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EMCrit Blog - Emergency Department Critical Care

  1. Human Factors in Airway Management2018/01/12
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  2. EMCrit Wee – Steroids for Septic Shock — PRE-ADRENAL2018/01/08

    Get ready for ADRENAL

    EMCrit Project by Scott Weingart .

  3. iSepsis – The Lactate Myths2018/01/07

    Lactate the Myths. Lactate is good for the patient and not bad.

    EMCrit Project by Paul Marik .

  4. PulmCrit- Angiotensin II: five cautions & three comparisons2018/01/02
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  5. iSepsis- “Less is More”: The New paradigm in Critical Care2017/12/26

    "Less is More": The New paradigm in Critical Care

    EMCrit Project by Paul Marik .

  6. EMCrit Podcast 215 – A Disagreement of Toxicologists with Dantastic Mr. Tox/&Howard2017/12/25

    Dantastic Mr. Tox/&Howard discuss some Tox stuff and Santa Beards

    EMCrit Project by Scott Weingart .

  7. EM Nerd-The Case of the Aimless Convoy Continues2017/12/21
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  8. PulmCrit – Treatment of massive insulin poisoning refractory to glucose2017/12/18

    Severe insulin overdose usually occurs as a suicide attempt, but can also result from medication error. Conventional therapy focuses on giving tons of intravenous glucose. This generally works, but it can get messy.

    EMCrit Project by Josh Farkas .

  9. EMCrit Wee – Advanced Ultrasound Assessment of Volume Status2017/12/15

    Advanced uses of ultrasound to assess volume status

    EMCrit Project by Scott Weingart .

  10. EM Nerd-The Case of the Tardy Delegate Continues2017/12/14

    In 2000 Fazzini et al published a paper comparing the use of ionization vs photoelectric smoke alarms in rural Alaskan homes (1). The authors noted that at the time of the article’s publication. the fire fatality rate for native Alaskans was 9.6 times the national rate and 3.5 times higher than the general rate in […]

    EMCrit Project by Rory Spiegel .

  11. PulmCrit- Phenobarbital monotherapy for alcohol withdrawal: Reloaded2017/12/13

    Currently there is a lorazepam shortage in the United States. This caused a surge of interest into using phenobarbital for alcohol withdrawal. I've received several e-mails over the past few weeks about this. It's been two years since my last post about phenobarbital, so here's an update focusing on lessons learned in the interim.

    EMCrit Project by Josh Farkas .

  12. EMCrit Podcast 214 – When they Stay2017/12/11

    Issues with pts in the ED without an inpatient team yet

    EMCrit Project by Scott Weingart .

  13. iSepsis – Death by Fluids, Part 42017/12/10

    The large observation study once again demonstrates the harm of a liberal approach to fluid administration in patients with sepsis

    EMCrit Project by Paul Marik .

  14. PulmCrit – Optimizing the respiratory drive to avoid failure2017/12/04
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  15. EM Nerd-The Case of Corporeal Clock2017/11/29
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  16. EMCrit – Critical Hyperkalemia by H. Pendell Meyers, EMCrit Intern2017/11/28

    Critical Hyperkalemia ?s based on a recent publication

    EMCrit Project by Guest Author .

  17. EMCrit Podcast 213 – Controlled Burn for Hypercapneic Encephalopathy in COPD2017/11/27

    Intubation is failure!

    EMCrit Project by Scott Weingart .

  18. iSepsis – A 30ml/kg bolus: Yes or No -The Results2017/11/27

    The Results of the 30ml/kg Bolus Survey.

    EMCrit Project by Paul Marik .

  19. PulmCrit- APRV: Resurrection of the open-lung strategy?2017/11/20

    APRV is often used in surgical ICUs, but not medical ICUs. APRV may be viewed as a "new" technique by medical intensivists, whereas it's been used for decades in surgical ICUs with great results. A fresh RCT may help resolve this.

    EMCrit Project by Josh Farkas .

  20. iSepsis – A 30ml/kg bolus: Yes or No2017/11/14

    The Surviving Sepsis Campaign recommends a 30ml/kg fluid bolus in qualifying patients. We surveyed all the physicians on this committee to determine whether they agree with this statement.

    EMCrit Project by Paul Marik .

  21. EMCrit Podcast 212 – Thoughts on Deliberate Practice and Expertise2017/11/12

    My thoughts on the recent interview with Anders Ericcson

    EMCrit Project by Scott Weingart .

  22. EM Nerd-The Case of the Man Made of Straw Continues2017/11/11

    We often view the results of a trial from the perspective of our own preconceived notions. We extrapolate the results far beyond the limits of the data based on our own system of beliefs, using p-values and confidence intervals as statistical armor to substantiate our positions. It is with this in mind that we turn […]

    EMCrit Project by Rory Spiegel .

  23. EM Nerd-The Case of the Inert Remedy2017/11/07
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  24. PulmCrit- Ranking antibiotics in order of allergenicity2017/11/06

    Our current approach to allergy is primarily patient-based. This focuses on the patient’s prior history of reaction: how severe was it, when was it, how certain are we that it was truly allergic? This strategy has been proven to be inaccurate. For example, ~90% of patients who report a penicillin allergy are not allergic when skin-tested.

    EMCrit Project by Josh Farkas .

  25. EMCrit – Some Weeish Elaboration on my Interview with the Curbsiders2017/10/31

    Why can't we all just get along

    EMCrit Project by Scott Weingart .

  26. EEMCrit Resident Competition 20182017/10/31
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  27. EMCrit Podcast 211 – Expertise with Anders Ericsson2017/10/29

    Expertise & Deliberate Practice with Anders Ericsson and @resuspadawan

    EMCrit Project by Scott Weingart .

  28. iSepsis – Death by Fluid, Part 32017/10/28

    The CLASSIC trial is a exploratory RCT comparing a fluid "restrictive" with a more liberal approach to fluid management in patients with septic shock

    EMCrit Project by Paul Marik .

  29. Link: Fixed Dose PCC2017/10/27

    this is how PCC should be given...

    EMCrit Project by Scott Weingart .

  30. PulmCrit- Who needs empiric coverage for HSV encephalitis?2017/10/23

    There is significant practice variation regarding whether to give empiric acyclovir while awaiting PCR results. The goal of this post is to search for an evidence-based approach to this issue.

    EMCrit Project by Josh Farkas .

  31. EMCrit Podcast 210(2) – Arterial Lines – Part 22017/10/20

    Part 2 on Art Lines

    EMCrit Project by Scott Weingart .

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

    All things Arterial Lines-Part 1

    EMCrit Project by Scott Weingart .

  33. 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 Project by Paul Marik .

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

    I need help...

    EMCrit Project by Scott Weingart .

  35. PulmCrit: Algorithm for diagnosing ICP elevation with ocular sonography2017/10/09
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  36. 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 Project by Paul Marik .

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

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

    EMCrit Project by Rory Spiegel .

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

    More on GTD

    EMCrit Project by Scott Weingart .

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

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

    EMCrit Project by Paul Marik .

  40. EM Nerd-The Case of the Divisive Tincture2017/09/29
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