• 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?
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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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  • Hyponatremia is one of the most common electrolyte disorders encountered in emergency medicine and critical care.  Patients with hyponatremic encephalopathy represent a severe form of hyponatremia that must be rapidly treated.  In this episode, we discuss pearls and pitfalls in treating this critical condition.

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  • Resuscitations are often chaotic events.  How we perform under pressure can make the difference between life and death.  In this podcast, we discuss a recent article in print in Annals of Emergency Medicine on performing well under stress. This may be one of the most important podcasts of the year!

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  • This month Mike McCurdy rejoins the podcast to discuss the ATHOS-3 trial.  Mike was one of the co-authors on this impressive publication and gives us insight into the study and its results.  Very thought provoking!

     

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  • Peds EM superstars Mimi Lu and Barrie Bostick join CCPEM to review the latest clinical guidelines on hemodynamic support of pediatric and neonatal septic shock.  This episode is loaded with pearls for the resuscitation of your next septic pediatric patient!

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  • Rory Spiegel and Ken Butler join the podcast to discuss critical issues in intubating and ventilating the obese patient.  What physiologic changes do you NEED to know?  What is appropriate dose of RSI meds in the obese patient?  What are the initial ventilator settings?  These experts answer these questions and so many more!

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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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