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EMCrit Blog - Emergency Department Critical Care

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

    iSepsis- Stupidity and the SEP-1 Mandate

    EMCrit by Paul Marik .

  3. iSepsis – Understanding Lactate2017/08/09

    A review on the myths surrounding "lactic acidosis"

    EMCrit by Paul Marik .

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

    An update on push-dose pressors

    EMCrit by Scott Weingart .

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

    Hemoptysis redux

    EMCrit by Scott Weingart .

  7. 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 .

  8. 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 .

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

    Nurses should be leading cardiac arrest management

    EMCrit by Scott Weingart .

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

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

    EMCrit by Paul Marik .

  11. 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 .

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

    Vitamin C, Hydrocortisone and Thiamine for sepsis

    EMCrit by Paul Marik .

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

    iSepsis - The Metabolic Resuscitation Protocol

    EMCrit by Paul Marik .

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

    some physio behind the IVC debate

    EMCrit by Guest Author .

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

    New agents for Reversal of NOACS

    EMCrit by Scott Weingart .

  17. An Uproar about the IVC2017/07/08

    a wee bit more

    EMCrit by Scott Weingart .

  18. 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 .

  19. PulmCrit- The gag reflex shouldn’t be tested in living patients2017/07/04
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  20. iSepsis – Fluid Management and Hemodynamic Assessement2017/07/02

    A lecture reviewing the principles of fluid management

    EMCrit by Paul Marik .

  21. EM Nerd-The Case of the Failed Assumptions2017/06/29
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  22. The Complexity of Simple – Bringing Order to Complex Systems by Chris Hicks2017/06/28
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  23. EMCrit 202 – Blood Bank Essentials with Joe Chaffin2017/06/25

    blood bank stuff: The basics of crit care transfusion medicine

    EMCrit by Scott Weingart .

  24. iSepsis- General Treatment Principles2017/06/22

    iSepsis- Treatment Prinicples

    EMCrit by Paul Marik .

  25. PulmCrit – Mythbusting sensitivity and specificity2017/06/19

    Likelihood ratios may be more useful clinically, but sensitivity and specificity are more widely reported. Therefore, it is useful to gain a general understanding of how sensitivity and specificity translate into likelihood ratios.

    EMCrit by Josh Farkas .

  26. EMCrit 201 – Deeper on Vasopressors and Athos 3 with Mink Chawla2017/06/12

    A new vasopressor is out there--angio II

    EMCrit by Scott Weingart .

  27. iSepsis – The CVP is Useless2017/06/11

    The CVP is a useless monitoring technique

    EMCrit by Paul Marik .

  28. EM Nerd-A Case of Shadows Continues2017/06/07
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  29. The Psychologically Difficult Airway by George Kovacs2017/06/06

    George Kovacs on a different type of airway difficulty

    EMCrit by Scott Weingart .

  30. PulmCrit- Reengineering the analgesic ladder for critically ill patients2017/06/05
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  31. iSepsis- Alice in Bundleland2017/06/04

    Alice in Bundleland

    EMCrit by Paul Marik .

  32. iSepsis- Clinical Features and Diagnosis2017/06/01

    iSepsis: Clinical features and diagnosis of Sepsis

    EMCrit by Paul Marik .

  33. EMCrit Podcast 200 – Orman Grills EMCrit – No Clinical Medicine Here2017/05/29

    My friend Rob Orman Interviews Me for Ep. 200

    EMCrit by Scott Weingart .

  34. iSepsis – Introduction to the iSepsis Website2017/05/27

    Introduction to ISepsis

    EMCrit by Paul Marik .

  35. EM Nerd-The Case of the Tardy Delegate2017/05/24

    We have discussed the dangers of surrogate outcomes at length, but none are more evident to an Emergency Physician than the time-based metrics we are subjected to on a daily basis. The latest of these temporal surrogates forced upon us is the 3-hour bundle of care in patients presenting to the Emergency Department with symptoms […]

    EMCrit by Rory Spiegel .

  36. PulmCrit- Liberating the patient with no cuff leak2017/05/22

    A new joint practice guideline by the ATS and ACCP addresses how to approach cuff leaks. This guideline recommends a clever compromise between these extremes, which is the basis of the algorithm below. This provides a streamlined, evidence-based pathway to extubate patients without a cuff leak.

    EMCrit by Josh Farkas .

  37. CC Nerd-The Case of the Anatomic Inaccuracy2017/05/18

    A recent publication in Chest by Semler et al examined the utility of the ramped position for the emergent intubation of patients in the ICU (1). The results not only call into question our use of this technique, but more importantly the outcomes we use to evaluate the efficacy of airway interventions outside the pristine […]

    EMCrit by Rory Spiegel .

  38. EMCrit Podcast 199 – Management of Massive Hemoptysis with Oren Friedman2017/05/14

    Management of Massive Hemoptysis

    EMCrit by Scott Weingart .

  39. EM Nerd-An Addendum to The Case of the Incidental Bystander2017/05/10

    The October 2016 NEJM publication of the PESIT trial by Prandoni et al set the world of social media ablaze (1). There were the standard fear mongering headlines noting that 1 in 6 patients admitted to the hospital following syncope had a pulmonary embolism. This was followed by a reactionary flurry of commentary by the […]

    EMCrit by Rory Spiegel .

  40. PulmCrit- Resuscitationist’s guide to status epilepticus2017/05/08

    In 2014 I wrote a post suggesting an aggressive, streamlined approach to status epilepticus involving early intubation. The fundamentals of that post remain valid. However, much has changed over the last few years. This post aims to refresh and extend the prior post. It will also serve as a reference to explain my algorithm for […]

    EMCrit by Josh Farkas .

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

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