exacerbation of ILD 📖 AEP: Acute eosinophilic pneumonia 📖 AFB: Acid-fast bacilli AIP: Acute interstitial pneumonia (Hamman-Rich syndrome) 📖 ANA: […]
EMCrit 146 – Who Needs an Acute PCI with Steve Smith (Part I)
Finally in one place, all of the STEMI equivalents with Steve Smith
Neurological examination & neuroanatomy
CONTENTS Rapid Reference 🚀 Neurological examination Global function & mental status Level of consciousness Motor responses to pain Breathing patterns Aphasia Cranial nerves CN2,3 – Pupillary abnormalities Approach to anisocoria Unilateral pupillary abnormalities Horner’s syndrome Bilateral pupillary abnormalities CN3,4,6 – Extraocular movements CN3-Oculomotor nerve CN6-Abducens nerve Testing of horizontal gaze abnormalities Specific abnormalities of horizontal […]
Massive Transfusion Protocol (MTP)
CONTENTS Rapid Reference 🚀 Introduction to massive transfusion protocol (MTP) Procedural concerns Running the MTP 1) Blood products in 1:1:1 ratio 2) Fibrinogen supplementation? 3) Tranexamic acid? 4) Reversal of other coagulopathies 5) Calcium 6) Avoid acidosis 7) Avoid hypothermia 8) Hemodynamic management 9) Source control Post-MTP assessment & management Podcast Questions & discussion Pitfalls […]
PulmCrit- Vancomycin pharmacokinetics: Make vanco great again
Traditionally, vancomycin doses have been adjusted to target a specific trough level. However, it is increasingly clear that the trough level is an inadequate measurement of vancomycin exposure. Furthermore, the practice of waiting until the fourth dose to measure the trough level may expose the patient to days of suboptimal therapy.
- « Previous Page
- 1
- …
- 4
- 5
- 6
- 7
- Next Page »