The RECOVERY trial just released a preprint demonstrating benefit from tocilizumab in COVID-19. As with the prior RECOVERY studies, this is a multicenter, open-label, pragmatic trial. A robust mortality benefit was detected (the fragility index calculates to 17, which isn’t too shabby). Several important secondary endpoints were positive as well (e.g., reduced intubation rate, reduced […]
EMCrit 291 – For Frak’s Sake, Ketamine is at least as Hemodynamically Stable as Etomidate!
Ketamine IS AT LEAST as hemodynamically stable as ETOMIDATE!!!
EMCrit 290 – Decompensated Hypothyroidism and Myxedema with Dr. Arti Bhan
Thyroid storm’s boring brother is still a life threat–you need to know it!
EMCrit 289 – Ketamine Only Intubation Paper with Brian Driver
A discussion of 3-recent NEAR database publications
EMCrit 288 – Neurogenic Shock & Should we be Using Vasopressors for Hemorrhagic Shock?
Neurogenic Shock and Vasopressors for Hemorrhagic Shock
EMCrit 287 – Thoracotomy Masterclass with Dennis Kim
All things chest crackin’
EMCrit 286 – The Venous Side Matters Too with Phil Rola
More on the venous side, especially the microcirculatory stuff. Increasing CVP may ruin perfusion.
EMCrit 285 – More on Palliative Care Conversations in Resuscitation
A meandering conversation on end-of-life palliative care conversations
EMCrit 284 – You are the Product – Delete Your Algorithmic Social Media
Algorithmic Social Media is stealing your joy
EMCrit 283 – Dexmedetomidine (Precedex) – You’d have to be Delirious Not to Use It
Dexmedetomidine (Precedex) – You’d have to be Delirious Not to Use It –
EMCrit 282 – Hicks on the Labors of Trauma (Blunt)
Chris Hicks and I discussing the Labors of Trauma (Blunt edition), everything a trauma team leader needs on their radar screen.
EMCrit 281 – Why Can’t Emergency Medicine and Trauma Surgery Just Get Along?
Where do the fights come from?
EMCrit 280 – Who Should Get Angiotensin II with Rinaldo Bellomo
When should you pull the trigger on Angiotensin II for vasodilatory shock?
EMCrit 279 – The Decision to use Ketamine – Disruptive and Dangerous with Reub Strayer
I frequently see both residents and attendings inappropriately using ketamine for agitated patients. Inappropriately both by giving it when it is unecessary and giving it in poor fashion when it is indicated.
EMCrit 278 – Labors of Trauma – Blunt Edition (Part 1)
The complete (hopefully) menu of cognitive and operational tasks for the Trauma Team Leader for sick trauma patients.
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