This lecture discusses a quantitative approach to acid base management. This is also known as the Fencl-Stewart approach, the strong-ion approach or the physicochemical approach. It provides explanations for why acid base disorders occur in human pathophysiology.
Listener Questions – Episode 1
Since we had the Kayexalate episode, I did not want to do a full podcast, so I thought I would just air some listener questions:
Bonus – Is Kayexalate Useless?
Dr. Siamak (Mak) Moayedi, MD found nothing to indicate that kayexalate is effective for the acute management of hyperkalemia.
Video for Podcast 43 – Inserting the Air-Q
Here is a video to go along with podcast 43 on the insertion and use of the Air-Q intubating laryngeal airway
EMCrit 43 – Laryngeal Airways with Daniel Cook, MD (Part I)
My favorite supraglottic airway is the Cookgas Air-Q; it was created by an anesthesiologist, Dr. Daniel Cook. He just created a new device that allows the placement of an esophageal blocker through the laryngeal airway. I gave him a call to hear about the new product and in the course of that conversation, he gave me a ton of tips on the placement of laryngeal airways. Part II will specifically discuss the new device.
EMCrit 42 – A phD in EKG with Steve Smith
Electrocardiograms can be subtle; but you can’t miss them or patients die. Today, I interview, Dr. Stephen Smith of the incredible blog: Dr. Smith’s EKG Blog.
EMCrit 41 – Interview with Cliff Reid of RESUS.me
I was lucky to cajole Cliff Reid of the amazing blog, resus.me on to the EMCrit program. Cliff is truly a doc after my own heart as you will hear from the cast.
EMCrit 40 – Delayed Sequence Intubation (DSI)
Delayed Sequence Intubation (DSI) is a procedural sedation, the procedure in this case being effective preoxygenation. Give ketamine, put them on the mask, and in 3 minutes paralyze and intubate.
Origins of the Dope Mnemonic
All the way back in episode 16, I asked if anyone knew the origins of the DOPE mnemonic for post-intubation desaturation. Nobody had an answer until now. Here is an email from Ahad…
EMCrit 39 – Hyponatremia
Hmm… he’s tasty, but he just needs a little salt! In this podcast, I discuss the management of hyponatremia in the ED.
EMCrit 37 – Lactate in Sepsis
When an ED starts providing advanced care for severe sepsis, lactate testing is an absolute requirement. Lactate use brings up a lot of questions, especially if it is not commonly ordered in your department. In this podcast, I discuss all of the lactate questions that have come up in the course of the NYC Sepsis Collaborative.
EMCrit 36 – Traumatic Arrest
Management of traumatic arrest. Many things to do in these patients, but two things you definitely should not be doing are closed-chest CPR or giving ACLS medications. We discuss who gets a thoracotomy, what to do if a thoracotomy is not indicated, and when to stop.
EMCrit 35 – Extubation in the ED
In this podcast, I discuss extubating patients in the ED. Specifically, I deal with patients who have only been intubated for a few hours in distinction to extubation of the patient who has been lingering in your ED for 2-3 days. The best patients for this short-term extubation are those intox folks with a low GCS and signs of trauma, overdoses, or endoscopy cases.
EMCrit 34 – 2010 ACLS Guidelines
The brand new ACLS & BCLS guidelines were published last week. Not huge changes, but some good stuff! The free full text is available at the Circulation website. It takes hours to make your way through all of it. I boiled it down to just the facts and posted a summary on the EMCrit site. In this EMCrit Podcast I discuss some of the highlights that I think are particularly important.
EMCrit 33 – Diagnosis of Posterior Stroke
What if I told you that I think that patient you just sent home with vertigo may have been a missed cerebellar stroke? Would you be dialing risk management or could you tell me all of the reasons why I’m wrong? Isolated vertigo without other neurological findings can’t be a stroke, right? That is true, if you are doing the right exam, but if you are just doing your standard ED neuro screening exam then you might be missing serious pathology. In this episode of the EMCrit podcast, I discuss how to perform the tests that will differentiate a peripheral cause of continuous vertigo from a cerebellar stroke.
- « Previous Page
- 1
- …
- 87
- 88
- 89
- 90
- 91
- 92
- Next Page »