Critical Care Scenarios

MAY 22, 2022

Discussing ICU triage, risk stratification, and patient disposition with intensivist Eddy Joe Gutierrez (@eddyjoemd) of the Saving Lives Podcast. Takeaway lessons * When a patient has borderline indications for requiring the ICU, generally, in the real world, they should go to the ICU. When a sending provider (e.g.

ICU 100

ICU Critical Care ED OR 100

Core EM

JANUARY 25, 2024

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. It was found that patients exposed to deep sedation in the ED had an independent higher incidence of continued deep sedation on ICU day one ( Fuller, 2019 ).

ICU 246

ICU Emergency Department Critical Care ALS 246

Don't Forget the Bubbles

MARCH 21, 2025

set out to explore in the Kids THRIVE study investigating whether NHF apnoeic oxygenation could improve intubation outcomes in critically unwell children needing emergency airway management. Patients were randomised in a 1:1 ratio to receive either nasal high-flow or standard care. Thats exactly what Shane George et al.

ICU 103

ICU Critical Care ED OR 103

Emergency Medicine Ireland

MAY 13, 2024

Welcome back to the tasty morsels of critical care podcast. Part 1 will cover a broad overview of pulmonary hypertension and part 2 will focus on management strategies for a PH patient in the ICU. For example we know ICU admission is a poor prognostic sign in severe PH but this is generally the very point we get involved at.

Critical Care 98

Critical Care ICU OR 98

Critical Care Scenarios

FEBRUARY 14, 2024

A roundup of opinions from attendees at SCCM’s 2024 Critical Care Congress in Phoenix on strategies for rescuing the patient stuck in a loop of deep sedation and agitation. Resources * ICU Liberation.org * ICU Delirium * ICU Rehab Network

ICU 133

ICU Critical Care 133

Critical Care Scenarios

MARCH 7, 2021

How to manage the intubated critically ill patient while keeping them awake, non-delirious, and mobile, with Dr. Dale Needham, FCPA, MD, PhD. Dr. Needham is a Professor of Pulmonary and Critical Care Medicine as well as Physical Medicine and Rehabilitation at the Johns Hopkins University.

ICU 100

ICU Critical Care OR 100

Critical Care Scenarios

OCTOBER 16, 2024

We discuss the practical barriers to implementing the A-F ICU liberation bundle, with Kali Dayton, ACNP-BC (@HomeIcu), host of the Walking Home from the ICU podcast, and consultant to ICUs working on these issues. Learn more at the Intensive Care Academy! Learn more at the Intensive Care Academy!

ICU 205

ICU 205

EMOttawa

OCTOBER 24, 2024

Precedex (dexmedetomidine) is an alpha-2 adrenergic agonist increasingly used in critical care environments for sedation and anxiolysis. Historically, it has been used more frequently in the ICU than in Emergency Departments, likely due to provider comfort. […] The post Is there a Precedence for Precedex in the ED?

ED 125

ED Critical Care ICU Emergency Department 125

EMDocs

JANUARY 11, 2024

Author: Brit Long, MD (@long_brit) // Reviewed by Alex Koyfman, MD (@EMHighAK) The American Heart Association (AHA) and Neurocritical Care Society (NCS) released their 2023 Scientific Statement on the critical care management of post ROSC patients. Statements: Initiate EN as soon as possible after ICU admission (100%, 20/20).

Critical Care 97

Critical Care E-9-1-1 OR ICU 97

Critical Care Scenarios

DECEMBER 12, 2021

Bryan and Brandon talk about the physical exam: how we apply it in the ICU, its utility and changing role in the setting of modern diagnostic modalities, and its best and most practical use-cases. References McNamara LC, Kanjee Z. Counterpoint: Routine Daily Physical Exams Add Value for the Hospitalist and Patient. J Hosp Med. J Hosp Med.

ICU 100

ICU 100

EMCrit Project

SEPTEMBER 3, 2023

In many countries, pulmonary and critical care are commonly bundled together. Consequently, a single person will often be responsible for both inpatient ICU management as well as inpatient pulmonary consultation. Honestly, I have some doubts about whether this is an ideal system.

Critical Care 140

Critical Care ICU 140

Critical Care Scenarios

JANUARY 23, 2022

An overview of the role and contributions of a clinical pharmacist in the ICU, with Laura Means Ebbitt of the University of Kentucky, a clinical pharmacist specializing in colorectal/ENT surgery and critical care. Takeaway lessons A clinical pharmacist is a “knowledge pharmacist,” dispensing advice rather than medications.

ICU 130

ICU Critical Care OR 130

Critical Care Scenarios

OCTOBER 12, 2022

To claim your CME … Continue reading "Episode 52: Pleural effusions in the ICU with Emily Fridenmaker" Discussing pleural effusions in the critically ill, including how and when to drain them, methods of drainage, interpreting laboratory studies, and managing complications, with Dr.

ICU 130

ICU OR 130

REBEL EM

OCTOBER 5, 2023

ClinicalTrials.gov: NCT02517489 7 Clinical Question: In adult patients with severe community-acquired pneumonia admitted to the ICU, does early hydrocortisone treatment, compared to standard therapy, reduce mortality at 28 days? Patients enrolled from 31 Intensive Care Units in France. ICU-acquired infections were observed in: 9.8%

Critical Care 94

Critical Care ICU E-9-1-1 ALS 94

Critical Care Scenarios

SEPTEMBER 27, 2023

Leon is an Adult/Gerontology Acute Care Nurse Practitioner in the ICU, Clinical Program Manager of Research and Simulated Learning, and an Associate Professor at Columbia University School of Nursing. We chat with Leon Chen about his work setting up infrastructure for clinical POCUS at Memorial Sloan Kettering. Find us on Patreon here!

ICU 130

ICU Critical Care 130

The Skeptics' Guide to EM

SEPTEMBER 28, 2019

The Effect of Vitamin C on Clinical Outcome in Critically Ill Patients: A Systematic Review with Meta-Analysis of Randomized Controlled Trials. Critical Care Medicine. The Effect of Vitamin C on Clinical Outcome in Critically Ill Patients: A Systematic Review with Meta-Analysis of Randomized Controlled Trials.

ICU 130

ICU Critical Care ALS Emergency Department 130

Emergency Medicine Ireland

JULY 3, 2023

Welcome back to the tasty morsels of critical care podcast. This segues relatively nicely into a section of the document on palliative care. It is important to realise that a referral to ICU for refractory cardiorenal syndrome may simply be a sign that the patient is reaching end of life.

Critical Care 96

Critical Care ACS OR ALS 96

Emergency Medicine Ireland

JANUARY 4, 2021

Welcome back to the tasty morsels of critical care podcast. So, from the ultra broad topic of AKI in the last podcast to the super specific question of when we should pursue an open lung biopsy in an ICU patient. Read More » Welcome back to the tasty morsels of critical care podcast.

Critical Care 52

Critical Care ICU OR 52

Emergency Medicine Ireland

MAY 27, 2024

Welcome back to the tasty morsels of critical care podcast. Vasopressin has some animal data suggesting it causes less rise in PVR than our beloved noradrenaline but take that with an appropriately loosely defined portion of salt given that animal data is not ICU patients. Care 11 , 77–83 (2022). 208 , 528–548 (2023).

Critical Care 52

Critical Care ICU OR ALS 52

Critical Care Scenarios

JUNE 26, 2024

We discuss the field of rehabilitation psychology, and how it can help patients with persistent critical illness, with Dr. Megan Hosey (@DrMeganHoseyPhD), clinical psychologist and assistant professor at Johns Hopkins School of Medicine, where she practices in the medical ICU. Delirium often dominates the patient experience of the ICU.

ICU 166

ICU OR 166

Critical Care Scenarios

MAY 10, 2023

Here are a few…the best way to find good Twitter followers is to start with these and see who THEY follow and interact with.

Critical Care 100

Critical Care ICU Life Support 100

Emergency Medicine Ireland

MARCH 27, 2023

Welcome back to the tasty morsels of critical care podcast. Oh Chapter 37 is dedicated to NIV in the ICU and is probably worth some time given that this is a common respiratory support both in the ICU and throughout the hospital. On an ICU vent this would be described as 5/5.

Critical Care 52

Critical Care ICU OR 52

EMOttawa

JANUARY 25, 2024

Mechanical ventilation has a lot of nuance associated with it, but a lot of reference guides focus on care in the ICU. With both ER and ICU experience, this post acts as a quick […] The post Mechanical Ventilation Basics appeared first on EMOttawa Blog.

ICU 143

ICU ED OR Critical Care 143

Emergency Medicine Ireland

FEBRUARY 18, 2021

Welcome back to the tasty morsels of critical care podcast. A meandering monologue through critical care fellowship exam preparation. HIV in the ICU is becoming a bit of a rare beast as the ID docs seem to have it so. Read More » Welcome back to the tasty morsels of critical care podcast.

Critical Care 40

Critical Care ICU OR 40

The Skeptics' Guide to EM

FEBRUARY 25, 2023

Sodium bicarbonate use during pediatric cardiopulmonary resuscitation: a secondary analysis of the icu-resuscitation project trial. 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.

CPR 130

CPR ICU Critical Care Defibrillator 130

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. Saline Solution on Mortality in Critically Ill Patients: The BaSICS Randomized Clinical Trial. Reference: Zampieri et al.

OR 130

OR Critical Care ICU Plasma 130

Emergency Medicine Ireland

DECEMBER 14, 2020

Welcome back to the tasty morsels of critical care podcast. Read More » Welcome back to the tasty morsels of critical care podcast. This is a mammoth topic that listening to 5 mins of me rambling will in no way seriously prepare you to either practice clinically or write a semi coherent exam. That being said here we go.

Critical Care 40

Critical Care ICU OR 40

Emergency Medicine Ireland

MARCH 7, 2022

Welcome back to the tasty morsels of critical care podcast. Read More » Welcome back to the tasty morsels of critical care podcast. However in ICM there is a need to have a broad understanding of what some of the haematological acronyms might mean given that a fair number of these patients end up in the ICU.

Critical Care 52

Critical Care Plasma ICU OR 52

Critical Care Scenarios

MARCH 27, 2022

Stephanie Martin (Twitter: @OBCriticalCare, Instagram: @criticalcareob), medical director for Clinical Concepts in Obstetrics and a Maternal Fetal Medicine specialist in Scottsdale, Arizona with expertise in critical care obstetrics. She is also co-host of the Critical Care Obstetrics podcast. This is not the goal.*

Critical Care 100

Critical Care ICU CPR OR 100

Emergency Medicine Ireland

APRIL 19, 2021

Welcome back to the tasty morsels of critical care podcast. A meandering monologue through critical care fellowship exam preparation. Read More » Welcome back to the tasty morsels of critical care podcast. A meandering monologue through critical care fellowship exam preparation.

Critical Care 52

Critical Care ICU Overdose OR 52

Emergency Medicine Ireland

SEPTEMBER 20, 2021

Welcome back to the tasty morsels of critical care podcast. Read More » Welcome back to the tasty morsels of critical care podcast. After 2 years of frequent, if not daily use of the bronch, I find it hard to see how I would manage in an ICU without it. Why might we pull out the bronch in the ICU?

Critical Care 40

Critical Care ICU EMS OR 40

Emergency Medicine Ireland

DECEMBER 3, 2020

Welcome back to the tasty morsels of critical care podcast. As an EM trainee doing intensive care I will confess that I struggle to work up the enthusiasm to cover a nutrition guideline. Read More » Welcome back to the tasty morsels of critical care podcast. As with all ICU nutrition EN is preferred over PN.

Critical Care 52

Critical Care ICU EMS OR 52

Emergency Medicine Ireland

OCTOBER 14, 2024

Welcome back to the tasty morsels of critical care podcast. The major barrier to implementation in the ICU setting is the almost complete absence of ICU patients from these trial cohorts. Welcome back to the tasty morsels of critical care podcast. Many penumonias will develope a parapneumonic effusion.

Critical Care 52

Critical Care ICU ALS OR 52

Critical Care Scenarios

OCTOBER 2, 2024

We chat with Noelia Bischoff, recently off orientation in the medical ICU at Johns Hopkins as a nurse practitioner, about the transition from her role as a bedside ICU nurse. Check out the Intensive Care Academy here! Check out the Intensive Care Academy here! Find us on Patreon here! Buy your merch here!

ICU 122

ICU 122

Critical Care Scenarios

JULY 17, 2022

Takeaway lessons * Invasive aspergillosis is among the most common diseases identified on autopsy studies of ICU patients that was not recognized prior to death. Infection in the ICU patient arises when there are abnormalities in the flow of fluid, anatomical barriers, and/or the immune defenses (particularly neutrophil function).*

ICU 100

ICU Critical Care OR 100

Critical Care Scenarios

MAY 16, 2021

The art of taking a critically ill, heavily sedated, floridly delirious patient on aggressive vent support and pulling them out of the loop of sedation, immobility, and delirium. A spiritual successor to our talk with Dale Needham , this time focusing more on details and practical approaches.

ICU 100

ICU Critical Care OR 100

Critical Care Scenarios

DECEMBER 7, 2022

Signs of baseline and/or new RV strain, such as reduced TAPSE, septal bowing, etc, as well as pericardial effusion, suggest a poor reserve for the stresses of their new ICU course. Click here to claim your CME credit! Find us on Patreon here! Buy your merch here!

ICU 100

ICU Critical Care Epinephrine OR 100