• 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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  • In this podcast, we discuss the recently published ADRENAL study and its implications for the use of steroids for patients with refractory septic shock. Great thought provoking comments in this lively discussion!

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  • He's back!  Bryan Hayes joins the podcast to discuss the latest evidence pertaining to the reversal of life-threatening hemorrhage secondary to the direct oral anticoagulants.  The pearls are simply too numerous to count!

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  • In this podcast, we complete our discussion of articles from the 2017 emergency medicine and critical care literature that have potential practice-changing implications.  ED mechanical ventilation, sedation and analgesia, and sepsis.  What you NEED to know!

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  • Happy New Year!  A tremendous amount of important studies pertinent to emergency medicine and critical care were published in 2017.  In Part I, we review 5 articles with practice changing implications for the emergency medicine and critical care provider.  A great start to 2018!

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  • In this episode, we tackle an incredibly difficult topic - transitioning from resuscitation to futile care.  We've all faced the scenario, but how do we have those patient and family discussions?  We discuss the pearls and pitfalls in transitioning to, and providing, futile care.

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  • What do you do for the patient in cardiogenic shock who is not responding to vasopressors and inotropes?  Should you place a mechanical circulatory support device as a bridge to PCI or CABG? We discuss the pearls and pitfalls of the latest devices.

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  • The use of a PEEP recruitment maneuver is common among ventilated patients with refractory hypoxemia.  However, a recent JAMA study questions whether we should be using this in our patients.  In this podcast, we discuss this article and an approach to the patient with refractory hypoxemia while on the ventilator.

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  • We know NIV works well for patients with acute COPD or acute CHF exacerbations.  In this episode, we discuss the evidence for NIV not only in COPD and CHF, but also a myriad of other conditions.  Do you know what the latest guidelines say on NIV for asthma, immunocompromised patients, or undifferentiated acute respiratory failure?  Take a listen...

     

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  • In this podcast we discuss the pearls and perils of ED mechanical ventilation.  What are the numbers you NEED to know? We also discuss the critical points of post-intubation analgesia and sedation.  Still providing benzo's to your intubated ED patient?  Better listen to this episode!

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  • Meet Mike Winters and Peter DeBlieux at Critical Points this December, 1-3 2017 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.  

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