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 120

ED Critical Care ICU Emergency Department 120

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 136

ICU Critical Care 136

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

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

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

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

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 74

Critical Care E-9-1-1 OR ICU 74

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 208

ICU 208

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

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

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 OR EMS 40

Emergency Medicine Ireland

JUNE 10, 2024

Welcome back to the tasty morsels of critical care podcast. We’re much less likely to see this cohort in the critical care side of things. A follow up trial in 2011 by ICU steroid guru Djilalli Annane did not find a benefit. Intensive Care Medicine 37 , 486–492 (2011). How does it make people sick?

Critical Care 52

Critical Care EMS ICU ALS 52

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

Emergency Medicine Ireland

JANUARY 22, 2024

Welcome back to the tasty morsels of critical care podcast. Today we’ll cover some key exam content, all be it not something you’re likely to run into in the ICU too often. Your ICU probably has it and you’ve typically only seen it as part of management of a potential organ donor in brain death.

Critical Care 52

Critical Care Organ Donor ICU OR 52

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

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

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

The Skeptics' Guide to EM

NOVEMBER 18, 2017

Fever in the Emergency Department Predicts Survival of Patients With Severe Sepsis and Septic Shock Admitted to the ICU. 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.

ICU 130

ICU ED Emergency Department Critical Care 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

Emergency Medicine Ireland

OCTOBER 16, 2023

Welcome back to the tasty morsels of critical care podcast. The incidence of dynamic LVOTO in those with septic shock is remarkably high and is reported to be 20% in one study from ICU echo guru Michel Slama. References Chapter 13, Oxford Textbook of Advanced Critical Care Echocardiography covers this nicely.

Critical Care 52

Critical Care ICU OR ALS 52

Emergency Medicine Ireland

MARCH 13, 2023

Welcome back to the tasty morsels of critical care podcast. Today we’re covering the ambitious topic of CRRT in the ICU. The final ICU specific mode of RRT is probably SLED. Reading: Oh Chapter 40 Iriwin and Rippe 201 Deranged Physiology Welcome back to the tasty morsels of critical care podcast.

Critical Care 52

Critical Care Plasma ICU OR 52

Emergency Medicine Ireland

MARCH 15, 2021

Welcome back to the tasty morsels of critical care podcast. A meandering monologue through critical care fellowship exam preparation. Today’s podcast is mostly taken from Oh’s manual Chapter 96 covering critical care nutrition. Read More » Welcome back to the tasty morsels of critical care podcast.

Critical Care 40

Critical Care ICU OR 40

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 136

Critical Care ICU 136

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

Emergency Medicine Ireland

OCTOBER 30, 2023

Welcome back to the tasty morsels of critical care podcast. Enrolled 800 fairly typical ICU patients, and found a 35% vs 39% mortality benefit favouring the vaso but of course this was below the somewhat arbitrary statistical significance. Intens Care Med 45 , 844–855 (2019).

Critical Care 52

Critical Care ALS Coronary ICU 52

Emergency Medicine Ireland

SEPTEMBER 18, 2023

Welcome back to the tasty morsels of critical care podcast. I don’t deny that albumin has a limited role in the ICU, gone are the days where we could make bold assertions about colloid osmotic pressures and how albumin was better than crystalloid.

Critical Care 52

Critical Care ICU OR 52

Emergency Medicine Ireland

AUGUST 1, 2022

Welcome back to the tasty morsels of critical care podcast. Diagnosis and management of infections with this bug are a common occurence in the ICU and it behoves us to have a working knowledge of some of the complexities of its investigation and treatment that often fall to our micro or ID colleagues.

Critical Care 40

Critical Care ICU OR 40

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

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

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

FEBRUARY 6, 2023

Welcome back to the tasty morsels of critical care podcast. Given that a lot of ICU bed days are given over to managing SAH, I felt it might have warranted its own chapter. Though i’ll admit that that question is delving much more into the realm of EM than hard core crit care. What pray tell is this new calamity?

Critical Care 52

Critical Care ICU EMS OR 52

Emergency Medicine Ireland

JANUARY 10, 2022

Welcome back to the tasty morsels of critical care podcast. We see a number of fungal infections in the ICU, most commonly it’ll be the yeasts – forms of candida. Read More » Welcome back to the tasty morsels of critical care podcast. Today we look at everyone’s favorite mould – aspergillus.

Critical Care 40

Critical Care ICU 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

MAY 30, 2022

Welcome back to the tasty morsels of critical care podcast. Today we’re going to talk about some of the basics of some of our favorite drugs intensive care – the diuretics. Welcome back to the tasty morsels of critical care podcast. The final drug we’ll mention today is acetazolamide. Bell, R. &

Critical Care 52

Critical Care ICU OR 52

Emergency Medicine Education

OCTOBER 10, 2023

A recent prospective study was published in CHEST regarding the use of peripheral administration of Norepinephrine in ICU. 603 patients received medication through peripheral IV access, and they found almost half of patients did not require central access, and 35 patients had extravasation with no significant complications. Link to article

ICU 40

ICU Critical Care 40

Emergency Medicine Ireland

MAY 16, 2022

Welcome back to the tasty morsels of critical care podcast. Read More » Welcome back to the tasty morsels of critical care podcast. I suspect that’s largely due to better access and provision of primary care but there remains a cohort of fairly brittle folk out there who will occasional crop up in resus or the ICU.

Critical Care 40

Critical Care ICU OR EMS 40

The Skeptics' Guide to EM

SEPTEMBER 2, 2023

The patient states he has had multiple “diabetic emergencies” in the past and usually ends up in the intensive care unit (ICU) on a drip. He is wondering, “Hey doc, do I have to go back to the ICU strapped to an IV pole?” They are on the phone asking you if you already have another admission for them on this busy day.

ICU 201

ICU ED Critical Care ALS 201