Why We Prone Patients
You ever wonder why we prone patients with acute respiratory distress syndrome? Watch this CritBits and find out.
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Critical Care
Disseminated Intravascular Coagulation
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Dr. Comber discusses DIC
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Cap Refill and Lactate
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A growing body of literature shows targeting capillary refill time is non-inferior to lactate clearance in sepsis resuscication.
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#EMConf: Acid-Base
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A 31-year-old female with a history of Type 1 Diabetes presents via EMS after being found unresponsive by family. You assess the patient and are concerned about DKA. Let's interpret her acid-base status.
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TTP: Rapid diagnosis and management
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You are working at a tertiary care center and a 55-year-old woman is transferred to you from an outside hospital for severe persistent thrombocytopenia of unknown origin. On arrival, she is mildly confused and tachycardic. The platelet count is 7K and the hemoglobin is 5.8. Peripheral blood smear demonstrates schistocytes consistent with microangiopathic hemolytic anemia. The diagnosis of thrombotic thrombocytopenic purpura (TTP) is suspected. TTP is a hematologic emergency: what are the next steps in management?
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How to Manage Refractory Hypoxemia
As the COVID epidemic continues with cases rising, managing patients with hypoxemia will continue to be challenging. This video with Dr. Matt Siuba and myself will discuss a few strategies to manage the patient with refractory hypoxemia.
The video is here
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Fishing for Hooks: A Therapeutic Misadventure
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Dr. Sikina discusses an interesting foreign body case.
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#EMConf: Do Corticosteroids Decrease Duration of Mechanical Ventilation in ARDS?
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Dr. Sewatsky discusses the DEXA-ARDS study.
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Critical Procedures: How to Create a Pericardiocentesis Model
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Pericardiocentesis is a rarely performed, but potentially life-saving procedure. Commerical models are prohibitively expensive, but students and residents (and critical care fellows) still need to learn the mechanics, ideally with an ultrasound compatibile model. This week's post gives a step by step guide towards making a cheap, easy to fabricate phantom based on this fantastic paper published in the Journal of Emergency Medicne 2012: https://www.ncbi.nlm.nih.gov/pubmed/21925818
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Post ROSC Care
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A patient is brought to the ED following a cardiac arrest. ROSC is achieved 1 minute after arrival to the ED. What treatments should the ED physician provide to allow the best outcomes?
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