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

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

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

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

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

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 

Additional content and educational resources at ICUedu.org

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 

Additional content and educational resources at ICUedu.org

You can find a quick reference chart on inhaled pulmonary vasodilators in the Cardiac Infographics section of the website: https://www.icuedu.org/core-content

Pocket Intensivist Card: Vent Alarms

Access to video version of lecture & supplemental materials: https://www.icuedu.org/ventalarms

Pocket Intensivist Card: LVAD Basics

Lecture audio here, you can access video version of lecture and supplemental content at: https://www.icuedu.org/lvads

Access to video version of lecture, supplemental materials & references at: https://www.icuedu.org/hemorrhagicshock

Pocket Intensivist Card: Hemorrhagic Shock Pathophysiology

Chapter 1: Stages of Shock
Chapter 2: Shock Identification
Chapter 3: Shock Differential Diagnosis

Pocket Intensivist Card: The Shock Continuum

Access to video version of lecture, supplemental materials & references at: https://www.icuedu.org/reframingshock-1

Access to video version of lecture & supplemental materials: https://www.icuedu.org/emcognitiveapproach

Access to video version of lecture & supplemental materials at: https://www.icuedu.org/unstableaf

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

Access to video version of lecture, supplemental materials & references at: https://www.icuedu.org/bipap

Pocket Intensivist Card: BiPAP Initial Settings
Pocket Intensivist Card: BiPAP Troubleshooting

Additional content and educational resources at ICUedu.org

Access to video version of lecture, supplemental materials & references at: https://www.icuedu.org/fluids

Access to video version of lecture & supplemental materials at: https://www.icuedu.org/vents201

Access to video version of lecture & supplemental materials at: https://www.icuedu.org/vents201

Access to video version of lecture & supplemental materials at: https://www.icuedu.org/vents201

Access to video version of lecture & supplemental materials at: https://www.icuedu.org/vents201

Access to video version of lecture & supplemental materials at: https://www.icuedu.org/vents201

Access to video version of lecture & supplemental materials at: https://www.icuedu.org/vents201

Access to video version of lecture & supplemental materials at: https://www.icuedu.org/vents201

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

Access to video version of lecture & supplemental materials at: https://www.icuedu.org/vents201

Access to video version of lecture & supplemental materials at: https://www.icuedu.org/vents201

Link to review article

Access to video version of lecture, supplemental materials at: https://www.icuedu.org/covideti

Take a look at the updated Vent Alarms episode posted 1/13/23 for further discussion of vent alarms!

Access to video version of lecture & supplemental materials at: https://www.icuedu.org/vents101

Access to video version of lecture & supplemental materials at: https://www.icuedu.org/vents101

Access to video version of lecture & supplemental materials at: https://www.icuedu.org/vents101

Access to video version of lecture & supplemental materials at: https://www.icuedu.org/vents101

Access to video version of lecture & supplemental materials at: https://www.icuedu.org/acidbasecasedka

Access to video version of lecture & supplemental materials at: https://www.icuedu.org/acidbasecasedka

Access to video version of lecture & supplemental materials at: https://www.icuedu.org/acidbasecasedka

ICUedu Approach to the Acutely Ill Patient Pocket Intensivist Card

Additional content and educational resources at ICUedu.org

Access to video version of lecture & supplemental materials at: https://www.icuedu.org/acidbasecasedka

Access to video version of lecture & supplemental materials at: https://www.icuedu.org/acidbasecasedka

Access to video version of lecture & supplemental materials at: https://www.icuedu.org/acidbasecasedka

Additional content and educational resources at ICUedu.org