Is Post-Cardiac Arrest hypothermia dead?
I am interviewing the TTM2 trial authors tomorrow. What ?s do you have.
Are you still cooling after that impeccable trial?
[1/3] Years of video review of emergency intubations led me to create a list of the discrete errors that I witnessed. Along with some brilliant co-authors, we recently published a paper on this taxonomy. You can see the paper here:
So… next week’s EMCrit episode will be on a new algorithm for dealing with sub-massive and massive PE. It includes fibrinolytic choices as well as whether PERT teams are a good idea in the way they are currently being utilized. (1/5)
EMCrit 354 - Reduced-Dose Systemic Fibrinolysis in Massive Pulmonary Embolism (PE). 25 mg tPA given peripherally over 6 hours may be enough for high-risk submassive and low risk massive.
@OrenFriedman
@jameshorowitzmd
@PulmCrit
So...
Delayed Sequence Intubation (DSI):
It was conceptualized >10 years ago and has evolved quite a bit since then...
Hopefully this thread may disambiguate some of the misunderstandings and add some gasoline to the fire.
One of the most important podcasts I have ever done: EMCrit Podcast 244 - We have been using the wrong pressure for DBP vasopressor titration in Cardiac Arrest with
@sonorambler
EMCrit 231 - How to Practice Cricothyroidotomy (Cric) EVERY MONTH just like
@EmICUcanada
. Print the model, buy a roll of tape and then watch this video:
NeuroEMCrit - The Perils of the ICH Score. If you are using this as a surrogate to not offer aggressive care--Don't DO THAT!
@caseyalbin
&
@drdangayach
EMCrit 368 - Acute Critical Care Medication Reconciliation with Josh Farkas
@pulmcrit
Doesn't sound tantalizing as a topic, but it is absolutely critical to get right! We are not taught this skill in EM or most of CCM
#Pharmacists
peer review please
EMCrit 331 - Awareness after Resus RSI and ICU Paralysis - It is Unacceptable!!! People like my
@emupdates
and I helped to create this problem--now we must fix it. [Should have been paid episode, but too important so whole episode is FOAM4ever] [1/x]:
EMCrit 278 - Labors of Trauma - Blunt Edition (Part 1) - Breaking down the cognitive and operational tasks of a Trauma Team Leader - a project with
@humanfact0rz
-
EMCrit 366 - Should Delayed Sequence Intubation (DSI) become the Standard for Critical Care Intubations?
The ? is not rhetorical--I put it out there as a dialectic. Listen to the episode [
#FOAMed
] and let me know your thoughts.
#JanuAirway
Atypical headache=SAH w/u right? Except sometimes it is CVT. This is a critical diagnosis to make and to treat properly. Today I interview
@caseyalbin
on EMCrit 304 - cerebral venous thrombosis
EMCrit 361 is on the new Life Threatening Tox and Toxicologic Cardiac Arrests from the Am Heart Assoc.
and they are actually really quite good...
a host of agents and some practice changing recs...
EMCrit 317 - Neuro-Prognostication after Cardiac Arrest with
@drdangayach
. If you are winging this prognostication then you are screwing over your patients! [FREEfor3]
EMCrit - Risk Stratification and Treatment of Pulmonary Embolism (PE) 2021 - Is the PERT Wilted? Sick PE is hard, but I think in many ways we are making it even more tough then it needs to be:
EMCrit 367 - Panel: 4 Quadrant Hemodynamic Ultrasound Integration, IVC Ultrasound and Much More! We have a wide ranging conversation on how to break down the physiology of complex shock patients and then how to treat them:
[
#FOAMed
]