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Critical Care Guys
Mike Winters (U of Md), Peter DeBlieux (LSU), and Rob Rodriguez (UCSF). Minds behind the CCPEM Podcast. Love all things EM/CCM.
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Thomas del Ninno Jul 10
Post-intubation analgesia and sedation by analgesia first, sedation to RASS of -2 to +1
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Haney Mallemat Jul 9
The ResusX schedule is out (see here). Check out the all-star faculty & incredible hands-on workshops. Less than 20 early-bird tickets left, so secure your spot now!
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Amal Mattu Jul 8
How does terminal QRS distortion help in distinguishing between STEMI vs early repolarization? Check out this week’s
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AAEM Jul 9
Pass your Qualifying or ConCert Exam by reviewing with ! Register now for the Written Board Review Course and get unmatched preparation for your upcoming exam. Learn more:
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John Greenwood Jun 28
My take home pearls from the CC Bootcamp of ! Phenomenal Talks by Leaving the day having met a group of incredible delegates, inspired to be better at critical care. 1/2
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John Greenwood Jun 28
My take home pearls from the CC Bootcamp of ! Phenomenal Talks by Leaving the day having met a group of incredible delegates, inspired to be better at critical care. 2/2
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Critical Care Guys Jun 28
Tough Cases in ED Mechanical Ventilation by at CC Bootcamp - beware NIV positive pressure ventilation in patients with acute hypoxic resp. fialure; optimize PEEP using driving pressure to define patient-specific prescription.
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Critical Care Guys Jun 28
Great start to CC Bootcamp at by 2019 Lit Update! Bicarb probably not helpful; SGA for most pts w/ OHCA; be careful w/ how you use lactate in sepsis resus; probably ok to expand Vt in pts w/o ARDS & normal lungs; BMV in RSI is probably ok.
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U of M Emergency Med Jun 27
Cardiac US is key in assessment of cardiogenic shock. Get on board with your skills!
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Critical Care Guys Jun 27
My take home pearls from Day 2 of ! Outstanding talks by Cantor,,,, Rubinson, , & Kozar. So looking forward to the Critical Care Bootcamp tomorrow! Can still sign up for Livestream for tomorrow.
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Critical Care Guys Jun 27
Vasopressors in the ED by at ! "Early NE administration improves both macro-and mircocirculatory function in vasodilatory shock".
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U of M Emergency Med Jun 27
- our internal struggle about the decision to start pressors and the baggage that goes along with it. We’ve all experienced it! Coined by
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Anand Swaminathan Jun 27
Sepsis Update Summary - Consider shock index for early ID - Procalcitonin won't help you ID sepsis - Start Norepi early (CENSER trial) - Safe to go peripheral w/ your pressors (live antecub or higher) - Faster abx may not -> better outcomes
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Critical Care Guys Jun 27
Updates in Sepsis Resuscitation by - great discussion of recent key sepsis trials (RIFTS, CENSER, ANDROMEDA-SHOCK) along with great points on Shock Index and PCT. Thanks Haney!
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Anand Swaminathan Jun 27
on the right heart Small changes pulmonary pressure will have profound effects on right heart fxn RV dilation/overload -> decr LV filling -> decr CO
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Critical Care Guys Jun 27
Outstanding talk by on the Crashing Pulm HTN Patient at ! "Consider early cardioversion in patients with new onset atrial arrhythmias. Usual rate control meds (i.e., diltiazem, metoprolol) may precipitate hemodynamic collapse."
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Anand Swaminathan Jun 27
Cantor: RMSF is the most inappropriately named disease. Doesn't occur in the rocky mountains. Treat w/ doxy The most inappropriately named drug? Golytely
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U of M Emergency Med Jun 27
EtCO2 increase of 5% with Passive leg raise predicts fluid responsiveness
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Christine Kositz Jun 27
Use end tidal to determine volume responsiveness. With leg raise, you essentially give 200-400cc bolus. If end tidal raises by 5% with this maneuver, this predicts that pt will be volume responsive
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Critical Care Guys Jun 27
Neurocritical Care Updates by : "Consider thrombectomy in patients age 18 to 90 years, a pre-stroke mRS 0 or 1, NIHSS 6 to 10, ICA or M1 occlusion, CT/MR perfusion or MRI mismatch if > 6 hours, and ASPECTS of 6 or more."
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