blood bank stuff: The basics of crit care transfusion medicine
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EMCrit 22 – Non-Invasive Severe Sepsis Care
Young patient, lactate of 5.2, pneumonia… You know what you’re supposed to do–put in the central line and start early goal directed therapy. Problem is, most people can’t see sticking a central line in a patient that does not need pressors and otherwise looks well. Yet these patient have an annoying habit of going on to decompensate and perish. Well now there may be another way. Thanks to an article just published in JAMA, we may have a path to non-invasive treatment of severe sepsis. In this EMCrit Podcast, I interview Dr. Alan E. Jones, author of the article, Lactate clearance vs central venous oxygen saturation as goals of early sepsis therapy: a randomized clinical trial. Then I discuss how this article changes the game when it comes to caring for severe sepsis patients.
EMCrit 284 – You are the Product – Delete Your Algorithmic Social Media
Algorithmic Social Media is stealing your joy
EMCrit 314 – ShadowBoxing Case 1 – In the end, it’s always…
Our first shadowboxing episode…
EMCrit 322 – Shadowboxing Case 2 – Frack the EJ
The 2nd of the shadowboxing cases…
EMCrit 201 – Deeper on Vasopressors and Athos 3 with Mink Chawla
A new vasopressor is out there–angio II
Books I Recommend – May 2015
From time to time, I recommend books on the site. These are books I have read and can recommend to all of you
EMCrit – When it comes to Preintubation Terminology we stink like POO
What we have here is a failure to communicate
PulmCrit Blogitorial – Use of ECGs for management of (sub)massive PE
(A blogitorial is like a tweetorial in blog form, so folks on different platforms can see it). Our approach to risk stratification and management of (sub)massive PE tends to be dominated by CT scan and echocardiography (eye-candy modalities). And these are great. But I think there are situations where ECG can be really helpful – […]
EMCrit Shadowboxing Case 4 – When to Pull the Trigger
When to pull the trigger…
Dynamic left ventricular outflow tract obstruction (LVOTO)
CONTENTS Introduction Physiology Epidemiology Clinical findings Echocardiographic diagnosis Management Esmolol Podcast Questions & discussion Pitfalls Supplemental Media Dynamic left ventricular outflow tract obstruction (LVOTO) creates a confusing hemodynamic picture. If unrecognized, LVOTO will fail to respond to standard hemodynamic therapies. Indeed, LVOTO will often respond to various interventions in the opposite fashion than might be […]
EMCrit 149 – Thyroid Storm
When hyperthyroidism goes really wrong…
PulmCrit- Dogmalysis of PCI for NSTEMI patients with a history of CABG
Many patients with prior CABG probably benefit from catheterization and repeat revascularization (PCI or a repeat CABG). However, this cannot be assumed to be universally true. In particular, patients with smaller infarcts and advanced renal failure could be harmed.
Frequently Asked Questions (FAQ) regarding Sepsis
Severe Sepsis FAQ The FAQ below was designed to provide teams with a concise framework to describe the clinical rationale for undertaking the non-invasive and invasive severe sepsis protocols, and to link evidence and clinical resources to the protocols. The following sections outline key features of the components of the severe sepsis invasive and non-invasive […]
Pulmonary complications from malignancy and its treatments
CONTENTS Approach to pulmonary dysfunction in a patient with cancer Specific disorders Parenchymal lung metastases Leukostasis Pulmonary leukemic infiltrates Airway metastases Malignant pleural effusion (MPE) ➡️ Lymphangitic carcinomatosis Pulmonary tumor emboli Pulmonary tumor thrombotic microangiopathy (PTTM) Pulmonary tumor macroemboli ➡️ Benign metastasizing leiomyoma (BML) Iatrogenic: Radiation pneumonitis Checkpoint inhibitor pneumonitis Other topics: Pulmonary complications from […]
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