Podcasts by EMCrit Podcast

EMCrit Podcast

Help me fill in the blanks of the practice of ED Critical Care. In this podcast, we discuss all things related to the crashing, critically ill patient in the Emergency Department. Find the show notes at emcrit.org.

Further podcasts by Scott D. Weingart, MD FCCM

Podcast on the topic Medizin

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EMCrit Podcast
EMCrit 362 - Jonathan Edlow, Lead Author of GRACE-3, on Dizziness from 2023-11-17T16:08

A brief summary of this episode

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EMCrit Podcast
ODR - Should, Must, Won't from 2023-10-03T20:37

On Deeper Reflection Episode on 3 words of dissatisfaction

Should, Must, Won't

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EMCrit Podcast
EMCrit 357 - AMAX4 Crashing Anaphylaxis Explosion with Ben McKenzie from 2023-09-10T16:28

A brief summary of this episode

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EMCrit Podcast
EMCrit Shadowboxing Case 5 - NeuroEMCrit Case from 2023-09-02T16:09

A brief summary of this episode

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EMCrit Podcast
EMCrit 356 - More on Accidental Hypothermia with Ken Zafren from 2023-08-29T14:39

A brief summary of this episode

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EMCrit Podcast
EMCrit 355 - AMAX4 for Crashing Anaphylaxis and Asthma from 2023-08-10T20:16

A brief summary of this episode

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EMCrit Podcast
EMCrit Wee - The Physiology of Oxygenation with Alex of Deranged Physiology from 2023-07-20T19:41

A brief summary of this episode

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EMCrit Podcast
EMCrit 352 - Airway Update 2023 from 2023-06-29T21:27

A brief summary of this episode

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EMCrit Podcast
EMCrit Shadowboxing - When to Pull the Trigger from 2023-06-28T19:54

A brief summary of this episode

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EMCrit Podcast
EMCrit Wee - Nate Shapiro on CLOVERS from 2023-06-20T21:02

A brief summary of this episode

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EMCrit Podcast
EMCrit 351 - Severe Acetaminophen (Tylenol) Toxicity from 2023-06-15T18:44

A brief summary of this episode

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EMCrit Podcast
EMCrit 350 - Mind of the Resuscitationist - Emergency Teams with Dan Dworkis from 2023-06-01T15:47

A brief summary of this episode

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EMCrit Podcast
EMCrit Special - Burnout with Liz Crowe from 2023-05-17T20:31

A brief summary of this episode

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EMCrit Podcast
EMCrit 349 - The Burnout Model from 2023-05-04T21:44

A brief summary of this episode

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EMCrit Podcast
EMCrit 347 - How to Teach&Learn Laryngoscopy from 2023-04-09T18:54

A brief summary of this episode

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EMCrit Podcast
EMCrit 346 - COMMS Lab - Resus Communication with Hayden Richards from 2023-03-25T16:58

A brief summary of this episode

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EMCrit Podcast
EMCrit 344 - Sleep for the Weary II - General Sleep Stuff from 2023-02-24T21:29

A brief summary of this episode

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EMCrit Podcast
EMCrit 343 - CV-EMCrit: Who to Refer for VV ECMO from 2023-02-09T17:04

A brief summary of this episode

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EMCrit Podcast
EMCrit ShadowBoxing Case - Chicken or the Egg - Which Organ Failed First? from 2023-01-08T18:45

A brief summary of this episode

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EMCrit Podcast
EMCrit 339 - Decisions, Decisions, Decisions with Andrew Petrosoniak from 2022-12-17T16:47

A brief summary of this episode

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EMCrit Podcast
EMCrit 338 - End of Year Question&Answer Session from 2022-12-03T20:53

A brief summary of this episode

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EMCrit Podcast
EMCrit 337 - Procedural Deep Dive - Lumbar Puncture (LP) from 2022-11-18T18:57

A brief summary of this episode

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EMCrit Podcast
EMCrit 336 - Team NeuroEMCrit's Critical Neuro Cases - Part 2 from 2022-11-03T18:40

A brief summary of this episode

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EMCrit Podcast
EMCrit 335 - APRV for Lung Rescue Made Simple with Rory Spiegel from 2022-10-21T16:03

A brief summary of this episode

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EMCrit Podcast
EMCrit 334 - CV-EMCrit - Concise HeartMate 3 LVAD Overview from 2022-10-07T21:13

A brief summary of this episode

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EMCrit Podcast
NeuroEMCrit - Team NeuroEMCrit's H&R Conference Talk, Part 1 from 2022-10-03T12:00

A brief summary of this episode

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EMCrit Podcast
EMCrit 332 - Procedural Errors I See at the REANIMATE ECPR Course from 2022-09-12T01:43:27

A brief summary of this episode

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EMCrit Podcast
EMCrit Wee - Sleep for Shift Workers with the Wild Health Mikes from 2022-09-02T16:20:44

A brief summary of this episode

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EMCrit Podcast
EMCrit 331 - Awareness after Resus RSI - It is Unacceptable!!! from 2022-08-26T18:47:57

A brief summary of this episode

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EMCrit Podcast
EMCrit 330 - Rural Resus Explosion from 2022-08-11T12:00:47

A brief summary of this episode

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EMCrit Podcast
EMCrit Wee - CardioVascular Critical Care as a New Critical Care Subspecialty from 2022-07-21T18:23:20

A brief summary of this episode

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EMCrit Podcast
EMCrit 328 - Advice to New Residents (But Everyone Else Should Listen Too!) from 2022-07-14T21:05:52

A brief summary of this episode

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EMCrit Podcast
EMCrit 326 - sICH Guidelines with Neha and Casey from 2022-06-16T17:19:22

A brief summary of this episode

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EMCrit Podcast
EMCrit Wee - Follow-up To the Ghali Grills Ep on APRV from 2022-06-11T18:31:30

A brief summary of this episode

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EMCrit Podcast
EMCrit - Ghali Grills 1- Who Should Get APRV? from 2022-06-09T23:50:24

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EMCrit Podcast
EMCrit 325 - The Hypoxemic Difficult Airway with Jarrod Mosier from 2022-06-05T21:57:16

A brief summary of this episode

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EMCrit Podcast
EMCrit 323 - Trauma Resus Update with Brohi from 2022-05-08T20:35:07

A brief summary of this episode

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EMCrit Podcast
EMCrit 322 - Shadowboxing 2 - Frack the EJ from 2022-04-20T18:34:45

A brief summary of this episode

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EMCrit Podcast
EMCrit Wee - Saving EM: Is Less More? with Atikinson and Innes from 2022-04-17T21:01:59

A brief summary of this episode

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EMCrit Podcast
EMCrit 321 - Valve Disasters - Regurg from 2022-04-07T17:43:27

A brief summary of this episode

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EMCrit Podcast
EMCrit 320 - MotR - Tension&Relaxation | Flow&Burnout from 2022-03-28T16:53:17

A brief summary of this episode

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EMCrit Podcast
EMCrit Podcast 6 – Push-Dose Pressors from 2022-03-07T06:26:39.191752

Note: Please listen to the PDP update episode either before or immediately after listening to this one Finally a non-intubation topic! Bolus dose pressors and inotropes have been used by the anesth...

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EMCrit Podcast
On Deeper Reflection 11 - Email Tactics from 2022-03-04T16:50:10

A brief summary of this episode

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EMCrit Podcast
EMCrit 318 - Surviving Sepsis Guidelines 2021 and Sepsis Update 2022 from 2022-02-27T18:05:09

A brief summary of this episode

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EMCrit Podcast
EMCrit 315 - EEGs with Casey Albin from 2022-01-13T21:08:17

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EMCrit Podcast
EMCrit 310 - Transvenous Pacemakers from 2021-11-04T19:41:31

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EMCrit Podcast
EMCrit 309 - Severe DKA from 2021-10-21T17:43:49

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EMCrit Podcast
EMCrit Wee - BaSICS Trial Results from 2021-08-10T22:24:34

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EMCrit Podcast
Podcast 304 – Cerebral Venous Thrombosis (CVT) from 2021-08-05T15:31:32





You are going to see it referred to by many names: Cerebral Venous Thrombosis (CVT), Venous Sinus Thrombosi...

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EMCrit Podcast
EMCrit 303 – A Bounceback Case with Mike Weinstock from 2021-07-23T14:11:11





Mike Weinstock comes on the show to discuss...

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EMCrit Podcast
EMCrit 302 – Pain Management Update with Sergey Motov from 2021-07-15T21:51:48





Today an update on pain management in the ED. Sergey is a great friend and a previous guest on the ...

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EMCrit Podcast
EMCrit 301 – The Five Fears with Rob Orman (Mind of the Resuscitationist) from 2021-07-01T22:35:46



“Fear is beneficial. It happens for a reason. Everything we have in our heads is evolutionarily beneficial for ...

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EMCrit Podcast
EMCrit 300 – Airway Continuous Quality Improvement and the Resus Airway Bundle from 2021-06-16T19:41:44



Create a Goal

Safe First Pass Success (sFPS)



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EMCrit Podcast
EMCrit 299 – Bougie Masterclass with George Kovacs from 2021-05-29T17:36:42





If you are not using the bougie for your intubations then you are leaving first pass success on th...

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EMCrit Podcast
EMCrit 298 – Calcium in Exsanguinating Patients with Ricky Ditzel and Jeffrey Siegler from 2021-05-12T16:52:47

Something I have been preaching for a decade has finally gotten the attention and research it deserves. On this episode, I get two of the authors from the Lethal Diamond Paper to discuss hypocalcem...

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EMCrit Podcast
EMCrit 297 – EVARs, TEVARs, and Endoleaks – Oh My! with Ani Aydin from 2021-05-04T16:59:24





EndoVascular Aortic Repairs are a game changer in patients with AAAs. Add a T and you get a TEVAR for the ...

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EMCrit Podcast
EMCrit 295 – Resuscitation Room Readiness from 2021-04-03T16:32:21





We need to be able to respond instantly to the sickest patients rolling into the resus bay--so...

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EMCrit Podcast
EMCrit 294 – Acute Crit Care Grand Rounds with Josh Farkas from 2021-03-17T17:21:06





Anyone who reads EMCrit knows PulmCrit and therefore its creator, Josh Farkas. We had him for virtual...

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EMCrit Podcast
EMCrit 293 – The Jerk & Check, Functional Heuristics in Resuscitation Project (MotR) from 2021-03-03T21:07:05



What is a Heuristic?

A short cut to extended, analytical thinking that when functional pro...

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EMCrit Podcast
EMCrit – Midlines Part 2-Explosion with Rory Spiegel from 2021-01-31T22:10:42.023393



Here is part 2 on midlines.

See Part 1 for the shownotes and introduction. Also, go to part 1 to comment on midline stuff.
Listen

EMCrit Podcast
Podcast 052 – Organ Donation in the ED from 2021-01-31T22:10:42.023393

Organ Donation in the Emergency Department
Though it may not seem as important as some of the things we do in ED Critical Care, managing the potential organ donor can lead to many lives saved...

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EMCrit Podcast
Podcast 052 – Organ Donation and Brain Death in the ED from 2021-01-31T22:10:42.023393

Organ Donation in the Emergency Department
Though it may not seem as important as some of the things we do in ED Critical Care, managing the potential organ donor can lead to many lives saved...

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EMCrit Podcast
EMCrit Podcast 130 – Hemodynamic-Directed Dosing of Epinephrine for Cardiac Arrest from 2021-01-31T22:10:42.023393


Note: To do this technique properly, it is imperative you read this post (Listen

EMCrit Podcast
EMCrit 290 – Decompensated Hypothyroidism and Myxedema with Dr. Arti Bhan from 2021-01-23T17:11:37





Thyroid storm is tumultuous and exciting; Myxedema is somewhat enervating and markedly less exciting--...

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EMCrit Podcast
EMCrit 289 – Ketamine Only Intubation Paper with Brian Driver from 2021-01-12T19:51:53

[featimage]

Brian Driver, MD

Dr. Brian Driver is the D...

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EMCrit Podcast
EMCrit 288 – Neurogenic Shock & Should we be Using Vasopressors for Hemorrhagic Shock? from 2020-12-29T23:46:38

[featimage]

Neurogenic Shock

Neurogenic shock is on our differential for hypotension and hemodynamic instability in trauma patients. Today, we discuss this condition as well as ...

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EMCrit Podcast
EMCrit 287 – Thoracotomy Masterclass with Dennis Kim from 2020-12-10T16:02:12



Today, we turn back to a topic near and dear to my heart (pun always intended), resuscitative tho...

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EMCrit Podcast
EMCrit 286 – The Venous Side Matters Too with Phil Rola from 2020-11-30T15:32

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We've spoken about the concepts of venous congestion being problematic beyond just pulmonary edema. I've had Phil Rola on in the past to discuss Venous-side issues ...

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EMCrit Podcast
EMCrit 285 – More on Palliative Care Conversations in Resuscitation from 2020-11-12T17:51:39









Rob Orman steers a conversation on skillful ways to discuss code status, comfort ca...

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EMCrit Podcast
EMCrit 284 – You are the Product – Delete Your Algorithmic Social Media from 2020-10-29T18:46:13

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Algorithmic social media is stealing your joy and may be making your life dramatically worse. If you haven't watched The Social Dilemma, you probably should sit dow...

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EMCrit Podcast
EMCrit 283 – Dexmedetomidine (Precedex) – You’d have to be Delirious Not to Use It from 2020-10-16T15:50

[featimage]



So this episode addresses a big gap in the EMCrit content, namely a discussion of the myriad uses of dexmedetomine. This is one of the primary agents I use for post...

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EMCrit Podcast
EMCrit 282 – Hicks on the Labors of Trauma (Blunt) from 2020-09-30T22:05:54

Labors of Trauma (Blunt Ed.)

So a few weeks ago, I podcasted the Labors of Trauma, a comprehensive list of the responsibilities of a Trauma Team Leader.

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EMCrit Podcast
EMCrit 281 – Why Can’t Emergency Medicine and Trauma Surgery Just Get Along? from 2020-09-04T16:07:04

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Why Can't Emergency Medicine and Trauma Surgery Just Get Along? This is a question we often ask in the USA given our unique Trauma system. It seems custom built to ...

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EMCrit Podcast
EMCrit 280 – Who Should Get Angiotensin II with Rinaldo Bellomo from 2020-08-20T03:41:46

I did an initial EMCrit episode on Angiotensin II when the Athos 3 trial was fist published. Today, now that the drug has been a...

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EMCrit Podcast
EMCrit Wee – Is it Tamponade with Jacob Avila from 2020-08-17T14:51:34

Ultrasound signs of pericardial tamponade with my buddy, Jacob Avila. This episode is simulacasted with Core Ultrasound.

Right ...

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EMCrit Podcast
EMCrit 279 – The Decision to use Ketamine – Disruptive and Dangerous with Reub Strayer from 2020-08-09T19:32:42





I frequently see both residents and attendings inappropriately using ketamine for agitated patients. In...

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EMCrit Podcast
EMCrit 278 – Labors of Trauma – Blunt Edition (Part 1) from 2020-07-24T15:19:26



After reviewing many recordings of major trauma resuscitations, I have come to the conclusion that we are no...

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EMCrit Podcast
EMCrit 277 – COVID Pulmonary Physiology with Martin Tobin from 2020-07-09T15:34:18

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Today on the podcast, I interview Martin Tobin on 3 papers he has recently written on COVID pulmonary physiology.

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EMCrit Podcast
EMCrit 276 – The Rapid Code Status Conversation with Kei Ouchi from 2020-06-25T19:52:13

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Today, I am joined by Kei Ouchi to disucss rapid code status discussions in Emergency Medicine and Critical Care. I came across Kei after he put up an Listen

EMCrit Podcast
EMCrit 275 – NeuroCritical Care with Neha Dangayach from 2020-06-10T15:54:53

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Today on the podcast, we discuss Neuro-Emergencies and NeuroCritical Care with Neha Dangayach. This is a wide-ranging conversation that you will truly enjoy.
<...

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EMCrit Podcast
EMCrit 274 – Team Leadership with Cliff Reid from 2020-05-27T14:42:05





Team leadership is hard [duh]. Teaching it to our trainees is even tougher. When you work...

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EMCrit Podcast
EMCrit Wee – A Theoretical Model of the Pathophysiology of COVID-19 with Farid Jalali (Not a Single Thing Verified–Pure Musings) from 2020-05-18T13:23:43

Today on the podcast, my guest lays out a theoretical framework for the pathophysiology of the lung effects of COVID-19.

Farid Jalali

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EMCrit Podcast
EMCrit 273 – Inhaled Pulmonary Vasodilators & Q&A with Sara Crager from 2020-05-15T16:22:49





This episode continues on from last time's talk by Listen

EMCrit Podcast
EMCrit Wee – COVID Ventilation Round Table Discussion from 2020-04-24T17:56:28

Participants

Josh Farkas



Rory Spiegel



Cameron Kyle-Sidell



Scott Weingart

COVID Low Low PEEP Scale

not fo...

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EMCrit Podcast
EMCrit 271 – Additional, Additional COVID Airway Thoughts with the Actual Audio this Time from 2020-04-17T17:28:02



Insane, Granular Intubating-Monkey Checklist



* Listen

EMCrit Podcast
ThinkingCC COVID Respiratory Management Webinar from 2020-04-12T20:17:47





Phillipe Rola convened a webinar on Respiratory Management of COVID19. The...

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EMCrit Podcast
EMCrit Wee – The Philosophy of APRV – TCAV with Nader Habashi from 2020-04-11T00:17:08



This is part 2 of the APRV - TCAV series. In part 1, I gave a primer...

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EMCrit Podcast
EMCrit 269 – Rationing of Critical Care and Ventilators in COVID19 with Reub Strayer from 2020-03-31T19:20:14





In many hospitals ventilators have become a scarce or non-existent reso...

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EMCrit Podcast
EMCrit Wee – Stop Kneejerk Intubation with the EMCrit Crew from 2020-03-30T16:59:57

We need to swing the pendulum the other way...

Additional Stuff



* Cameron Kyle-Sidell, MD Video

* Listen

EMCrit Podcast
EMCrit Wee – Alternatives to Vent Splitting and the Safest Vent Splitting Methods in COVID19 from 2020-03-28T21:32:24

This Post will be updated as new-information arises

 

Hospital Non-Invasive Machines can be Adapted for Invasive Ventilation

Issues:



Most mac...

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EMCrit Podcast
COVID Airway Management Thoughts from 2020-03-27T16:30:25

This page will serve as the repository of COVID19 airway management thoughts and recommendations. Each time I post something new, it will exist as a separate post for a week and then be merged into...

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EMCrit Podcast
EMCrit 267 – They are not All Right!! An interview on Hemodynamic Assessment with Mike Patterson from 2020-03-06T21:41:27

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Michael Patterson FCICM FANZCA

Mike is an intensivist anaesthetist in Melbourne. He has spent ...

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EMCrit Podcast
EMCrit 266 – High Sensitivity Troponins with Louise Cullen from 2020-02-20T19:04:52

Today on the podcast we discuss High Sensitivity Troponins with Dr. Louise Cullen...

Professor Louise Cullen

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EMCrit Podcast
EMCrit 265 – ECPR 2.0 (ECMO CPR) from 2020-02-05T19:46:55

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This ECPR interview was origianlly published on edecmo.org. The interview was conducted by my buddy, Zack Shinar. I wanted to expose a broader audience to the episo...

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EMCrit Podcast
EMCrit 268 – Midlines Part 2-Explosion with Rory Spiegel from 2020-02-01T18:26:48

[featimage]



Here is part 2 on midlines.



See Part 1 for the shownotes and introduction. Also, go to part 1 to comment on midline stuff.

Listen

EMCrit Podcast
EMCrit 264 – Case Discussion of Combined CCB and BB Overdose from 2020-01-26T20:16:52

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Today, we discuss a case of a patient who 45 mintues prior to arrival took took 150 Labetalol 100mg and 70 Amlodipine 10mg.

Prior EMCrit Podcast

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EMCrit Podcast
EMCrit Podcast 263 – The Venous Side – Part 1 – VEXUS Score with Phillipe Rola from 2020-01-14T16:01:31

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Today, we discuss the VEXUS Score. One of the big philosophical mistakes of early EMCrit was my approach to fluids in sepsis. It is no excuse that I was in good com...

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EMCrit Podcast
EMCrit 262 – Midlines – Part 1 from 2019-12-27T23:06:30

Today on the podcast, we discuss Midlines. This is the first of two parts. In a week, I will interview Rory Spiegel on the topic, so send me your thoughts and questions in anticipation of that epis...

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EMCrit Podcast
EMCrit 261 – Thrombolysis during Cardiac Arrest from 2019-12-12T18:50:40



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Do you administer thrombolytics during cardiac arrest? Or maybe you don't believe in thrombolytics, but are totally down with fibrinolytics during arrest. Who do yo...

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EMCrit Podcast
EMCrit 260 – Thoughts on the NEJM Acute Upper Airway Obstruction Review from 2019-11-30T21:40:57

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NEJM recently published an interesting review article on upper airway obstruction. This podcast was spurred by a rantorial on twitter by Farkas regarding the articl...

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EMCrit Podcast
EMCrit 259 – Cardiogenic Shock — The Next Level&Mechanical Circulatory Support with Jenelle Badulak from 2019-11-13T13:47:30

Taking Cardiogenic Shock Management to the next level...

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EMCrit Podcast
EMCrit 258 – Should Andexxa be added to a Hospital’s Formulary? from 2019-10-26T19:28:35

The question of the use of Andexxa, a reversal agent for Factor Xa Inhibitors, has been batting around my brain for a few months now. We are in the unfortunate position of having a drug with very q...

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EMCrit Podcast
EMCrit 257 – Pulseless Electrical Activity (PEA) is Stupid from 2019-10-09T14:21:06



Pulseless Electrical Activity ( PEA ) is confusing! The diagnosis and treatment of PEA is bogged down by terminology and misunderstandings. Spurred by a recent interview I did with Anton...

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EMCrit Podcast
EMCrit Wee – Farkas and I Discuss his Recent PulmCrit Guest Post on Asthma from 2019-09-27T14:30:41





So, Josh recently published a guest post on PulmCrit discussing some interesting ideas on th...

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EMCrit Podcast
EMCrit 256 – RUSH Redux with Jacob Avila from 2019-09-18T11:00:10

Some dozen years ago, a couple of my buddies and I created the RUSH exam. Today, I give you an update:

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EMCrit Podcast
EMCrit Wee – First Study of the Benefits of an EDICU from 2019-09-10T17:11:59

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On Podcast 168, I discussed Michigan's EC3 stand-alone EDICU. The folks from the EC3 recently published on their first ...

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EMCrit Podcast
EMCrit 255 – Pigtails for Pleural Problems (Percutaneous Thoracostomy) from 2019-09-04T17:11:55



Pigtails should replace chest tubes for most pneumothoraces and pleural effusions requir...

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EMCrit Podcast
EMCrit 254 – Central Line Tips and Tricks with Robby O and Me from EEM 2019 from 2019-08-22T15:08:31

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I always have a great time at the Essentials of Emergency Medicine conference, not just because it is an amazing conference...

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EMCrit Podcast
EMCrit 253 – Kovacs Kata to Optimize a Failing Laryngoscopy Attempt from 2019-08-09T15:07:49

[featimage]



You do perfect patient positioning.



You open the mouth.



A beautiful, gentle, stepwise insertion of the laryngoscope allows...

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EMCrit Podcast
EMCrit Podcast 252 – Care-Oriented Resus vs. People-Oriented Resus from 2019-07-28T17:56:48





Today, I present an excerpt from an interview with Andrew Davies, host of the Listen

EMCrit Podcast
EMCrit Wee – Semper Vitae – GRM with Helen Perry from 2019-07-20T16:52:15

There is a group of clinicians operating on the front line of war zones with no other purpose than to save lives. Global Response Management's Helen Perry comes on the show to discuss their work. Listen

EMCrit Podcast
EMCrit 251 – Philosophical & Psychological Diversions Part II – Naive Reality and the Fundamental Attribution Error from 2019-07-16T17:17:09



In Part I of the philosophical diversions series, we discussed Listen

EMCrit Podcast
EMCrit Podcast 250 – The OMI Manifesto Lecture by Pendell Meyers from 2019-06-27T19:15:55





Pendell Meyers is attempting to change the paradigm of clas...

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EMCrit Podcast
EMCrit 249 – You Can Either Learn or You Can Blame – Fixing the Morbidity and Mortality Conference with George Douros from 2019-06-13T14:20:59



You Can Either Learn or You Can Blame, You Can't Do Both

--Sydney Dekker

 <...

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EMCrit Podcast
EMCrit 248 – How to Teach Surgical Airways–you knows, Crics: The One-Hour Cricothyrotomy Course from 2019-06-04T11:45:30



At the last SMACC, I yet again taught the surgical airway station of the airway workshop. I was joined with amazing faculty and together we taught 160 people our method of performing cri...

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EMCrit Podcast
EMCrit Podcast 247 – The Dissociated Awake Intubation with my buddy, Ketamine from 2019-05-16T17:09:12

Today, we talk about the theory and practice of the Dissociated Awake Intubation. This technique allows the rapid provision of an intubatable patient while preserving spontaneous respirations.
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EMCrit Podcast
EMCrit 246 – Philosophical & Psychological Diversions Part I – Liberterian Free Will, Blame and Shame from 2019-05-02T19:15:27



This Article is a Must Read if you Found this Episode on Free Will Interesting

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EMCrit Podcast
EMCrit Podcast 245 – Tension Pneumothorax with Simon Leigh-Smith from 2019-04-24T17:09:40





Today, a topic about which you may already believe you know all you need to know--chances ar...

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EMCrit Podcast
EMCrit Podcast 243 – The COACT Trial on Early vs. Delayed Cath after Cardiac Arrest without STEMI from 2019-03-31T20:39:27

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Hot off the press is the COACT trial randomizing patients to immediate vs. delayed cardiac catheterization after cardiac arrest. I had this on my list to do a 'cast...

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EMCrit Podcast
EMCrit Podcast 242 – ED Nephrology with Joel Topf aka KidneyBoy from 2019-03-09T23:30:39

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Joel Topf is a nephrologist in Detroit working for St Clair Specialty Physicians. He is faculty for the Nephrology Fellowshi...

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EMCrit Podcast
EMCrit Podcast 241 – Sepsis Update 2019 from 2019-02-21T16:39:43

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A bunch of fun new ideas re: sepsis for 2019

Fluids

30 ml/kg may be based on IBW if you write in the chart that that was what you were using
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EMCrit Podcast
EMCrit 239 – Vent Alarms = Code Blue from 2019-01-26T22:00:59

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Vent Alarms should be Regarded as Code Blue

If you cannot instill this into your culture, patients will die



If they are crashing, do Listen

EMCrit Podcast
EMCrit Wee – Getting Things Done 2019 Update from 2019-01-16T22:50:06

[featimage]

Original GTD (Gettin' Sh*t Done) Posts



* EMCrit Podcast 136 - Getting Shit Done

* ...

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EMCrit Podcast
EMCrit 238 – Medical Error Epidemic Craziness with G. Gianoli from 2018-12-12T16:43:58



You and your brethren are the 3rd leading cause of death in the United States. Medical err...

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EMCrit Podcast
EMCrit Podcast 237 – Vent & PreVENT – An Update from 2018-11-28T19:39:36

[featimage]

PreVENT Trial



* PreVENT Trial

* The Bottom Line on the Listen

EMCrit Podcast
EMCrit Wee – The Brindley Sessions – Followership from 2018-11-11T22:14:31





Another iteration of the Brindley Sessions:

The Article

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EMCrit Podcast
EMCrit 236 – George Kovacs on EVLI Airway Incrementalization from 2018-10-31T17:45:25

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A video lecture from my friend and airway guru,  Prof. George Kovacs. He has been obsessed with airway for decades. ...

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EMCrit Podcast
EMCrit #235 – Cardiac Arrest Science with Zack Shinar from 2018-10-17T16:17:05







[featimage]

Today, I get to speak with my buddy Zack Shinar about soem cardiac arrest science.


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EMCrit Podcast
EMCrit 233 – EMCrit Failed Airway Algorithm 2018 from ResusTO from 2018-09-19T16:11:24

[featimage]

Why First Pass Success?

Best review article - first-shot-is-the-best-shot<...

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EMCrit Podcast
EMCrit 232 – SteelMan Debate – EMS Field Decisions in Cardiac Arrest with Howie Mell from 2018-09-05T16:11:42

[featimage]

A few tweets sparked a debate (big surprise there) and suddenly there was a storm of opinions on whether OOH cardiac arrests should be transported or terminated in the field. ...

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EMCrit Podcast
EMCrit 231 – How to Practice Cricothyroidotomy (Cric) from 2018-08-25T15:32:29

[featimage]



Call it cric, call it surgical airway, call it FONA. Whatever you call it, you need to have the skills and mindset to make it happen at the ready every time you int...

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EMCrit Podcast
EMCrit #230 – Resuscitation Communication from 2018-08-08T18:00:42

[featimage]



What we have here is a failure to Resus Communicate...



Inspired by Reid, Listen

EMCrit Podcast
EMCrit Podcast 229 – No-Shitters, Boldface, and the Resus QRH from 2018-07-25T14:53:40

[featimage]



In an amazing lecture; Joe Novak, ED doc and former combat aviator; spoke about the need for memorized boldface actions and then the availability of a quick referen...

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EMCrit Podcast
EMCrit Wee – The Mock Trial Verdict and a Discussion with Mike Weinstock from 2018-07-23T20:45:04

[featimage]



We recently put up an amazing mock trial of an anaphylaxis case put together by my friend ...

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EMCrit Podcast
EMCrit Wee – The Great Beta-Blocker for Cocaine Toxicity Slugfest from 2018-07-22T17:49:38

[featimage]

The Participants (alphabetically)

Jeff Lapoint (Listen

EMCrit Podcast
EMCrit RACC 228 – Physiology-Guided Cardiac Arrest Management in 2018 with Dr. Robert Sutton from 2018-07-11T16:27:04

[featimage]



The slide above is from an SCCM talk by Listen

EMCrit Podcast
EMCrit RACC – A Refractory Anaphylaxis Mock Trial by Mike Weinstock from 2018-07-05T14:45:43



The Case (Refractory Anaphylaxis and Difficult Airway)



* Listen

EMCrit Podcast
EMCrit Podcast 226 – Airway Update – Bougie and Positioning from 2018-06-13T14:26:54



Bougie First?

A recent RCT from Hennepin1 by Driver et al. evaluated the effect of bougie use on...

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EMCrit Podcast
EMCrit Podcast 225 – Tox(&Hound)idromes with Howard & Dan from 2018-05-28T15:07:13



I brought the DantasticTox guys back to discuss how toxidrome really present, you know in real life.

...

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EMCrit Podcast
EMCrit Podcast 224 – TTP & DIC with Tom DeLoughery – Part II – Treatment from 2018-05-14T16:29:18





This is Part II of a 2-part lecture on TTP, DIC, and thrombocytopenia in the critically ill patient. It...

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EMCrit Podcast
EMCrit – Retract SSC 2018 – You Only Have Yourself to Blame if You Do Not Take Action from 2018-05-08T18:04:43





Please, please read the guidelines, listen to the wee, and then if you agree--si...

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EMCrit Podcast
EMCrit Podcast 223 – TTP & DIC with Tom DeLoughery – Part I – Diagnosis from 2018-04-30T16:10:24





This is Part I of a 2-part lecture on TTP, DIC, and thrombocytopenia in the critically ill patient. It ...

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EMCrit Podcast
EMCrit RACC Podcast 222 / EDECMO Podcast – Demetris Yannopoulos on ECPR-the Minneapolis Way from 2018-04-08T18:49:22





You are getting this podcast 1 week early.



We do an ED...

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EMCrit Podcast
EMCrit RACC Podcast 221 – Burns Part II with Dennis Djogovic – Airway, Lungs, Tubes and Stuff from 2018-04-02T12:58:23











Today we are joined by Dennis Djogovic to d...

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EMCrit Podcast
EMCrit RACC Podcast 219 – Critical Burn Patients in the ED/ICU – Part I with Dennis Djogovic from 2018-03-05T16:33:49





Today we are joined by Dennis Djogovic to do Part I on severe burns.

Dennis D...

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EMCrit Podcast
EMCrit RACC Podcast 218 – Physostigmine with Bryan Hayes from 2018-02-20T04:02:33



That diphenhydramine OD that is driving you up a wall, the seroquel OD that can't ...

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EMCrit Podcast
EMCrit RACC Wee – State of the Crit from 2018-02-17T16:53:52



Want to be a Section-Editor for EMCrit?

You need to be a current 2nd year EM Resident or a 1st...

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EMCrit Podcast
EMCrit RACC Podcast 217 – The Ultimate “Ultimate” BVM from 2018-02-05T18:04:23





So in prior posts, I have discussed the jerry-rigged "ulti...

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EMCrit Podcast
EMCrit Wee – Steroids for Septic Shock — PRE-ADRENAL from 2018-01-08T15:37:35



Bottom Line



* Fantastic look at the Listen

EMCrit Podcast
EMCrit Podcast 215 – A Disagreement of Toxicologists with Dantastic Mr. Tox/&Howard from 2017-12-25T16:44:17





Happy Solstice!



A delightful and hilarious toxicology podcast started up a few mo...

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EMCrit Podcast
EMCrit Podcast 214 – When they Stay from 2017-12-11T18:42:19



You Need to Round on Them

Pulm Toilet

Cuff Pressure

Vent Adjustments

Anal...

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EMCrit Podcast
EMCrit Podcast 213 – Controlled Burn for Hypercapneic Encephalopathy in COPD from 2017-11-27T15:44:19





This post is part of the bleeding edge series--you have been warned!



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EMCrit Podcast
EMCrit Podcast 212 – Thoughts on Deliberate Practice and Expertise from 2017-11-12T20:56:01





After Podcast 211 with Anders Ericsson, I promised my thoughts on deliber...

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EMCrit Podcast
EMCrit – Some Weeish Elaboration on my Interview with the Curbsiders from 2017-10-31T16:50:59

So I recently did an interview with the Curbsiders, an IM podcast, on why EM and IM sometimes have conflicts. It was a ton of fun and may be worth a listen. Here is the episode:

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EMCrit Podcast
EMCrit Podcast 211 – Expertise with Anders Ericsson from 2017-10-29T18:15:52





Mike Lauria set up an interview with Dr. K. Anders Ericsson, first author of Listen

EMCrit Podcast
EMCrit Podcast 210(2) – Arterial Lines – Part 2 from 2017-10-20T16:06:10



For Show Notes and To Leave Comments, Got to EMCrit.org/210...

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EMCrit Podcast
EMCrit Podcast 210 – Arterial Lines (Part 1) from 2017-10-16T15:57:33





Today, we talk about arterial lines. I love arterial lines: monitoring, true MAPs, easy blood draw, eas...

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EMCrit Podcast
EMCrit Wee – Dissemination and Information Transfer (Questions not Answers) from 2017-10-11T20:42:24





Please Send me your ideas on how to...

Artificiality of Dissemination


<...

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EMCrit Podcast
EMCrit Podcast 209 – GTD Redux – Opportunities, Time, & Future Selves from 2017-10-02T18:39:30





A few years ago, I put out a podcast on Getting Things Do...

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EMCrit Podcast
EMCrit Podcast 208 – Felipe Teran on Why We are Doing CPR Wrong from 2017-09-18T15:08:38





You are doing CPR wrong, or so says Felipe Teran, an ED resuscitation sonographer. Listen

EMCrit Podcast
EMCrit 207 – A Case to Acid Test your Resus Logistics from 2017-09-05T20:04:48





This week a case to test your Resus chops. The care is not hard, the logistics def...

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EMCrit Podcast
EMCrit Wee – Central Line MicroSkills – Dilation from 2017-08-29T18:06:57





This is the next installation in the central line (and really any Seldinger procedure) microskills...

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EMCrit Podcast
EMCrit Podcast 206 – ApOx, ENDAO, & PreOx Update from 2017-08-21T15:15:46





We've spoken a ton on EMCrit on Apneic Oxygenation and Preoxygenation, well here is some more. Listen

EMCrit Podcast
EMCrit Podcast 205 – Push-Dose Pressors Update from 2017-08-07T16:00:49

An update on push-dose pressors

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EMCrit Podcast
A Wee Bit More on Massive Hemoptysis from 2017-07-31T17:06:08





George Kovacs left a great comment on the Listen

EMCrit Podcast
EMCrit Wee – An Amazing (Wearable) Cric Trainer from Laura Duggan and the AirwayCollaboration Folks from 2017-07-25T00:10:58

 

So my friend Laura Duggan has been engaged in a multi-prong project to...

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EMCrit Podcast
Podcast 204 – The Nurse-Led Code with Joe Bellezzo from 2017-07-24T14:26:38





I am joined again by my good friend, Joe Bellezzo, to discuss the nurse-led code. I've been doing...

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EMCrit Podcast
Podcast 203 – New Reversals for New Anticoagulants with Nadia Awad from 2017-07-10T14:29:04





This stuff is not s...

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EMCrit Podcast
EMCrit 202 – Blood Bank Essentials with Joe Chaffin from 2017-06-25T18:11:03

blood bank stuff: The basics of crit care transfusion medicine

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EMCrit Podcast
EMCrit Podcast 200 – Orman Grills EMCrit – No Clinical Medicine Here from 2017-05-29T15:12





Hey Folks



For episode 200 of EMCrit, my friend Listen

EMCrit Podcast
EMCrit Podcast 199 – Management of Massive Hemoptysis with Oren Friedman from 2017-05-14T19:13:04



Today, I am joined by my buddy and pulmonary-critical care stud, Oren Friedman, to discuss the management o...

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EMCrit Podcast
Podcast 198 – Insulin Pumps and Such with Josh Miller, MD from 2017-05-01T16:26:22





Today, we discuss the topic of insulin ...

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EMCrit Podcast
Ketamine ……. then Rocuronium, DSI & The Timing Principle from 2017-04-25T14:47:21





So Josh's post yesterday (Listen

EMCrit Podcast
Podcast 197 – The Logistics of the Administration of Massive Transfusion from 2017-04-17T16:51:34

The hands-on of orchestrating a massive transfusion protocol

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EMCrit Podcast
The Sick and the Dead: Evidence-Based Trauma Resuscitation in 2016 by Hicks & Petrosoniak from 2017-04-04T18:46:16



Trauma Year in Review 2016 from SMACCdub

by Chris Hicks and Andr...

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EMCrit Podcast
EMCrit Wee – Edited Version of Paul Marik on the Metabolic Resuscitation of Sepsis from 2017-03-28T16:22:20

 



Read Josh's Post on the Metabolic Resuscitation of Sepsis first, then listen to this interview w...

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EMCrit Podcast
Podcast 195 – Management of Tracheostomy (Trach) and Laryngectomy Emergencies from 2017-03-20T17:58:51



The Best Paper and the most amazing site

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EMCrit Podcast
Podcast 194 – Definitive Emergent Awake Intubation with George Kovacs from 2017-03-06T18:15:12





Not enough people are doing awake intubation in the ED or doing it as quickly as possi...

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EMCrit Podcast
Podcast 193 – Emergency Medicine is a Failed Paradigm from 2017-02-20T16:26:12



At SmaccDUB, I got to debate my friend and head wizard of St. Emlyns, Simo...

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EMCrit Podcast
EMCrit Wee – The Golden Fleece, the Golden Hour, and the Golden Rule by Ashley Liebig from 2017-02-16T00:40:32





I have a friend named, Ash. She is a nurse, a veteran, a prehospital/retrieval provider, ...

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EMCrit Podcast
Podcast 192 – Powerpoint and Meth – Presentation Creation from #TTC from 2017-02-06T20:02:55



People have a tendency to blame powerpoint (or keynote) for the horrible presentations they are forced...

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EMCrit Podcast
Wee – Warning: Nothing Useful Here – Politics and Why I’m “Divorcing” Twitter from 2017-02-01T22:17:23



Politics

not even going to bother writing anything here, my country has gotten so ridi...

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EMCrit Podcast
Podcast 191 – Cardiac Arrest Update from 2017-01-23T13:00:09



The team has done a bunch of stuff on cardiac arrest here on the EMCrit site:



* Listen

EMCrit Podcast
Practical Evidence Podcast 015 – Surviving Sepsis Campaign (SSC) Guidelines 2016 (in 2017) from 2017-01-22T18:47:38

Image Taken from the FOAMCast Episode



We've discussed SEPSIS a ton on EMCrit...

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EMCrit Podcast
Podcast 190 – Emergencies with a Side of Hypertension from 2017-01-10T02:47:17



The first thing to understand about Hypertensive Emergencies is that they look like emergencies

The second...

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EMCrit Podcast
EMCrit 189 – Secret Sixth Cause of Arterial Hypoxemia and Vasoactive Purity from 2016-12-28T16:38:49





Some topics that have been batting around my head over the past few months:
<...

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EMCrit Podcast
Podcast 188 – Rudeness Part II (the Brindley Sessions) from 2016-12-12T18:29:49





This is part II of the Brindley Sessions on Ru...

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EMCrit Podcast
Podcast 187 – Hypernatremia (Uggggh!) from 2016-11-28T17:24:56

 

So we've discussed hyponatremia a ton on the blog site. That's because hyponatremia has become a little bit ...

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EMCrit Podcast
Podcast 186 – Coma with Eelco Wijdicks from 2016-11-13T16:33:29





So you have an unresponsive patient. The CT is negative. What now? Coma is tough! The differential is long ...

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EMCrit Podcast
The Brindley Sessions: Rudeness from 2016-10-26T15:07:27





The Brindley sessions brings the brilliance of Peter Brindley to the EMCrit Podcast. Our first topi...

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EMCrit Podcast
Response to Letters on my Mechanical Ventilation Article in the Ann Emerg Med from 2016-10-21T17:18:25





Recently, I wrote an article for the Annals of Emerg Med on initial mechanical ...

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EMCrit Podcast
Podcast 184 – Needle Cric (Again) and Transtracheal Jet Ventilation with Laura Duggan from 2016-10-16T16:22:18





So we have discussed my preference for surgical over needle-based techniques for front-of-ne...

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EMCrit Podcast
Podcast 183 – Driving Pressure with Dr. Roy Brower from 2016-10-03T18:10:28





So, last year Amato et al published a paper on Driving Pressure:

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EMCrit Podcast
Podcast 181 – Pulmonary Hypertension and Right Ventricular Failure with Susan Wilcox from 2016-09-05T17:46:41









The Right Ventricle gets no resp...

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EMCrit Podcast
Podcast 179 – An Interview with Gary Klein from 2016-08-07T19:10:58





Today, I am joined by my friend, Mike Lauria, to interview Gary Klein, PhD. Dr. Klein is a masterful cogni...

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EMCrit Podcast
Modification of Scalpel Finger Bougie Technique from 2016-08-01T03:52:20





So I've been teaching my version of the scalpel-finger-bougie cric method for a few years now. I've...

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EMCrit Podcast
Emergency Awake Topicalized (EAT) Intubation – An Awake Intubation Update from 2016-07-29T16:11:03



So I love awake intubation. I've done a ton of previous stuff on the topic of Listen

EMCrit Podcast
Podcast 178 – A Better Management Strategy for Symptomatic Hyponatremia (dDAVP Clamp) from 2016-07-25T20:47:45





I laid out my thoughts on the management of hyponatremia way back in Listen

EMCrit Podcast
Podcast 177 – Chris Hicks on the Fog of War: Training the Resuscitationist Mindset from 2016-07-11T17:18:46





My friend, Chris Hicks, is an emergency physician a...

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EMCrit Podcast
How Not to be a #ResusWANKER from 2016-07-01T14:15:15





John Hinds coined the term #resusWANKER at his amazing Listen

EMCrit Podcast
Podcast 176 – Updated EMCrit Rapid Sequence Intubation Checklist from 2016-06-27T17:06:09

Three years ago (holy crap!), I put out the first version of the EMCrit RSI Checklist in this Podcast (92). Vahe Ender ( Listen

EMCrit Podcast
EMCrit Wee – Vipassana Meditation from 2016-06-19T21:42:12

 

My opening talk at SMACCdub was on meditation: vipassana and stoic negative contemplation. Listen

EMCrit Podcast
EMCrit Podcast 175 – A Follow-Up on the Fluids in Sepsis Panel with Phillipe Rola from 2016-05-31T21:07:53

from Thinking Critical Care



 



So I got to moderate...

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EMCrit Podcast
SMACC-Back – On Marik and Lactate from 2016-05-21T20:06:17





My friend, Paul Marik, is a mythbuster. He has been vindicated in so many viewpoints that were in...

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EMCrit Podcast
Podcast 174 – LaMW – Oxygenation Kills Part II from 2016-05-15T21:17:58





This is Part II, you need to Watch Part I First!

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EMCrit Podcast
Podcast 173 – LaMW – Oxygenation Kills Part I from 2016-05-03T00:29:43





So I've been giving this talk for Grand Rounds for a decade now. I've kept it off the podcast so I would ha...

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EMCrit Podcast
Reddit and A Free Sepsis Webinar from 2016-04-21T19:28:05



Reddit

Google Plus is surely on its last legs. Let's ditch this dying corpse, my fellow fleas. O...

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EMCrit Podcast
EMCrit Podcast 172d – Enough with the Can you Trust Podcasts/Blogs/New Media from 2016-04-17T17:52:51





This is in response to a bunch of comments from this Listen

EMCrit Podcast
EMCrit Podcast 172c – Vent as Bag & VAPOX from 2016-04-17T17:52:32



VAPOX and Vent-as-Bag

In a concept piece called Listen

EMCrit Podcast
EMCrit Podcast 172b – MoTR – Get Faster! from 2016-04-17T17:52:05



Mind of the Resuscitationist

In a previous wees and lectures, we discussed Chapman...

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EMCrit Podcast
Podcast 171 – OODA Loops from 2016-04-02T21:08:12





My keynote lecture at SMACC-Chicago was on OODA loops and the supremacy...

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EMCrit Podcast
Podcast 168 – Kyle Gunnerson and the EC3 from 2016-02-23T16:23:32





A few years ago, I wrote an Listen

EMCrit Podcast
Podcast 166 – Endocarditis with David Carr from 2016-01-26T01:06:40



Some Points on Acute Endocarditis from the Talk



...

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EMCrit Podcast
Podcast 165 – The Semantics of End of Life Discussions with Ashley Shreves from 2016-01-10T20:29:18

 

End of Life Conversations are Hard

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EMCrit Podcast
Podcast 164 – The Day I Didn’t Use Ultrasound by Mike Mallin from 2015-12-26T23:40:55





So I was at the Blood & Sand conference a few weeks ago in...

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EMCrit Podcast
Resuscitation Program and FEMinEM discussion on Women as Conference Speakers and Unconscious Bias from 2015-12-20T22:52

If you are interested in the ART Program, please go to the program page
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EMCrit Podcast
Response to a Letter to the Editor on DSI Study from 2015-12-19T00:41:22





Recently, a letter to the editor was pu...

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EMCrit Podcast
Podcast 163 – MotR – The Post-Resuscitation from 2015-12-15T19:30:40



What to do in the Post-Resuscitation

Inspired by my ...

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EMCrit Podcast
Podcast 160 – Sepsis smaccDOWN from 2015-11-04T03:19:09



At smaccChicago, I had the honor to host an incredible panel of Sepsis E...

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EMCrit Podcast
Huge Announcement for EMCrit.org from 2015-11-02T20:14:31





I am a podcaster. I like audio! But I also love reading well-crafted, incisive blog posts. One of my f...

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EMCrit Podcast
Podcast 159 – Rounding in the RACC from 2015-10-30T01:26:07





 

Rounding Sheet



* Listen

EMCrit Podcast
Podcast 158 – The FELLOW Trial on Apneic Oxygenation in ICU Patients from 2015-10-06T18:07:18





Matt Semler, MD and colleagues performed an RCT on Apneic Oxygenation in Medical ICU patients. I go...

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EMCrit Podcast
Podcast 157 – Central Lines II – Placement Tips from 2015-09-13T22:43:22



Listen to Part I - Avoiding Complications



* Listen

EMCrit Podcast
EMCrit Wee – Central Line MicroSkills (Deliberate Practice) from 2015-09-12T17:08:21





On Monday, I'll be doing the 2nd part of the central line series--this one on placement tips. In a...

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EMCrit Podcast
Podcast 156 – The Central Line Show – Part I: Avoiding Complications and Confirmation from 2015-08-29T19:39:02



Read this Review of Vascular Complications of CVC Placement

(Listen

EMCrit Podcast
Wee – Avoiding Disaster – Endotracheal Tube Cuff Leaks and Tube Exchanges from 2015-08-29T00:15:13





 

Equipment to have Bedside



* VL

* Suction

* ...

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EMCrit Podcast
Podcast 155 – Status Epilepticus with Tom Bleck from 2015-08-14T00:43:03





Today I get to talk Status Epilepticus with Tom Bleck.



Tom Bleck is a neurointensi...

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EMCrit Podcast
Podcast 154 – Preemptive Sepsis Panel SmaccBack from 2015-07-29T01:17:11



Update:



* Listen to Podcast 1...

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EMCrit Podcast
Podcast 153 – In Memory – John Hinds, On How He Ran His Unit from 2015-07-05T16:01:39





John was one of the most wonderful people I knew in medicine. He was kind. He was an amazing doc; strong ...

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EMCrit Podcast
Podcast 152 – High Flow Nasal Cannulae – Just Blowin’ Hot Air? from 2015-06-29T19:50:20



Today we have a brief discussion on the new hottie in the respiratory care world, High-Flow Nasal Cannulae Listen

EMCrit Podcast
EMCrit Podcast 151 – Procedural Sedation Part 3 with Jim Miner from 2015-06-14T20:12:56





Today I am joined by James Miner, MD; chief of emergency medicine at Hennepin and an ama...

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EMCrit Podcast
Podcast 150 – A Look Back from 2015-06-01T17:59:51



Can't believe we made it this far...and it's all thanks to the emcritters!

Rob Orman's ERCast f...

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EMCrit Podcast
Podcast 149 – Thyroid Storm from 2015-05-16T22:17:01

When hyperthyroidism goes really wrong...

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EMCrit Podcast
Stuff Update from 2015-05-12T17:52:30



2 Opportunities for Residents:

Essentials of Emergency Medicine Fellowship for US Residents

Get a...

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EMCrit Podcast
Podcast 148 – Airway Decisions and Online Etiquette from 2015-04-27T01:52:54

If you haven't already, you must watch the Cricothyrotomy Wee

If you want to have any idea what I am talking about...



Listen

EMCrit Podcast
EMCrit Wee – Mind Blowing Cricothyrotomy Video from 2015-04-18T19:26:26

My friend and former resident, performs a life-saving cricothyrotomy on a post-arrest patient.



Filmed by Reuben Strayer, MD ...

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EMCrit Podcast
EMCrit Podcast 147 – Who Needs an Acute PCI with Steve Smith (Part II) from 2015-04-12T17:09:23



See Part I First; you'll find the shownotes there as well

Part I of Who...

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EMCrit Podcast
EMCrit Podcast 146 – Who Needs an Acute PCI with Steve Smith (Part I) from 2015-03-29T13:00:57



A Guideline from the Steve Smith’s ECG Blog and the EMCrit Podcast

Today, I am joined by Steve Smith, c...

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EMCrit Podcast
EMCrit Conference BLAST Winner – Ice Water Baths for Rapid Cooling of Hyperthermia from 2015-03-25T03:52:40





Adaira Landry's excellent presentation that won the 2015 EMCrit Conference Blast Competition

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EMCrit Podcast
Podcast 145 – Awake Intubation Lecture from SMACC from 2015-03-16T18:14:12





I gave this lecture at SMACC 2014. It combines many former podcasts so they are now directed here (P...

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EMCrit Podcast
EMCrit Wee – The RLA and the Slope of Resuscitation from 2015-03-02T17:46:52



Resuscitation Leadership Academy

Haney Mallemat, Matt Dawson, Mike Mallin, Mike Stone, and I are starting a new project called the RLA. It i...

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EMCrit Podcast
Podcast 143 – Hemodynamic Management of Massive Pulmonary Embolism (PE) from 2015-02-16T00:56:32





This is a lecture by Oren Friedman from the 2015 E...

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EMCrit Podcast
Podcast 142 – Airway Things I Learned from George Kovacs at the NYC Airway Course from 2015-01-25T17:18:04



Post Three of Janu-Airway

I just finished teaching at one of the best airway courses I have ever participa...

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EMCrit Podcast
EMCrit Wee – Preoxygenation Update 2015 from 2015-01-22T21:00:30

Here is a bit of follow-up on prior EMCrit discussions and some new stuff for Janu-Airway



For all of the shownotes, come to the EMCrit Preox P...

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EMCrit Podcast
Podcast 141 – A Janu-Airway Case Presented Live from 2015-01-10T20:36:44

A case of anatomically and physiologically difficult airway presented live at #EMCritConf 2015. This case was imaginary and took place at Janus General.
...

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EMCrit Podcast
Podcast 140 – Top Picks for 2014 from 2014-12-31T20:33:59





Welcome to our annual rehash of the goodness of the past year. Here is just a sampling of the great FOAM th...

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EMCrit Podcast
Podcast 139 – Opioid-Free ED with Sergey Motov from 2014-12-14T18:56:25



Today I am joined by a good fr...

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EMCrit Podcast
Podcast 138 – Vasopressor Basics from 2014-12-01T17:25:23



The Basics of Vasopressors

There is a ton to speak about regarding vasopressors, but before we get to the ed...

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EMCrit Podcast
EMCrit Podcast 136 – Getting Shit Done from 2014-11-03T18:44:20





So my friend Michelle Lin was kind enough to solicit a "Listen

EMCrit Podcast
EMCrit Wee – I Thought This Would be the One, but Nope…. from 2014-10-13T00:10:38

Hug a Researcher

EMCrit specializes in Type 2 Translation and Implementation. That crap wouldn't exist without the researchers. Go find a Critical Care Researcher today and give them a hu...

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EMCrit Podcast
Podcast 134 – ARISE has arisen; now where do we stand on Severe Sepsis in 2014 from 2014-10-03T22:55:35



So the Arise Study (Australasian Resuscitation In Sepsis Evaluation) just dropped. The amazing guys at ...

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EMCrit Podcast
EMCrit Podcast 133 – The First Prehospital REBOA from 2014-09-24T14:58:07





A few months ago, we spoke about Listen

EMCrit Podcast
EMCrit Wee – Aggressiveness and the New Cutdown with Leon Boudourakis, MD from 2014-09-17T22:13:55

Promotions:

ATACC Trauma Textbook

A free trauma textbook that is simply amazing and the best example of FOAM brought to traditional media that I have ever seen--want it? I bet y...

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EMCrit Podcast
Podcast 132 – MoTR – Toughness Part I with Michael Lauria from 2014-09-06T18:46:02





Today, I interview Mike Lauria on the concepts of toughness and...

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EMCrit Podcast
EMCrit Wee – A Case to Threaten Current ECMO Evidence from Sam Ghali from 2014-08-15T14:35:53

Over at EDECMO we talk about the huge benefits of ECPR demonstrated by the fact that there are neurologically intact survivors when ECMO is initiated at the point of cessation of standard ACLS. But...

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EMCrit Podcast
MotR – Mike Lauria on “Making the Call” from 2014-07-31T13:26:47

Mind of the Resuscitationist Wee

Mike Lauria is the @resuspadawan. ...

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EMCrit Podcast
Podcast 129 – LAMW: The Neurocritical Care Intubation from 2014-07-26T16:36:12





This is the another of the Laryngoscope as a Murder Weapon lectures; though in this case it is real...

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EMCrit Podcast
Podcast 128 – Pulmonary Embolism Treatment Options and the PEAC Team with Oren Friedman from 2014-07-14T14:24:33



We now have way too many treatment opti...

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EMCrit Podcast
Podcast 127 – The Oxylator with Jim DuCanto from 2014-06-29T19:15:45

from inter-rescue.de



Today ...

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EMCrit Podcast
SMACC-Back – On the Beliefs of Early Adopters and Straw Men from 2014-06-24T19:45:36





This is the first SMACC-Back for SMACCgold. The creator of the lecture that led to this was Simon Carl...

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EMCrit Podcast
Podcast 126 – TTM Trial Right from Niklas Nielsen’s Mouth from 2014-06-15T19:29:40



In this episode, I speak with Niklas N...

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EMCrit Podcast
EMCrit Wee – Four More Minutes with Rob Mac Sweeney from 2014-06-11T17:45:26

So yesterday, I spoke with Rob Mac Sweeney about Intra-Arrest Meds. On that cast...

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EMCrit Podcast
EMCrit Wee – Rob Mac Sweeney on Intra-Arrest Meds from 2014-06-10T18:28:46





Rob Mac Sweeney is an anaesthetist-intensive care doc. His gig is evidence: analysis, assimilation, and...

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EMCrit Podcast
Mind of the Resuscitationist – Errors of Commission and Omission from 2014-06-06T18:20:58





I received an email from a friend and colleague on how to build mental toughness in our traine...

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EMCrit Podcast
Podcast 125 – The New Intra-Arrest (Cardiac Arrest Management) from 2014-06-02T15:59:28

Enough with cook book medicine and courses for dermatologists--let's provide cutting edge intra-arrest care

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EMCrit Podcast
EMCrit Wee – Cricolol by Dr. John Hinds from 2014-05-28T15:29:42

My favorite part of SMACCgold; buy some Cricolol

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EMCrit Podcast
Podcast 124 – The Logistics of Proning for ARDS from 2014-05-19T00:10:08





Proning is one of the only evidence-based techniques to affect the mortality of ARDS patients. I've been...

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EMCrit Podcast
EMCrit Wee – Sean Townsend of the SSC and the ProCESS Trial from 2014-05-09T19:36:30





Recently, I got to talk to Listen

EMCrit Podcast
Podcast 123 – Selective Aortic Arch Perfusion (SAAP) with Jim Manning from 2014-05-06T14:50:06

A few weeks ago, we discussed REBOA, a cutting edge procedure to control hemorrhage. Let's go beyond cutting edge to the future of trauma and medical arrest care using a similar aortic catheter. Th...

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EMCrit Podcast
EMCrit Wee – A Cric Case with Rob Bryant from 2014-04-24T23:07:14



The Case:

Rob got permission to share:


<...

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EMCrit Podcast
Podcast 122 – Cardiac Arrest after the Toxicology of Smoke Inhalation with Lewis Nelson from 2014-04-21T02:46:07





We had a case a few months ago at Janus General--very sad and very scary. The patient came in a...

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EMCrit Podcast
EMCrit Podcast 121 – REBOA from 2014-04-06T19:05:12





Today, I got to interview one of the superstars at Shock Trauma on REBOA (resuscitative endovascular ballo...

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EMCrit Podcast
Podcast 120 – The ProCESS Trial with Derek Angus from 2014-03-24T23:55:24





The ProCESS trial was published less than a week ago (The night before my Listen

EMCrit Podcast
Wee – What the heck is a Mapleson B Circuit and Why You Probably Shouldn’t Care from 2014-03-11T21:47:14





There is a really smart anesthesiologist out there called Nicholas Chrimes. He along with his mate Pe...

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EMCrit Podcast
Podcast 119 – Rich Levitan on the Surgical Airway from 2014-03-10T16:50:49





My friend and all-around incredible guy, Rich Levitan, speaking on the Surgical Airway.

Up...

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EMCrit Podcast
Podcast 118 – EMCrit Book Club – On Combat by Dave Grossman from 2014-02-23T15:00:28

Editor's Note 6/4/20: In the wake of the devastating incidents of police violence, many with racially biased overtones, the kill or be killed attitude endorsed by Dr. Grossman has justifiably come ...

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EMCrit Podcast
Podcast 117 – Everyday Emergency Kits with Keith Conover from 2014-02-10T16:09:36





If you are an EM:RAP listener, you have probably heard Mel Herbert's sto...

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EMCrit Podcast
Podcast 116 – the tPA for Ischemic Stroke Debate from 2014-01-27T15:30:02





Here is one of my favorite segments from the Listen

EMCrit Podcast
Best of 2013 – Eight is Enough & Social Media Update from 2013-12-31T21:43:29



Social Media Update



* Use either RSS or the email updates feature (find b...

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EMCrit Podcast
Podcast 114 – Post-Arrest Care in 2013 with Stephen Bernard – Part II from 2013-12-16T18:19:58

I've been waiting for this one for a long time. I get to interview Dr. Stephen Bernard on the topic of post-arrest care.



 



Professor Stephen Bernard<...

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EMCrit Podcast
Podcast 113 – Post-Cardiac Arrest Care in 2013 with Stephen Bernard – Part I from 2013-12-08T17:14:27

I've been waiting for this one for a long time. I got to interview Dr. Stephen Bernard on the topic of post-cardiac arrest care.



Professor Stephen Bernard

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EMCrit Podcast
Podcast 112 – A Response to the Marik Sepsis Fluids Lecture from 2013-11-24T17:36:23





Last week I posted a lecture an incredible by Listen

EMCrit Podcast
Five Minutes with Jon Rittenberger on the TTM Trial from 2013-11-18T22:56:43





Just posted a Listen

EMCrit Podcast
Podcast 111 – Fluids in Sepsis, A New Paradigm – Paul Marik from 2013-11-09T17:50:58



Dr. Paul Marik is a renowned intensivist and a confirmed critical care skeptic. He has broken down many myt...

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EMCrit Podcast
SMACC Back 3 – Simon Carley on Leadership from 2013-11-06T20:44:47





Now I should be doing a SMACC Back on Roger Harris' Listen

EMCrit Podcast
Podcast 110 – Exsanguinating Hemorrhage from Mid-Face Fractures from 2013-11-01T19:33:56





Just got back from Toronto, where I learned about Listen

EMCrit Podcast
Practical Evidence 013 – ACEP Management of Asymptomatic Blood Pressure 2013 from 2013-10-22T21:17:17





We discuss the management of asymptomatic markedly elevated blood pressure as evaluated by the...

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EMCrit Podcast
Podcast 109 – Mind of the Resuscitationist from SMACC 2013 from 2013-10-14T09:00:13



This lecture was from the final day of SMACC 2013. It was based on ...

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EMCrit Podcast
Podcast 108 – How to Be a Hero with Cliff Reid from 2013-09-30T18:34:05





This was my favorite lecture from SMACC 2013. If you are not moved and inspired then your heart is made of stone.



This i...

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EMCrit Podcast
Podcast 107 – Peripheral Vasopressor Infusions and Extravasation from 2013-09-16T14:59:35

Can we give vasopressors peripherally? And if we do, what if they leak?

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EMCrit Podcast
SMACC Gold Promo from 2013-09-07T20:20:37





I interview Roger Harris about SMACC Gold. Come to smacc.net.au to hear more.

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EMCrit Podcast
Podcast 106 – Making Things Happen with Cliff Reid from 2013-09-03T00:04:15



Mind of the Resuscitationist

This was Cliff Reid's opening lecture from SMACC 2013. Cliff Re...

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EMCrit Podcast
Podcast 105 – The Path to Insanity from 2013-08-20T13:38:49





This was my favorite lecture assigned to me at SMACC 201...

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EMCrit Podcast
Podcast 104 – Laryngoscope as a Murder Weapon (LAMW) Series – Hemodynamic Kills from 2013-08-05T19:02:17



The Airway Moratorium is Over!

In this podcast I talk about how not to kill the shocked/hypotens...

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EMCrit Podcast
EMCrit Wee – Vasopressin, Steroids, and Epinephrine for Cardiac Arrest from 2013-08-02T22:08:02



New Study in JAMA:

JAMA. 2013 Jul 17;310(3):270-9. doi: 10.1001/jama.2013.7832.

Vasopressin, steroi...

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EMCrit Podcast
SMACC Back 2 – IVC for Decisions on Fluid Status from 2013-07-29T15:45:02





Justin Bowra gave a fantastic lecture on the use of IVC ultrasound at SMACC.



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EMCrit Podcast
Podcast 102 – Don’t Half-Ass your FAST! from 2013-07-07T15:58:52





I've wanted to discuss ...

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EMCrit Podcast
SMACC-Back – Myburgh on Catecholamines from 2013-06-26T22:49:57





One of the best lectures from SMACC 2013 was Dr. John Myburgh on Catecholamines.



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EMCrit Podcast
Podcast 100 – What is Critical Care and What is EMCrit? from 2013-06-09T20:06:27





Thanks for joining me on the wild ride of these first 100 episodes!



This was ...

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EMCrit Podcast
EMCrit Wee – Is Lactate Clearance a Flawed Paradigm? from 2013-06-05T20:27:48



A listener, Øyvind S Holen, and the PrecordialThumper both alerted me to an article recently published by Pau...

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EMCrit Podcast
Podcast 99 – Combat Aviation Paradigms for Resuscitationists from 2013-05-26T18:42:58





Joe Novak, MD was an F-15 Combat Pilot and now is an Emergency Physician. In this fantastic lecture, h...

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EMCrit Podcast
Podcast 98 – Cyclic (Tricyclic) Antidepressant Overdose from 2013-05-14T21:44:44









I had a crazy case of Tricyclic Overdose while on an overnight shift at...

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EMCrit Podcast
EMCrit Wee – Janus General and Service Update from 2013-05-06T23:00:23

Janus General Hospital

Janus General is a virtual hospital where I will set all of my future cases. The inspiration for a virtual hospital comes from...

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EMCrit Podcast
Podcast 97 – Acid-Base VI – Chloride-Free Sodium from 2013-05-02T17:16:18





Just returned from CListen

EMCrit Podcast
Podcast 96 – Acid Base in the Critically Ill – Part V – Enough with the Bicarb Already from 2013-04-14T15:33:56





This is Part V of the EMCrit Acid-Base Talks. If you haven't listened to the initial series, yo...

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EMCrit Podcast
Episode 12 – New Trauma Guidelines: ATLS and Spine from 2013-04-14T02:06:29



Today, we discuss two new Trauma Guidelines

ATLS 9th Ed.

The 9th edition of ATLS has been published. In this episode, I review the changes from the 8th edition.
...

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EMCrit Podcast
Podcast 95 – Thomas Scalea on Cutting-Edge ICP Management from 2013-04-02T05:46:57

Thomas Scalea is a legend! He is Physician-in-chief at the Shock Trauma Center in Balitmore. He started the EM program at Kings County in 1991. He is also an excellent doctor and a wonderful person...

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EMCrit Podcast
EMCrit Wee – The Vortex Approach from 2013-03-28T15:38:44

I recently got an email from the creators of a new approach to airway management







...

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EMCrit Podcast
EMCrit Wee – The Holy Grail of Fluid Resuscitation is just a Tin Cup from 2013-03-21T18:34:07

My friend Chad Meyers is an ED Intensivist from NYC. He gave this lecture at ALLNYCEM 2012, but the video sucked. He rerecorded it for the EMCritters.



I will be bringing Listen

EMCrit Podcast
EMCrit WEE – SMACC 2013 Summary and Learning Points from 2013-03-18T22:24:17

The Conference

SMACC 2013 was, bar none, the best Critical Care Conference I have ever attended!

The People

I got to meet people like...

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EMCrit Podcast
Episode 11 – Ischemic Stroke 2013 from 2013-03-04T04:26:53



Ischemic Stroke Guidelines from the ASA

Hot off the presses; the 2013 Ischemic Stroke Guidelines from AHA/ASA (Stroke 2013;44:870)



Want the full recommenda...

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EMCrit Podcast
Podcast 94 – Has Video Laryngoscopy Killed the Direct Laryngoscope? from 2013-03-03T23:05:36

Paul Mayo and I seem to have established a tradition of debating each other at the annual Greater NY Hospital Association Critical Care Controversies Conference.



Last year, we ...

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EMCrit Podcast
Podcast 93 – Critical Care Palliation with Ashley Shreves from 2013-02-18T04:40:08

As you know, my motto is maximally aggressive care, ALWAYS! Maximally aggressive curative care and maximally aggressive palliative care. I did a Listen

EMCrit Podcast
EMCrit Wee – Tacit Knowledge and Medical Podcasting from 2013-02-13T20:36:01





I received a distressed email from a fan who was dismayed that other residents in her progra...

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EMCrit Podcast
EMCrit Conference Blast Winner: Peri-Mortem C-Section from 2013-02-12T21:02:44

At the EMCrit 2013 Conference we had a Blast Competition. The BLAST rules are easy:



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EMCrit Podcast
Join the EMCrit G+ Community Page from 2013-02-10T18:56:48

If you have a comment or question about one of the podcasts, chuck it into the comments section.



But I get a ton of clinical cases and questions by email or the contact form th...

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EMCrit Podcast
Podcast 92 – EMCrit Intubation Checklist from 2013-02-05T19:14:18

See Version 2

Intubation Checklist

Checklists

Since Peter Pronovost's landmark study on how a simple...

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EMCrit Podcast
2012 Surviving Sepsis Campaign Guidelines from 2013-01-24T17:48:23

This podcast was originally posted on the Practical Evidence Podcast



The 2012 SSC Guidelines were just published and I saw the preview in Puerto Rico

2012 Surviving S...

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EMCrit Podcast
Podcast 91 – Treatment of Aortic Dissection from 2013-01-24T02:25:41

[featimage]

Aortic Dissection

Lower Dp/Dt and Blood Pressure

Control Pain with fentanyl

Control Heart Rate/Inotropy with esmolol

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EMCrit Podcast
Episode 10 – Surviving Sepsis Campaign (SSC) Guidelines 2012 from 2013-01-24T02:12:55





See the Guidelines at (CCM 2013;41(2):580)

Diagnosis of Sepsis



Diagnosis of Severe Sepsis



The New Bundles


<...

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EMCrit Podcast
Podcast 90 – Mind of the Resuscitationist Series: Cliff Reid’s Own the Resus Room from 2013-01-08T00:41:08

Cliff Reid is the prototypical resuscitationist; he rocks! He has discussed his philosophies on previous episodes:



*

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EMCrit Podcast
Natural Seven for 2012 from 2012-12-30T23:08:36

Podcasts



* PHARM Podcast (Subsc...

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EMCrit Podcast
Podcast 89 – Lessons from the STOP Sepsis Collaborative from 2012-12-26T04:00:25

We have hit the 10,000 patient mark in the NYC STOP Sepsis collaborative. Here are some of the lessons learned...



Want to S...

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EMCrit Podcast
EMCrit Wee – MOPETT Trial from 2012-12-12T01:57:24

The MOPETT Trial took sub-massive PE patients and randomized them to half-dose tPA vs. standard care. No bleeds in either group. 41% ARR of pulmonary hypertens...

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EMCrit Podcast
EMCrit Podcast 88 – Oxygen Physiology with Daniel Davis from 2012-12-10T18:00:40





Articles:



* Latency of Pulse Oximetry Signal with use of Digitial Probes Associa...

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EMCrit Podcast
Episode 9 – Blunt Cardiac Injury from EAST from 2012-12-07T06:33:59

Screening for by cardiac injury: an Eastern Association for the Surgery of Trauma practice management guideline. J Trauma 73:(5) Supplement 4, S301-S306, 2012.



Michael McGoniga...

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EMCrit Podcast
SMACC Conference from 2012-12-07T00:53:04

What is the best conference of 2013?



Ummm hello! It is SMACC!

SMACC

March 11-13, 2013



Sydney Australi...

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EMCrit Podcast
Podcast 87 – Mind of the Resuscitationist: Stop Points from 2012-11-26T23:40:08

In this Mind of the Resuscitationist Episode, I discuss stop points: one for when you are using multiple vasopressors and especially ab...

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EMCrit Podcast
Podcast 86 – IVC Ultrasound for Fluid Tolerance in Spontaneously Breathing Patients – EAT IT STONE from 2012-11-12T00:23:36

Can the Inferior Vena Cava Ultrasound guide our fluid administration in the ED? Of course it can!

So I was getting on the plane to Las Vegas for Essentials 2012, on my iphone was the late...

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EMCrit Podcast
Episode 8 – ACEP Opioid Prescription Policy from 2012-11-03T03:51:17

 



Should we be prescribing opioids from the ED? This question is explored in the recent ACEP Clinical Policy on ED Opioid Prescriptions.



 

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EMCrit Podcast
Podcast 85 – A Confirmation of Prejudices: Chloride and Pressure Poisoning from 2012-10-29T22:05:11

In this Hurricane Sandy episode of the EMCrit podcast, I talk about the confirmation of two of my clinical prejudices.

Chloride Poisoning

So I've always preached that grabbing n...

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EMCrit Podcast
Podcast 84 – The Post-Intubation Package from 2012-10-16T19:00:56

The Post-Intubation Package

There is a ton of stuff to do post-intubation besides confirming the tube and giving the team high-fives. What we do in the ED has ramifications on the patient...

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EMCrit Podcast
Podcast 83 – Crack to Cure – ED Thoracotomy from 2012-10-02T05:37:16



Crack to Cure

All the way back at podcast 36, I discussed Listen

EMCrit Podcast
Episode 7 – Rule-Out Criteria and Screening from 2012-09-25T01:49:41

The difference between screening, rule-out, and risk prediction criteria.

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EMCrit Podcast
Podcast 82 – Mind of the Resuscitationist with Cliff Reid from 2012-09-17T17:25:24

Today, I put on my head-shrinker cap (it is a fez) and get Cliff Reid on the coach. You know Cliff from his previous podcasts:



* Listen

EMCrit Podcast
Episode 6 – ACCP Antithrombotics and VTE Guidelines from 2012-09-07T06:47:16



From American College of Chest Physicians

Listen

EMCrit Podcast
Podcat 081 – An Interview on Severe Trauma with Karim Brohi from 2012-09-02T21:23:58

Yearning for some trauma aren't you?

Today I got a chance to interview Listen

EMCrit Podcast
Podcast 80 – Uhmmmm, Maybe Groin Lines Are Not So Bad with Paul Marik from 2012-08-20T00:14:38

When I read a recent meta-analysis by Paul Marik, the first thing I did was bang my head against the wall 10 or 20 times. For seven years I have been trying to get people to put in neck lines becau...

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EMCrit Podcast
Podcast 79 – Reducing Door to tPA Time in Ischemic Stroke from 2012-08-06T00:16:36

Another ENLS topic: Ischemic Stroke. But not the entire subject, and not even whether we should give tPA to stroke patients. Why not the latter topic--because I am not smart enough to know the answ...

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EMCrit Podcast
Podcast 78 – Increased Intra-Cranial Pressure (ICP) and Herniation, aka Brain Code from 2012-07-22T23:51:54

Today we are going to discuss increased intracranial pressure (ICP) and herniation. This is the first of 13 lectures to go with the upcoming Emergency Neurological Life Support Course that I co-cha...

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EMCrit Podcast
EMCrit Wee – Airway Outsourcing and Suction Henching from 2012-07-16T22:00:22

A comment by Sean Marshall (scroll all the way down) got me thinking about bimanual larygoscopy. I realized, when I am doing video laryngoscopy, I don't need to really perform too bimanual anymore....

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EMCrit Podcast
Left Ventricular Assist Devices (LVADS) from 2012-07-09T00:21:32

LVAD Emergencies

These patients are super-complicated, luckily I got Zack Shinar, MD from Sharp Memorial in San Diego to try to wade through the morass.Listen

EMCrit Podcast
Episode 5 – Upper GI Bleed Guidelines from 2012-07-07T07:14:32

National Institute for Health and Clinical Excellence:



Acute upper GI bleeding: NICE guideline

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EMCrit Podcast
EMCrit Wee – Bougie Prepass and CricCon for Difficult Airway from 2012-07-05T03:00:35

So my friend, Darren Braude and one of his co-attendings had a horrible airway case, which they presented on EM:RAP. I wanted to comment on the case, because there is...

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EMCrit Podcast
Podcast 76 – Severe Pediatric Trauma with Michael McGonigal from 2012-06-24T20:52:59

I got to speak with Michael McGonigal, MD of the Trauma Professional's Blog about severe pediatric trauma in the ED.

Pediatric Glasgow Score

Best eye response: (E)

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EMCrit Podcast
Are Extraglottic Airways Harmful in Cardiac Arrest? from 2012-06-17T21:23:53

Are we creating a blockage of blood flow to the brain?

This article has created quite a stir in the resuscitation community:

Im...

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EMCrit Podcast
EMCrit Podcast 75 – Live Show # 2 from 2012-06-13T05:07:18

The 2nd EMCrit Live Show was so much fun!

Here are some of the things we discussed:

Should we be using the femoral route for central lines?

Minh Le Cong posed that que...

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EMCrit Podcast
Episode 4 – Subarachnoid Hemorrhage Guidelines from 2012-06-07T07:19:37

The Recs:

 



* Use Hunt & Hess or  Listen

EMCrit Podcast
EMCrit Podcast 74 – Who the Heck to Cool after Cardiac Arrest with Ben Abella from 2012-05-29T00:26:43

Today we are joined by Benjamin Abella, MD to discuss who to cool after cardiac arrest.

Who is Ben Abella?

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EMCrit Podcast
Pain and Terror as Effective Pressors from 2012-05-16T22:42:58

An anonymous EM Intensivist writes:

Scott,



I am writing to comment on a trend that I'm noticing among my residents, and I wonder if others are noticing a similar tren...

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EMCrit Podcast
Podcast 73 – Airway Tips and Tricks with Jim DuCanto, MD from 2012-05-14T00:15:07

Recently, Minh had some questions for James DuCanto on fiberoptics and airway management in general. Here were the questions:



* Some anaesthetists I talk to argue that if you ...

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EMCrit Podcast
Episode 3 – ACEP 2012 Management of Early Pregnancy from 2012-05-07T07:47:25

The original ACEP guidelines can be found here.



This table from (Annals of ...

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EMCrit Podcast
Severe Pelvic Trauma from 2012-04-30T20:59:49

Hemodynamically unstable pelvic fractures are a talk-and-die situation. These folks require aggressive, rapid treatment if they are going to survive the injury. Inspired by my mentor, Thomas Scalea...

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EMCrit Podcast
EMCrit Wee – ETCO2 with EGA? from 2012-04-22T15:18:18

Can we monitor ETCO2 with extraglottic airways? The answer is definitive--I don't know.

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EMCrit Podcast
EMCrit 071 – Critical Questions on Massive Transfusion Protocols with Kenji Inaba from 2012-04-16T16:33:18

Today, I got to interview Kenji Inaba; an incredibly prolific trauma surgeon from USC/L...

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EMCrit Podcast
Episode 2 – ACEP 2011 Clinical Policy on Pulmonary Embolism (PE) from 2012-04-07T07:22:48

Welcome to the second episode of Practical Evidence, a podcast about the evidence you NEED to know but may not have time to read.



This month we discuss the American College of ...

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EMCrit Podcast
EMCrit Wee – Abandon Epinephrine? from 2012-04-05T21:42:02

Two studies were mentioned:

Hagihara A, et al. Prehospital Epinephrine Use and Survival Among Patients With Out-of-Hospital Cardiac Arrest. JAMA. 2012;307(11):1161-1168

See Ryan...

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EMCrit Podcast
Podcast 70 – Airway Management with Rich Levitan from 2012-04-01T19:38:05

The best lecture on Airway Management--Ever?

Rich Levitan is one of the best teachers on the skills of laryngoscopy--or as he would probably put it, epiglottoscopy. Here is an hour long l...

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EMCrit Podcast
EMCrit Wee – On Editing Comments and Ad Hominem Attacks from 2012-03-19T22:15:34

I am not arrogant enough to believe that I can understand any man's or woman's motivations, so I only argue their words & actions, but I don't force this viewpoint upon any of you. I do ask tha...

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EMCrit Podcast
EMCrit Podcast 69 – The Future of CPR with Keith Lurie and Demetris Yannopoulos from 2012-03-19T04:16:36

The Future of CPR

I got to interview two cutting edge researchers on what CPR will look like in the next decade; their answers were fascinating.

Flow-Enhanced CPR

They...

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EMCrit Podcast
EMCrit Wee – Cliff Reid’s Tips for Occasional Intubators from 2012-03-14T16:47:16

From Minh's Interview, I stole this five minute piece for an EMCrit Wee.



Cliff Reid discusses some tips for occasional intubators.

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EMCrit Podcast
Episode 1 – Penetrating Neck Trauma Guidelines from 2012-03-07T07:23:34

Welcome to the first episode of Practical Evidence, a podcast about the evidence you NEED to know but may not have time to read.



This month we discuss the Eastern Association f...

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EMCrit Podcast
EMCrit Live Show # 1 from 2012-03-07T04:16:04

This is a recording of the first EMCrit Live episode. Hope you enjoy.



Please check out the new EMCrit CME Site!

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EMCrit Podcast
Podcast 67 – Tranexamic Acid (TXA), Crash 2, & Pragmatism with Tim Coats from 2012-02-20T01:21:51

Crash 2 and Tranexamic Acid

One of the most exciting and underutilized therapies for trauma is tranexamic acid (txa). TXA inhibits the breakdown of clot--it is an anti-fibrinolytic. Is th...

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EMCrit Podcast
EMCrit Wee – More on C-Spine Imaging from 2012-02-17T21:18:06

If you want to understand this post you probably need to listen to the episode on c-...

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EMCrit Podcast
EMCrit Wee: The Lewis Lead and a course in ECGs with Christopher Watford from 2012-02-15T17:22:25

The Lewis Lead (S5)

How to place the electrodes for the Lewis Lead (S5)

from Christopher Watford's blog Listen

EMCrit Podcast
Podcast 66 – …Until they are warm and dead: Severe Accidental Hypothermia from 2012-02-07T17:14:18

It is winter and that means cardiac arrests coming in with extremely low body temperatures after environmental exposure. How do you treat these patients? How do you rewarm if you don't have bypass?

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EMCrit Podcast
Podcast 65 – A Primer on BVM Ventilation with Reuben Strayer from 2012-01-23T01:44:26

BVM Ventilation

Today I want to talk about proper ventilation with a Bag-Valve-Mask, aka the BVM. I am joined by my friend Reuben Strayer, MD of EM Updates...

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EMCrit Podcast
Podcast 64 – Fluid Responsiveness with Dr. Paul Marik from 2012-01-08T16:43:41

Today I had the pleasure to interview Dr. Paul Marik, Professor and Division Chief of Pulmonary Critical Care at Eastern Virginia Medical Center. We got to speak on the topic of fluid responsivenes...

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EMCrit Podcast
More on a Diagnostic Strategy for C-Spine Injuries from 2012-01-03T00:00:18

Podcast 63 set off some expected controversy given my take that plain films are ...

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EMCrit Podcast
Podcast 63 – A Pain in the Neck – Part I from 2011-12-25T23:07:04

Cervical Spine Injuries in the ED

In this episode, I discuss the diagnosis of c-spine injuries. I argue that we should not send patients to imaging unless we have used the NEXUS rule and ...

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EMCrit Podcast
EMCrit Podcast – Hard Six – My Picks from 2011 from 2011-12-25T23:05:47

EMCrit's favorites from 2011

An Ultrasound Podcast

The Emerge...

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EMCrit Podcast
Replay of the Emergency Ultrasound Podcast – Wall Motion Abnormality Lecture from 2011-12-16T21:33:30

One of the best new podcasts of the year is certainly the Emergency Ultrasound Podcast with Matt Dawson and Mike Mallon. If you haven't ch...

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EMCrit Podcast
Podcast 62 – Needle vs. Knife II: Needle Thoracostomy? from 2011-12-11T18:10:24

Needle vs. Knife Part II

In this podcast, I explain why I don't think needle compression is such a clever idea. Main points are: most people can't find anterior target, most angiocaths wo...

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EMCrit Podcast
Podcast 061 – Debate: Paralytics for ICU Intubations? from 2011-11-28T00:04:38

I recently spoke at a symposium at the Greater NY Hospital Assoc's with the title: Controversies in Critical Care. I debated Paul Mayo, MD on the topic of whether paralytics should be used for ICU ...

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EMCrit Podcast
How to generate constant CPAP with a BVM for Preoxygenation and Reoxygenation from 2011-11-04T20:09:51

Richard Levitan and I just got our preoxygenation article accepted to Annals of EM. This video describes one of the concepts in the paper.



Email me if you need further explanat...

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EMCrit Podcast
Podcast 059 – Bath Salts with Leon Gussow from 2011-10-26T03:35:45

Today I am joined by toxicology master, Leon Gussow to discuss a new quasi-legal class of drugs: Bath Salts. I saw my first OD of this a month ago; despite the drug's name, this patient was neither...

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EMCrit Podcast
Podcast 058 – Interview with Cliff Reid – Part II from 2011-10-11T00:16:05

This Part II of an interview with Cliff Reid of the amazing blog, resus.me. Cliff is truly a doc after my own heart as you will hear from the cast.
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EMCrit Podcast
Podcast 057 – Resuscitative Extra-Corporeal Life Support (ECMO) from 2011-09-26T23:03:16

Resuscitative Extra-Corporeal Life Support for Cardiac Arrest (ECMO)

Joe Bellezzo, MD along with his partner-in-crime, Zack Shinar, MD have started an ED ECMO service at Sharp Memorial Ho...

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EMCrit Podcast
Podcast 056 – Dr. Rivers on Severe Sepsis – Part III from 2011-09-13T06:21:29

Part III of Dr. Rivers' talk on Severe Sepsis

Dr. Emanuel Rivers brought the concept of aggressive therapies for sepsis down to the Emergency Department with his seminal article on EGDT p...

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EMCrit Podcast
Podcast 055 – Dr. Rivers on Severe Sepsis – Part II from 2011-09-06T00:17:31

Part II of Dr. Rivers' talk on Severe Sepsis

Dr. Emanuel Rivers brought the concept of aggressive therapies for sepsis down to the Emergency Department with his seminal article on EGDT pu...

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EMCrit Podcast
Podcast 054 – Dr. Rivers on Severe Sepsis – Part I from 2011-08-29T16:40:24

Part I of Dr. Rivers' talk on Severe Sepsis

Dr. Emanuel Rivers brought the concept of aggressive therapies for sepsis down to the Emergency Department with his seminal article on EGDT pub...

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EMCrit Podcast
Minh Discusses Three Examples of Airway Management gone Bad from 2011-08-09T23:46:31

 Three Cases of Airway Disaster

In this podcast short, Minh Le Cong discusses three airway disasters.

Case I

The first case Minh mentions is Just a Routine Operation: ...

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EMCrit Podcast
Podcast 053 – Needle vs. Knife: Part I from 2011-08-09T05:37:03

Needle or the Knife for the Cricothyrotomy

In this episode, I debate Minh Le Cong, a retrieval physician from Australia. The question is what technique should we use in the can't intubate...

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EMCrit Podcast
Podcast # 51: Fibrinolysis in Pulmonary Embolism from 2011-07-11T05:00:07

Update: A more current review of this topic can be found in podcast 128



Jeff Kline is the master of all things pulmonary embolism in emergen...

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EMCrit Podcast
EMCrit Podcast 50 – Acid Base Part IV – Choose the Solution Based on the Problem from 2011-06-27T03:16:37

This is Part 4 of the Acid Base saga. In this episode, I discuss the acid base effects of fluids and when and how to use sodium bicarbonate.



If you haven't checked out the prev...

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EMCrit Podcast
Hemostatic Resuscitation by Richard Dutton, MD from 2011-06-12T01:41:56

Richard Dutton is a trauma anesthesiologist who was one of the primary formulators of the concept of 1:1:1 resuscitation.



Hear more from Rich in Listen

EMCrit Podcast
EMCrit Podcast 49 – The Mind of a Resus Doc: Logistics over Strategy from 2011-06-07T05:48:07

amateurs discuss strategy; experts discuss logistics

--Napoleon?





This Part I of the Mind of a Resus Doc Series, in which we delve into the philosophies tha...

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EMCrit Podcast
EMCrit Podcast 48 – PhD in EKGs Part II: Left Bundle Branch Block from 2011-05-23T03:56:35

Left Bundle Branch Block (LBBB) doesn't = STEMI!

A few months ago, we had Dr. Stephen Smith on theListen

EMCrit Podcast
EMCrit Podcast 47 – Failure to Plan for Failure: A Discussion of Airway Disasters and the NAP4 Study from 2011-05-09T15:42:38

Cliff Reid of Resus.Me fame put out an incredible post on NAP4, the audit done on all of the airway complications in Great Britain. It was such a Listen

EMCrit Podcast
EMCrit Podcast 46 – Acid Base: Part III from 2011-05-04T03:00:35

This is the 3rd part of a 5 part series on acid base.



* You should listen to A...

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EMCrit Podcast
Bonus – Passing the Esophageal Temperature Probe from 2011-04-30T19:33:14

I was drinking beers with my friend Oren Friedman, a medical intensivist with an interest in hypothermia; we got to talking about how it can be a PitA to pass the esophageal temperature probe for h...

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EMCrit Podcast
EMCrit Podcast 45 – Acid Base: Part II from 2011-04-24T20:59:45

This is the second part of a 4 part series on acid base.



* You should listen t...

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EMCrit Podcast
EMCrit Podcast 44 – Acid Base: Part I from 2011-04-11T23:02:29

I have spoken about it for a while, but I've finally gotten it done: the acid-base podcast.



The podcast is going to be in 5 parts. They are segmented from a lecture I gave to m...

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EMCrit Podcast
Listener Questions – Episode 1 from 2011-03-30T01:47:36

Since we had the Kayexalate episode, I did not want to do a full podcast, so I thought I would just air some listener questions:



* Adrian wrote asking about why A/C over SIMV...

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EMCrit Podcast
Bonus – Is Kayexalate Useless? from 2011-03-23T03:58:35

In EMCrit Podcast 32, we discussed the management of hyperkalemia. Of course, I recommended kayexalate (sodium polystyrene sul...

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EMCrit Podcast
Video for Podcast 43 – Inserting the Air-Q from 2011-03-16T21:23:15

Folks have asked for a video to go with Podcast 43 and as always I do what folks ask for.



 

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EMCrit Podcast
EMCrit Podcast 43 – Laryngeal Airways with Daniel Cook, MD (Part I) from 2011-03-13T00:40:50

My favorite supraglottic airway is the Cookgas Air-Q; it was created by an anesthesiologist, Dr. Daniel Cook. He just created a new device that allo...

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EMCrit Podcast
EMCrit Podcast 42: A phD in EKG with Steve Smith from 2011-02-27T21:34:26

Today, I got to interview Dr. Stephen Smith. Dr. Smith is faculty at the Hennepin Program and author of one of the best books on EKGs in the ED, Listen

EMCrit Podcast
EMCrit Podcast 41 – Interview with Cliff Reid of RESUS.me from 2011-02-14T18:04:53

I was able to cajole Cliff Reid of the amazing blog, resus.me on to the EMCrit program. Cliff is truly a doc after my own heart as you will hear from t...

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EMCrit Podcast
EMCrit Podcast 40 – Delayed Sequence Intubation (DSI) from 2011-01-31T17:57:51

This is the DSI Podcast. If you want all of the great DSI information, please come to the EMCrit Delayed Sequence Intubati...

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EMCrit Podcast
EMCrit Podcast 39 – Hyponatremia from 2011-01-17T18:18:14

Hmm… he’s tasty, but he just needs a little salt



In this podcast, I discuss the management of hyponatremia in the ED. After reading countless articles from the nephrology liter...

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EMCrit Podcast
EMCrit Podcast 38 – The ED Critical Care Dirty Dozen for 2010 from 2011-01-02T22:15:54

Here are my 12 favorite ED Critical Care things for 2010...the EMCrit Dirty Dozen:



12. SmartEM by David Newman and Ashley Shreves

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EMCrit Podcast
EMCrit Podcast 37 – Lactate in Sepsis from 2010-12-20T15:16:14

When an ED starts providing advanced care for severe sepsis, lactate testing is an absolute requirement. Lactate use brings up a lot of questions, especially if it is not commonly ordered in your d...

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EMCrit Podcast
EMCrit Podcast 36 – Traumatic Arrest from 2010-12-04T23:04

Thanks to a suggestion from Melanie, this week I am discussing the management of traumatic arrest. Many things to do in these patients, but two things you definitely should not be doing are closed-...

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EMCrit Podcast
EMCrit Podcast 35 – Extubation in the ED from 2010-11-18T22:28:11





In this podcast, I discuss extubating patients in the ED. Specifically, I deal with patient...

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EMCrit Podcast
EMCrit Podcast 34 – 2010 ACLS Guidelines from 2010-10-26T03:51:44

The brand new ACLS & BCLS guidelines were published last week. Not huge changes, but some good stuff! The free full text is available at the Circulation website. It takes hours to make your way...

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EMCrit Podcast
Video for Diagnosing Posterior Stroke from 2010-10-10T03:11

This is the video for cerebellar stroke diagnosis. Listen to the podcast first. Video clips are from Listen

EMCrit Podcast
EMCrit Podcast 33 – Diagnosis of Posterior Stroke from 2010-10-10T02:52:17

What if I told you that I think that patient you just sent home with vertigo may have been a missed cerebellar stroke? Would you be dialing risk management or could you tell me all of the reasons w...

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EMCrit Podcast
EMCrit Podcast 32 – Treatment of Severe Hyperkalemia from 2010-09-22T18:36:40

 



>> Update: For a new take on Listen

EMCrit Podcast
EMCrit Podcast 31 – Intra-Arrest Management from 2010-09-05T21:47:53

Update: Some of the information in this post and podcast has been superseded by podcast 125; so click on over there.

This week we talk about managing t...

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EMCrit Podcast
ACEP Preview – Hemostasis: Stopping the bleeding in a crashing trauma patient from 2010-08-23T03:25:35

Hey folks, I'm lecturing at ACEP in Las Vegas this year. This is one of two lectures I'm giving there. If you are going to the conference and plan on coming to my lecture, don't listen to this lect...

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EMCrit Podcast
EMCrit Podcast 30 – Hemorrhagic Shock Resuscitation from 2010-08-15T17:33:15





This week we discuss the resuscitation of the hemorrhagic shock patient with Dr. Richard Dutton, MD.



Rick was director of trauma anesthesia at the Shock T...

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EMCrit Podcast
EMCrit Podcast 29 – Procedural Sedation, Part II from 2010-08-02T00:19:36

It seems the government and other specialties are trying hard to make sedation as difficult as possible in the ED. We must persevere to provide the best procedural sedation to allow maximal comfort...

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EMCrit Podcast
Procedural Sedation Guidelines Update from 2010-07-26T23:51:13

This is a piece I wrote for the excellent Emergency Medicine Practice Guidelines Update, edited by my friend, Reuben Strayer. 

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EMCrit Podcast
Procedural Sedation, Part I (Audio Only) from 2010-07-26T23:42:44

The audio only version of Part I of the sedation talk.



Remember to check out Part II next...

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EMCrit Podcast
Procedural Sedation – Part I from 2010-07-26T23:39:01

It seems the government and other specialties are trying hard to make sedation as difficult as possible in the ED. We must persevere to provide the best procedural sedation for the maximal comfort ...

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EMCrit Podcast
EMCrit Podcast 28 – Severe CNS Infections from 2010-07-13T20:25:02

Severe CNS Infections are time dependent diagnoses! You must have a high index of suspicion, a good plan for your work-up, and rapid provision of treatment. After seeing a severely ill meningitis p...

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EMCrit Podcast
EMCrit Podcast 27 – Calcium Channel Blocker Overdose from 2010-06-29T16:36:27

This week, I am joined by Leon Gussow, MD of the excellent blog: The Poison Review (TPR). TPR is my source for new toxicology articles;...

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EMCrit Podcast
EMCrit Lecture – Top Ten Hypothermia Tips from 2010-06-16T04:07:03

At this stage of the game, if your hospital is not offering hypothermia to out-of-hospital cardiac arrests, you are probably lagging behind optimal care. For shockable rhythms, you essentially doub...

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EMCrit Podcast
EMCrit Lecture – Dominating the Vent: Part II from 2010-06-01T06:12:51

When I was a resident, every vent lecture either put me to sleep or left me dazed and bewildered. I gave a lecture of that ilk when I started working after fellowship. I had become part of the prob...

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EMCrit Podcast
EMCrit Lecture – Dominating the Vent: Part I from 2010-05-24T18:22:04





When I was a resident, every vent lecture either put me to sleep or left me dazed and bewild...

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EMCrit Podcast
Vent Handout from 2010-05-24T18:10:08

This post is just to place the vent handout into itunes.

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EMCrit Podcast
EMCrit Podcast 26 – Patient Controlled Analgesia by Edward Gentile from 2010-05-12T03:02:23





Even when we can't cure a patient, we can relieve suffering. On average, we kind of stin...

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EMCrit Podcast
Service Update – How to get old episodes into Itunes from 2010-05-02T18:24:26

Hi folks, I received a bunch of emails asking how to get the old episodes into itunes. I expanded the RSS feed to include them, now you just need to bring them into itunes, this 40 second video sho...

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EMCrit Podcast
IVC Ultrasound for Non-Invasive Sepsis Protocol from 2010-04-29T00:01:28

We're still working on the Greater NY Sepsis Initiative. The next step towards making a non-invasive protocol possible is to teach folks how to use ultrasound of the IVC to assess fluid responsiven...

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EMCrit Podcast
EMCrit Podcast 25 – End of Life and Palliative Care in the ED from 2010-04-24T23:18:21

Aggressive palliative care is just as important as aggressive critical care in the ED. Sometimes we will be the first physicians to talk to a family about end of life issues, even if their loved on...

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EMCrit Podcast
Q&A: The Two Rams from 2010-04-17T21:24:17

Two listener questions answered in 5 minutes   From Dr. Ram Reddy of Canada: Great thought to intubate a patient in hemodynamic extremis using the awake approach. I can't tell you how many times I'...

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EMCrit Podcast
Bougie-Aided Cricothyrotomy by Darren Braude from 2010-04-13T14:45:46

Darren Braude, Aiway and EMS master from New Mexico demonstrates the use of a bougie to make the cric procedure MUCH easier. For more great Braude magic, see his site at airway911.com.

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EMCrit Podcast
Procedure: Fiberoptic Stylet-aided Cricothyrotomy by Seth Manoach from 2010-04-11T17:01:30

This is a video by my friend Seth Manoach, MD. He has been an EM Physician for many years and now is in the midst of a three year critical care fellowship sojourn.



This video d...

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EMCrit Podcast
Procedure: Open Cricothyrotomy for Historical Purposes Only from 2010-04-11T17:01:01

DO NOT USE THESE TECHNIQUES

The only way I recommend performing cricothyrotomy since 2011 is the Bougie-Aided Cricothyrotomy



 

Actual Cric with Old Met...

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EMCrit Podcast
EMCrit Podcast 24 – The Cric Show from 2010-04-11T05:31:50

Update: Some of the Stuff Here is now Outdated, Come to Podcast 131 for the cric redux

Ok, Ok, I promise this is the last airway episode for at least a...

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EMCrit Podcast
EMCrit Podcast 23 – Awake Intubation for Trauma and Medical Patients from 2010-03-27T03:45:47

This lecture refers to the Awake Intubation Lecture



I've been asked, who should be intubated awake. To answer that question, we first must discuss who actually requires intubat...

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EMCrit Podcast
EMCrit Rant – Risk in Emergency Medicine from 2010-03-21T21:44:13

Warning-This is not an ED Critical Care Podcast, it is a rant. Rants will be featured periodically and irregularly; feel free to ignore and delete them.



This one was spurred by...

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EMCrit Podcast
EMCrit Podcast 22 – Non-Invasive Severe Sepsis Care from 2010-03-14T00:29:36

Young patient, lactate of 5.2, pneumonia... You know what you're supposed to do--put in the central line and start early goal directed therapy. Problem is, most people can't see sticking a central ...

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EMCrit Podcast
EMCrit Podcast 21 – A Bad Sedation Package Leaves your Patient Trapped in a Nightmare from 2010-02-26T19:55:17

Pushing some ativan followed by vecuronium is no longer an acceptable strategy to manage post-intubation sedation. A good analgesia and sedation package is essential if you care about your patient'...

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EMCrit Podcast
EMCrit Podcast 20 – The Crashing Atrial Fibrillation Patient from 2010-02-13T04:14:51

Your patient is pale and diaphoretic. Blood pressure is 70/50. Heart rate is 178. EKG shows atrial fibrillation... What are you going to do???



Yeah, yeah the Pavlovian ACLS res...

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EMCrit Podcast
EMCrit 20 – The Crashing Atrial Fibrillation Patient from 2010-02-13T03:14:51



Atrial Fibrillation is a Pain in the Butt

Your patient is pale and diaphoretic. Blood pr...

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EMCrit Podcast
EMCrit Podcast 19 – Non-Invasive Ventilation from 2010-02-05T17:32:50

Intubation is a critical procedure, there is no doubt about it.



NIV does not have the glamour; it's not nearly as cinematic. But for the patient, to spend 30 minutes on a NIV m...

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EMCrit Podcast
EMCrit Podcast 17 – Reversal of Anti-coagulant and Anti-platelet Drugs in Head Bleeds from 2010-01-12T21:53:51





So you have a patient with intracranial bleeding or you have a high pre-ct suspicion of intracrania...

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EMCrit Podcast
EMCrit Podcast 16 – Coding Asthmatic, DOPES and Finger Thoracostomy from 2009-12-24T03:09:21

Hi folks,



Sorry about the voice--got a cold off those damn ED keyboards



Thanks to my friend Reuben, this week we'll talk about the asthmatic patient that c...

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EMCrit Podcast
EMCrit Podcast 15 – the Severe Asthmatic from 2009-12-09T02:02:48

Don't intubate the severe asthmatic,



try NIV first



continue the nebs on the NIV



obviously they need steroids and throw in Mag Update: ...

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EMCrit Podcast
EMCrit Podcast 14.5 – A bit more on EGDT from 2009-11-23T07:20:39

Chris Nickson is an Aussie, oops Kiwi, who is a lead author of a great blog: lifeinthefastlane.com and tweets under the moniker Listen

EMCrit Podcast
EMCrit Podcast 14 – EGDT Tirade from 2009-11-21T04:53:36

Hi all--Sorry for the delayed posting, but I just moved to a new apt.



In this episode I rant and rave about why for the most part Emergency Medicine has disappointed me by not ...

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EMCrit Podcast
EMCrit Podcast 13 – Trauma Resus II: Massive Transfusion from 2009-10-31T21:49:35

On this podcast,



I recap from last show, especially the concept of bare minimum normotension (called erroneously permissive hypotension by just about everyone else) and why we ...

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EMCrit Podcast
EMCrit Podcast 12 – Trauma Resus: Part I from 2009-10-14T04:10:05

Thought we'd talk about some trauma stuff, specifically the resuscitation of the critically ill hemorrhagic shock patient.



There is much to discuss, so this will be a multi-epi...

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EMCrit Podcast
EMCrit Podcast 11 – Delirium Tremens from 2009-09-29T05:14:22





The management of...

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EMCrit Podcast
Podcast 10 – Cardiogenic Shock from 2009-09-16T17:02:43





Mohamed, a listener from Sudan, emailed asking about the treatment of acute pulmonary edema in patients with...

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EMCrit Podcast
EMCrit Podcast 9 – Can you take sick patients to ct? from 2009-09-01T00:49:52





Does the EM ban on letting sick patients go to CT scan make sense?



listen to the podcast...

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EMCrit Podcast
EMCrit Podcast 8 – Subarachnoid Hemorrhage from 2009-08-17T01:28:11

This week's podcast is on the management of a the patient with SAH. It's not a complete review, just some tips and reminders.



Best Listen

EMCrit Podcast
EMCrit Podcast 7 – Sedation Tirade from 2009-07-23T22:52:06

Hi folks,



this podcast is really brief--I gave a lecture at Jacobi last week (thanks for having me Jacobites!), and in response to a question I gave this rant on my vision of s...

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EMCrit Podcast
EMCrit Podcast 5 – Intubating the Critical GI Bleeder from 2009-06-22T00:52:01

We've had a  few gruesome airways in patients with GI bleeds and bellies full of coffee ground emesis.



This is a top 10 list encompassing my approach to this difficult situatio...

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EMCrit Podcast
EMCrit Podcast 2 – ETCO2 from 2009-05-05T04:51:28





I did a spot on ETCO2 for Amal Mattu's podcast a couple of weeks ago. I try to clear up som...

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EMCrit Podcast
EMCrit Podcast 1 – Sympathetic Crashing Acute Pulmonary Edema (SCAPE) from 2009-04-25T18:22:38

Here it is, the 1st EMCrit podcast. It's on the topic of Sympathetic Crashing Acute Pulmonary Edema (SCAPE). This condition is on a very different part of the disease spectrum from FOPE (Fluid-Over...

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EMCrit Podcast
EMCrit 1 – Sympathetic Crashing Acute Pulmonary Edema (SCAPE) from 2009-04-25T18:22:38





Here it is, the 1st EMCrit podcast.



It's on the topic of Sympathetic Crashing ...

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EMCrit Podcast
EMCrit Podcast 0 – The Intro from 2009-03-01T04:56:09

In which I introduce you to me and explain what this whole thing is about. (better late than never)

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EMCrit Podcast
EMCrit 0 – The Intro from 2009-03-01T04:56:09





In which I introduce you to me and explain what this whole thing is about.



(be...

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