Critical Care Perspectives in Emergency Medicine

  • Home
    Home This is where you can find all the blog posts throughout the site.
  • Categories
    Categories Displays a list of categories from this blog.
  • Tags
    Tags Displays a list of tags that have been used in the blog.
  • Bloggers
    Bloggers Search for your favorite blogger from this site.
  • Archives
    Archives Contains a list of blog posts that were created previously.
  • Login
    Login Login form
Subscribe to this list via RSS Blog posts tagged in Podcast

Thrombolytic Therapy in Submassive PE

Mike Winters Rob Rodriguez Peter DeBlieux

Not sure whether to give thrombolytic therapy to your patient with submassive PE?  Does lytic therapy actually improve outcomes?  What are the risks? This month we discuss the key articles from the 2014 literature on submassive, or intermediate-risk, PE.  

Tagged in: Podcast

Cardiogenic Shock and ECPR

Semhar Tewelde Mike Winters Rob Rodriguez Peter DeBlieux

Semhar Tewelde joins the podcast this month to gives us the pearls and pitfalls in managing patients with cardiogenic shock. Next, the boys discuss a hot topic in emergency medicine and critical care, extracorporeal CPR. What's the evidence and indications for this novel therapy?

Tagged in: Podcast

Refractory Hypoxemia and New Anticoagulant Reversal

Feras Khan Mike Winters Rob Rodriguez Peter DeBlieux

Feras Khan discusses critical therapies for refractory hypoxemia: what works and what therapies should be put to rest in the critical care graveyard. In addition, we discuss the emergent reversal of new oral anticoagulants for patients presenting with life-threatening hemorrhage. Tons of pearls this month!
Tagged in: Podcast

TEG and Pearls and Pitfalls in Dissection

Mark Walsh Robert Crawford Mike Winters Rob Rodriguez Peter DeBlieux

Mark Walsh speaks about thromboelastography (TEG) and why you should be using this test to guide transfusions, especially with the massive transfusion protocol. Vascular Surgeon Dr. Robert Crawford gives his pearls & pitfalls on the management of aortic dissection. Forget about memorizing all those classifications; it's easy with his 4 critical points.

Tagged in: Podcast

Ischemic Stroke and Severe Acute Pancreatitis

Wendy Chang Mike Winters Rob Rodriguez Peter DeBlieux

Neurocritical care guru Wendy Chang joins the Critical Care Guys to discuss the critical care management of patients with acute ischemic stroke. In part 2, we discuss the current management of patients with severe acute pancreatitis. Still using the term "hemorrhagic pancreatitis"? Still aggressively fluid resuscitating your patient and providing prophylactic antibiotics?
Tagged in: Podcast

Vanc/Zosyn is NOT the Answer to Everything

Brian Hayes Michael Allison Michael Scott Mike Winters Rob Rodriguez Peter DeBlieux

Got a sick septic patient? Ready to write for vancomycin and piperacillin/tazobatam? You might want to think again. This month Bryan Hayes is back to discuss 7 pearls that should immediately impact your practice. Michael Allison and Michael Scott review the evidence for the use of noninvasive ventilation in patients with an acute asthma exacerbation.
Tagged in: Podcast

ProCESS, Blood Pressure, and Albumin in Sepsis

Mike Winters Rob Rodriguez Peter DeBlieux

This month we review and discuss critical literature just published in the NEJM pertaining to the resuscitation of patients with septic shock. Should you change your MAP goal? Is albumin still indicated for fluid resuscitation in the septic patient? Should CVP and central venous oxygen saturation measurements be integral to the management of patients with sepsis?
Tagged in: Podcast

Acute Liver Failure and Tips & Tricks You've Got to Know

Mike Winters Rob Rodriguez Peter DeBlieux

We start off with a discussion on the patient with acute liver failure. Learn why giving lactulose for encephalopathy in these patients may be harmful. In the second discussion, we officially welcome Haney Mallemat to the CCPEM team and hears his Tips & Tricks Every Resuscitationist Must Know!
Tagged in: Podcast

Literature Review 2013

Mike Winters Rob Rodriguez Peter DeBlieux

This month we discuss key articles from the 2013 literature that pertain to EM and CCM. Lots of great stuff on cardiac arrest, targeted temperature management, sepsis, transfusions, fluid resuscitation, pulmonary embolism, and sedation and analgesia. Don't get left behind before the year even get's started.
Tagged in: Podcast

Pediatric Status Asthmaticus and Status Epilepticus

Mimi Lu Mike Winters Rob Rodriguez Peter DeBlieux

This month we get back to pediatric critical illness. Mimi Lu discusses status asthmaticus while Nate Mick imparts the pearls for treating status epilepticus in sick kids. If you take care of kids, you can't afford to miss this episode!
Tagged in: Podcast

Alcohol Withdrawal, Targeted Temperature Management, and Abdominal Catastrophes

Bryan Hayes Mike Winters Rob Rodriguez Peter DeBlieux

Bryan Hayes is back to discuss pearls and pitfalls regarding alcohol withdrawal. We discuss the latest NEJM article that casts doubt on the benefit of cooling patients with ROSC from OHCA to 33C. Finally, we highlight 2 abdominal catastrophes that can easily be missed in the critically ill ICU patient.
Tagged in: Podcast

The Sick Transplant Patient

Mike Winters Rob Rodriguez Peter DeBlieux

This month we discuss pearls and pitfalls in the management of critically ill transplant patients. Though we focus on the cardiac transplant patient, much of the discussion on rejection, medications, and infection is applicable to any transplant patient. Do you know how to recognize rejection? What organisms do you need to consider in the transplant patient with sepsis?
Tagged in: Podcast

Hypertensive Emergencies

Mike Winters Rob Rodriguez Peter DeBlieux

Often felt to be one of the "most mismanaged conditions in all of medicine", the management of hypertensive emergencies is challenging and can be fraught with disaster. What is the target reduction in blood pressure during the first hour? What agents should you use for select patients and why does hydralazine have no role in the management of hypertensive emergencies?
Tagged in: Podcast

Fluid Resuscitation and Critical Management of SAH

Neeraj Badjatia Mike Winters Rob Rodriguez Peter DeBlieux

Recent evidence suggests that the type of fluid selected may impact outcomes. We discuss the acid-base effects of IV fluids, balanced solutions, and the selection of fluids for specific clinical scenarios. Dr. Neeraj Badjatia gives an outstanding talk on the critical care management of patients with SAH. Learn why there is "nothing normal about normal saline".
Tagged in: Podcast

The Intubated ED Patient: Mistakes You Don't Want to Make!

Sam Wood Mike Winters Rob Rodriguez Peter DeBlieux

This month Sam Wood joins the podcast and delivers an amazing lecture on caring for the intubated ED patient. Packed with pearls and pitfalls, this podcast is one you'll want to listen to a few times. Miss this episode and you may just find yourself the center of the next M&M conference.
Tagged in: Podcast

Critical Care Monitoring and Recent Trauma Articles

Kim Boswell Mike Winters Rob Rodriguez Peter DeBlieux

Peter discusses methods of monitoring and assessing critically ill patients in the ED. Kim Boswell, a rapidly rising star in trauma and critical care, discusses some recent articles from the trauma critical care literature that every emergency physician must know.
Tagged in: Podcast

Pediatric Resus and Hyperosmolar Therapy in Neurocritical Care

Mimi Lu Mike Winters Rob Rodriguez Peter DeBlieux

Mimi Lu walks us through the resuscitation of the crashing cardiac kid. The Guys discuss hyperosmolar therapy in neurocritical care. What's a better method to monitor mannitol therapy than serum osmolality? How do you dose the various concentrations of hypertonic saline?
Tagged in: Podcast

The Drowning Patient and NMBA Pearls

Rob Rogers Mike Winters Rob Rodriguez Peter DeBlieux

The Critical Care Guys discuss the management of the critically ill drowning patient including use of antibiotics, steroids, and therapeutic hypothermia. How do you ventilate and wean these patients? The boys also review the use of NMBAs in the critically ill and the many factors that will affect your practice.
Tagged in: Podcast

Anemia in Critically Ill and Toxicology Pearls

Bryan Hayes Mike Winters Rob Rodriguez Peter DeBlieux

The Critical Care Guys discuss the management of anemia in the critically ill including the risks of transfusion and the hemoglobin threshold. Dr. Hayes returns to highlight pearls in recent toxicology papers.
Tagged in: Podcast

Pediatric Sepsis and Literature Update Part 2

Mike Winters Rob Rodriguez Peter DeBlieux

This month Mike, Peter, and Rob finish their review of key articles from the 2012 EM and CCM literature. Great pearls on fluid resuscitation and ultrasound in cardiac arrest! In the second half of this month, Mike interviews Nathan Mick, Assistant Professor of Emergency Medicine and Pediatrics at Maine Medical Center, on resuscitating the critically ill pediatric patient with sepsis.
Tagged in: Podcast

Member Access