More on the recent cric case from the perspective of airway decision making
Apneic oxygenation and high-flow nasal cannula don’t prevent desaturation during intubation?
0 0 Introduction 0 Recently there has been increased interest in the use of high-flow nasal cannula (HFNC) to provide preoxygenation and apneic oxygenation during endotracheal intubation. Previous posts have discussed the basic physiology and some evidence behind this. Vourc’h et al. just published a RCT showing no benefit from HFNC in this situation (1). […]
Demystifying the p-value
Introduction 0 The limitations of p-values for null hypothesis testing has been debated since their invention in the 1920s. Unfortunately, statistics textbooks typically whitewash this controversy, presenting null hypothesis testing as the only viable approach to statistics. Recently, the journal of Basic and Applied Social Psychology took this debate a step further, officially banning the […]
A Truncated Summation of the Adventure of the Cardboard Box
One gets the sense when reading the literature on endovascular therapy for acute ischemic stroke that they are on a small seafaring vessel attempting to map the shoreline through a dense fog. There are moments when the fog lifts and you catch a glimpse of the topographic details of the shore, and then the […]
EMCrit Wee – Mind Blowing Cricothyrotomy Video
An amazing surgical airway case
Sleep-protective monitoring to reduce ICU delirium
0 Introduction 0 Recently an excellent post on the Trauma Professional’s Blog pointed out that nocturnal vital signs disrupt sleep and may be unnecessary in stable patients (e.g. patients recovering from minor orthopedic surgery). I couldn’t agree more. Allowing restorative sleep is one of the best approaches to prevention of delirium. 0 What about patients […]
EMCrit 147 – Who Needs an Acute PCI? with Steve Smith (Part II)
Finally in one place, all of the STEMI equivalents with Steve Smith–Part II
CT Angiogram for evaluation of severe hematochezia
Introduction 0 Gastrointestinal hemorrhage is a common reason for ICU admission. The approach to severe upper GI bleeding is relatively straightforward (figure below). A predictable approach facilitates planning ahead, and anticipating who needs to be contacted for help when. 0 0 Unfortunately, the approach to severe hematochezia is often less clear. Below is a description […]
Finally… The SSC Bundles match the Current Evidence
At last EBM-based sepsis recs
Do CT scans cause contrast nephropathy?
Introduction 0 In April 2013 a series of articles in Radiology debated whether contrast nephropathy still exists using modern contrast dye. Two years later, the controversy remains. This is a daily conundrum when managing critically ill patients: one radiologist will urge us to use contrast, while the next radiologist will caution us against using contrast. […]
EMCrit 146 – Who Needs an Acute PCI with Steve Smith (Part I)
Finally in one place, all of the STEMI equivalents with Steve Smith
Ice Water Baths for Rapid Cooling of Hyperthermia
How to cool the too hot tox patient
Enhancing Human Performance and Flow in Resuscitation Part 2: The Tao of Resuscitation Performance
Part II of Lauria’s discussion of flow and resuscitation
EMCrit 145 – Awake Intubation Lecture from SMACC
Awake Intubation from SMACC 2015
Management of severe hyperkalemia in the post-Kayexalate era
0 Introduction 0 There is increasing recognition that sodium polystyrene sulfonate (Kayexalate) is ineffective for the immediate management of severe hyperkalemia (Kamel 2012). With Kayexalate gone, there seems to be a gap in our treatment regimen. I often encounter residents who know that Kayexalate isn’t helpful, but aren’t sure exactly how to treat hyperkalemia without […]
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