#EMconf: Resus/EM Conference Pearls


Dr. Phillip Dellinger: “A Look Back on Emergency Medicine and Critical Care”
-Emergency Medicine and Critical Care have come a long way since their initiation and will continue to become a focus of medical care in the future

Dr.  Annahieta Kalantari: “ Sepsis 3.0”
-SIRS is more sensitive for detecting sepsis early, qSOFA is a better predictor of mortality

Dr. Emily Damuth: “Fever in sepsis: protective or pathologic?”
-While energetically expensive, fever enhances the immune system, so don’t reflexively treat fevers!

Dr. Richard Byrne: “How (Not) to kill your patient with intubation (without really trying)”
-Keep patient inclined at 30-45 degrees during preoxygenation and intubation to help with respiratory mechanics and increase first pass success

Dr. Lars Peterson: “Post-ETT Management: Don’t drop the laryngoscope and walk away”
-The post intubation High Five: correct Tidal Volume, correct oxygen dose, assess ventilation (proper respiratory rate), analgesia before sedation and the post intubation care bundle 

Dr. John Greenwood: “Nobody cares about the Right Ventricle…but you should!”
-With right ventricular failure, hypotension is often improved with inotropic support over further volume resuscitation

Dr. Dave Gaieski: “Lucas as bridge to cath lab and ECMO”
-A potential advancement for patients with persistent arrest will be to maintain and continue mechanical CPR (ex LUCAS) while undergoing cardiac catheterization and cannulation to ECMO

Dr. Ryan Gibbons: “Ultrasound in Cardiac Arrest”
-Ultrasound can help quickly differentiate if a patient is in asystole or ventricular fibrillation and thus can play a strong role in therapy during ACLS

Dr. Hope Kilgannon: “On the road to resuscitation: Check your MAP”
-Kilgannon’s “Secret Sauce” is to maintain a MAP greater than 80 post cardiac arrest

Dr. Brian Roberts: “Post-cardiac arrest oxygenation: don’t just set it and forget it”
-Avoid hyperoxemia post-ROSC to improve neurologic outcomes

Dr. Erin Sabolick: “Managing your team during cardiac arrest”
-Introduce yourself, prepare the team, own your role and maintain focus

Dr. Haney Mallemat: “Beyond the H’s and the T’s”
-For PEA arrest, if there is a narrow QRS think mechanical; if there is a wide QRS think metabolic. 

Dr. Steve Trzeciak: “The clinical and economic value of caring”
-The antidote to burnout is at the bedside. Compassion over escapism. Connect more and share more.