Sleep for Shift Workers–this info may add years to your life and keep you performing optimally
PulmCrit Hot Take – Acetazolamide plus furosemide for decongestion of heart failure (ADVOR trial)
Historically, many patients admitted with congestion due to heart failure have been treated with furosemide monotherapy. However, a strategy of furosemide monotherapy has numerous drawbacks: Furosemide tends to stimulate production of dilute urine, leading to a greater amount of water loss than sodium loss. Predominant loss of water may cause loss of volume from the […]
EMCrit 331 – Awareness after Resus RSI and ICU Paralysis – It is Unacceptable!!!
It is unacceptable to have the rates of Awareness during Paralysis seen in a recent ED sedation study–We are better than this
NeuroEMCrit – 31 #NeuroPostItPearls
A multiplicity of neuro tips
EMCrit Wee – RACC-Lit for August 2022
So much literature goodness for the scorching summer heat…
IBNCC – Approach to CNS infection
This chapter explores some general aspects of neurological infectious diseases, including important historical features and high-risk groups. It also includes a more general discussion of lumbar puncture performance and interpretation. The IBCC chapter is located 👉 here. The podcast & comments are below. Follow us on iTunes
EMCrit 330 – Rural Resus Explosion
more on rural resus
IBNCC – Approach to neuromuscular disorders
This chapter explores the approach to acute neuromuscular weakness in the ICU, as well as selected disorders. As with any acute presentation, an organized approach is essential. Understanding the limitations of various tests is also critical (since there is considerable confusion about this). The IBCC chapter is located 👉 here. The podcast & comments are […]
NeuroEMCrit – The Perils of the ICH Score
Don’t use the ICH score in isolation to not give aggressive critical care…
EMCrit 329 – Bariatric Critical Care and Resus Ready for the Super Obese Patient
We need to be ready to resuscitate any patient that comes to our EDs and ICUs. Being Resus Ready for bariatric patients requires forethought and planning. Let’s discuss some resuscitation strategies for the obese patient.
IBNCC – ICU care post craniotomy
Management of the a patient following craniotomy focuses on the fundamentals of supportive neurocritical care. However, special attention is required to unique postoperative complications that may occur (depending on the procedure). The IBCC chapter is located 👉 here. The podcast & comments are below. Follow us on iTunes
PulmCrit – Beware of the risk of ETT exchange
Imagine you’re in the ICU and the cuff of an ETT (endotracheal tube) ruptures. You exchange it for a fresh ETT over a catheter, right? Easy peasy. Blind airway exchange over a catheter has been the standard practice in various ICUs that I’ve rotated through. ETT exchange over a catheter is a simple and effective […]
EMCrit Wee – Cardiovascular Intensive Care as a New Subspecialty of Critical Care
A new subspecialty training pathway?
IBNCC – Nonconvulsive status epilepticus
We throw around the term “nonconvulsive status epilepticus” a lot, and generally think that we know what that is. However, nonconvulsive status epilepticus is an enormously complex and heterogeneous diagnosis. This chapter attempts to clarify matters based on the most recent definitions, but in some situations the diagnosis may remain murky. The IBCC chapter is […]
PulmCrit Wee – Urine toxicology screens should be removed from brain death guidelines
Prior to declaring a patient brain dead, confounding factors which could falsely cause the patient to appear dead must be eliminated. One important confounder is intoxication. Failure to recognize that a patient is intoxicated could lead to an incorrect diagnosis of brain death that in turn can lead to withdrawal of life support – thereby […]
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