Critical Care Perspectives in Emergency Medicine

Nov 01 2024 60 ep. 28 mins 137

Critical Care Guys: The Minds Behind Critical Care Perspectives in Emergency Medicine. 4 Docs come together to discuss current trends in Emergency Medicine. Check out this podcast to stay up-to-date on the goings ons.

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Naloxone for OHCA?

Nov 01 2024 22 mins

The incidence of opioid-associated out-of-hospital cardiac arrests continues to rise. Current guidelines for the resuscitation of patients with OHCA advise the clinician to consider the administration of naloxone of patients with suspected opioid-associated OHCA. In this podcast, we review a recenlty published study in JAMA that evaluated the association of naloxone with patient ou

Continuous or Intermittent B-Lactam Infusions for Sepsis?

Sep 24 2024 29 mins

Timely administration of broad-spectrum antibiotics is a critical pillar in the resuscitation of patients with sepsis. B-lactam antibiotics are an important class of antibiotics commonly administered to patients with sepsis. Typically, B-lactam antibiotics are administered over 30 minutes, but optimal bactericidal activity requires the concentration of free drug to be above the MIC

What Oxygenation Strategy Should We Use for COVID-19 Patients?

Jul 26 2024 20 mins

Patients with COVID-19 can require supplemental oxygen for acute hypoxemic respiratory failure. While international guidelines recommend a target SpO2 between 90-96%, a safe oxygenation strategy has not been identified. In this podcast, we discuss the recently published HOT-COVID Trial, which compared a lower oxygenation strategy with a higher oxygenation strategy in adult ICU pati

Should We Use NIPPV for Preoxygenation for All Intubations?

Jul 09 2024 26 mins

Over 1 million critically ill patients are intubated each year in the US. Hypoxemia occurs in up to 20% of patients and can lead to peri-intubation cardiovascular collapse and cardiac arrest. As such, adequate and appropriate preoxygenation is critical in increasing the safe apnea time and decreasing the risk of hypoxemia. At present, the majority of patients rece

Cefepime vs. Piperacillin-Tazobactam for Infection? The ACORN Trial

Jun 07 2024 22 mins

Timely and appropriate administration of empiric broad-spectrum antibiotics for adult patients with sepsis is critical. Current guidelines recommend an antipseudomonal antibiotic for those at risk of a resistant gram-negative organism. The two most common antipseudomonal antibiotics prescribed in this setting are cefepime and piperacillin-tazobactam. In recent years, observational

Are We Ventilating our OHCA Patients?

Apr 24 2024 18 mins

In recent years, there has been intense focus on delivering high-quality compressions during the resuscitation of patients with OHCA. In contrast, ventilation metrics in OHCA resuscitation have not been well studied. In this podcast, we discuss a recent publication from Circulation that evaluated ventilation waveforms during OHCA resuscitation and the association of these metrics o

Steroids in Sepsis, ARDS, and CAP – A Focused Clinical Update

Mar 16 2024 22 mins

Critically ill patients commonly develop a dysregulated inflammatory response. Corticosteroids are hypothesized to be beneficial due to their anti-inflammatory properties. In recent years, several studies have been published on the use of corticosteroids in select critical illnesses. In this podcast, we review a recently published clinical update on the use of corticost

A Year in Review – The 2023 Critical Care and Resuscitation Literature

Jan 30 2024 39 mins

In this podcast we review a few key articles from the 2023 critical care, emergency medicine, and resuscitation literature that pertain to our care of the critically ill ED patient.

Should We Intubate For GCS < 8?

Dec 29 2023 24 mins

Acute mental status changes after the ingestion of alcohol or other substances are a common presentation to the ED. Those with severe obtundation may require intubation for airway protection while the substance metabolizes. In fact, more than 20,000 patients are intubated each year in the United States for acute poisoning or intoxication. Notwithstanding, intubation and mechanical

Should We Be Placing REBOA?

Nov 23 2023 24 mins

REBOA is a relatively new and novel technique that in animal studies has demonstrated benefit in controlling hemorrhage. However, the evidence for the efficacy of REBOA in humans remains scant. In this podcast, we discuss the recently published UK-REBOA Trial, which randomized patients to receive REBOA with standard care compared to those randomized to standard care alone. You may