Severe Sepsis FAQ The FAQ below was designed to provide teams with a concise framework to describe the clinical rationale for undertaking the non-invasive and invasive severe sepsis protocols, and to link evidence and clinical resources to the protocols. The following sections outline key features of the components of the severe sepsis invasive and non-invasive […]
Search Results for: ultrasound
EMCrit 324 – Rural Resuscitation – Foundational Stabilization [Primer]
Foundational Stabilization
EM Nerd-The Case of the Tell-Tale Heart
We can all agree that the use of bedside ultrasound (US) has changed the practice of Emergency Medicine for the better. But with the addition of such a tool, we are now faced with the question of how best to apply this novel modality into our practice. The emergency management of cardiac arrest seems like […]
EMCrit 91 – Treatment of Aortic Dissection
You can’t pick a more critical diagnosis than acute aortic dissection. Mess it up and the patient dies.
Podcast 82 – Mind of the Resuscitationist with Cliff Reid
Today, I put on my head-shrinker cap (it is a fez) and get Cliff Reid on the coach
Proposal: Most community acquired pneumonias with extensive ultrasonographic consolidation are pneumococcus
Introduction with a case . A 45-year-old man was transferred to the Genius General Hospital ICU for management of pneumonia. His chest radiograph is shown above. Chest ultrasonography showed extensive consolidation of the entire right lower lobe with dynamic air bronchograms (video below). He was treated with ceftriaxone and azithromycin. . Extensive lobar consolidation with […]
A Comment on the Toughness Episode
from a listener
EMCrit 370 – Extracorporeal Therapies for Toxicology & Poisoning #ExTRIP #NephMadness
NephMadness hits EMCrit with RRT for the Poisoned Patient
PulmCrit Table of Contents (TOC)
TOPICS airway & procedures cardiology endocrinology gastroenterology hematology/oncology infectious diseases nephrology neurology pulmonology rheumatology toxicology methodology & miscellaneous Airway pharmacology Medication sequence: rocketamine vs. keturonium Ketamine-tolerant patient Catastrophic complications, ROC vs. SUX Arterial lines: wrist versus the groin? Cricothyrotomy in asphyxial cardiac arrest Difficult airway communication via allergy list Drowned airway Large-bore suction strategies & […]
PulmCrit – Introducing the IBHP (Internet Book of Hospital Pulmonology)
In many countries, pulmonary and critical care are commonly bundled together. Consequently, a single person will often be responsible for both inpatient ICU management as well as inpatient pulmonary consultation. Honestly, I have some doubts about whether this is an ideal system. As both pulmonology and critical care medicine become increasingly complex, it’s becoming impossible […]
The IVC for Fluid Assessment Roundup
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EMCrit 232 – SteelMan Debate – EMS Field Decisions in Cardiac Arrest with Howie Mell
Stay or Go with Cardiac Arrest in the Field?
EMCrit 22 – Non-Invasive Severe Sepsis Care
Young patient, lactate of 5.2, pneumonia… You know what you’re supposed to do–put in the central line and start early goal directed therapy. Problem is, most people can’t see sticking a central line in a patient that does not need pressors and otherwise looks well. Yet these patient have an annoying habit of going on to decompensate and perish. Well now there may be another way. Thanks to an article just published in JAMA, we may have a path to non-invasive treatment of severe sepsis. In this EMCrit Podcast, I interview Dr. Alan E. Jones, author of the article, Lactate clearance vs central venous oxygen saturation as goals of early sepsis therapy: a randomized clinical trial. Then I discuss how this article changes the game when it comes to caring for severe sepsis patients.
Blakemore Tube Placement for Massive Upper GI Hemorrhage
How to place a Blakemore tube for esophageal varices with massive bleeding.
EM Nerd-The Case of the Bridge to Nowhere Continues
So often we apply qualitative dichotomies to quantitative differences even when questionable clinical distinction exists. Such is the case with the general interpretation of a recent article published in Resuscitation. Huis in ’t Veld et al examined video recordings of real life Emergency Department resuscitations of patients in cardiac arrest (1). Over a one year […]
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