Core EM

JANUARY 25, 2024

We go over the essential and complex topic of vasopressors in the ED.

Epinephrine 246

Epinephrine Critical Care Emergency Department ED 246

The Skeptics' Guide to EM

SEPTEMBER 2, 2023

The SQuID protocol (subcutaneous insulin in diabetic ketoacidosis): Impacts on ED operational metrics. The SQuID protocol (subcutaneous insulin in diabetic ketoacidosis): Impacts on ED operational metrics. However, the ICU is full and the patient will likely be boarding in your ED for a bit before coming upstairs.

ICU 276

ICU ED Critical Care ALS 276

Core EM

JANUARY 25, 2024

Background: The immediate post intubation period in the ED is a critical time for continued patient stabilization. The reality of ever increasing ED volumes and longer boarding times to the ICU makes it imperative for emergency physicians to learn how to manage these critical patients. mg/kg 0.01 – 0.1 up to 1.5)

ICU 246

ICU Emergency Department Critical Care ALS 246

Core EM

JANUARY 25, 2024

Hosts: Joe Offenbacher, MD Audrey Bree Tse, MD [link] Download Leave a Comment Tags: Anticoagulation , Critical Care , Resuscitation Show Notes Coagulation Cascade: Algorithm for Anticoagulated Bleeding Patient in the ED: Indications for Anticoagulation Reversal: References: Baugh CW, Levine M, Cornutt D, et al.

Frozen Plasma 246

Frozen Plasma FFP Plasma Critical Care 246

Emergency Medicine Ireland

APRIL 29, 2024

Welcome back to the tasty morsels of critical care podcast. Last time i was butchering my way through a diagnostic approach to hyponatraemia, particularly the forms likely to end up in the critical care end of the hospital. Older person presents to the ED after being unwell for several weeks.

Critical Care 75

Critical Care Plasma OR ED 75

The Skeptics' Guide to EM

NOVEMBER 18, 2017

Critical Care Medicine 2017. Outside his family and work, Jesse pours […] The post SGEM#195: Some Like It Hot – ED Temperature and ICU Survival first appeared on The Skeptics Guide to Emergency Medicine. Critical Care Medicine 2017. display_podcast] Date: November 11th, 2017 Reference: Sundén-Cullberg et al.

ICU 130

ICU ED Emergency Department Critical Care 130

Don't Forget the Bubbles

MARCH 21, 2025

A total of eleven intensive care units (ten PICUs and one non-maternity NICU) and four emergency departments (EDs) took part in the study. Patients were randomised in a 1:1 ratio to receive either nasal high-flow or standard care. CASP checklist How good was the paper? Does the study address a clearly focused issue?

ICU 108

ICU Critical Care ED OR 108

St. Emlyn's

FEBRUARY 27, 2024

St.Emlyn's - Emergency Medicine #FOAMed A review of Acute on Chronic Liver Disease (ACLD / decompensated liver disease) in the ED. Liver disease in the ED. How we can improve patient outcomes. FOAMed @stemlyns The post Decompensated. St Emlyn’s appeared first on St.Emlyn's.

ED 129

ED Critical Care 129

Core EM

OCTOBER 16, 2024

Annie: I developed an interest in EM while working as a scribe in the ED during college. In addition to what Charlotte and Nick said, I can envision myself staying calm in the stressful situations that come up in the ED. Nick: Triaging your time and priorities as an ED doc on shift is so challenging.

ED 100

ED EMS Critical Care OR 100

Core EM

SEPTEMBER 24, 2024

Annie: I developed an interest in EM while working as a scribe in the ED during college. In addition to what Charlotte and Nick said, I can envision myself staying calm in the stressful situations that come up in the ED. Nick: Triaging your time and priorities as an ED doc on shift is so challenging.

ED 100

ED EMS Critical Care OR 100

Emergency Medicine Ireland

APRIL 16, 2024

Welcome back to the tasty morsels of critical care podcast. We’ll often find 1 or 2 of these in our high dependency unit at any given time, mainly due to the requirement for frequent testing of Na levels that seems beyond the remit of normal ward level care.

Critical Care 74

Critical Care Plasma OR ED 74

Critical Care Scenarios

JUNE 14, 2020

The book Buy the new textbook (Bryan edited, Brandon authored a chapter) here or on Amazon: Concepts in Surgical Critical Care, First Edition ed.

Critical Care 130

Critical Care ED ALS OR 130

ALiEM

FEBRUARY 5, 2024

Digital Impact Factor: A Quality Index for Educational Blogs and Podcasts in Emergency Medicine and Critical Care. You will need to create a free, 1-time login account. Reference Lin M, Phipps M, Chan TM, et al. Ann Emerg Med. 2023;82(1):55-65. doi: 10.1016/j.annemergmed.2023.02.011

Overdose 215

Overdose Critical Care EMS Emergency Department 215

ACEP Now

JANUARY 5, 2025

A young woman, 13 days post-tonsillectomy, comes into your rural emergency department (ED) coughing up blood. Managing post-tonsillectomy hemorrhage in the ED can be challenging, especially in rural or resource-limited settings. Hemoptysis ED approach and management. Its going to take time to get her to a tertiary center.

Operating Room 98

Operating Room Epinephrine ALS ED 98

Broome Docs

JANUARY 27, 2025

European Journal of Internal Medicine , [link] You can listen to my 27-minute rant on Youtube here: [link] This multinational trial looked at a three-pronged diagnostic protocol in the ED for adults with suspected acute aortic syndromes. The protocol used the ADD score, a POCUS echo protocol and D-dimer to try and exclude AAS in the ED.

ED 101

ED OR ACS Critical Care 101

The Skeptics' Guide to EM

JUNE 12, 2022

Guest Skeptic: Dr. Aaron Skolnik is an Assistant Professor of Emergency Medicine at the Mayo Clinic Alix School of Medicine and Consultant in the Department of Critical Care Medicine at Mayo Clinic Arizona. Aaron is a full-time multidisciplinary intensivist. Early work suggested potential harm from 0.9%

ICU 133

ICU Plasma Critical Care ALS 133

The Skeptics' Guide to EM

OCTOBER 3, 2021

Aaron Skolnik is an Assistant Professor of Emergency Medicine at the Mayo Clinic Alix School of Medicine and Consultant in the Department of Critical Care Medicine at Mayo Clinic Arizona. Many critically ill patients receive intravenous crystalloids for volume expansion as part of their resuscitation.

OR 130

OR Critical Care ICU Plasma 130

The Skeptics' Guide to EM

OCTOBER 8, 2022

Effect of high-flow nasal cannula therapy vs continuous positive airway pressure therapy on liberation from respiratory support in acutely ill children admitted to pediatric critical care units: a randomized clinical trial. Parents look worried and ask you what kind of non-invasive support are you planning to start?

Critical Care 130

Critical Care ALS Emergency Department ED 130

ALiEM

OCTOBER 14, 2023

Digital Impact Factor: A Quality Index for Educational Blogs and Podcasts in Emergency Medicine and Critical Care. Reference Lin M, Phipps M, Chan TM, et al. Ann Emerg Med. 2023;82(1):55-65. doi: 10.1016/j.annemergmed.2023.02.011

Critical Care 169

Critical Care EMS Emergency Department ALS 169

The Skeptics' Guide to EM

FEBRUARY 8, 2020

Stroke 2019 Guest Skeptic: Dr. Rory Spiegel is an EM/CC doctor who splits his time in the Emergency Department and Critical Care department. Stroke 2019 Guest Skeptic: Dr. Rory Spiegel is an EM/CC doctor who splits his time in the Emergency Department and Critical Care department.

Emergency Department 130

Emergency Department Critical Care ALS EMS 130

Critical Care Scenarios

MAY 31, 2020

The book Buy the new textbook (Bryan edited, Brandon authored a chapter) here or on Amazon: Concepts in Surgical Critical Care, First Edition ed.

Critical Care 100

Critical Care Epinephrine ED ALS 100

The Skeptics' Guide to EM

FEBRUARY 25, 2023

Pediatric Crit Care Med. 2022 Date: February 15, 2023 Guest Skeptic: Dr. Carlie Myers is Pediatric Critical Care Attending at Cincinnati Children’s Hospital Medical Center. Pediatric Crit Care Med. Background: We often manage patients in cardiac arrest in the ED or the intensive care unit (ICU).

CPR 130

CPR ICU Critical Care Epinephrine 130

EMOttawa

AUGUST 15, 2024

Assessing patients with pleural effusions in the emergency department (ED) can be challenging and unclear. This is largely due to the lack of guidelines around pleural effusions in the ED. This is not all-encompassing, […] The post By the Hammer of Thora: Pleural Effusions in the ED (part 1) appeared first on EMOttawa Blog.

ED 77

ED Emergency Department Critical Care 77

The Skeptics' Guide to EM

JUNE 22, 2024

Anireddy Reddy is a pediatric intensive care attending physician in the Department of Anesthesiology and Critical Care Medicine at Children’s Hospital of Philadelphia. Dr. Anireddy Reddy Case: A 3-year-old girl presents to the emergency department (ED) with fever and respiratory distress.

ICU 141

ICU Critical Care ALS Emergency Department 141

Pediatric EM Morsels

SEPTEMBER 22, 2023

Tenenbein M, Macias CG, Sharieff GQ, et al, eds. Tenenbein M, Macias CG, Sharieff GQ, et al, eds. Treat patients suspected of having neurogenic shock with warming and vasopressors. They may even need atropine and/or pacing for persistent bradycardia. References Coleman-Satterfield, TT. 5 th Edition. Neurogenic Shock. J Pediatr Surg.

E-9-1-1 304

E-9-1-1 Epinephrine ALS EMS 304

Pediatric EM Morsels

JULY 26, 2024

It is commonly missed during the first few ED visits. Keep a high index of suspicion for anti-NMDAr encephalitis in children and adolescents who have had multiple ED visits for new and worsening psych/behavioral concerns, seizures, and/or movement disorders over several months. Often initially misdiagnosed as a psychiatric illness.

Plasma 271

Plasma OR ED Critical Care 271

The FllightBridge ED

SEPTEMBER 22, 2023

Join Eric and Will Heuser, PharmD, discussing “The Influence of Low pH on Efficacy of Critical Care Pharmacology.” ” Changes in acid-base balance have a profound…

Critical Care 52

Critical Care 52

The Skeptics' Guide to EM

JANUARY 9, 2021

JAMA 2020 Guest Skeptic: Mike Carter is a former paramedic and current PA practicing in pulmonary and critical care as well as an adjunct professor of emergency medical services […] The post SGEM#314: OHCA – Should you Take ‘em on the Run Baby if you Don’t get ROSC? first appeared on The Skeptics Guide to Emergency Medicine.

EMS 130

EMS Emergency Medical Services CPR Critical Care 130

Emergency Medicine Ireland

FEBRUARY 1, 2021

Welcome back to the tasty morsels of critical care podcast. A meandering monologue through critical care exam preparation. Not content with producing deafness and killing kidneys they’ve also demanded awkward dosing schedules, Read More » Welcome back to the tasty morsels of critical care podcast.

Critical Care 40

Critical Care ICU ED 40

Emergency Medicine Ireland

JANUARY 28, 2021

Welcome back to the tasty morsels of critical care podcast. Cardiac pacing comes in a variety of flavours in critical care but a reasonable list of class I indications for permanent pacing might include: 2nd/3rd block with symptoms and bradycardia, Read More » Welcome back to the tasty morsels of critical care podcast.

Critical Care 40

Critical Care ICU OR ED 40

EMCrit Project

JULY 30, 2022

We need to be ready to resuscitate any patient that comes to our EDs and ICUs. Being Resus Ready for bariatric patients requires forethought and planning. Let's discuss some resuscitation strategies for the obese patient. EMCrit Project by Scott Weingart, MD FCCM.

Critical Care 60

Critical Care ED 60

Critical Care Scenarios

DECEMBER 13, 2020

Takeaway lessons * In an ideal world, penetrating abdominal trauma in an unstable patient would proceed directly to the OR with no delay by the ED. Not too much role for TEG in the initial ED presentation. Our 1st anniversary episode! Resuscitation, obtaining access, and so forth can occur in the OR perioperatively.*

FFP 100

FFP Critical Care ED OR 100

Emergency Medicine Ireland

FEBRUARY 21, 2022

Welcome back to the tasty morsels of critical care podcast. Read More » Welcome back to the tasty morsels of critical care podcast. I have made the diagnosis twice de novo in the ED (or at least admitted them with that as the leadning diagosis) so it is out there. Likely because.

Critical Care 40

Critical Care ICU ED OR 40

ALiEM

APRIL 14, 2023

Highlighted Quality Posts: Procedures Site Article Author Date Label Rebel EM Intra Articular Lidocaine vs Sedation in Shoulder Reductions Nordia Matthews, MD 30 Jan 2023 AIR EM Docs Video Laryngoscopy in the ED Cameron Jones, MD 8 Aug 2022 AIR First 10 EM Lacerations: Does closure technique matter?

EMS 246

EMS Emergency Department ED OR 246

The Skeptics' Guide to EM

JUNE 18, 2022

Resuscitation with blood products in patients with trauma-related haemorrhagic shock receiving prehospital care (RePHILL): a multicentre, open-label, randomised, controlled, phase 3 trial. Casey Parker is a Rural Generalist that includes in his practice emergency medicine, anaesthesia and critical care. What do you advise him?

Plasma 100

Plasma Critical Care Paramedic ALS 100

EMOttawa

AUGUST 22, 2024

Assessing patients with pleural effusions in the emergency department (ED) can be challenging and nuanced. This is largely due to the lack of guidelines around pleural effusions in the ED. In part one we focused on imaging, diagnosis, and management of parapneumonic effusions.

ED 63

ED Emergency Department Critical Care EMS 63

The Skeptics' Guide to EM

NOVEMBER 13, 2021

Guest Skeptic: Dr. Neil Dasgupta is an emergency physician and ED intensivist from Long Island, NY, and currently an assistant clinical professor and Director of Emergency Critical Care […] The post SGEM#350: How Did I Get Epi Alone? JAMA Sept 2021.

Epinephrine 100

Epinephrine Critical Care Life Support Emergency Department 100