• 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 discuss the essentials of mechanical ventilation in the ED.  Rob imparts his pearls and pitfalls in how to manage the ventilator for select critical illnesses.  In Part 2, Mimi Lu is back to discuss the latest research on TTM for pediatrics.  Should we be cooling kids following cardiac arrest? 

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  • This month we discuss two great topics!  In Part 1, we review the presentation, diagnosis, and treatment of patients with stress-induced cardiomyopathy.  Listen in and find out why milrinone may be a better inotropic agent for these patients.  In Part 2, we tackle an incredibly tough scenario that we've all encountered - when a surrogate decision maker requests potentially inappropriate or futile care.  We discuss a recent consensus statement on the topic along with pearls for family negotiations.

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  • Up to 30% of ICU patients are considered obese, as defined by BMI.  These patients have altered physiology that impacts their resuscitation, whether they are in the ED or ICU.  This month, we discuss crucial pearls and pitfalls in the resuscitation of the crashing obese patient.  How do you manage the airway?  What ventilator settings do you need? How do you adjust critical medications in the obese patient?  We tackle these questions and much more!

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  • The March episode is simply loaded with great clinical pearls and pitfalls! We start off by reviewing two articles just published this week in NEJM.  For our main segment, we discuss crucial pearls in the care of critically ill ED patients based on Peter's recent lecture at the 2015 Scientific Assembly of the American Academy of Emergency Medicine.  We finish the month strong with Bryan Hayes (@PharmERToxGuy) discussing pearls in the administration of lipid emulsion for the

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  • This month, Mike interviews resuscitation expert Dr. Joshua Reynolds on the "Modern Management of Cardiac Arrest".  What are the things you need to focus on to maximize your rates of ROSC and optimize neurologic outcomes for patients in cardiac arrest?  Too many lifesaving pearls in this episode to miss!

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  •  We are starting off 2015 with our annual review of key articles from the EM and CCM literature published over the past year.   Key literature in sepsis, cardiac arrest, post-arrest, RSI, and post-intubation management headline the list.  If you want to know the latest in EM/CCM don't miss this episode!

     

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  • This month we have two returning CCPEM favorites, Dr. Evie Marcolini and Dr. Bryan Hayes.  Evie discusses the latest evidence-based care of patients with acute ICH, while Bryan highlights critical pearls and pitfalls in antibiotic therapy.  We couldn't be ending the year on a stronger note!  A can't miss episode!

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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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  • 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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