• It's 2am...

    Frantic parents bring into your ED a 6 week old M with sternotomy scar. Infant is cyanotic, has increased work of breathing, loud systolic murmur and SaO2 of 70-80%.
    What do you do?
  • Join the Critical Care Guys in this podcast program dedicated to the intersection of Emergency Medicine and Critical Care. Keep up-to-date with insightful, penetrating commentary in this exciting and fast moving medical arena.
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  • This month we focus on ID and Critical Care.  In Part 1, Rob interviews his EM/CCM colleague Dr. Jenny Wilson on pearls and pitfalls in the patient with neutropenic fever.  In Part 2, we discuss management pearls in the patient with Ebola Virus Disease.  This is an absolute can't miss episode loaded with pearls!

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  • Dr. John Greenwood discusses hemodynamic-directed resuscitation in cardiac arrest patients.  Dr. Haney Mallemat digs deeper into fluid-responsiveness and discusses the pitfalls in the uses of ultrasound IVC measurements and other dynamic markers you can use at the bedside.

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  • Not sure whether to give thrombolytic therapy to your patient with submassive PE?  Does lytic therapy actually improve outcomes?  What are the risks? This month we discuss the key articles from the 2014 literature on submassive, or intermediate-risk, PE.  

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  • Semhar Tewelde joins the podcast this month to gives us the pearls and pitfalls in managing patients with cardiogenic shock. Next, the boys discuss a hot topic in emergency medicine and critical care, extracorporeal CPR. What's the evidence and indications for this novel therapy?

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  • Feras Khan discusses critical therapies for refractory hypoxemia: what works and what therapies should be put to rest in the critical care graveyard. In addition, we discuss the emergent reversal of new oral anticoagulants for patients presenting with life-threatening hemorrhage. Tons of pearls this month!
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  • Mark Walsh speaks about thromboelastography (TEG) and why you should be using this test to guide transfusions, especially with the massive transfusion protocol. Vascular Surgeon Dr. Robert Crawford gives his pearls & pitfalls on the management of aortic dissection. Forget about memorizing all those classifications; it's easy with his 4 critical points.

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  • Neurocritical care guru Wendy Chang joins the Critical Care Guys to discuss the critical care management of patients with acute ischemic stroke. In part 2, we discuss the current management of patients with severe acute pancreatitis. Still using the term "hemorrhagic pancreatitis"? Still aggressively fluid resuscitating your patient and providing prophylactic antibiotics?
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  • Got a sick septic patient? Ready to write for vancomycin and piperacillin/tazobatam? You might want to think again. This month Bryan Hayes is back to discuss 7 pearls that should immediately impact your practice. Michael Allison and Michael Scott review the evidence for the use of noninvasive ventilation in patients with an acute asthma exacerbation.
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  • This month we review and discuss critical literature just published in the NEJM pertaining to the resuscitation of patients with septic shock. Should you change your MAP goal? Is albumin still indicated for fluid resuscitation in the septic patient? Should CVP and central venous oxygen saturation measurements be integral to the management of patients with sepsis?
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  • Meet Mike Winters and Peter DeBlieux at Critical Points this Dec 5-Dec 7, 2014 at Bellagio, Las Vegas!
     

    Critical Points is one of THE best CME courses, teaching the critical care skills needed to best manage the acutely dying patient. Designed for emergency physicians, hospitalists and surgeons, this unique course gives the attendee the framework and tools to feel confident caring for the critically ill patient. The mission of Critical Points is to educate providers in accordance with the highest standards, preparing them to best manage the acutely dying patient, and to grant medical providers the confidence and skills necessary to optimize patient outcomes.  

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  • Meet Mike Winters at SMACC Chicago June 23-26, 2015 at McCormick Place, Chicago!
     

    smacc (Social Media and Critical Care) is a conference that was born when a group of international critical care websites began collaborating. The SMACC Gold conference not only brought together a diverse group of critical care practitioners (Emergency Physicians / Intensivists / Anaesthetists / Rural and Pre-Hospital Specialists / Critical Care Nurses and Paramedics), it united the biggest names in online medical blogs and websites from around the world.

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