With increasing water temperatures, there is a rise in the incidence of V.vulnificus infections in non-endemic regions. Patients with V.vulnificus infection are often critically ill, can quickly decompensate, and crash within hours. In this podcast, we discuss the clinical characteristics of this serious infection, along with the current treatments of choice. A very hot and timely topic!
Anticoagulation Reversal for ICH
ICH accounts for approximately 15 percent of all strokes.  Despite improvements in neurocritical care, the mortality for patients with ICH can still reach 50 percent at 1-year, with many left with significant residual deficits.  Patients with an ICH who are taking an oral anticoagulant medication tend to have larger ICH volumes, more frequent IVH, and a greater frequency of hematoma expansion.  In this …
Early Post-Cardiac Arrest Catheterization – The COACT Trial
A critical component to post-arrest care for the patient with ROSC following out-of-hospital cardiac arrest is early coronary angiography. Current guidelines recommend immediate cardiac angiography for patients with evidence of a STEMI on their post-arrest ECG. For the more common scenario of non-diagnostic ECGs, the role of early coronary angiography remains uncertain. In this podcast, superstar Amal Mattu joins us …
Refractory Vasodilatory Shock
Emergency medicine, critical care, and acute care providers evaluate, resuscitate, and manage patients with shock on a daily basis. Despite initial efforts, a select number of patients are refractory to fluid and vasopressor administration. In this podcast, we discuss a rationale approach to vasopressor administration, along with several rescue therapies for the patient with refractory vasodilatory shock.
Medication Tips & Tricks for the Crashing Patient
Bryan Hayes rejoins the podcast to discuss some great pearls and pitfalls with select medications used to resuscitate and treat critically ill patients. This episode contains numerous pearls that you can’t afford to miss!
Tips for the Renal Transplant Patient
Renal transplants are one of the most common organ transplants worldwide. Renal transplant patients can quickly succumb to illness and present to the ED or be admitted to the ICU in need of urgent resuscitation. In this podcast, we discuss critical pearls and pitfalls in managing the renal transplant patient.
The ANDROMEDA-SHOCK Trial
Rory Spiegel (@EMNerd_) joins the podcast this month for an in-depth analysis and discussion of the recently published ANDROMEDA-SHOCK trial. Should capillary refill time replace serial lactate values for guiding the hemodynamic resuscitation of patients with septic shock? What are the limitations of this potential game-changing study? How will you incorporate its results into your clinical practice?
BMV for ETI in the Critically Ill?
More than 1.5 million patients undergo endotracheal intubation each year in the U.S. Endotracheal intubation can be complicated by hypoxemia, which is a known risk factor for peri-intubation cardiac arrest and death. Rapid sequence intubation typically involves a delay of up to 2 minutes between the administration of sedative/paralytic medications and laryngoscopy. In this podcast, we discuss a recent article in the New …
Troubleshooting the Trach
Respiratory distress in the patient with a tracheostomy can incite fear in even the most seasoned emergency physician or intensivist. In this episode, we review the initial management of respiratory distress in the trach patient, along with a review of common tracheostomy emergencies that are likely to present to your ED or ICU.
CO Toxicity in the Critically Ill Patient
As bitter cold temperatures grip the Northeast, many struggle to stay warm and often resort to nontraditional methods of heating. As a result, there has been an increase in the number of cases of CO toxicity. In this episode, we cover what you NEED to know about diagnosing and managing the critically ill patient with CO exposure.