Untreated pain, anxiety, and agitation have both short- and long-term consequences for our critically ill patients. More importantly, it is well-known that patients remember the pain experienced during their critical illness. New guidelines for the assessment and management of pain, agitation, delirium, immobility, and sleep were just published. In this podcast, we review the latest guideline and discuss pearls and pitfalls of analgesia and sedation in the critically ill.
Recent trials have produced conflicting results on the benefit of epinephrine in patients with OHCA. PARAMEDIC2 was just published and is the largest randomized double-blind, placebo-controlled trial to evaluate the use of epinephrine in OHCA. Dr. Rory Spiegel joins…
Many critically ill patients are acidotic. Often, bicarbonate is administered to severely acidotic patients, but does it really improve outcomes? The BICAR-ICU was just published in the NEJM and evaluated the use of bicarbonate in patients with severe metabolic acidosis. In this podcast, we go over the results and discuss the use of bicarbonate in critically ill patients.
In February, we discussed the results of the ADRENAL trial and implications for clinical practice. Since that time, another large trial and meta-analysis has been published. What does the latest literature add to the discussion? Where is the pendulum swinging for steroids in sepsis?
Neurocritical Care guru Dr. Evie Marcolini is back to review recent literature and practice changes in the management of patients with acute ischemic stroke. Who should get endovascular therapy? Which imaging modality should we order? When do you transfer? These are just some of the questions Evie tackles on this podcast.
The heat and humidity have returned to the Northern Hemisphere! Numerous deaths have already been reported due to the extreme heat. In this episode we cover the critical interventions you need to know and do to improve the outcomes of patients suffering from heatstroke.
In this podcast we discuss the very controversial SSC 2018 Update. We know that sepsis is a time-sensitive illness, but does a 1-hour bundle make sense?
Mechanically ventilating the patient with a severe asthma exacerbation is fraught with peril. Incorrect settings for tidal volume, respiratory rate, pressure triggers, or inspiratory flow can quickly worsen hyperinflation and case hemodynamic collapse. In this episode we tackle the pitfalls and provide the key pearls you NEED to know!
Acute aortic syndromes such as aortic dissection are incredibly stressful and challenging to manage. In this episode, we tackle the difficult management pearls and pitfalls in the resuscitation of patients with an acute aortic syndrome.
These are some of the sickest patients you’ll see in the ED and ICU. In this episode, we discuss incredibly useful pearls and pitfalls in the management of acute on chronic liver failure.