We invited Dr. Robert Baughman, the world's leading expert on sarcoidosis from the University of Cincinnati onto the show to discuss some advanced topics in sarcoidosis management.
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In the past, advanced macrolide monotherapy (azithromycin and clarithromycin) was recommended for outpatient treatment of CAP and COPD AE with acute bronchitis. I'm starting to question if this is consistent with best practice.
Read More![[JC SERIES] Episode 3: What's the Harm?](https://images.squarespace-cdn.com/content/v1/57313085a3360c6b87c17029/1506947021718-7EII6848FAQPQUKLHOF9/blueberries-500x313.jpg)
This episode is all about HARM:
Does a particular exposure to a particular variable cause harm in a given patient population?
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How many of you have been signed out the following?
"He's just on low dose Neo…"
"He's got his Levo running through a midline"
"I was hoping to wean off his pressors to avoid placing a central line but we just had to go up…sorry!"
Read MoreWe brought in Chad Case, MD: our System ICU Director and Chief of Critical Care at our hospital system to talk controversies in sepsis management. Is EGDT dead? If so, what do we teach non-intensivists that staff 70% of ICUs nation-wide? Does dobutamine belong in the trash along with CVP, ScvO2, passive leg raise, PA caths & POCUS? Is there anything we CAN do nowadays??
Read More![[JC Series] Episode 2: Therapy](https://images.squarespace-cdn.com/content/v1/57313085a3360c6b87c17029/1501340112003-1IHO5SA9ML6VQ4OIGBP1/SISSOL.jpg)
This episode is all about therapy.
Therapy foregrounds seek to answer: Does a given intervention have a meaningful effect on patient outcomes?
Read More![[JC Series] Critical Appraisal: MACMAN Trial - SHOWDOWN: Video vs Direct Laryngoscopy](https://images.squarespace-cdn.com/content/v1/57313085a3360c6b87c17029/1499790941898-XF2OFCY1YVEXD9VF4QSW/macman.png)
Listen as we critically appraise the MACMAN Trial (JAMA 2017;317(5):483-493. doi:10.1001/jama.2016.20603).
This trial is an RCT looking at VL vs DL for routine orotracheal intubation in the intensive care unit.
This is part of our Journal Club Series - if you haven't listened to episode 1, hit pause and go listen to that first!
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We work in a multi-hospital system made up of multiple secondary community hospitals and one large quarternary facility downtown. Our community hospitals have a strong ICU team who routinely admit and manage patients with severe ARDS. They are capable of paralytics and proning but do not have access to ECMO. The questions we often struggle with are: who needs to transfer for ECMO? when do they need to transfer? how do we know who will end up being too sick to transfer? at what point should we make the phone call to the big house?
We sat down with our ICU director and our local ECMO guru to answer these questions. Tune in!
Read MoreWe invited Ryan and Sarah Gibson on the show for an inspiring talk about their experiences dealing with critical illness, rehabilitation, managing expectations and life after the intensive care unit.
Read MoreThe consensus from our first virtual podcast club: Emcrit's Cardiac Arrest Update
Read MoreThis podcast is about a new method of communication called the ASSESSMENT ORIENTED PRESENTATION (AO).
Read MoreHemodynamic Classification of Acute PE (AHA)
Massive PE
- SBP <90 for 15 min or req. inopressor support
- OR Pulselessness
- OR Sustained HR <40, s/sx of shock
Definitions
- Paroxysmal - terminates spontaneously, without intervention in 7d (or has in past)
- Persistent - > 7 days
- Long-standing persistent - > 12 mo
- Permanent - cardioversion failed or never attempted
- Valvular - 2/2 rheumatic mitral stenosis, mechanical valve or mitral valve repair
For Part I of to ARDSnet and Beyond, we delve into the basics of the deadly disease we call ARDS and being talking about how we manage it. For Part II, we talk about what to do when ARDSnet isn’t enough. And most importantly we discover - What happened to Phil?!?!
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We snuck in on an interview between two powerhouses in Pulmonary & Critical Care Medicine - Dr. Amy Hajari Case and Dr. Randall Young. This is part II of a series inspired by a grand rounds lecture on the current state of lung transplant medicine given by Dr. Randall Young. His bio can be found here.
Read More“It’s stupid o’clock in the morning. I’m wide awake and have been for two hours. Ironically I think tonight’s insomnia is because I am on holiday and I am thinking through what I may not have finished or handed over thoroughly enough. I suppose this means I am stressed...”
— Steve Jones
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