Critical Care Perspectives in Emergency Medicine

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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.
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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?
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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.
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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.
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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.
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Literature Review 2012 and Critical Procedures

Mike Winters Rob Rodriguez Peter DeBlieux

This month, the critical care guys discuss a few of their favorite articles from the 2012 emergency medicine and critical care literature. In addition, Peter, Rob, and Mike finish their discussion on critical care procedures in the crashing patient. A fantastic podcast to start off 2013!
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Etomidate and Critical Procedures

Ken Butler Haney Mallemat Bryan Hayes Mike Winters Rob Rodriquez Peter DeBlieux

Should we abandon etomidate in sepsis? This month Ken Butler, Haney Mallemat, Bryan Hayes and the boys discuss a recent article in Critical Care Medicine and provide their thoughts on whether etomidate should still be used sepsis. Then, Peter, Rob, and Mike discuss some pearls on a few critical procedures in the crashing patient. An outstanding episode to end 2012!
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Oncologic Emergencies and Bicarbonate Shortage

Mike McCurdy Mike Winters Rob Rodriquez Peter DeBlieux

Mike McCurdy joins the boys this month for a discussion on Oncologic Emergencies. What's in and what's out in the treatment of tumor lysis syndrome. Peter, Rob, and Mike then discuss what to do in the face of a bicarbonate shortage. Is it really needed for most conditions? Lots of great pearls in this month's episode!
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Surviving Sepsis 2012 Guidelines and Toxicology

Philip Dellinger Bryan Hayes Mike Winters Rob Rodriguez Peter DeBlieux

Want to know what's coming in the 2012 Surviving Sepsis Campaign Guidelines? This month, Mike interviews the lead author, R. Philip Dellinger, on key changes that you need to know. In the second half, Mike interviews EM toxicology guru Bryan Hayes on two conditions that your probably missing. A true can't miss episode...
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AKI in the Critically Ill

Rob Rogers Mike Winters Rob Rodriguez

This month the guys discuss a complex and very common condition in the critically ill patient: acute kidney injury. Do you know how to diagnose AKI? What are the most common causes in the critically ill patient? How do you manage patients with AKI? What's the difference between continuous and intermittent renal replacement therapies?
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Pneumothorax, Digoxin Toxicity and Lung Protective Ventilation

Bryan Hayes Rob Rogers Mike Winters Rob Rodriguez

The critical care guys review a recent article in Chest on pneumothorax in the critically ill. Bryan Hayes makes a return this month to discuss how to give DigiFab. Finally, the boys wrap with a recent article in BMJ that shows we are still doing a poor job implementing lung protective ventilation strategies.
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Extremely Hypoxic Patient and Devices for GI Bleed

Rob Rogers Mike Winters Rob Rodriguez

Your patient is intubated and FiO2 is 100%. Your patient's SaO2 continues to tank. What do you do? Rob breaks it down and walks us through a stepwise approach to the extremely hypoxic patient. In part 2, Mike discusses devices and pearls and pitfalls in a crashing GI bleed case.
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Pericardial Tamponade and Sedation & Analgesia

Haney Mallemat Brian Hayes Mike Winters Rob Rodriguez Peter DeBlieux

Dr. Haney Mallemat joins the Critical Care Guys this month to discuss the slowly crashing patient with pericardial tamponade. Dr. Brian Hayes reviews high yield pearls on sedation and analgesia.
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Hyponatremia and Aortic Dissection

Rob Rogers Mike Winters Rob Rodriguez Peter DeBlieux

The Critical Care Guys discuss a case of hyponatremia. Dr. Rob Rogers joins the Critical Care Guys to review a critically ill patient with aortic dissection.
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Critical Care Quickies

Mike Winters Rob Rodriguez Peter DeBlieux

The Critical Care Guys review some very high yield clinical pearls you can use on your next shift!
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Acetaminophen Toxicity and Literature Review

Bryan Hayes Michael Allison Mike Winters Rob Rodriquez Peter DeBlieux

Drs. Bryan Hayes and Mike Allison discuss the pearls and pitfalls of acetaminophen overdose. The Critical Care Guys continue the literature update from Feb episode.
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Literature Review

Mike Winters Rob Rodriquez Peter DeBlieux

The Critical Care Guys review select emergency medicine literature including lactate clearance vs SCVO2 as goals of early sepsis, peri-shock pause as a predictor of survival during cardiac arrest, IV vs IO access in cardiac arrest and much more!
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Critically Ill Burn Patient and Tracheostomy Respiratory Distress

Ken Butler John Greenwood Mike Winters Rob Rodriguez Peter DeBlieux

Dr. Ken Butler joins us this month to discuss the care of the critically ill burn patient. Dr. John Greenwood discusses the management of patients with tracheostomy complications.
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Pulmonary Hypertension

Mike Winters Rob Rodriguez Peter DeBlieux

This month the Critical Care Guys discuss what to do with the patient with pulmonary hypertension. How much fluid do you give? When do you start vasopressors and inotropes? Is there a role for pulmonary vasodilators? What do you need to think about when these patients crash in the ED? The answers to these questions and much more in this episode!
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Critically Ill HIV Patient and Crashing Pediatric Patient

Monica Gandhi Mimi Lu Mike Winters Rob Rodriquez Peter DeBlieux

Two features this month! In the first, Rob discusses a case of a critically ill patient with HIV with Dr. Monica Gandhi. In the second, Mike interviews Dr. Mimi Lu about some important recent updates to resuscitating the crashing pediatric patient.
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