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EMCrit 285 – More on Palliative Care Conversations in Resuscitation
A meandering conversation on end-of-life palliative care conversations
IBCC chapter & cast – Ventilator Associated Pneumonia (VAP)
VAP is a perennial riddle in the intensive care unit. There are numerous murky diagnostic tests, but no single gold-standard diagnostic test. Consequently, we are usually left wondering whether or not the patient truly has a VAP. This makes VAP an unsatisfying diagnosis, as we are continually walking a blurred line between undertreatment and overtreatment. […]
IBCC chapter & cast – Sedation for the intubated patient
Sedation is one of the details of ICU care which seems unimportant… until it’s not. Over the past decade we’ve seen a burgeoning repertoire of agents used for sedation and agitated delirium. Unfortunately, the number of medications has out-stripped available Level-I evidence regarding how exactly to use them. This chapter attempts to create a framework […]
EMCrit 284 – You are the Product – Delete Your Algorithmic Social Media
Algorithmic Social Media is stealing your joy
IBCC chapter & cast – Lithium intoxication
Lithium intoxication is a tricky issue, with a variety of different forms which may call for different therapies (acute, chronic, or acute-on-chronic intoxication). To further complicate matters, the pathophysiology of lithium toxicity isn’t understood – particularly, how lithium levels might relate to chronic neurotoxicity (SILENT syndrome). Finally, as is often the case in toxicology, there […]
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