Critical Care Perspectives in Emergency Medicine

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Recent blog posts

Necrotizing Soft Tissue Infections

Mike Winters Rob Rodriquez Peter DeBlieux

This month the boys discuss the critically ill patient with a necrotizing soft tissue infection. What organisms do you need to know? Is an x-ray sufficient for the diagnosis? What is the single greatest predictor of survival when treating these patients? Are you giving the right antibiotics? Listen in for these answers and much, much more!
Tagged in: Podcast

Heat Stroke and Noninvasive Ventilation

Michael Allison Mike Winters Rob Rodriquez Peter DeBlieux

This month Dr. Michael Allison joins us for a case discussion on heat stroke. What is the best mechanism for getting the core temperature down? What complications should you expect? In the second part, we discuss noninvasive ventilation. What are the modes, the indications, the predictors of success, and the complications of this critical therapy?
Tagged in: Podcast

Antibiotics Pearls and Caring for the Critically Ill Patient with ESLD

Ellen Slaven Mike Winters Rob Rodriquez Peter DeBlieux

Peter DeBlieux and Dr. Slaven discuss infectious disease pearls including the management for unknown source of infection and healthcare associated infections. The Critical Care Guys discuss the management of the critically ill end-stage liver patient.
Tagged in: Podcast

ECMO and Abdominal Compartment Syndrome

Haney Mallemat Ken Butler Mike Winters Rob Rodriguez Peter DeBlieux

Dr. Mallemat joins the Critical Care Guys to discuss ECMO in the ED and Dr. Ken Butler returns to discuss management of abdominal compartment syndrome.
Tagged in: Podcast

The Crashing Patient

Amal Mattu Mike Winters Rob Rodriguez Peter DeBlieux

Emergency cardiology guru Amal Mattu joins the Critical Care Guys to discuss a stepwise method you can do between the ABC's and CBC's to keep your patient from crashing.
Tagged in: Podcast

Ventricular Assist Devices

Mike Santiago Mike Winters Rob Rodriguez Peter DeBlieux

A febrile, hypotensive patient is brought in by ambulance with no palpable pulse and a holster medical device under his arm and around his waist and wires protruding from his RUQ. What do you do? The Critical Care Guys and guest Mike Santiago discuss the management of the critically ill patient with a ventricular assist device.
Tagged in: Podcast

Traumatic Brain Injury and Massive Transfusion Protocol

Deborah Stein Juan Duchesne Mike Winters Rob Rodriguez Peter DeBlieux

Dr. Deborah Stein (Medical Director Neurocritical Care at Shock Trauma) discusses pearls and the latest evidence on the management of traumatic brain injury. The Critical Care Guys also review evidence on massive transfusion protocol in trauma.
Tagged in: Podcast

The Critically Ill OB Patient

Mike Winters Rob Rodriquez Peter DeBlieux

This month Dr. Haney Mallemat discusses important pearls in the crashing obstetric patient. Mike, Peter, and Rob finish up with a few more literature updates from the 2010 critical care literature. Great stuff!
Tagged in: Podcast

The Persistently Hypoxic ARDS Patient & Literature Review

Mike Winters Rob Rodriquez Peter DeBlieux

The Critical Care Guys answer review a listener's difficult ARDS case and highlights literature from 2010 including dopamine vs norepi, lactate clearance vs ScvO2, magnesium in SAH and more!
Tagged in: Podcast

Care of the Obese Patient

Mike Winters Rob Rodriguez Peter DeBlieux Mel Herbert

The Critical Care Guys review the airway & ventilator management, procedures, circulatory resuscitation in obese patients. Also, a farewell from Mel Herbert and the site will be undergoing a name change.
Tagged in: Podcast

Fluid Resuscitation

Mike Winters Rob Rodriquez Peter DeBlieux and Mel Herbert

This month Mike Winters talks with Alan Heffner MD. Alan is a Pulmonary and Critical Care Consultant in the Department of Internal Medicine and Department of Emergency Medicine at Carolinas Medical Center Charlotte, NC
Tagged in: Podcast

The New ACLS Guidelines

Mike Winters Rob Rodriquez Peter DeBlieux and Mel Herbert

This month the team reports from the USCEssentials.com conference in San Francisco. The new ACLS guidelines are out and they review the major changes...lots of controversy and opinions this month!
Tagged in: Podcast

PE and Pulmonary Edema

Mike Winters Rob Rodriguez Peter DeBlieux Amal Mattu Mel Herbert

This month the discussion is about TPA for PE and an overview of CHF therapy.
Tagged in: Podcast

Status Epilepticus and Intracranial Bleeding

Mike Winters Rob Rodriguez Peter DeBlieux Mel Herbert

The critical care guys review the latest in the management of status epilepticus and discuss the ASA guidelines for intracranial bleeding.
Tagged in: Podcast

The Sick Trauma Patient - A Stepwise Approach

Micheal Gibbs Mike Winters Rob Rodriguez Peter DeBlieux Mel Herbert

Dr. Michael Gibbs gives step-wise approach to the sick trauma patient. Lots of emphasis added by the EMRAP:CC team.
Tagged in: Podcast

The Crashing Tox Patient

Mike Winters Rob Rodriguez Peter DeBlieux Mel Herbert

Mike Winters speaks with the local toxicologists and the usual crew to present the state of the art management of serious toxicology ingestions - LOTS of pearls here.
Tagged in: Podcast

Scoring Systems

Mike Winters Rob Rodriguez Peter DeBlieux Mel Herbert

This month is about scoring systems for predicting mortality, need for ICU disposition and more.  A number of systems and their limitations are reviewed.
Tagged in: Podcast

Anaphylaxis

Mike Winters Rob Rodriguez Peter DeBlieux Mel Herbert

The team discusses an interesting case of anaphylaxis, its diagnosis and the latest evidence for management of anaphylactic shock.
Tagged in: Podcast

Massive GI Bleeding

Mike Winters Rob Rodriguez Peter DeBlieux Stuart Swadron Mel Herbert

Stuart Swadron is this month's guest talking about MASSIVE GI bleeding.  His approach is simple and based on a series of intervention one can employ in almost all of these patients.
Tagged in: Podcast

Treatment of Intracranial Bleeding

Mike Winters Rob Rodriguez Peter DeBlieux Mel Herbert

The team discusses the treatment of intracranial hemorrhage.
Tagged in: Podcast

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