EMCrit Archives show

EMCrit Archives

Summary: Older (but still grand) EMCrit Episodes

Join Now to Subscribe to this Podcast

Podcasts:

 EMCrit Podcast 50 – Acid Base Part IV – Choose the Solution Based on the Problem | File Type: audio/mpeg | Duration: 21:23

This is Part 4 of the Acid Base saga. In this episode, I discuss the acid base effects of fluids and when and how to use sodium bicarbonate.

 EMCrit Podcast 49 – The Mind of a Resus Doc: Logistics over Strategy | File Type: audio/mpeg | Duration: 9:41

This Part I of the Mind of a Resus Doc Series, in which we delve into the philosophies that make a good resuscitationist.

 EMCrit Podcast 48 – PhD in EKGs Part II: Left Bundle Branch Block | File Type: audio/mpeg | Duration: 17:56

A few months ago, we had Dr. Stephen Smith on the podcast to discuss a variety of EKG issues. Dr. Smith has an EKG blog that is required reading for every ED and ICU doc. This is Part II and I think it discusses an incredibly important issue: right now major medical societies including the AHA and ACEP are asking us to fibrinolyse or PCI patients with new or presumed new LBBB. However, your interventionalists will tell you that this strategy is a ridiculous waste given how few acute occlusions will actually be found. Why this discrepancy?

 EMCrit Podcast 47 – Failure to Plan for Failure: A Discussion of Airway Disasters | File Type: audio/mpeg | Duration: 32:57

Cliff Reid of Resus.Me fame put out an incredible post on NAP4, the audit done on all of the airway complications in Great Britain. It was such a phenomenal post that I got in touch with Cliff and asked if he wanted to come on the podcast to speak about it. He did me one better and got an interview with one of the authors of the Emergency and Critical Care Section.

 EMCrit Podcast 46 – Acid Base: Part III | File Type: video/mp4 | Duration: 18:42

In part III, we go through 2 cases of acid base abnormalities step by step.

 EMCrit Podcast 45 – Acid Base: Part II | File Type: video/mp4 | Duration: Unknown

This second lecture discusses a quantitative approach to acid base management. I lay out the formula I use to approach an acid-base problem.

 EMCrit Podcast 44 – Acid Base: Part I | File Type: video/mp4 | Duration: 25:00

This lecture discusses a quantitative approach to acid base management. This is also known as the Fencl-Stewart approach, the strong-ion approach or the physicochemical approach. It provides explanations for why acid base disorders occur in human pathophysiology.

 EMCrit Podcast 42: A phD in EKG with Steve Smith | File Type: audio/mpeg | Duration: 28:30

Electrocardiograms can be subtle; but you can't miss them or patients die. Today, I interview, Dr. Stephen Smith of the incredible blog: Dr. Smith's EKG Blog.

 EMCrit Podcast 41 – Interview with Cliff Reid of RESUS.me | File Type: audio/mpeg | Duration: 25:00

I was lucky to cajole Cliff Reid of the amazing blog, resus.me on to the EMCrit program. Cliff is truly a doc after my own heart as you will hear from the cast.

 EMCrit Podcast 40 – Delayed Sequence Intubation (DSI) | File Type: audio/mpeg | Duration: 19:51

Delayed Sequence Intubation (DSI) is a procedural sedation, the procedure in this case being effective preoxygenation. Give ketamine, put them on the mask, and in 3 minutes paralyze and intubate.

 EMCrit Podcast 39 – Hyponatremia | File Type: audio/mpeg | Duration: 21:26

Hmm… he’s tasty, but he just needs a little salt! In this podcast, I discuss the management of hyponatremia in the ED.

 EMCrit Podcast 38 – The ED Critical Care Dirty Dozen for 2010 | File Type: audio/mpeg | Duration: 13:09

My favorite ED things for 2010...the EMCrit dirty dozen.

 EMCrit Podcast 37 – Lactate in Sepsis | File Type: audio/mpeg | Duration: 28:56

When an ED starts providing advanced care for severe sepsis, lactate testing is an absolute requirement. Lactate use brings up a lot of questions, especially if it is not commonly ordered in your department. In this podcast, I discuss all of the lactate questions that have come up in the course of the NYC Sepsis Collaborative.

 EMCrit Podcast 36 – Traumatic Arrest | File Type: audio/mpeg | Duration: 20:19

Management of traumatic arrest. Many things to do in these patients, but two things you definitely should not be doing are closed-chest CPR or giving ACLS medications. We discuss who gets a thoracotomy, what to do if a thoracotomy is not indicated, and when to stop.

 EMCrit Podcast 35 – Extubation in the ED | File Type: audio/mpeg | Duration: 14:27

In this podcast, I discuss extubating patients in the ED. Specifically, I deal with patients who have only been intubated for a few hours in distinction to extubation of the patient who has been lingering in your ED for 2-3 days. The best patients for this short-term extubation are those intox folks with a low GCS and signs of trauma, overdoses, or endoscopy cases.

Comments

Login or signup comment.