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Online Medical Education on Emergency Department (ED) Critical Care, Trauma, and Resuscitation

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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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