Oct/Nov 2022
Search Results for: TXA
EMCrit 364 – Emergency Care of Post-Bariatric Procedure Complications
Bariatric operations and how they go bad
PulmCrit- Triple therapy for influenza with naproxen, clarithromycin, and oseltamavir?
Flu seasons is upon us again. A recent paper in CHEST provides some tantalizing evidence about possible treatment. Will this pan out, or is it just another fairy tale?
PulmCrit- Nucleic acid microarrays streamline bacteremia management
Verigene is a nucleic acid micro-array which can be used to provide rapid information about positive blood cultures. The array detects genetic information which may reveal the genus/species of bacteria and the presence of various resistance genes.
Eight pearls for the crashing patient with massive PE
0 Introduction 0 Literature on massive PE focuses mostly on how to deal with the clot while less attention is spent on other aspects of management. This post will focus on such aspects, especially hemodynamic resuscitation of massive PE. There is nearly no clinical data, forcing us to extrapolate between limited data, hemodynamic theory, and […]
PulmCrit- Submassive PE 2017: Getting ’em off the cliff
Follow-up data from the PEITHO trial shows that thrombolytics don’t affect long-term morbidity. This simplifies management substantially. PEITHO trial & long-term follow up The PEITHO trial was a multi-center RCT investigating the effect of thrombolysis in submassive PE. Tenecteplase caused an increase in intracranial hemorrhage and a reduction in hemodynamic collapse. Overall there was a […]
Hyponatremia
CONTENTS Rapid Reference 🚀 Diagnosis & symptoms Causes Evaluation Lab panel Isotonic fluid challenge Risk stratification Initial treatment (e.g., in ED) Initial hyponatremia package Target rate of increase Subsequent therapeutic strategy Rapidly reversible cause: DDAVP clamp DDAVP clamp-bolus strategy SIADH with persistent cause Heart failure Cirrhosis Hypokalemic hyponatremia Oops, the patient’s sodium over-corrected Why not […]
COMM CHECK: Sterile Cockpit
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EMCrit Shadowboxing Case 4 – When to Pull the Trigger
When to pull the trigger…
Table of Contents
SYSTEMS Cardiology Endocrinology Gastroenterology Hematology & Oncology Infectious diseases Nephrology Neurology Obstetrics Pulmonology Rheumatology Toxicology & Temperature Overview: Guide to supportive care in critical illness Medication reconciliation in the ICU About this book How to create your own IBCC smartphone app 📲 General Approaches to problems Cardiac arrest 🔜 Chest pain Hypertensive emergency SCAPE (Sympathetic […]
Additional References for Podcast 104
Griesdale D. Etomidate for intubation of patients who have sepsis or septic shock-where do we go from here? Critical Care [Internet] 2012;Available from: http://ccforum.com/content/16/6/189/abstract Heffner AC, Swords D, Kline JA, Jones AE. The frequency and significance of postintubation hypotension during emergency airway management. Journal of critical care [Internet] 2012;27(4):417.e9-13. Available from: http://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=22033053&retmode=ref&cmd=prlinks Dewhirst E, Frazier […]
Thoracic radiology – Lymphadenopathy
CONTENTS Identification: Lymphadenopathy on chest radiography Lymphadenopathy on CT scan Causes of mediastinal and/or hilar lymphadenopathy Characterization of lymph nodes Calcified lymph node Low-attenuation lymph node High-attenuation lymph node Approach to thoracic lymphadenopathy Lymphadenopathy due to specific disorders Sarcoidosis Tuberculosis Questions & discussion hilar lymphadenopathy Hilar enlargement. Abnormal hilar contours. widened paratracheal stripe Normally, the […]
The Case of the Precise Inaccuracy
In the world of medical science we are often lulled into a false sense of security by large sample sizes and their correspondingly small confidence intervals. We often forget that such methodologic strengths augment only a trials precision, or the likelihood a similar trial will produce similar results. Such statistical robustness speaks little towards a […]
PulmCrit- My favorite 20 abstracts from SCCM
The Society of Critical Care Medicine published over 1,800 abstracts to go along with their latest conference. I sifted through them to come up with my favorite 20. Kudos to all the authors on creating diverse and thoughtful work – the future of critical care is indeed bright! The abstracts are divided into six groups: […]
PulmCrit- Coagulation balance in sepsis-associated DIC
An 80-year-old man was admitted with sepsis due to liver abscess. Over the first two hospital days his platelet count decreased from 122 to 39. Prophylactic heparin was held due to concerns about bleeding risk. Additional coagulation studies showed a D-dimer of 1221 ng/ml, a fibrinogen of 672 mg/dL, and the following thromboelastograph:
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