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Search Results for: ultrasound
PulmCrit: Algorithm for diagnosing ICP elevation with ocular sonography
Introduction with a clinical question A young woman is transferred to the ICU from an outside hospital due to severely depressed mental status, thought due to intoxication. You evaluate her intracranial pressure using ocular ultrasonography. Evaluation of the optic disc diameter in both eyes and in both orientations yields four measurements: 5.5 mm and 6.0 […]
EMCrit 308 – Risk Stratification and Treatment of Pulmonary Embolism (PE) 2021 – Is the PERT Wilted?
PE is hard–I think we make it harder than it needs to be
PulmCrit: A-lines in septic shock: the wrist versus the groin
Historically, emphasis has rested on the distinction between noninvasive versus invasive BP (e.g., cuff pressure vs. radial arterial pressure). Attention focused on whether noninvasive oscillometric BP monitoring is adequate. Meanwhile, it has been assumed that all invasive BP measurement sites are created equal.
An Uproar about the IVC
a wee bit more
EMCrit 131 – Cricothyrotomy – Cut to Air: Emergency Surgical Airway
Comprehensive information of surgical airway, cricothyrotomy, and the bougie cric
“The Case of the Dying Detective Continues…”
Survivors of the Armageddon in any of its many forms, zombie, alien, or otherwise, are often left in a state of emotional turmoil. They face an uncertain future, the loss of loved ones, and the constant stress of imminent danger. Underneath the obvious anguish lies a deeper more subtle but equally distressing sentiment, uncertainty. Now […]
The Case of Dubious Squire Continues
In the era before the ubiquitous use of bedside ultrasound, BNP and its derivative natriuretic peptides were, at best, a mediocre test that added little to clinical judgment. In today’s world of sonographic abundance, they simply add noise to our already deafening workflow. Despite a wealth of evidence demonstrating natriuretic peptides’ lack of clinical utility, […]
EMCrit 332 – Procedural Errors I See at the REANIMATE ECPR Course and How to Place an Intra-Arrest Femoral Arterial Line
Today, the errors and procedural missteps I commonly observe while teaching 100 docs per year how to cannulate for ECMO (but the lessons are not about ECMO, they are about all vascular access in the femoral vessels.)
EMCrit WEE – SMACC 2013 Summary and Learning Points
SMACC – The best Critical Care Conference…EVER!!
Hemodynamic access for the crashing patient: The dirty double
0 0 Introduction with a case 0 A 75-year-old man presents in transfer to the ICU for management of bradycardia and hyperkalemia. His history is notable for hypertension with chronic use of an ACE-inhibitor. He developed gastroenteritis due to endemic Norovirus some days prior. Today he presented to the outside hospital with hypotension and […]
EMCrit 162 – Assessing Fluid Responsiveness
yep, more on fluid responsiveness
EMCrit 78 – Increased Intra-Cranial Pressure (ICP) and Herniation, aka Brain Code
Today we are going to discuss increased intracranial pressure (ICP) and herniation
CC Nerd-The Case of the Sussex Vampire Continues…
Catheters designed for superficial vessels that can be identified by palpation or direct visualization are not effective in accessing the deeper veins of the upper extremity. We have discussed the follies of ultrasound (US) guided peripheral venous catheters in a previous post, but in brief their length and intent hinder their reliability, so much so […]
EMCrit 170 – the ER REBOA Catheter with Joe DuBose
Resuscitative REBOA is interesting, but was probably too complex for Resus Doctors–well not anymore!
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