So Brent Thoma and I made a video as an introduction to Social Media and FOAM. Emergency Medicine Australasia was kind enough to publish it (Thank you Geof and Anthony!!). Here is the official published version. Now on to the Video… Brent and I realized it would be great to have a post with […]
Neurological Prognostication from the TTM Trial
Neuroprognostication from the TTM Trial Excerpted from Life in the Fast Lane CCC The TTM trial (Nielsen et al, 2013) used a standardized protocol for neurological prognostication to guide decisions regarding treatment withdrawal following targeted temperature management post-cardiac arrest: All patients in the trial were actively treated until a minimum 72 hours after the intervention […]
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 […]
Additional Intubation Checklists
Other folks’ Checklists for Inspiration The Safer Intubation Project From the folks who brought you NAP4 comes the safer intubation project Strayer’s EDICT Strayer’s EDICT Checklist George Douros George makes amazing videos and algorithms to improve your practice. Here is his RSI checklist and Failed Airway Progression: Paul Mayo and Seth Koenig I debated […]
Cookgas Air-Q ILA – My Preferred Supraglottic Airway for Experts
How to convert a cookgas to an ETT Tips from Cookgas.com A. Selecting the Proper Size and Pre-Insertion Suggestions Sizing the air-Q® Blocker correctly is very important. Typically, LMA Supreme size 2.5 cross-references to air-Q size 2.5, LMA 3.0 to air-Q Blocker 3.5, and LMA 4 & 5 to air-Q Blocker 4.5). Look at the […]
Emergency Medicine Critical Care, ED Intensivists, and ED Intensive Care Units (EDICUs)
This page serves as a repository of resources for setting up an ED Intensive Care Unit (EDICU). Read My Paper The Paper from AJEM A paper describing the current 4 Resus ICUs Definitions Emergency Medicine Critical Care (EMCC) is a subspecialty of emergency medicine dealing with the care of the critically ill both in the ED […]
ED Intensivist Roles
Appendix Resource Intensivist Model Detroit Receiving Hospital/Wayne State University Detroit Receiving Hospital (DRH) has addressed the challenges of caring for critically ill ED patients with an ED-centric model. A novel emergency department-based critical care (ED-CC) rotation was established in 2006 for all PGY-2 emergency medicine residents. The ED-CC resident functions as a floating resident 7:00 […]
FOAM
What is FOAM? Go right to the source: Mike Cadogan’s Life in the Fast Lane Existence Get a great photograph Consider a handle Create a Google+ Profile Consider an About.me page If you are going to build a website, squarespace is the easiest way to go Note: If you use these squarespace links you […]
Response to the Preoxygenation Letter in J Emerg Med
Welcome Journal of Emergency Medicine Readers I wrote an article called Preoxygenation, Reoxygenation, and Delayed Sequence Intubation in the Emergency Department (J Emerg Med. 2011;40(6):661). Two anaesthetists, Drs. Gill and Edmondson wrote a letter of response to this manuscript. (http://dx.doi.org/10.1016/j.jemermed.2012.01.071) Rather than writing a snarky response, instead I got Dr. Gill on the line and […]
Esophageal vs. Other Temperature Monitoring Locations
Weis J, Covaciu L, Rubertsson S, Allers M, Lunderquist A, Ahlström H. Noninvasive monitoring of brain temperature during mild hypothermia. Magn Reson Imaging. 2009 Mar 10. [Epub ahead of print] Lemire B, Gagnon D, Jay O, Dorman L, DuCharme MB, Kenny GP. Influence of adiposity on cooling efficiency in hyperthermic individuals. Eur J Appl Physiol. […]
Old Chapter from Crashingpatient.com
2010 ACLS Guidelines web site with tons of resources Do not place sheets between patients and cooling blankets history of hypothermia and review (Chest 2008;133;1267-1274) Hypothermia review article Bernard SA, Buist M, Induced hypothermia in critical care medicine: a review. Crit Care Med 2003;31:2041-51. Major clinical trials have been […]
Prehospital Amputation
While I was looking for resources on prehospital amputation, I came across the videos below from the Trauma surgeons of the Medical College of Wisconsin. They also have a webpage specifically for the procedure. Field Manual Here is their field manual that describes the procedure Introduction and Background Video Upper Extremity Video Lower Extremity Video […]
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 […]
Hypothermia Protocols and Resources
Protocols Hypothermia/Post-arrest If you are going to watch our videos below, it may be helpful to have a copy of our MSSM post-arrest protocol in front of you: NY State Protocols PCI Exemption Links to Other Hypothermia and Post-Arrest Sites Ben Bobrow’s Arizona Projects University of Pennsylanvia’s Hypothermia Resources Videos Tips & Tricks Mannitol […]
Hypothermia and Post-Arrest Studies
The Biggies TTM Trial TTM Trial Hemodynamics Polderman Editorial on TTM HACA Trial (NEJM 2002;346(8):549) Bernard RCT (NEJM 2002;346(8):557) Meta-Analysis ILCOR Hypothermia Statement ILCOR Post-Arrest Care Statement Lancet Review by Kees Polderman Nuts & Bolts Review by Kees Polderman (Crit Care Med 2009;37(3):1101-1120) Mechanisms of Hypothermia by Kees Polderman Study by Oddi ( )-Included Asystole […]
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