All the literature goodness for March 2024
EMCrit 371 – Iodinated Contrast Issues: Part 2 – Contrast Reactions
Continuing on our contrast issues theme…
PulmCrit Blogitorial – Use of ECGs for management of (sub)massive PE
(A blogitorial is like a tweetorial in blog form, so folks on different platforms can see it). Our approach to risk stratification and management of (sub)massive PE tends to be dominated by CT scan and echocardiography (eye-candy modalities). And these are great. But I think there are situations where ECG can be really helpful – […]
PulmCrit Wee: Propofol induced eyelid opening apraxia – the struggle is real
Eyelid opening apraxia refers to a specific inability to open the eyelids. This may result from non-dominant hemispheric strokes. On superficial examination it will mimic unconsciousness, but upon further examination the patient is awake and able to respond to stimuli with their extremities. I’ve seen a similar phenomenon of eyelid opening apraxia a few times […]
EMCrit Wee – Zentensivism with Matt Siuba
Zentensivism…
PulmCrit wee: Why I like central lines for GI bleed resuscitation
People on twitter absolutely hate the concept of using a central line to resuscitate a GI bleeder. This comes up a couple times per year. I think the source of this hatred is largely three-fold: A central line alone is garbage (without a Level-1 or Belmont infuser). I’ll admit that. So if you’re working in […]
EMCrit 370 – Extracorporeal Therapies for Toxicology & Poisoning #ExTRIP #NephMadness
NephMadness hits EMCrit with RRT for the Poisoned Patient
RACC Lit Review – Feb 2024
RACC Lit Review for Feb 2024
EMCrit 369 – Iodinated Contrast Issues: Part 1 – Is Contrast-Induced Nephropathy (CIN) a Thing in Patients with Tenuous Renal Function
Do you still need to worry about contrast in patients with tenuous renal function?
EMCrit 368 – The Acute Critical Care Medication Reconciliation with Josh Farkas
The acute crit care med rec
CV-EMCrit Wee – MCS Minute: ECMO and the DO2/VO2 ratio with Trina Augustin
The first MCS Minute
PulmCrit wee: Polypharmacy in the ICU – when in doubt, deprescribe
Polypharmacy is technically defined as taking five or more medications on a daily basis. Polypharmacy is increasingly becoming the norm among adults, due to several factors (an aging population, increasing numbers of medical problems, and increasingly complex regimens available to treat chronic disorders such as heart failure). Indeed, the term “polypharmacy” is arguably antiquated now […]
EMCrit 367 – Panel: 4 Quadrant Hemodynamic Ultrasound Integration, IVC Ultrasound and Much More!
a ton of hemodynamic stuff…
EMCrit RACC Lit Review – January 2024
All the lit goodness for Jan 2024
PulmCrit hot take: VAP prophylaxis (PROPHY-VAP trial)
background: ANTHARTIC trial Prophylaxis against VAP (ventilator-associated pneumonia) is already supported by a few studies in the literature, perhaps most notably the ANTHARTIC trial. That was a multicenter RCT evaluating 48 hours of therapy with amoxicillin/clavulanate for patients intubated following cardiac arrest. Antibiotic therapy reduced early-onset VAP, with a trend towards more ventilator-free days (further […]
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