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EMCrit Blog - Emergency Department Critical Care

  1. EMCrit Podcast 210 – Arterial Lines (Part 1)2017/10/16

    All things Arterial Lines-Part 1

    EMCrit by Scott Weingart .

  2. iSepsis -Death by Fluids, Part 22017/10/15

    The FEAST study, a large RCT done in children with sepsis, unequivocally demonstrated the harm of an aggressive approach to fluid management.

    EMCrit by Paul Marik .

  3. EMCrit Wee – Dissemination and Information Transfer (Questions not Answers)2017/10/11

    I need help...

    EMCrit by Scott Weingart .

  4. PulmCrit: Algorithm for diagnosing ICP elevation with ocular sonography2017/10/09
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  5. iSepsis – Death by Fluids, Part 1.5 – The Danger of Protocols2017/10/08

    A Blog by Dr Wong (professor of Surgery) highlighting the stupidity of the mindless adoption of Surviving Sepsis Campaign Guidelines

    EMCrit by Paul Marik .

  6. The Case of an Ugly Truth2017/10/03

      The great tragedy of Science — the slaying of a beautiful hypothesis by an ugly fact. […]

    EMCrit by Rory Spiegel .

  7. EMCrit Podcast 209 – GTD Redux – Opportunities, Time, & Future Selves2017/10/02

    More on GTD

    EMCrit by Scott Weingart .

  8. iSepsis – Death by Fluids, Part 12017/09/30

    A recent study demonstrating the harm from aggressive fluid resuscitation of septic shock

    EMCrit by Paul Marik .

  9. EM Nerd-The Case of the Divisive Tincture2017/09/29
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  10. PulmCrit: Large-bore suction for intubation: strategies & devices2017/09/25

    The ideal suction tool for intubations is debatable, but it seems clear that the Yankauer is a poor choice. Persistent use of the Yankauer suction catheter for airway management represents a profession-wide failure in our ability to manage large-volume regurgitation.

    EMCrit by Josh Farkas .

  11. EMCrit Podcast 208 – Felipe Teran on Why We are Doing CPR Wrong2017/09/18

    You are doing CPR wrong

    EMCrit by Scott Weingart .

  12. PulmCrit: The ketamine-tolerant patient2017/09/11

    The ketamine-tolerant patient presents a quandary to clinicians who aren't familiar with this phenomenon. The first time I encountered this, I was baffled and aborted the procedure after giving 200 mg ketamine. Eventually I realized that the drug isn't "failing" to work, but rather we are failing to administer a sufficiently high dose.

    EMCrit by Josh Farkas .

  13. Service update: Bleeding Edge Series2017/09/07

    Effective, rapid peer review allows for the creation of a new series of posts. These posts will cover material which isn't supported by much evidence nor experience. In the past, I wouldn't have felt comfortable posting this material to the blog.

    EMCrit by Josh Farkas .

  14. EMCrit 207 – A Case to Acid Test your Resus Logistics2017/09/05

    Acid Test your Resus

    EMCrit by Scott Weingart .

  15. iSepsis – Dr Nathanson reviews EGDT2017/09/01

    A critical review of the EGDT study

    EMCrit by Paul Marik .

  16. EMCrit Wee – Central Line MicroSkills – Dilation2017/08/29

    The next in the microskill series

    EMCrit by Scott Weingart .

  17. EM Nerd-The Case of the Liberated Radicals2017/08/29
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  18. PulmCrit- Brain death, mimics, and flow scans2017/08/28
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  19. The Cause of the Aimless Convoy2017/08/25
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  20. EMCrit Podcast 206 – ApOx, ENDAO, & PreOx Update2017/08/21

    ApOx & PreOx Update

    EMCrit by Scott Weingart .

  21. EM Nerd-The Case of the Elemental Truancy2017/08/19
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  22. PulmCrit- Toxicology dogmalysis: the osmolal gap2017/08/14

    I've been checking the serum osmolal gap on patients with toxic ingestion for years. However, the osmolal gap has yet to crack a case for me. There have been lots of patients with elevated osmolal gaps due to uremia or ketoacidosis. Meanwhile, the cases of ethylene glycol or methanol intoxication which I have encountered have […]

    EMCrit by Josh Farkas .

  23. EM Nerd-The Case of the Bridge to Nowhere Continues2017/08/11
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  24. iSepsis- Precision Medicine and the Federal Sepsis Initiative (SEP-1)2017/08/10

    iSepsis- Stupidity and the SEP-1 Mandate

    EMCrit by Paul Marik .

  25. iSepsis – Understanding Lactate2017/08/09

    A review on the myths surrounding "lactic acidosis"

    EMCrit by Paul Marik .

  26. EMCrit Podcast 205 – Push-Dose Pressors Update2017/08/07

    An update on push-dose pressors

    EMCrit by Scott Weingart .

  27. EM Nerd-An Addendum to the Case of the Tarnished Standard2017/08/05
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  28. A Wee Bit More on Massive Hemoptysis2017/07/31

    Hemoptysis redux

    EMCrit by Scott Weingart .

  29. The Ties that Bind: Social Capital and the Psychology of FOAM by Mike Lauria2017/07/27

    We come from all the divisions, ranks, and classes of society…to teach and to be taught in our turn. While we mingle together in these pursuits we shall learn to know each other more intimately; we shall remove many of the prejudices which ignorance or partial acquaintance with each other had fostered…In the parties and […]

    EMCrit by Mike Lauria .

  30. EMCrit Wee – An Amazing (Wearable) Cric Trainer from Laura Duggan and the AirwayCollaboration Folks2017/07/25

    The new amazing cric trainer

    EMCrit by Scott Weingart .

  31. Podcast 204 – The Nurse-Led Code with Joe Bellezzo2017/07/24

    Nurses should be leading cardiac arrest management

    EMCrit by Scott Weingart .

  32. iSepsis- Vitamin C, Hydrocortisone and Thiamine – Q&A2017/07/21

    iSepsis; Vitamin C, Hydrocortisone and Thiamine - Q&A

    EMCrit by Paul Marik .

  33. PulmCrit – Central venous oxygen saturation: signal or noise?2017/07/17

    Recently a few cases at Genius General have arisen where cvO2% was misleading. Specifically, the cvO2% was elevated despite cardiogenic or hemorrhagic shock. This post will attempt to explore why this might occur.

    EMCrit by Josh Farkas .

  34. iSepsis – Vitamin C, Hydrocortisone and Thiamine for Sepsis2017/07/16

    Vitamin C, Hydrocortisone and Thiamine for sepsis

    EMCrit by Paul Marik .

  35. iSepsis – Vitamin C, Hydrocortisone and Thiamine – The “Metabolic Resuscitation Protocol”2017/07/16

    iSepsis - The Metabolic Resuscitation Protocol

    EMCrit by Paul Marik .

  36. Inspiratory IVC Collapse: some physiological considerations by Jon-Emile Kenny2017/07/14

    some physio behind the IVC debate

    EMCrit by Guest Author .

  37. EM Nerd-The Case of the Tarnished Standard2017/07/11
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  38. Podcast 203 – New Reversals for New Anticoagulants with Nadia Awad2017/07/10

    New agents for Reversal of NOACS

    EMCrit by Scott Weingart .

  39. An Uproar about the IVC2017/07/08

    a wee bit more

    EMCrit by Scott Weingart .

  40. iSepsis – Vena Caval Ultrasonography – Just Don’t Do It!2017/07/07

    iSepsis - Vena Caval Ultrasonography is useless for assessing volume status.

    EMCrit by Paul Marik .

EMCrit
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Online Medical Education on Emergency Department (ED) Critical Care, Trauma, and Resuscitation

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