Emergency Medicine Ireland

MAY 13, 2024

Welcome back to the tasty morsels of critical care podcast. This time we’re looking at pulmonary hypertension. Mainly cause I recently had to give a talk on it so it’s fresh in my rapidly diminishing brain cells and thought I should get it all written down before I forget it. We’re going to try it as a 2 parter.

Critical Care 98

Critical Care ICU OR 98

Critical Care Scenarios

JUNE 26, 2022

Some musings in response to people who are impressed by the work we do. Some musings in response to people who are impressed by the work we do.

Critical Care 100

Critical Care OR 100

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. Instead, target 92-98%. Keep hemoglobin > 7 g/dL. Treat seizures if present.

Critical Care 75

Critical Care E-9-1-1 OR ICU 75

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. Caveat emptor and all that. There is indeed.

Critical Care 74

Critical Care Plasma OR ED 74

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. Welcome back to the tasty morsels of critical care podcast. Today we tackle a somewhat nebulous syndrome. With me so far? And this indeed portends a poor prognosis.

Critical Care 96

Critical Care ACS OR ALS 96

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. Intensive Care Medicine 37 , 486–492 (2011). Welcome back to the tasty morsels of critical care podcast.

Critical Care 52

Critical Care EMS ICU ALS 52

Critical Care Scenarios

JULY 24, 2022

How the arc of disease peaks and falls, and how the curve of our care should match it to avoid under- or over-treatment. How the arc of disease peaks and falls, and how the curve of our care should match it to avoid under- or over-treatment.

Critical Care 100

Critical Care OR 100

Don't Forget the Bubbles

MAY 29, 2023

Incivility, whether during a critical case or during day-to-day practice, influences the overall culture of the workplace. Incivility, whether during a critical case or during day-to-day practice, influences the overall culture of the workplace. link] Isn’t it just ‘part of the job?’ Where do we go from here?

Critical Care 98

Critical Care E-9-1-1 Paramedicine Paramedicine 98

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. The thyroid is a deceptive little organ, tucked in the neck, quietly secreting hormones and interfering in negative feedback loops.

Critical Care 52

Critical Care Organ Donor ICU OR 52

Emergency Medicine Ireland

MAY 27, 2024

Welcome back to the tasty morsels of critical care podcast. Critical care management of the patient with pulmonary hypertension. Care 11 , 77–83 (2022). Welcome back to the tasty morsels of critical care podcast. Too little PEEP we have atelectasis and shunt and hypoxia and vasoconstriction.

Critical Care 52

Critical Care ICU OR ALS 52

Emergency Medicine Ireland

JANUARY 8, 2024

Welcome back to the tasty morsels of critical care podcast. Today we’ll talk about one of the niche and shall I say “advanced” in inverted commas therapies in intensive care practice. And to be precise we’ll be talking about VV ECMO. Why would one want to initiate such a therapy?

Critical Care 52

Critical Care OR 52

St. Emlyn's

OCTOBER 26, 2024

This review critically examines the methodology, results, and potential implications for emergency medicine practice, especially regarding the prehospital administration of TXA for TBI patients. Key insights for trauma care providers included. The post 2g or 1+1g TXA in traumatic brain injury? appeared first on St.Emlyn's.

OR 113

OR Critical Care 113

Emergency Medicine Ireland

OCTOBER 30, 2023

Welcome back to the tasty morsels of critical care podcast. Intens Care Med 45 , 844–855 (2019). Welcome back to the tasty morsels of critical care podcast. Well, that time has come and it’s time to run through vasopressin. How does it work? Well this is where the fun beings. How does it work?

Critical Care 52

Critical Care ALS Coronary ICU 52

The Skeptics' Guide to EM

OCTOBER 3, 2021

Saline Solution on Mortality in Critically Ill Patients: The BaSICS Randomized Clinical Trial. 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. Lactated Ringer’s or Plasmalyte 148) over 0.9%

OR 130

OR Critical Care ICU Plasma 130

REBEL EM

OCTOBER 5, 2023

Patients enrolled from 31 Intensive Care Units in France. Patients admitted to the ICU with severe community-acquired pneumonia were randomized in a 1:1 ratio to receive hydrocortisone or a placebo. The study was funded by the French Ministry of Health. Population Inclusion Criteria: Adult patients (≥18 years old).

Critical Care 94

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

Emergency Medicine Ireland

SEPTEMBER 18, 2023

Welcome back to the tasty morsels of critical care podcast. Reading ICA Guidelines Deranged Physiology LITFL CCC Welcome back to the tasty morsels of critical care podcast. Following hot on the heels of tasty morsel number 72 on cardio renal syndrome is its partner in nephron injury: hepatorenal syndrome.

Critical Care 52

Critical Care ICU OR 52

Emergency Medicine Ireland

OCTOBER 16, 2023

Welcome back to the tasty morsels of critical care podcast. References Chapter 13, Oxford Textbook of Advanced Critical Care Echocardiography covers this nicely. Critical Care 19 , 1–8 (2015). So let’s say we’re worried about our septic patient: within that cohort who is at risk? Chauvet, J.-L.

Critical Care 52

Critical Care ICU OR ALS 52

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. Of the many things I poorly understand, I suspect that haematology holds a special place. Of the many things I poorly understand, I suspect that haematology holds a special place.

Critical Care 52

Critical Care Plasma ICU OR 52

Emergency Medicine Ireland

FEBRUARY 6, 2023

Welcome back to the tasty morsels of critical care podcast. Though i’ll admit that that question is delving much more into the realm of EM than hard core crit care. Welcome back to the tasty morsels of critical care podcast. Nestled towards the end of Oh Chapter 51 we have a section dedicated to SAH.

Critical Care 52

Critical Care ICU EMS OR 52

Emergency Medicine Ireland

JANUARY 7, 2021

Welcome back to the tasty morsels of critical care podcast. Today we have one of the jewels of critical care exam preparation. Read More » Welcome back to the tasty morsels of critical care podcast. Today we have one of the jewels of critical care exam preparation.

Critical Care 52

Critical Care OR 52

Emergency Medicine Ireland

JULY 18, 2022

Welcome back to the tasty morsels of critical care podcast. We are very interested in lung compliance in the intensive care unit. This is best explained on a critical care now post by Matt Siuba, linked in the show notes. Reading Deranged Physiology Critical Care Now Sahetya, S. Stiff lungs do worse.

Critical Care 52

Critical Care OR 52

Emergency Medicine Ireland

MAY 24, 2021

Welcome back to the tasty morsels of critical care podcast. In a further scandalous departure from Oh’s Manual today we’re going to look at a chapter of verified Irish Critical Care legend, Martin Tobin’s huge mechanical ventilation textbook. Read More » Welcome back to the tasty morsels of critical care podcast.

Critical Care 52

Critical Care OR 52

Emergency Medicine Ireland

MAY 17, 2021

Welcome back to the tasty morsels of critical care podcast. Today we’re going to talk about a fairly rare and niche issue in critical care – gas embolism. Read More » Welcome back to the tasty morsels of critical care podcast. The venerated stone tablets of Oh’s Manual do not mention it in.

Critical Care 52

Critical Care OR 52

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

JANUARY 23, 2023

Welcome back to the tasty morsels of critical care podcast. Today we are going to talk about triggering on the ventilator. The more clockwise you turn the knob the lower the flow in the circuit the patient has to generate and therefore the easier it is to trigger inspiration. Failure of triggering is very common.

Critical Care 52

Critical Care OR ALS 52

Emergency Medicine Ireland

MARCH 13, 2023

Welcome back to the tasty morsels of critical care podcast. Reading: Oh Chapter 40 Iriwin and Rippe 201 Deranged Physiology Welcome back to the tasty morsels of critical care podcast. Today we’re covering the ambitious topic of CRRT in the ICU. These rejoice in the acronyms CVVH, CVVHD and CVVHDF respectively.

Critical Care 52

Critical Care Plasma ICU OR 52

St. Emlyn's

OCTOBER 26, 2024

This review critically examines the methodology, results, and potential implications for emergency medicine practice, especially regarding the prehospital administration of TXA for TBI patients. Key insights for trauma care providers included. The post 2g or 1+1g TXA in traumatic brain injury? appeared first on St.Emlyn's.

OR 78

OR Critical Care 78

The Skeptics' Guide to EM

FEBRUARY 11, 2023

Research interests include simulation-based assessment, transport medicine, and critical care analgesia. first appeared on The Skeptics Guide to Emergency Medicine. Date: February 7, 2023 Reference: Cheskes et al. One issue that has not been covered on the SGEM is pad placement and double sequential external defibrillation.

Defibrillator 139

Defibrillator Medical Transportation OR CPR 139

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. Lose the Na and the water will follow. Verbrugge, F. Bell, R. &

Critical Care 52

Critical Care ICU OR 52

Emergency Medicine Ireland

JUNE 7, 2021

Welcome back to the tasty morsels of critical care podcast. It is with trepidation that I approach any topic that involves the negative feedback loops of endocrine control as I really struggle to keep it all straight in my head, Read More » Welcome back to the tasty morsels of critical care podcast.

Critical Care 52

Critical Care Plasma ICU OR 52

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

Don't Forget the Bubbles

OCTOBER 2, 2024

Pediatric Critical Care Medicine. Pediatric Critical Care Medicine. Guidelines for the management of pediatric severe traumatic brain injury, third edition: Update of the brain trauma foundation guidelines. They received 2494 boluses of either mannitol or 3% hypertonic saline. References Vavilala M, Tasker R.

OR 49

OR Critical Care ALS Emergency Department 49

Emergency Medicine Ireland

JANUARY 18, 2021

Welcome back to the tasty morsels of critical care podcast. Read More » Welcome back to the tasty morsels of critical care podcast. Like most spaces within the body, the contents within the cranium are under a certain degree of pressure. The skull being a rigid box can accommodate pressure much less than.

Critical Care 52

Critical Care ICU OR 52

ACEP Now

APRIL 5, 2024

4,5 A recent study found that among 1102 critically ill adults, successful intubation on the first attempt was 80.4 Using a bougie with C-MAC video laryngoscopy did not improve first-attempt intubation success rates in critical care air transport. Some important limitations of this analysis should be recognized.

OR 73

OR ALS Emergency Department Critical Care 73

Emergency Medicine Ireland

AUGUST 1, 2022

Welcome back to the tasty morsels of critical care podcast. In yet another departure from the stone tablets of Oh’s manual, today we’ll talk a little about one of favourite gram +ve cocci: staphylococcus aureus. So accept this for what it is – an intensivists summary of someone else’s expertise.

Critical Care 40

Critical Care ICU OR 40

Emergency Medicine Ireland

JUNE 21, 2021

Welcome back to the tasty morsels of critical care podcast. Read More » Welcome back to the tasty morsels of critical care podcast. This is something we’re kind of used to in intensive care as it involves deep sedation and even paralysis. optimise perfusion.

Critical Care 52

Critical Care ACS OR 52

Emergency Medicine Ireland

MARCH 22, 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 40

Critical Care ICU OR 40