Interpreting ABGs in five easy steps.

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.

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!

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?!?!

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.

Treating well selected patients with VTE at home without admission is something our group has discussed on and off for the last several years. Today we have a special guest on the show one of our intensivists Jermaine Jackson, MD.