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    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?
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  • The number of critically ill elderly patients continues to increase annually.  In this podcast, we discuss key pearls and pitfalls in resuscitating the sick elderly patient.  A truly great discussion!

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  • ED Pharmacist extraordinaire Jill Logan joins CCPEM to discuss the use of high-dose nitroglycerin in patients with acute cardiogenic pulmonary edema.  Is it safe?  How much can, and should, you give during the initial resuscitation of these sick patients?

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  • New guidelines have just been published on the care of family members of critically ill patients! So many family members of critically ill patients have significant problems, including PTSD and depression, in the months following the ICU stay of their loved one.  Peter, Rob, Mike, and John review select recommendations of these new guidelines.  Incredibly important content this month!

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  • The SSC recently published its new recommendations for the management of sepsis and septic shock.  We discuss the key changes and controversies that you need to know regarding these latest guidelines!

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  • Bryan Hayes is back!  In this podcast, we discuss pitfalls in the use of benzodiazepines along with current evidence on adjunctive treatments including propofol, barbiturates, dexmedetomidine, antiepileptics, and ketamine.  Bryan brings us all up to date with this discussion!

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  • It's time for our annual literature update of the best and most discussed articles from 2016!  Simply a great discussion on important topics such as ICH, cardiac arrest, mechanical ventilation, RSI, and sepsis.

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  • We continue our discussion on sepsis resuscitation by focusing on the microcirculation.  Is ScvO2 dead or can it still provide useful information in select patients?

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  • The administration of IVFs is one of the most common interventions in caring for critically ill ED patients.  But when is enough, enough?  Peter, Rob, and Mike discuss a recent article that summarizes the current evidence on determining who will, and who won't, respond to IVFs.

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  • This month we cover the critical pearls and pitfalls in resuscitating the crashing patient with pulmonary hypertension.  These patients are incredibly sick and can crash in minutes.  Miss this episode and you may be left wondering why additional IVFs are actually making this patient more hypotensive!

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Critical Care Guys

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by Critical Care Guys

Meet the Critical Care Guys



  • Meet Mike Winters and Peter DeBlieux at Critical Points this December, 2-4 2016 in San Diego, CA!
     

    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.  

    Learn more



  • Join course director Amal Mattu and other University of Maryland faculty at The Crashing Patient conference in Baltimore on November 8-10, 2016!

    Looking for a great Fall conference? Look no further! The full-day conference is designed to address risk issues specific to both parties in emergency medicine: the patient and the care provider. Emergency medicine faculty members will present lectures and workshops covering the optimal care of the sickest patient. Pre-conferences on Emergency Medicine-Critical Care, Simulation, and Airway will be presented on Tuesday, November 8th. � On Thursday, the 10th, a post-conference workshop will include instruction in Emergency ECHO workshop and a Ultrasound lab. The conference is designed for emergency medicine specialists but will be of interest and benefit to any health care provider who cares for very sick patients.

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