Critical Care Perspectives in Emergency Medicine

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Recent blog posts

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.

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Bounce Ups - Acute Pancreatitis

Mike Winters John Greenwood

John Greenwood is back with another outstanding bounce-up case!  Listen and find out how to use the BISAP ad CT Severity Index.  Most importantly, learn the pearls in identifying that sick patient with pancreatitis who needs a higher level of care.

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Heat Stroke

Mike Winters Peter DeBlieux Rob Rodriguez

Summer is here and so are dangerously high temperatures.  Numerous deaths have already been reported from heat-related illness.  In this podcast, Mike, Peter, and Rob discuss the pearls and pitfalls in cooling patients with heat stroke.  Listen in and find out why those cold IV fluids you may be administering just don't work!

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Capnography in Critical Illness

Mike Winters Peter DeBlieux Rob Rodriguez

In this episode, Mike, Peter, and Rob review the clinical applications of capnography in the critically ill patient.  It's so much more than confirmation of endotracheal tube placement...

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Cardiac Dysfunction After Neuro Injury

Mike Winters John Greenwood

Ever wonder why your SAH patient becomes hypotensive?  Mike and John discuss a recent article on cardiac dysfunction in the neurocritical care patient.  How do you make the diagnosis?  More importantly, what are the critical components in managing these complex patients?

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VTE in Sepsis

Carina Sorenson Mike McCurdy

Drs. Sorenson and McCurdy make their debut appearance on CCPEM to discuss a recent article with some frightening results! Miss this episode and you may be left wondering why that septic patient had a large PE.

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Quickie: Trauma Bounce-ups


John GreenwoodCritical Care Quickie: John gives a great Critical Care Quickie on a recent article regarding trauma bounce-ups and the factors to pay attention to!

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High Flow Nasal Cannula

Mike Winters Mike Allison

Mike Allison rejoins the podcast this month to discuss the hot topic of HFNC.  What's the evidence say about using this device for critically ill patients with acute respiratory failure?  Mike gives some outstanding pearls and pitfalls in using HFNC.

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Driving Pressure - A New Target for Mechanical Ventilation?

Mike Winters John Greenwood

In this episode, Mike and John discuss a potential new target for optimizing mechanical ventilation. This is a can't miss, cutting-edge discussion.  Miss it and you may be left wondering why you are behind the time by just focusing on plateau pressure!

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