Critical Care Perspectives in Emergency Medicine

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Recent blog posts

Pediatric and Neonatal Septic Shock

Barrie Bostick Mimi Lu Mike Winters

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!

Tagged in: Podcast

Intubating & Ventilating the Obese Patient

Ken Butler Rory Spiegel Mike Winters

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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Euglycemic DKA

Peter DeBlieux John Greenwood Rob Rodriguez Mike Winters

We discuss the case of a young patient presenting with euglycemic DKA.  Say what?  How common is this entity and what is the impact of a new class of diabetic medication?  We answer these important questions and much more on this episode.

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Should We Treat Fever in Septic Patients?

Peter DeBlieux John Greenwood Rob Rodriguez Mike Winters

Several recent articles have challenged the long-held belief that we should treat fever in patients with sepsis.  In this episode we review these recent studies, along with the benefits of fever in patients with an infection.  A very timely and controversial topic!

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Top 10 Pearls for the Critically Ill Elderly Patient

Peter DeBlieux John Greenwood Rob Rodriguez Mike Winters

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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High-Dose NTG in ACPE

Mike Winters Jill Logan

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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Family Centered Care in the Critically Ill

Peter DeBlieux Rob Rodriguez Mike Winters John Greenwood

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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Surviving Sepsis Campaign 2016 Update

Mike Winters Peter DeBlieux Rob Rodriguez John Greenwood

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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The Complicated Alcohol Withdrawal Patient

Mike Winters Bryan Hayes

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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Top Articles of 2016

Peter DeBlieux John Greenwood Rob Rodriguez Mike Winters

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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Sepsis Resuscitation Part II: The Microcirculation

Mike Winters John Greenwood

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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Will My Patient Respond to Fluids?

Mike Winters Rob Rodriguez Peter DeBlieux

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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The Crashing Patient with Pulmonary Hypertension

Mike Winters Rob Rodriguez Peter DeBlieux

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 Quickie: HCAP

John Greenwood

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Sepsis Resuscitation Part I: The Macrocirculation

Mike Winters John Greenwood

John and I kick off an amazing several part series on sepsis resuscitation based on some upcoming articles that are in press.  In this episode we cover the macrocirculatory targets that you've simply go to know when managing your next septic patient.

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Vasopressors in the ED

Mike Winters Peter DeBlieux Rob Rodriguez

Peter gave an outstanding talk at ACEP 16 on vasopressor use in the ED.  In this podcast, we discuss the pearls and pitfalls in the selection of vasoactive agents for select critical illnesses encountered in the ED! Choose wisely!

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Severe CAP - The First 24 Hours

Mike Winters John Greenwood

Is that sick patient with CAP you just admitted crashing?  Mike and John discuss critical decisions in the first 24 hours of care for the patient with severe CAP.

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Controversies in Thrombolytics for Acute PE

Mike Winters Brit Long

Brit Long joins CCPEM to discuss his recent article on the current controversies of thrombolytic use for patients with acute PE.  Who should receive lytics for PE?  Who shouldn't?  Brit reviews all the latest evidence.

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Left Ventricular Outflow Tract Obstruction

John Greenwood Mike Winters

John Greenwood is back and discusses the pearls you need to know about LVOTO in the critically ill patient.  Miss this episode and you may be left wondering why your septic shock patient is not responding to vasopressor therapy!

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Post-Arrest Care

Peter DeBlieux Rob Rodriguez Mike Winters

Though the tendency might be to celebrate when you've obtained ROSC in the patient with cardiac arrest, the real work has only just begun.  Critical care during the early post-arrest period can make the difference between life and death.  Peter, Rob, and Mike discuss the pearls and pitfalls you NEED to know when caring for that patient you just resuscitated from cardiac arrest.

Tagged in: Podcast

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