0 Introduction with a case 0 Once upon a time at Genius General Hospital a 63-year-old woman was admitted with lower extremity edema and orthopnea. Her past medical history was unremarkable. She was noted to be in atrial flutter with a heart rate in the 120s and a blood pressure ranging from 100-120 mm systolic. She […]
EMCrit 126 – TTM Trial Right from Niklas Nielsen’s Mouth
In this episode, I speak with Niklas Nielsen on his thoughts on the TTM trial.
EMCrit Wee – Four More Minutes with Rob Mac Sweeney
I told you today we would have a bit of discussion on Rob Mac Sweeney’s FOAM. Well here it is…
EMCrit Wee – Rob Mac Sweeney on Intra-Arrest Meds
Rob Mac Sweeny on the Intra-Arrest Talk
Errors of commission vs. errors of omission
Introduction 0 I just heard Scott Weingart’s new podcast about errors of omission compared to errors of commission. The podcast was inspired by a patient with aortic dissection and hemopericardium who arrested and died, without any attempt made to drain the pericardium. This raised the question of whether our culture of “do no harm” has […]
“The Adventure of the Dancing Men”
The illustrious Cardinal Commendoni suffered sixty epileptic paroxysms in the space of 24 hours, under which nature being debilitated and oppress’d he at leangth sank, and died. His skull being immediately taken off, I found his brain affected with a disorder of the hydrocephalous kind. -Gavassetti, 1586 The […]
PEMED’s Resus Kit
Andrew Sloas of PEMED builds his resus pack
Mind of the Resuscitationist – Errors of Commission and Omission
Should we err towards errors of commission or omission?
Rapid Sequence Termination (RST) of status epilepticus
[PLEASE NOTE: This post has been updated with a new post. If you have time, consider reading them in sequence, starting with this post first] 0 Introduction 0 Status Epilepticus is our favorite neurologic emergency. If managed correctly, patients will often have excellent neurologic outcomes and short ICU stays. Incorrect management increases risk of […]
EMCrit 125 – The New Intra-Arrest (Cardiac Arrest Management)
Enough with cook book medicine and courses for dermatologists–let’s provide cutting edge intra-arrest care
Contraindication checklist for thrombolysis in PE
A few weekends ago during a very chaotic call, my ICU team ordered half-dose alteplase for a patient with a submassive PE without checking his INR. They had performed a thoughtful interview of the patient to look for contraindications to thrombolysis, but somehow this slipped through the cracks. On reviewing all the data together […]
Hypertonic saline infusion rant
0 Clinical Question 0 A patient is admitted status post ischemic stroke with focal edema on CT scan. There is no concern regarding herniation. Is there a role for continuous infusion of hypertonic saline with a goal of maintaining a sustained elevation of sodium? 0 Theoretical Benefit 0 Theoretically, elevating the tonicity of the blood […]
EMCrit Wee – Cricolol by Dr. John Hinds
My favorite part of SMACCgold; buy some Cricolol
Rapid Sequence Intubation and Procedurization
0 Introduction with a case 0 A otherwise healthy 70 year-old woman presented to Genius General Hospital with multifocal pneumonia. In the ED she was treated with appropriate antibiotics and two liters of crystalloid. During her ED course she was found to have increasing tachypnea to 30-35 breaths/min, and was subsequently transferred to the ICU. […]
EMCrit 124 – The Logistics of Proning for ARDS
Proning is one of the only evidence-based techniques to affect the mortality of ARDS patients. I’ve been wanting to do an episode on proning for a while.
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