The Skeptics' Guide to EM

JUNE 12, 2022

He is board certified […] The post SGEM#368: Just A Normal Saline Day in the ICU – The PLUS Study first appeared on The Skeptics Guide to Emergency Medicine. Exclusions: Patients with specific ICU fluid requirements, those who received disqualifying fluid prior to enrollment (> 500 mL in the ICU),

ICU 132

ICU Plasma Critical Care ALS 132

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! Find us on Patreon here! Buy your merch here! Find us on Patreon here!

ICU 208

ICU 208

Critical Care Scenarios

FEBRUARY 6, 2022

Brandon and Bryan talk about the practicalities of communication, collaboration, and compromise in a surgical ICU, when the surgical and critical care teams are both involved, one is the “primary” team on paper, but everyone needs to be heard.

ICU 100

ICU Critical Care 100

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

EMCrit Project

APRIL 25, 2023

However, it also causes a variety of unique and severe side-effects, which frequently cause ICU admission. CAR-T cell therapy is rapidly expanding as a miraculous therapy for numerous malignancies.

ICU 87

ICU 87

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

Core EM

JANUARY 25, 2024

The standard of care of treating DKA is fluid resuscitation, electrolyte management, and intravenous insulin infusion in the intensive care unit (ICU) setting for close glucose and electrolyte monitoring. Recent research aims at investigating the treatment of DKA with subcutaneous insulin in non-ICU settings. Image from cited article.

EMS 246

EMS ICU ED OR 246

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! Find us on Patreon here! Buy your merch here! Check out the Intensive Care Academy here! Find us on Patreon here!

ICU 124

ICU 124

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. 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.

ICU 130

ICU ED Emergency Department Critical Care 130

Critical Care Scenarios

MARCH 7, 2021

He is also director of their Outcomes After Critical Illness … Continue reading "Episode 26: ICU sedation, mobility, and delirium with Dale Needham" How to manage the intubated critically ill patient while keeping them awake, non-delirious, and mobile, with Dr. Dale Needham, FCPA, MD, PhD.

ICU 100

ICU Critical Care OR 100

EMCrit Project

JANUARY 15, 2024

Who gets an ICU bed? EMCrit Project by Scott Weingart, MD FCCM.

ICU 68

ICU 68

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 169

ICU OR 169

Emergency Medicine Ireland

MAY 27, 2024

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. Atrial fibrillation is something of a right of passage in the ICU.

Critical Care 52

Critical Care ICU OR ALS 52

EMOttawa

OCTOBER 24, 2024

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? It offers a unique profile of sedation without respiratory depression, making it an attractive option in various clinical scenarios.

ED 120

ED Critical Care ICU Emergency Department 120

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 141

ICU ED OR Critical Care 141

The Skeptics' Guide to EM

NOVEMBER 16, 2024

These systems use real-time data from electronic health records (EHRs) and other sources to predict which patients are at risk of adverse outcomes, such as cardiac arrest or transfer to an intensive care unit (ICU) [1.2]. Despite the potential benefits, integrating AI into clinical workflows presents challenges.

ICU 142

ICU Emergency Department ALS EMS 142

Emergency Medicine Ireland

MARCH 27, 2023

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. On an ICU vent this would be described as 5/5. Welcome back to the tasty morsels of critical care podcast.

Critical Care 52

Critical Care ICU OR 52

Critical Care Scenarios

FEBRUARY 14, 2024

Resources * ICU Liberation.org * ICU Delirium * ICU Rehab Network Resources 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.

ICU 136

ICU Critical Care 136

EMCrit Project

JANUARY 30, 2024

Polypharmacy is technically defined as taking five or more medications on a daily basis. Polypharmacy is increasingly becoming the norm among adults, due to several factors (an aging population, increasing numbers of medical problems, and increasingly complex regimens available to treat chronic disorders such as heart failure).

ICU 97

ICU OR 97

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?” However, the ICU is full and the patient will likely be boarding in your ED for a bit before coming upstairs.

ICU 201

ICU ED Critical Care ALS 201

EMCrit Project

JULY 26, 2022

Management of the a patient following craniotomy focuses on the fundamentals of supportive neurocritical care. However, special attention is required to unique postoperative complications that may occur (depending on the procedure). The IBCC chapter is located 👉 here. The podcast & comments are below. Follow us on iTunes.

ICU 61

ICU 61

Emergency Medicine Ireland

JANUARY 4, 2021

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. 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.

Critical Care 52

Critical Care ICU OR 52

Emergency Medicine Ireland

FEBRUARY 18, 2021

HIV in the ICU is becoming a bit of a rare beast as the ID docs seem to have it so. HIV in the ICU is becoming a bit of a rare beast as the ID docs seem to have it so well controlled that it becomes a chronic co-morbidity rather than the cause of their presence in the ICU. Breaks in treatment can lead to resistance.

Critical Care 40

Critical Care ICU OR 40

REBEL EM

FEBRUARY 15, 2024

PMID: 38019968 Clinical Question: In patients with suspected acute poisoning and GCS <9, is a conservative airway strategy of withholding intubation associated with a reduction in death, ICU LOS, and hospital LOS compared with routine practice of intubation? References: Freund Y et al.

ICU 141

ICU ALS ED OR 141

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

EMCrit Project

JUNE 18, 2024

I would view this as the triquel following SUP-ICU and PEPTIC. In order to understand REVISE in context, let's briefly review SUP-ICU and PEPTIC trials, before discussing REVISE. Part I: SUP-ICU (2018) This was a large multicenter RCT […] EMCrit Project by Josh Farkas.

ICU 117

ICU 117

Emergency Medicine Ireland

DECEMBER 14, 2020

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 answer. That being said here we go.

Critical Care 40

Critical Care ICU OR 40

The Skeptics' Guide to EM

JULY 27, 2024

All of the secondary outcomes (mortality at 90 days, misdiagnoses, hospital length of stay, ICU admission rate, ICU length of stay, and quality of life) also did not show a statistical difference between the intervention group and the control group (SGEM#207).

ICU 187

ICU ALS Ambulance OR 187

EMCrit Project

SEPTEMBER 28, 2023

background Today the Van de Bergh group in Belgium released a RCT investigating tight versus liberal glycemic control in the ICU. Major interest in tight glycemic control in the ICU began in 2001 with an RCT by the same group of investigators, also […] EMCrit Project by Josh Farkas.

ICU 120

ICU 120

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

EMCrit Project

APRIL 13, 2024

10 heuristics for the new Crit Care doc from Ross Prager EMCrit Project by Scott Weingart, MD FCCM.

ICU 91

ICU 91

Critical Care Scenarios

MAY 31, 2023

A brief overview and call to arms around the key concepts of ICU liberation. A brief overview and call to arms around the key concepts of ICU liberation.

OR 100

OR ICU 100

Emergency Medicine Ireland

SEPTEMBER 20, 2021

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? Now, when I say bronch I want to be clear that I’m talking about the flexible, disposable pieces of gear.

Critical Care 40

Critical Care ICU OR EMS 40

EMCrit Project

AUGUST 26, 2022

It is unacceptable to have the rates of Awareness during Paralysis seen in a recent ED sedation study--We are better than this. EMCrit Project by Scott Weingart, MD FCCM.

ICU 100

ICU ED 100

The Skeptics' Guide to EM

SEPTEMBER 14, 2024

The use of direct oral challenges has been tried in the intensive care unit (ICU) setting to de-label patients. Koo et al showed that offering amoxicillin oral challenges to ICU patients with low-risk penicillin allergies.

ICU 136

ICU Emergency Department ALS ED 136

The Skeptics' Guide to EM

APRIL 27, 2024

Date: April 25, 2024 Guest Skeptic: Missy Carter is a PA working in an ICU in the Tacoma area and an adjunct faculty member with the Tacoma Community College paramedic program. Reference: Tanner et al, A retrospective comparison of upper and lower extremity intraosseous access during out-of-hospital cardiac arrest resuscitation.

ICU 189

ICU Defibrillator CPR Paramedic 189

REBEL EM

MAY 29, 2024

The idea behind abx is to prevent things like AOM and TSS but neither should be much of an issue with short term placement ICU Admission? Traditional teaching is that these patients are at risk for life-threatening bradydysrhythmias and should go to the ICU Literature here is non-existent. Acad Emerg Med 1995; 25(5): 592-6.

ICU 105

ICU ALS ACS EMS 105