My friend, Paul Marik, is a mythbuster. He has been vindicated in so many viewpoints that were initially branded as crazy. But... sometimes the weapon he chooses, in his war against perceived pseudo-axioms, is hyperbole. This was the case in a few instances in his talk from SMACC-Chicago on … [Read more...]
SMACC Debate – Rob MacSweeney vs Paul Marik – Predicting Fluid Responsiveness is a Waste of Time
Summary by: Roger HarrisRob MacSweeney and Paul Marik debate whether the assessment of fluid responsiveness in the resuscitation of patients with shock a waste of time? Both Marik and MacSweeney agree that many of the traditional methods of assessing patients volume status are flawed and of no value. Marik goes on to argue that the only clinically meaningful outcome that we … [Read more...]
Podcast 160 – Sepsis smaccDOWN
At smaccChicago, I had the honor to host an incredible panel of Sepsis Experts. I think most everyone who heard it was left with more questions than answers. I have already posted a preemptive response to the panel here:EMCrit Podcast Episode 154 In a few days, I will post a wee with some additional thoughts. I want to hear what you think--post your comments below. The … [Read more...]
Podcast 111 – Fluids in Sepsis, A New Paradigm – Paul Marik
Dr. Paul Marik is a renowned intensivist and a confirmed critical care skeptic. He has broken down many myths such as the use of CVP for volume assessment. I recorded a lecture he gave to the Sepsis Collaborative I co-chair. It is an amazing lecture. I agree with some of it and have quibbles with other parts, but it is a must-listen. In one week, I will publish a wee with the … [Read more...]
Podcast 80 – Uhmmmm, Maybe Groin Lines Are Not So Bad with Paul Marik
When I read a recent meta-analysis by Paul Marik, the first thing I did was bang my head against the wall 10 or 20 times. For seven years I have been trying to get people to put in neck lines because we KNOW the infection and DVT risk is lower, right? Well Dr. Marik's review may significantly lower our certainty. You remember Paul Marik; he was on the show discussing fluid … [Read more...]