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EMCrit Podcast - Critical Care and Resuscitation

Scott D. Weingart, MD FCCM
354 episodes
Online Medical Education on Emergency Department (ED) Critical Care, Trauma, and Resuscitation

Disclaimer: the content and artwork of this podcast are the property of its owner and are not affiliated with nor endorsed by Audiotrails.

EMCrit 295 – Resuscitation Room Readiness

We need to be able to respond instantly to the sickest patients rolling into the resus bay--sometimes with no warning at all.

EMCrit 293 – The Jerk & Check, Functional Heuristics in Resuscitation Project (MotR)

What is a Heuristic? A short cut to extended, analytical thinking that when functional provides a solution that may not be optimal but will be sufficient. When based on cognitive biases, heuristics may be dysfunctional. Wikipedia has a fairly good discussion of heuristics . Thinking Fast and Slo…

EMCrit 292 – IV T3 for Myxedema Coma, A Different Take with Eve Bloomgarden

So we recently did a Myxedema Episode with Arti Bhan . On the show, we were supposed to have a 2nd endocrinologist, but due to scheduling issues, it didn't work out. For a different take on IV T3, today we have that endocrinologist on the show. Eve Bloomgarden , MD Dr. Eve Bloomgarden, MD is…

EMCrit 291 – For Frak’s Sake, Ketamine is at least as Hemodynamically Stable as Etomidate!

Terren Trott, MD Emergency Medicine + Ultrasound + Critical Care Physician + Airway Enthusiast. Editor for 5minuteairway and critical care now. The Original Crit Care Now Blog Post Terren's Post on Critical Care Now The Two NEAR Database Papers on Ketamine Hemodynamics * Mohr e…

EMCrit 290 – Decompensated Hypothyroidism and Myxedema with Dr. Arti Bhan

Thyroid storm is tumultuous and exciting; Myxedema is somewhat enervating and markedly less exciting--but it is also life threatening. We need to know about this disease! Today, I interview Arti Bhan, MD on the topic: Arti Bhan , MD Division Head, Endocrinology @HenryFord Health System "I st…

EMCrit 289 – Ketamine Only Intubation Paper with Brian Driver

Brian Driver, MD Dr. Brian Driver is the Director of Clinical Research in the Department of Emergency Medicine at Hennepin County Medical and an Assistant​ ​Professor​ ​of​ ​Emergency​ ​Medicine at the University of Minnesota Medical School. In 2016, his research was selected for Airway World’s …

EMCrit 288 – Neurogenic Shock & Should we be Using Vasopressors for Hemorrhagic Shock?

Neurogenic Shock Neurogenic shock is on our differential for hypotension and hemodynamic instability in trauma patients. Today, we discuss this condition as well as the use of vasopressors for hemorrhagic shock. Neurogenic Shock is not Spinal Shock Spinal Shock is a loss of reflexes below the le…

EMCrit 287 – Thoracotomy Masterclass with Dennis Kim

Today, we turn back to a topic near and dear to my heart (pun always intended), resuscitative thoracotomy. I covered the basics of this in my: Crack to Cure Lecture If you have not seen that one, you should watch it first. Then come back here to listen to the conversation I had with Dennis Kim. …

EMCrit 286 – The Venous Side Matters Too with Phil Rola

We've spoken about the concepts of venous congestion being problematic beyond just pulmonary edema. I've had Phil Rola on in the past to discuss Venous-side issues such as Renal Compartment Syndrome, the Vexus score, and other issues of the under-respected side of the circulation. Prior Episodes …

EMCrit 285 – More on Palliative Care Conversations in Resuscitation

Rob Orman steers a conversation on skillful ways to discuss code status, comfort care, intubation, and whether or not dying debilitated patients should go to the ICU. For more of the amazing Rob Orman, check out the Stimulus Podcast . Pearls: * When family members have to make…

EMCrit 284 – You are the Product – Delete Your Algorithmic Social Media

Algorithmic social media is stealing your joy and may be making your life dramatically worse. If you haven't watched The Social Dilemma, you probably should sit down and give it a view, especially if you have kids. Advertising + Algorithm Misalignment of incentives Business model in wh…

EMCrit 283 – Dexmedetomidine (Precedex) – You’d have to be Delirious Not to Use It

So this episode addresses a big gap in the EMCrit content, namely a discussion of the myriad uses of dexmedetomine. This is one of the primary agents I use for post-intubation sedation (PAD), but also for things like NIPPV sedation and procedural sedation. Upsides of Dexmedetomine (Precedex) …

EMCrit 282 – Hicks on the Labors of Trauma (Blunt)

Labors of Trauma (Blunt Ed.) So a few weeks ago, I podcasted the Labors of Trauma, a comprehensive list of the responsibilities of a Trauma Team Leader. EMCrit 278 - Labors of Trauma - Blunt Edition I promised that I was going to do a part II with my co-conspirator, Chris Hicks. Hick's Pre-Bri…

EMCrit 281 – Why Can’t Emergency Medicine and Trauma Surgery Just Get Along?

Why Can't Emergency Medicine and Trauma Surgery Just Get Along? This is a question we often ask in the USA given our unique Trauma system. It seems custom built to create conflict in the trauma bay. To explore this issue, I got to talk with Joe DuBose and Bill Teeter. This discussion originally was…

EMCrit 280 – Who Should Get Angiotensin II with Rinaldo Bellomo

I did an initial EMCrit episode on Angiotensin II when the Athos 3 trial was fist published. Today, now that the drug has been available for a while, I wanted to hear from someone smart, with no financial conflicts of interest, on when to actually use this medication. Rinaldo Bellomo MD PhD D…

EMCrit Wee – Is it Tamponade with Jacob Avila

Ultrasound signs of pericardial tamponade with my buddy, Jacob Avila. This episode is simulacasted with Core Ultrasound. Right Atrial Collapse greater than 1/3 of the cycle is probably the most specific   Right Ventricular Collapse If the RV is collapsing when the mitral valve is open, then…

EMCrit 279 – The Decision to use Ketamine – Disruptive and Dangerous with Reub Strayer

I frequently see both residents and attendings inappropriately using ketamine for agitated patients. Inappropriately both by giving it when it is unecessary and giving it in poor fashion when it is indicated. Our guest today is Reub Strayer ( @emupdates ). He is the author of EMUpdates.com. His…

EMCrit 277 – COVID Pulmonary Physiology with Martin Tobin

Today on the podcast, I interview Martin Tobin on 3 papers he has recently written on COVID pulmonary physiology. Martin Tobin * Praise for Dr. Tobin * Bio Page   Caution about Early Intubation in COVID-19 p-SILI From 2 studies, 1 on sheep breathing with a human-equivalent Vt of …

EMCrit 276 – The Rapid Code Status Conversation with Kei Ouchi

Today, I am joined by Kei Ouchi to disucss rapid code status discussions in Emergency Medicine and Critical Care. I came across Kei after he put up an amazing post on ALIEM with his co-author Naomi George. Conversation is the essence of palliative care--we need to be experts at them. Kei Ouchi, …

EMCrit 275 – NeuroCritical Care with Neha Dangayach

Today on the podcast, we discuss Neuro-Emergencies and NeuroCritical Care with Neha Dangayach. This is a wide-ranging conversation that you will truly enjoy. Neha Dangayach Neha is joining the EMCrit team!!!!!! Neha S. Dangayach MD, MSCR is an Assistant Professor of Neurology and Neurosurge…

EMCrit 274 – Team Leadership with Cliff Reid

Team leadership is hard [duh]. Teaching it to our trainees is even tougher. When you work in a team of true experts with established implicit communication, things just flow--giving the the team leader the impression that they actually know what the hell they are doing. The mark of a good team lead…

EMCrit 273 – Inhaled Pulmonary Vasodilators & Q&A with Sara Crager

This episode continues on from last time's talk by Sara Crager on Right Ventricular Failure . This is a Q&A session with a focus on inhaled pulmonary vasodilators. Nitric Oxide Sara likes it through ETT or Hi-Flo NC (can also be done through BIPAP) Start at 20 ppm See results within 5-10 minut…

EMCrit 272 – Right Heart Failure with Sara Crager

We did an amazing episode on EMCrit with Susan Wilcox on Right Heart Failure . However, this oft neglected ventricle deserves even more coverage giving how pesky it can be when it fails. So we brought Sara Crager, MD to Stony Brook to give Grand Rounds. You are going to love this lecture. Part 2 …

EMCrit Wee – COVID Ventilation Round Table Discussion

Participants Josh Farkas Rory Spiegel Cameron Kyle-Sidell Scott Weingart COVID Low Low PEEP Scale not for clinical use, just a thought provoker Personalized PEEP * [Crit Care 2019;23:412] and * [Respiratory Care 2020;65(5):583] and * [Intens Care Med Experimental 2017;5:8]…

EMCrit 271 – Additional, Additional COVID Airway Thoughts with the Actual Audio this Time

Insane, Granular Intubating-Monkey Checklist * Insane Granular Monkey Tube Checklist 2020-04-13 COVID Awake Repositioning and Proning Protocol (CARP) * See the CARP Post Keep 'em from getting Intubated Flow (Adapted from Cam Kyle-Sidell's) * COVID Oxygen Management Flowchart…

EMCrit Wee – The Philosophy of APRV – TCAV with Nader Habashi

This is part 2 of the APRV - TCAV series. In part 1, I gave a primer on APRV . In this 2nd episode, I speak with the creator of the TCAV method of APRV, Nader Habashi. Nader Habashi, MD, FACP, FCCP Department of Trauma Critical Care Medicine, R Adams Cowley Shock Trauma Center, University…

EMCrit 270 – COVID19 Respiratory Rescue and Ventilatory Optimization – Airway Pressure Release Ventilation (APRV) Time-…

APRV Set-Up at its Simplest from the original description: Crit Care Med 1987;15(5):459 PV Curve Setting Tlow Study of APRV * Zhou et al. Theory/Physiology/Reviews of APRV * 40635_2016_Article_85 * document * Nieman2018StablizeaBrokenLung * 180126.full …