Episodes
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Updated talk on fluids in sepsis!
Access to video version of lecture, supplemental materials & references at:
https://www.icuedu.org/fluids-in-sepsis -
How can the science of expertise inform our ability to attain excellence in resuscitation?
Additional content and educational resources at ICUedu.org
References for the papers mentioned in the episode:
Kovacs & Croskery. Clinical Decision Making: An Emergency Medicine Perspective. Academic Emergency Medicine, 1999; 6(9): 947-952
The Neuroscience of Expertise. Bilalic (2017), Cambridge University Press
Jeon et al. What does “being an expert” mean to the brain? Functional specificity and connectivity in expertise. Cerebral Cortex, 2017; 27(12): 5603-5615
Gobet & Simon. Recall of random and distorted chess positions: Implications for the theory of expertise. Memory & Cognition, 1996; 24(4): 493-503
Gold & Ciorciari. A Review on the Role of the Neuroscience of Flow States in the Modern World. Behav Sci (Basel), 2020;10(9):137 -
Missing episodes?
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Management approach for electrical storm!
For a deep dive into EKGs in wide complex tachycardias, take a look at this awesome lecture by Amal Mattu.
References to articles mentioned in the podcast:
Cheskes et al. Defibrillation Strategies for Refractory Ventricular Fibrillation. N Engl J Med. 2022 Nov 24;387(21):1947-1956
Ortiz et al. Randomized comparison of intravenous procainamide vs. intravenous amiodarone for the acute treatment of tolerated wide QRS tachycardia: the PROCAMIO study. Eur Heart J 2017;38(17):1329-1335
Song et al. Association of Dexmedetomidine With New-Onset Atrial Fibrillation in Patients With Critical Illness. JAMA Netw Open 2023;6(4):e239955
Wang etc. Effect of Dexmedetomidine on Tachyarrhythmias After Cardiac Surgery: A Systematic Review and Meta-Analysis. J Cardiovasc Pharmacol 2022;79(3):315-324
Zhong et al. Dexmedetomidine Reduces Incidences of Ventricular Arrhythmias in Adult Patients: A Meta-Analysis. Cardiol Res Pract 2022;5158362
Do et al. Thoracic Epidural Anesthesia Can Be Effective for the Short-Term Management of Ventricular Tachycardia Storm. J Am Heart Assoc. 2017 Oct 27;6(11):e007080
Tian et al. Effective Use of Percutaneous Stellate Ganglion Blockade in Patients With Electrical Storm. Circ Arrhythm Electrophysiol. 2019;12(9):e007118
Batnyam et al. Safety and Efficacy of Ultrasound-Guided Sympathetic Blockade by Proximal Intercostal Block in Electrical Storm Patients. JACC Clin Electrophysiol 2024;10(4):734-746
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ICUedu Physiologically Difficult Airway Pocket Intensivist Card
ICUedu.org page with video lecture, references, and a downloadable link to key visuals: https://www.icuedu.org/physiologicallydifficultairway -
We know what to do with the patient who is sick and hypotensive. But what about the patient who is sick but not hypotensive? Or the patient who is hypotensive but not sick?
References for the papers mentioned in the podcast on use of midodrine in the ED:
Puissant et al (2022). Wait, What? Oral Midodrine Instead of Pressors for Septic Shock? Annals of Emergency Medicine;80(4):S94
Zada et al (2024). Midodrine in Early Septic Shock. Critical Care Medicine 52(1):S708
Lal et al (2021). Oral Midodrine Administration During the First 24 Hours of Sepsis to Reduce the Need of Vasoactive Agents: Placebo-Controlled Feasibility Clinical Trial. Critical Care Explorations 3(5):e0382
Additional content and educational resources at ICUedu.org -
ICUedu Approach to the Acutely Ill Patient Pocket Intensivist Card
Additional content and educational resources at ICUedu.org -
Additional content and educational resources at ICUedu.org
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ICUedu Acid-Base 2.0 Pocket Intensivist Card
This lecture has a lot of important visuals. Here is is a link to the ICUedu.org subpage with the video lecture and a downloadable link to the key lecture visuals:
https://www.icuedu.org/approachacidbase -
ICUedu Vasoplegia Pocket Intensivist Card
Additional content and educational resources at ICUedu.org -
Additional content and educational resources at ICUedu.org
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Like the Trauma Survey... but for sepsis!
Additional content and educational resources at ICUedu.org -
Updated talk on approach to cardiac arrest!
Access to video version of lecture, supplemental materials & references at: https://www.icuedu.org/cardiacarrest -
Additional content and educational resources at ICUedu.org
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Additional content and educational resources at ICUedu.org
More discussion of unstable A-fib: https://www.icuedu.org/unstableaf -
Additional content and educational resources at ICUedu.org
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Blood Gas Reading Skills series
Additional content and educational resources at ICUedu.org
If you have ABGs you are interested in submitting for possible discussion, you can send along the ABG, the basic metabolic panel, and the albumin (if you have it) as well as a one-liner summary of the clinical context through the ICUedu comments section -
Update content January 2024! New (and hopefully improved...) version.
Pocket Intensivist Card: 3-Pressures Hemodynamic Physiology Map
This lecture has a lot of important visuals. Here is is a link to the ICUedu.org subpage with the video lecture and a downloadable link to the key lecture visuals:
https://www.icuedu.org/reframingshock-2 -
Chapter 1: Clinical Context
Chapter 2: Physiology
Chapter 3: Diagnosis and Differential Diagnosis
Chapter 4: Spiral of Death
Chapter 5: Management
Chapter 6: Recap
ICUedu Pocket Intensivist Card: RV Failure Pathophysiology
ICUedu Pocket Intensivist Card: RV Failure Management
ICUedu Pocket Intensivist Card: Pressors in RV Failure
Access to video version of lecture, supplemental materials & references at:
https://www.icuedu.org/rvfailure
Link to review article -
Chapter 1: Why Start Vasoactives?
Chapter 2: When Start Vasoactives?
Chapter 3: Which Vasoactive to Start?
ICUedu Pocket Intensivist Card - Vasoactive Properties
Access to video version of lecture, supplemental materials & references at: https://www.icuedu.org/pressorsvasoactives -
Additional content and educational resources at ICUedu.org
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