Explore every episode of the podcast Saving Lives Podcast: Critical Care w/eddyjoemd
| Title | Pub. Date | Duration | |
|---|---|---|---|
| Dexmedetomidine in Septic Shock: DecatSepsis Trial | 25 Sep 2024 | 00:10:35 | |
In this episode of the Saving Lives Podcast, we dive into the DecatSepsis trial, exploring the role of dexmedetomidine in reducing mortality and managing septic shock. Discover how this sedative could help mitigate the harmful effects of the hyperadrenergic state in septic patients. The Vasopressor & Inotrope Handbook I have written "The Vasopressor & Inotrope Handbook: A Practical Guide for Healthcare Professionals," a must-read for anyone caring for critically ill patients (check out the reviews)! You have several options to get a physical copy. Amazon: ā ā https://amzn.to/47qJZe1ā ā (Affiliate Link) Signed & Personalized Copy: ā ā https://eddyjoemd.myshopify.com/products/the-vasopressor-inotrope-handbookā ā My website: ā ā www.eddyjoemd.comā ā Instagram: ā ā www.instagram.com/eddyjoemdā ā X: ā ā www.x.com/eddyjoemdā ā Facebook: ā ā www.facebook.com/eddyjoemdā ā My Amazon store for resources you may find helpful: ā ā www.amazon.com/shop/eddyjoemdā ā @eddyjoemd is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com Although great care has been taken to ensure that the information in this podcast is accurate, eddyjoemd, LLC shall not be held responsible or liable for its continued accuracy or any errors, omissions, inaccuracies, or consequences arising from it. Citation Ezz Al-Regal AR, Ramzy EA, Allah Atia AA, Emara MM. Dexmedetomidine for Reducing Mortality in Patients With Septic Shock A Randomized Controlled Trial (DecatSepsis). Chest. 2024 Jul 14:S0012-3692(24)04601-4. doi: 10.1016/j.chest.2024.06.3794. Epub ahead of print. PMID: 39004217. | |||
| Minocycline: A New Hope in Delirium Prevention for Critically Ill Patients? | 01 Sep 2024 | 00:10:05 | |
In this episode of the Saving Lives Podcast, we discuss a recent randomized controlled trial exploring the use of minocycline to prevent delirium in critically ill patients. The study reveals that minocycline may significantly reduce delirium incidence and hospital mortality, offering a promising new pharmacologic approach. The Vasopressor & Inotrope Handbook I have written "The Vasopressor & Inotrope Handbook: A Practical Guide for Healthcare Professionals," a must-read for anyone caring for critically ill patients (check out the reviews)! You have several options to get a physical copy. Amazon: ā ā https://amzn.to/47qJZe1ā ā (Affiliate Link) Signed & Personalized Copy: ā ā https://eddyjoemd.myshopify.com/products/the-vasopressor-inotrope-handbookā ā My website: ā ā www.eddyjoemd.comā ā Instagram: ā ā www.instagram.com/eddyjoemdā ā X: ā ā www.x.com/eddyjoemdā ā Facebook: ā ā www.facebook.com/eddyjoemdā ā My Amazon store for resources you may find helpful: ā ā www.amazon.com/shop/eddyjoemdā ā @eddyjoemd is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com Although great care has been taken to ensure that the information in this podcast is accurate, eddyjoemd, LLC shall not be held responsible or liable for its continued accuracy or any errors, omissions, inaccuracies, or consequences arising from it. Citation Dal-Pizzol F, Coelho A, Simon CS, Michels M, Corneo E, Jeremias A, DamĆ”sio D, Ritter C. Prophylactic Minocycline for Delirium in Critically Ill Patients: A Randomized Controlled Trial. Chest. 2024 May;165(5):1129-1138. doi: 10.1016/j.chest.2023.11.041. Epub 2023 Dec 1. PMID: 38043911. | |||
| Mitraclip Complications to Watch Out For | 14 Feb 2024 | 00:06:45 | |
In this episode of The Saving Lives Podcast, we explore the innovative MitraClip system, a less invasive treatment for mitral regurgitation. The discussion covers the device's evolution, its impact on patient outcomes, and the challenges and complications associated with its use. The Vasopressor & Inotrope Handbook I have written "The Vasopressor & Inotrope Handbook: A Practical Guide for Healthcare Professionals," a must-read for anyone caring for critically ill patients (check out the reviews)! You have several options to get a physical copy. Amazon: ā ā https://amzn.to/47qJZe1ā ā (Affiliate Link) Signed & Personalized Copy: ā ā https://eddyjoemd.myshopify.com/products/the-vasopressor-inotrope-handbookā ā My website: ā ā www.eddyjoemd.comā ā Instagram: ā ā www.instagram.com/eddyjoemdā ā X: ā ā www.x.com/eddyjoemdā ā Facebook: ā ā www.facebook.com/eddyjoemdā ā My Amazon store for resources you may find helpful: ā ā www.amazon.com/shop/eddyjoemdā ā @eddyjoemd is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com Although great care has been taken to ensure that the information in this podcast is accurate, eddyjoemd, LLC shall not be held responsible or liable for its continued accuracy or any errors, omissions, inaccuracies, or consequences arising from it. Citation: Schnitzler K, Hell M, Geyer M, Kreidel F, MĆ¼nzel T, von Bardeleben RS. Complications Following MitraClip Implantation. Curr Cardiol Rep. 2021 Aug 13;23(9):131. doi: 10.1007/s11886-021-01553-9. PMID: 34387748; PMCID: PMC8363549. | |||
| Neutrophil to Lymphocyte Ratio (NLR): Predicting Outcomes in COVID-19 | 23 Nov 2020 | 00:10:50 | |
Could a CBC w/diff tell us who's going to do poorly with COVID? Using the neutrophil to lymphocyte ratio could be quite helpful. Show Notes: www.eddyjoemd.com/NLR Receive a FREE audiobook (TWO for Amazon Prime members) with your FREE 30-day trial by using my link for Audible: CLICK HERE! You will be reminded when your trial is ending, by the way. š Although great care has been taken to ensure that the information in this podcast are accurate, eddyjoe, LLC shall not be held responsible or in any way liable for the continued accuracy of the information, or for any errors, omissions or inaccuracies, or for any consequences arising therefrom. Website: www.eddyjoemd.com Citation: Li, X., Liu, C., Mao, Z.Ā et al.Ā Predictive values of neutrophil-to-lymphocyte ratio on disease severity and mortality in COVID-19 patients: a systematic review and meta-analysis.Ā Crit Care 24,Ā 647 (2020). https://doi.org/10.1186/s13054-020-03374-8 | |||
| DKA: Which IV Fluids to Use? Balanced Salt Solutions or 0.9% NaCl | 21 Nov 2020 | 00:15:35 | |
Looking into which fluids we should use to resuscitate our patients who are in Diabetic Ketoacidosis based on the findings of the SALT-ED and SMART trials. Receive a FREE audiobook (TWO for Amazon Prime members) with your FREE 30-day trial by using my link for Audible: CLICK HERE! You will be reminded when your trial is ending, by the way. š Although great care has been taken to ensure that the information in this podcast are accurate, eddyjoe, LLC shall not be held responsible or in any way liable for the continued accuracy of the information, or for any errors, omissions or inaccuracies, or for any consequences arising therefrom. My website: www.eddyjoemd.com | |||
| ROX Index: Predicting High-Flow Nasal Cannula Outcomes | 18 Nov 2020 | 00:13:35 | |
The ROX index is defined as the ratio of oxygen saturation as measured by pulse oximetry (SpO2)/FIO2Ā to respiratory rate (RR). It stands for Respiratory rate - OXygenation.Ā ROX ā„ 4.88 at 2, 6, and 12 hours means they're likely in the safe zone. ROX < 2.85 at 2 hours, ROX < 3.47 at 6 hours, ROX < 3.85 at 12 hours means the patient likely needs to be intubated.Ā Show Notes: www.eddyjoemd.com/rox Receive a FREE audiobook (TWO for Amazon Prime members) with your FREE 30-day trial by using my link for Audible: CLICK HERE! You will be reminded when your trial is ending, by the way. š Although great care has been taken to ensure that the information in this podcast are accurate, eddyjoe, LLC shall not be held responsible or in any way liable for the continued accuracy of the information, or for any errors, omissions or inaccuracies, or for any consequences arising therefrom. My website: www.eddyjoemd.com | |||
| Fluvoxamine: A Potential Outpatient Treatment for COVID | 14 Nov 2020 | 00:12:19 | |
Fluvoxamine is an SSRI that may improve outcomes in COVID-19 when administered in the outpatient setting. This small trial published in JAMA two days ago looks into the positive effects of this therapy to prevent clinical worsening of patients with COVID. Show Notes: https://eddyjoemd.com/fluvoxamine Receive a FREE audiobook (TWO for Amazon Prime members) with your FREE 30-day trial by using my link for Audible: CLICK HERE! You will be reminded when your trial is ending, by the way. š Although great care has been taken to ensure that the information in this podcast are accurate, eddyjoe, LLC shall not be held responsible or in any way liable for the continued accuracy of the information, or for any errors, omissions or inaccuracies, or for any consequences arising therefrom. My website: www.eddyjoemd.com Citation: Lenze EJ, Mattar C, Zorumski CF, Stevens A, Schweiger J, Nicol GE, Miller JP, Yang L, Yingling M, Avidan MS, Reiersen AM. Fluvoxamine vs Placebo and Clinical Deterioration in Outpatients With Symptomatic COVID-19: A Randomized Clinical Trial. JAMA. 2020 Nov 12. doi: 10.1001/jama.2020.22760. Epub ahead of print. PMID: 33180097. | |||
| Aspirin & COVID-19: Does it Decrease the Severity of Illness? | 25 Oct 2020 | 00:11:43 | |
Could Aspirin 81mg in COVID-19 patients help keep them off of mechanical ventilation, out of the ICU, and decrease mortality? Let's explore! Show Notes: https://eddyjoemd.com/aspirin-covid/ Receive a FREE audiobook (TWO for Amazon Prime members) with your FREE 30-day trial by using my link for Audible: CLICK HERE! You will be reminded when your trial is ending, by the way. š Although great care has been taken to ensure that the information in this podcast are accurate, eddyjoe, LLC shall not be held responsible or in any way liable for the continued accuracy of the information, or for any errors, omissions or inaccuracies, or for any consequences arising therefrom. My website: www.eddyjoemd.com Citation: Chow JH, Khanna AK, Kethireddy S, Yamane D, Levine A, Jackson AM, McCurdy MT, Tabatabai A, Kumar G, Park P, Benjenk I, Menaker J, Ahmed N, Glidewell E, Presutto E, Cain S, Haridasa N, Field W, Fowler JG, Trinh D, Johnson KN, Kaur A, Lee A, Sebastian K, Ulrich A, PeƱa S, Carpenter R, Sudhakar S, Uppal P, Fedeles BT, Sachs A, Dahbour L, Teeter W, Tanaka K, Galvagno SM, Herr DL, Scalea TM, Mazzeffi MA. Aspirin Use is Associated with Decreased Mechanical Ventilation, ICU Admission, and In-Hospital Mortality in Hospitalized Patients with COVID-19. Anesth Analg. 2020 Oct 21. doi: 10.1213/ANE.0000000000005292. Epub ahead of print. PMID: 33093359. | |||
| Cardiac Arrest & COVID-19: A Very Poor Combination | 24 Oct 2020 | 00:15:37 | |
Do COVID-19 patients who suffer a cardiac arrest in the hospital survive? Should we even attempt CPR on these COVID patients? We should. Show Notes: https://eddyjoemd.com/cardiac-arrest-covid/Ā Receive a FREE audiobook (TWO for Amazon Prime members) with your FREE 30-day trial by using my link for Audible: CLICK HERE! You will be reminded when your trial is ending, by the way. š Although great care has been taken to ensure that the information in this podcast are accurate, eddyjoe, LLC shall not be held responsible or in any way liable for the continued accuracy of the information, or for any errors, omissions or inaccuracies, or for any consequences arising therefrom. My website: www.eddyjoemd.com Citation: Shah, Priyank MD, MPH, FACC1; Smith, Hallie ABJ, MS; Olarewaju, Ayodeji MD; Jani, Yash MS; Cobb, Abigail MSN, FNP; Owens, Jack MD, MPH; Moore, Justin MPH, PhD; Chenna, Avantika MD; Hess, David MD. Is Cardiopulmonary Resuscitation Futile in Coronavirus Disease 2019 Patients Experiencing In-Hospital Cardiac Arrest?, Critical Care Medicine: October 21, 2020 - Volume Online First - Issue - doi: 10.1097/CCM.0000000000004736 | |||
| Community Questions: Staying Up To Date, Time Management, and Work/Life Balance | 25 Sep 2020 | 00:08:54 | |
Criticalcarenow.com Although great care has been taken to ensure that the information in this podcast are accurate, eddyjoe, LLC shall not be held responsible or in any way liable for the continued accuracy of the information, or for any errors, omissions or inaccuracies, or for any consequences arising therefrom. My website: www.eddyjoemd.com | |||
| You SHOULD Pursue Critical Care! Part 1 | 21 Sep 2020 | 00:12:59 | |
This is meant to encourage you to pursue a career in the many branches of Critical Care Medicine, whether you're a physician, NP, PA, or nurse. I love my job/career and I love my team. I would love it if you had the same career satisfaction as well. These are my opinions and I could be wrong.Ā Show Notes: https://eddyjoemd.com/yes-critical-care/ Although great care has been taken to ensure that the information in this podcast are accurate, eddyjoe, LLC shall not be held responsible or in any way liable for the continued accuracy of the information, or for any errors, omissions or inaccuracies, or for any consequences arising therefrom. My website: www.eddyjoemd.com | |||
| Emotional Intelligence in the ICU | 20 Sep 2020 | 00:15:01 | |
This paper by Dr. Stoller out of the Cleveland Clinic published in CHEST several days ago caught my eye. It describes how developing and practicing medicine with emotional intelligence helps us in healthcare with "enhanced patient satisfaction, lower burnout, lower litigation risk, and enhanced leadership success". Let's take a deeper dive on this.Ā Show Notes: https://eddyjoemd.com/emotional-intelligence-icu Although great care has been taken to ensure that the information in this podcast are accurate, eddyjoe, LLC shall not be held responsible or in any way liable for the continued accuracy of the information, or for any errors, omissions or inaccuracies, or for any consequences arising therefrom. My website: www.eddyjoemd.com Citation: Stoller JK, Leadership Essentials for the Chest Physician: Emotional Intelligence, CHEST (2020), doi: https://doi.org/10.1016/j.chest.2020.09.093. | |||
| Do NOT pursue Critical Care! Part 3 | 11 Sep 2020 | 00:13:37 | |
This is not meant to deter you from going into the many branches of Critical Care Medicine, whether you're a physician, NP, PA, or nurse. I love my job/career and I love my team. Rather to inform you of the challenges that you will have to deal with so that you're not blindsided. Show Notes: https://eddyjoemd.com/not-critical-care/ Although great care has been taken to ensure that the information in this podcast are accurate, eddyjoe, LLC shall not be held responsible or in any way liable for the continued accuracy of the information, or for any errors, omissions or inaccuracies, or for any consequences arising therefrom. My website: www.eddyjoemd.com | |||
| Rethinking Physical Restraints: Unveiling ICU Practices and Patient Care | 07 Feb 2024 | 00:07:39 | |
In this episode of The Saving Lives Podcast, we delve into the compelling findings of a recent review on the adverse effects of physical restraint use in ICUs. We discuss the paradoxical nature of restraints, designed for patient safety but linked to significant complications, including skin injuries, delirium, PTSD, and more. Understanding the limitations of our current system, we explore how this research urges a shift towards more compassionate, patient-centered care and the critical need for alternative practices. The Vasopressor & Inotrope Handbook I have written "The Vasopressor & Inotrope Handbook: A Practical Guide for Healthcare Professionals," a must-read for anyone caring for critically ill patients (check out the reviews)! You have several options to get a physical copy. Amazon: ā ā https://amzn.to/47qJZe1ā ā (Affiliate Link) Signed & Personalized Copy: ā ā https://eddyjoemd.myshopify.com/products/the-vasopressor-inotrope-handbookā ā My website: ā ā www.eddyjoemd.comā ā Instagram: ā ā www.instagram.com/eddyjoemdā ā X: ā ā www.x.com/eddyjoemdā ā Facebook: ā ā www.facebook.com/eddyjoemdā ā My Amazon store for resources you may find helpful: ā ā www.amazon.com/shop/eddyjoemdā ā @eddyjoemd is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com Although great care has been taken to ensure that the information in this podcast is accurate, eddyjoemd, LLC shall not be held responsible or liable for its continued accuracy or any errors, omissions, inaccuracies, or consequences arising from it. Citation: Sebastian Berger, Pascale Grzonka, Simon A. Amacher, Sabina Hunziker, Anja I. Frei, Raoul Sutter, Adverse events related to physical restraint use in intensive care units: A review of the literature, Journal of Intensive Medicine, 2023,ISSN 2667-100X, | |||
| Do NOT pursue Critical Care! Part 2 | 10 Sep 2020 | 00:14:39 | |
This is not meant to deter you from going into the many branches of Critical Care Medicine, whether you're a physician, NP, PA, or nurse. I love my job/career and I love my team. Rather to inform you of the challenges that you will have to deal with so that you're not blindsided. Ā Show Notes: https://eddyjoemd.com/not-critical-care/ Although great care has been taken to ensure that the information in this podcast are accurate, eddyjoe, LLC shall not be held responsible or in any way liable for the continued accuracy of the information, or for any errors, omissions or inaccuracies, or for any consequences arising therefrom. My website: www.eddyjoemd.com | |||
| Do NOT pursue Critical Care! Part 1 | 10 Sep 2020 | 00:13:54 | |
This is not meant to deter you from going into the many branches of Critical Care Medicine, whether you're a physician, NP, PA, or nurse. I love my job/career and I love my team. Rather to inform you of the challenges that you will have to deal with so that you're not blindsided. Although great care has been taken to ensure that the information in this podcast are accurate, eddyjoe, LLC shall not be held responsible or in any way liable for the continued accuracy of the information, or for any errors, omissions or inaccuracies, or for any consequences arising therefrom. My website: www.eddyjoemd.com | |||
| Fix the Magnesium Deficiency Before the Potassium Deficiency! | 08 Sep 2020 | 00:11:28 | |
When patients have hypokalemia, you want to fix it. So you give potassium to make the numbers pretty. Ā You go ahead and give some potassium and do what the protocol says to do: recheck. Labs come back, poor patient got stuck for these labs. Potassium burned a bit on the way in because the IV was acting funny. Low and behold, the potassium did not go up. What just happened? Where did it go? Did you check the magnesium level? Probably not. In this episode, we discuss the importance of correcting magnesium deficiencies in critically ill patients before correcting potassium deficiencies. Magnesium plays a crucial role in regulating potassium levels in the body. We review the physiological mechanisms behind this relationship and explore the clinical implications of magnesium deficiencies in critically ill patients. Join us as we dive into the often-overlooked role of magnesium in critical care medicine. Show Notes: https://eddyjoemd.com/hypokalemia-magnesium/ Although great care has been taken to ensure that the information in this podcast are accurate, eddyjoe, LLC shall not be held responsible or in any way liable for the continued accuracy of the information, or for any errors, omissions or inaccuracies, or for any consequences arising therefrom. My website: www.eddyjoemd.com Instagram: www.instagram.com/eddyjoemd Twitter: www.twitter.com/eddyjoemd Facebook: www.facebook.com/eddyjoemd Podcast: https://anchor.fm/eddyjoemd My Amazon store for resources you may find helpful: www.amazon.com/shop/eddyjoemd Citation: Huang CL, Kuo E. Mechanism of hypokalemia in magnesium deficiency.Ā J Am Soc Nephrol. 2007;18(10):2649-2652. doi:10.1681/ASN.2007070792 | |||
| Midodrine to Wean Vasopressors: The MIDAS Trial (Journal Club-ish) | 05 Sep 2020 | 00:07:21 | |
Can we wean patients off of vasopressors faster by providing them with Midodrine? The MIDAS trial (Effect of midodrine versus placebo on time to vasopressor discontinuation in patients with persistent hypotension in the intensive care unit) published on September 3rd, 2020 is a randomized-controlled trial looking at this question. Although great care has been taken to ensure that the information in this podcast are accurate, eddyjoe, LLC shall not be held responsible or in any way liable for the continued accuracy of the information, or for any errors, omissions or inaccuracies, or for any consequences arising therefrom. My website: www.eddyjoemd.com | |||
| Vitamin D Supplementation in Hospitalized COVID-19 Patients | 04 Sep 2020 | 00:08:31 | |
Providing Calcifediol (25-hydroxyvitamin D3) to COVID patients in this Pilot Study showed that it decreased the need for transfer to the intensive care unit. Let's take a look at why we shouldn't exactly put it in the water... yet.Ā Show Notes: https://eddyjoemd.com/vitamind-covid/ Although great care has been taken to ensure that the information in this podcast are accurate, eddyjoe, LLC shall not be held responsible or in any way liable for the continued accuracy of the information, or for any errors, omissions or inaccuracies, or for any consequences arising therefrom. My website: www.eddyjoemd.com | |||
| VV ECMO: Patient Selection & Pulling the Trigger in ARDS | 03 Sep 2020 | 00:14:32 | |
Ever wonder when you should pull the trigger and call in the ECMO team or your ECMO center to determine whether your patient who is in severe ARDS is a good candidate for venovenous ECMO? I review some suggested criteria published in CHEST. Show Notes: www.eddyjoemd.com/ECMO Although great care has been taken to ensure that the information in this podcast are accurate, eddyjoe, LLC shall not be held responsible or in any way liable for the continued accuracy of the information, or for any errors, omissions or inaccuracies, or for any consequences arising therefrom. My website: www.eddyjoemd.com | |||
| CVP: Can we use it for Fluid Responsiveness? | 27 Aug 2020 | 00:13:55 | |
Do you use Central Venous Pressure (CVP) to assess whether your patient is fluid responsive or not? What about volume status? Let's take a deep dive into the data to see whether this actually works or not. Although great care has been taken to ensure that the information in this podcast are accurate, eddyjoe, LLC shall not be held responsible or in any way liable for the continued accuracy of the information, or for any errors, omissions or inaccuracies, or for any consequences arising therefrom. My website: www.eddyjoemd.com | |||
| Phosphorus Levels in the Critically Ill | 26 Aug 2020 | 00:09:33 | |
Reviewing the rationale behind checking for hypophosphatemia in patients who are critically ill in the intensive care unit (ICU) exploring the functions of phosphate, phosphate metabolism, as well as causes of hypophophatemia. Unfortunately, there isn't much randomized controlled study data about this.Ā Show Notes: www.eddyjoemd.com/hypophosphatemia Although great care has been taken to ensure that the information in this podcast are accurate, eddyjoe, LLC shall not be held responsible or in any way liable for the continued accuracy of the information, or for any errors, omissions or inaccuracies, or for any consequences arising therefrom. My website: www.eddyjoemd.com | |||
| Discontinuing Contact/Isolation Precautions in COVID-19 Patients | 26 Aug 2020 | 00:08:10 | |
When should we discontinue contact and isolation precautions in COVID-19 patients who are hospitalized? Let's take a look at the CDC recommendations as of August 16th, 2020. Show Notes: https://eddyjoemd.com/covid-precautions/ Although great care has been taken to ensure that the information in this podcast are accurate, eddyjoe, LLC shall not be held responsible or in any way liable for the continued accuracy of the information, or for any errors, omissions or inaccuracies, or for any consequences arising therefrom. My website: www.eddyjoemd.com | |||
| IV Fluids: Contextual Introduction & History of 0.9% NaCl, Lactated Ringers, & Plasma-lyte | 24 Aug 2020 | 00:10:02 | |
Lecture 1 on my IV Fluid Series. In this podcast, I discuss how much fluid we keep intravascularly after resuscitation, as well as the history behind the creation of Normal Saline, Ringer's lactate/lactated ringers, Plasma-lyte and Normosol.Ā Show Notes: https://eddyjoemd.com/ My website: www.eddyjoemd.com | |||
| Hyperdynamic LV Function in Septic Patients: Does It Matter? | 21 Dec 2024 | 00:07:18 | |
In this episode of The Saving Lives Podcast, we dive into a compelling study from the Annals of Intensive Care, exploring the prevalence and impact of hyperdynamic left ventricular systolic function in septic patients. Unpacking the findings, we discuss how this condition influences mortality rates and what it means for clinical practice in intensive care units. The Vasopressor & Inotrope Handbook I have written "The Vasopressor & Inotrope Handbook: A Practical Guide for Healthcare Professionals," a must-read for anyone caring for critically ill patients (check out the reviews)! You have several options to get a physical copy. Amazon: ā ā https://amzn.to/47qJZe1ā ā (Affiliate Link) Signed & Personalized Copy: ā ā https://eddyjoemd.myshopify.com/products/the-vasopressor-inotrope-handbookā ā My website: ā ā www.eddyjoemd.comā ā Instagram: ā ā www.instagram.com/eddyjoemdā ā X: ā ā www.x.com/eddyjoemdā ā Facebook: ā ā www.facebook.com/eddyjoemdā ā My Amazon store for resources you may find helpful: ā ā www.amazon.com/shop/eddyjoemdā ā @eddyjoemd is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com Although great care has been taken to ensure that the information in this podcast is accurate, eddyjoemd, LLC shall not be held responsible or liable for its continued accuracy or any errors, omissions, inaccuracies, or consequences arising from it. Citation: Sato R, Sanfilippo F, Hasegawa D, Prasitlumkum N, Duggal A, Dugar S. Prevalence and prognosis of hyperdynamic left ventricular systolic function in septic patients: a systematic review and meta-analysis. Ann Intensive Care. 2024 Feb 3;14(1):22. doi: 10.1186/s13613-024-01255-9. PMID: 38308701. | |||
| Remdesivir: $3120 of "Uncertain Clinical Importance" | 22 Aug 2020 | 00:11:36 | |
Reviewing the trial published in JAMA on 8/21/2020 where they looked at the clinical outcomes of Remdesivir in Moderate COVID-19.Ā Show Notes: https://eddyjoemd.com/remdesivir/ My website: www.eddyjoemd.com | |||
| COVID & Intubation: Getting the Timing Right | 21 Aug 2020 | 00:10:59 | |
Early intubation or a trial of high-flow nasal cannula for COVID-19 patients? This retrospective analysis out of Emory assesses the outcomes from the different strategies.Ā Show Notes: https://eddyjoemd.com/intubation-covid/ Although great care has been taken to ensure that the information in this podcast are accurate, eddyjoe, LLC shall not be held responsible or in any way liable for the continued accuracy of the information, or for any errors, omissions or inaccuracies, or for any consequences arising therefrom. My website: www.eddyjoemd.com | |||
| Bicarb for a Lactic Acidosis? BICAR-ICU (Journal Club-ish) | 19 Aug 2020 | 00:11:11 | |
Have you ever wondered why we don't give sodium bicarbonate to patients with a metabolic acidosis or a lactic acidosis? In this podcast I discuss the historical context of it and bring forth more recent data that may change the mind of the naysayers.Ā Show Notes: https://eddyjoemd.com/lactic-acid-sepsis Although great care has been taken to ensure that the information in this podcast are accurate, eddyjoe, LLC shall not be held responsible or in any way liable for the continued accuracy of the information, or for any errors, omissions or inaccuracies, or for any consequences arising therefrom. My website: www.eddyjoemd.com | |||
| A Rationale to use IV Vitamin C followed by a Reality Check: The ACTS Trial (Journal Club-ish) | 18 Aug 2020 | 00:14:34 | |
Another day, another IV vitamin C trial. It appears as if the dust is settling a bit on all this. This paper will be known as the ACTS trial for Ascorbic acid, Corticosteroids and Thiamine in Septic shock. Before digging into the paper, though, I provide a bit of a biologic rationale as why these trials should improve outcomes. Show notes: https://eddyjoemd.com/vitaminc/ My website: www.eddyjoemd.com | |||
| Vitamin C & Thiamine in Septic Shock: ATESS Trial (Journal Club-ish) | 17 Aug 2020 | 00:10:07 | |
The ATESS trial looked at IV thiamine and vitamin C in septic shock patients. They enrolled patients early in 4 academic ED's in South Korea. Here, I break down the paper, give my opinions, and provide you all with some insight.Ā My website: www.eddyjoemd.com | |||
| SvO2 & ScvO2: Differences and How to Guide Resuscitation with it | 15 Aug 2020 | 00:09:28 | |
Every hear these terms thrown around and wondered what they meant? ScvO2, SvO2, mixed venous blood gas. I break down these confusing terms and provide examples of how one should interpret them in the critically ill patient.Ā Show Notes: https://eddyjoemd.com/scvo2svo2/ Although great care has been taken to ensure that the information in this podcast are accurate, eddyjoe, LLC shall not be held responsible or in any way liable for the continued accuracy of the information, or for any errors, omissions or inaccuracies, or for any consequences arising therefrom. My website: www.eddyjoemd.com | |||
| ProtekDuo RVAD for Mechanical Circulatory Support | 14 Aug 2020 | 00:07:51 | |
Diving into the world of mechanical circulatory support and right ventricular assist devices, I'd like to introduce you to the ProtekDuo. I learned about this device while creating a lecture titled "Cardiogenic Shock: Rise of the Machines". Chances are that you'll more likely than not be caring for a patient with one of these sooner rather than later. Better to familiarize yourself with it now. Show Notes: https://eddyjoemd.com/protekduo/ Although great care has been taken to ensure that the information in this podcast are accurate, eddyjoe, LLC shall not be held responsible or in any way liable for the continued accuracy of the information, or for any errors, omissions or inaccuracies, or for any consequences arising therefrom. My website: www.eddyjoemd.comInstagram: www.instagram.com/eddyjoemdTwitter: www.twitter.com/eddyjoemdFacebook: www.facebook.com/eddyjoemdPodcast: https://anchor.fm/eddyjoemdMy Amazon store for resources you may find helpful: www.amazon.com/shop/eddyjoemd | |||
| Colchicine for COVID-19? A look at the GRECCO-19 Trial | 13 Aug 2020 | 00:07:01 | |
Could colchicine help keep patients out of the inflammatory phase of COVID-19 and help save lives? A quick look at the GRECCO-19 Trial out of Greece which was an open label trial looking at 105 patients with COVID and their outcomes.Ā Show Notes: https://eddyjoemd.com/colchicine-covid/Ā Although great care has been taken to ensure that the information in this podcast are accurate, eddyjoe, LLC shall not be held responsible or in any way liable for the continued accuracy of the information, or for any errors, omissions or inaccuracies, or for any consequences arising therefrom. My website: www.eddyjoemd.com | |||
| HCW's exposed to COVID: Should you take HCQ? | 09 Aug 2020 | 00:09:27 | |
Should healthcare workers exposed to COVID take hydroxychloroquine to decreased their chances of contracting the virus? I take a dive into a journal article published in the New England Journal of Medicine that takes a look at this question. Show Notes: https://eddyjoemd.com/hcq-prophylaxis/ My website: www.eddyjoemd.com | |||
| Zinc for Acute & Critical Illness: Tools for Metabolic Resuscitation | 08 Aug 2020 | 00:13:31 | |
An evaluation of the evidence to promote research looking at potential benefits of zinc administration to those who are critically ill with either bacterial or viral infections. Amongst things discuss include possible dosing, lab testing, defining zinc deficiencies, potential benefits for both viral as well as bacterial infections, and adverse effects.Ā Show notes: https://eddyjoemd.com/zinc-metabolic-resuscitation/ Although great care has been taken to ensure that the information in this podcast are accurate, eddyjoe, LLC shall not be held responsible or in any way liable for the continued accuracy of the information, or for any errors, omissions or inaccuracies, or for any consequences arising therefrom. My website: www.eddyjoemd.com | |||
| New 2024 Guidelines: Corticosteroids in Sepsis, ARDS, and CAP | 01 Feb 2024 | 00:06:51 | |
This episode delves into the 2024 update on corticosteroid guidelines for critically ill patients with sepsis, ARDS, and community-acquired pneumonia. We break down the recommendations, evidence, and clinical implications of this crucial guidance for healthcare providers. The Vasopressor & Inotrope Handbook:Ā ā ā ā ā Amazon Affiliate Linkā ā ā ā Ā (I will earn an extra small commission) andĀ ā ā ā ā Signed/Personalized Copiesā ā ā ā . Citation: Chaudhuri D, Nei AM, Rochwerg B, Balk RA, Asehnoune K, Cadena RS, Carcillo JA, Correa R, Drover K, Esper AM, Gershengorn HB, Hammond NE, Jayaprakash N, Menon K, Nazer L, Pitre T, Qasim ZA, Russell JA, Santos AP, Sarwal A, Spencer-Segal J, Tilouche N, Annane D, Pastores SM. Executive Summary: Guidelines on Use of Corticosteroids in Critically Ill Patients With Sepsis, Acute Respiratory Distress Syndrome, and Community-Acquired Pneumonia Focused Update 2024. Crit Care Med. 2024 Jan 19. doi: 10.1097/CCM.0000000000006171. Epub ahead of print. PMID: 38240490. | |||
| Vitamin C in COVID-19: Possible Prophylaxis & Adjunctive Therapy | 04 Aug 2020 | 00:07:18 | |
We need help. Can we prevent getting sick with COVID by taking Vitamin C or even use it as an adjunctive therapy to help decrease severity in patients who have contracted COVID-19? Reviewing an article that investigates the rationale as to how this could potentially work to improve outcomes.Ā Show notes: https://eddyjoemd.com/vitamin-c-covid/ | |||
| Dexamethasone Reduces Mortality in COVID-19 | 03 Aug 2020 | 00:09:08 | |
The RECOVERY Collaborative Group out of the UK performed an open-label trial where they looked at the effects of IV or PO Dexamethasone in patients with COVID-19. In particular, they noted a mortality benefit. This does not mean, however, that we should be putting it in the water.Ā Show Notes: https://eddyjoemd.com/dexamethasone-covid/ My website: www.eddyjoemd.com Although great care has been taken to ensure that the information in this podcast are accurate, eddyjoe, LLC shall not be held responsible or in any way liable for the continued accuracy of the information, or for any errors, omissions or inaccuracies, or for any consequences arising therefrom. | |||
| Bicarbonate (Carbon Dioxide) In Serum & Blood Gases | 02 Aug 2020 | 00:12:26 | |
In this podcast, we tackle the "Carbon Dioxide" level in the basic metabolic panel that everyone seems to call "Bicarbonate". We discuss why this naming issue and why it shouldn't change. In addition, we explore the accuracy of bicarb levels in blood gases and discuss how they're calculated.Ā Show Notes: https://eddyjoemd.com/carbon-dioxide-bicarbonate/ | |||
| Midodrine in the ICU | 01 Aug 2020 | 00:09:37 | |
Ever have a patient who is on low dose norepinephrine or another vasopressor who you can't get out of the ICU solely for that reason? Have you tried to administer midodrine to increase their blood pressure? This podcast describes the FDA-approved as well as the off-label uses of midodrine, pharmacology data explained in english, dosing, side effects, and a little about the studies.Ā Show Notes: https://eddyjoemd.com/midodrine/ Although great care has been taken to ensure that the information in this podcast are accurate, eddyjoe, LLC shall not be held responsible or in any way liable for the continued accuracy of the information, or for any errors, omissions or inaccuracies, or for any consequences arising therefrom. | |||
| Plasma Exchange (PLEX) in COVID: Could it Improve Outcomes? | 31 Jul 2020 | 00:08:07 | |
We need all the help we can get in the ICU to help save the lives of our patients with severe COVID-19. Could plasmapheresis/plasma exchange/PLEX be a helpful tool to improve outcomes? Let's explore this concept based on evidence based practices.Ā Show Notes: https://eddyjoemd.com/plasma-exchange-covid/ | |||
| Melatonin for COVID-19: Treatment Hunting | 30 Jul 2020 | 00:11:51 | |
Time to start thinking outside the box to help treat our patients with COVID-19. In this podcast, I explore data from 4 articles on how using melatonin, with its anti-inflammatory and antioxidant properties could potentially help patients.Ā Show notes: https://eddyjoemd.com/melatonin-covid/ Although great care has been taken to ensure that the information in this podcast are accurate, eddyjoe, LLC shall not be held responsible or in any way liable for the continued accuracy of the information, or for any errors, omissions or inaccuracies, or for any consequences arising therefrom. | |||
| Tocilizumab in Severe COVID- Dead in the Water? | 29 Jul 2020 | 00:10:35 | |
Roche published a press release on 7/29/2020 reflecting the results of the COVACTA study where Actemra/tocilizumab did not improve clinical outcomes nor mortality in patients who had Severe COVID-19 Infections.Ā Show notes: https://eddyjoemd.com/tocilizumab-covacta/ | |||
| HCQ, Azithro & Zinc in the Outpatient Setting for COVID | 28 Jul 2020 | 00:12:26 | |
Lots of excitement today over this recent article/video about hydroxychloroquine, azithromycin and zinc. We need to take a deep breath and review the literature. Turns out there's no data support that it does work and no data supporting that it doesn't work. Thank you for your support. Although great care has been taken to ensure that the information in this podcast are accurate, eddyjoe, LLC shall not be held responsible or in any way liable for the continued accuracy of the information, or for any errors, omissions or inaccuracies, or for any consequences arising therefrom. | |||
| Becoming an Intensivist: Critical Care Fellowship Routes | 26 Jul 2020 | 00:19:11 | |
Are you a pre-med, med student, or resident who is considering becoming a Critical Care Specialist (aka Intensivist)? This podcast explores the different routes you can pursue to achieve your dreams and aspirations. I break down the numerous types of programs and lengths of time spent training. My website: www.eddyjoemd.com | |||
| A Day In The Life Of An Intensivist | 25 Jul 2020 | 00:21:09 | |
In this podcast, I describe a day in my life as a Critical Care Doctor, starting at the beginning of my shift. I provide organizational tips and strategies to increase efficiency throughout the day.Ā Show notes: https://eddyjoemd.com/intensivist-a-day-in-the-life/ The Vasopressor & Inotrope Handbook I have written "The Vasopressor & Inotrope Handbook: A Practical Guide for Healthcare Professionals," a must-read for anyone caring for critically ill patients (check out the reviews)! You have several options to get a physical copy. Amazon: https://amzn.to/47qJZe1 (Affiliate Link) My Store: https://eddyjoemd.myshopify.com/products/the-vasopressor-inotrope-handbook My website: www.eddyjoemd.com Instagram: www.instagram.com/eddyjoemd X: www.x.com/eddyjoemd Facebook: www.facebook.com/eddyjoemd My Amazon store for resources you may find helpful: www.amazon.com/shop/eddyjoemd @eddyjoemd is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com Although great care has been taken to ensure that the information in this podcast is accurate, eddyjoemd, LLC shall not be held responsible or liable for its continued accuracy or any errors, omissions, inaccuracies, or consequences arising from it. | |||
| Exploring the Potential of Therapeutic Plasma Exchange in Sepsis | 07 Jan 2024 | 00:05:53 | |
In this episode, we delve into the groundbreaking study "Influence of therapeutic plasma exchange treatment on short-term mortality of critically ill adult patients with sepsis-induced organ dysfunction." We explore how Therapeutic Plasma Exchange (TPE) could revolutionize the treatment of sepsis, a condition notoriously difficult to manage. The episode breaks down the study's methods, results, and significant implications for future clinical practice, highlighting the urgent need for further research in this promising area. The Vasopressor & Inotrope Handbook:Ā ā ā ā Amazon Affiliate Linkā ā ā Ā (I will earn an extra small commission) andĀ ā ā ā Signed/Personalized Copiesā ā ā . Citation: Kuklin V, Sovershaev M, Bjerner J, Keith P, Scott LK, Thomas OMT, Szpirt W, Rock G, Stegmayr B. Influence of therapeutic plasma exchange treatment on short-term mortality of critically ill adult patients with sepsis-induced organ dysfunction: a systematic review and meta-analysis. Crit Care. 2024 Jan 4;28(1):12. doi: 10.1186/s13054-023-04795-x. PMID: 38178170; PMCID: PMC10768220. | |||
| Integrating Palliative Care in the ICU: Enhancing Quality of Life | 06 Jan 2024 | 00:10:01 | |
In this episode of The Saving Lives Podcast, "Integrating Palliative Care in the ICU: Enhancing Quality of Life," host EddyJoe discusses the article 'Palliative Care in Intensive Care' from 'Intensive Care Medicine.' The episode examines how palliative care improves patient quality of life and reduces ICU stays, highlighting its role beyond end-of-life care. It emphasizes the need for training and changing perceptions among healthcare professionals. Essential for medical practitioners, this episode offers insights into incorporating palliative care into ICU practices for better patient outcomes. The Vasopressor & Inotrope Handbook:Ā ā ā Amazon Affiliate Linkā ā Ā (I will earn an extra small commission) andĀ ā ā Signed Copiesā ā . TrueLearn Link: ā ā ā ā ā ā ā ā https://truelearn.referralrock.com/l/EDDYJOEMD25/ā ā ā ā ā ā ā ā Ā Discount code:Ā EDDYJOEMD25 Citation: Neukirchen M, Metaxa V, Schaefer MS. Palliative care in intensive care. Intensive Care Med. 2023 Dec;49(12):1538-1540. doi: 10.1007/s00134-023-07260-z. Epub 2023 Nov 27. PMID: 38010381; PMCID: PMC10709230. | |||
| The Impact of Microcirculation Assessment in ICU Shock Patients: Insights from the DAMIS Trial | 15 Dec 2023 | 00:05:15 | |
In this episode, we delve into the groundbreaking DAMIS trial, exploring the impact of sublingual microcirculation assessment on treatment decisions for ICU patients with shock. We discuss the methodology, findings, and implications of this extensive multicenter study, offering insights into how real-time microcirculatory data influences clinical outcomes in critical care. Join us for an in-depth analysis and expert opinions on this pivotal topic in intensive care medicine. Show Notes: https://eddyjoemd.com/damis-trial-microcirculation/ The Vasopressor & Inotrope Handbook:Ā ā Amazon Affiliate Linkā Ā (I will earn an extra small commission) andĀ ā Signed Copiesā . Citation: Bruno RR, Wollborn J, Fengler K, Flick M, Wunder C, AllgƤuer S, Thiele H, Schemmelmann M, Hornemann J, Moecke HME, Demirtas F, Palici L, Franz M, Saugel B, Kattan E, De Backer D, Bakker J, Hernandez G, Kelm M, Jung C. Direct assessment of microcirculation in shock: a randomized-controlled multicenter study. Intensive Care Med. 2023 Jun;49(6):645-655. doi: 10.1007/s00134-023-07098-5. Epub 2023 Jun 6. Erratum in: Intensive Care Med. 2023 Oct;49(10):1279. PMID: 37278760; PMCID: PMC10242221. This Podcast was edited using Descript:Ā ā ā ā ā ā https://www.descript.com?lmref=BGOxjQā ā ā ā | |||
| Should We Go Searching for Asymptomatic Catheter-Related Thrombosis? | 13 Dec 2023 | 00:06:52 | |
The Vasopressor & Inotrope Handbook: Amazon Affiliate Link (I will earn an extra small commission) and Signed Copies. Show Notes: eddyjoemd.com/asymptomatic-catheter-related-thrombosis/ Explore the often-overlooked issue of asymptomatic catheter-related thrombosis (CRT) in ICU patients on The Saving Lives Podcast. This episode delves into a revealing study published in the Annals of Intensive Care, uncovering the incidence, risk factors, and implications of asymptomatic CRT. Join us for a thought-provoking discussion that challenges traditional beliefs and sheds light on crucial aspects of catheter management in critical care. TrueLearn Link:Ā ā ā ā ā ā ā ā https://truelearn.referralrock.com/l/EDDYJOEMD25/ā ā ā ā ā ā ā Ā Discount code:Ā EDDYJOEMD25 This Podcast was edited using Descript:Ā ā ā ā ā https://www.descript.com?lmref=BGOxjQā ā ā ā Citation: Abbruzzese C, Guzzardella A, Consonni D, Turconi G, Bonetti C, Brioni M, Panigada M, Grasselli G. Incidence of asymptomatic catheter-related thrombosis in intensive care unit patients: a prospective cohort study. Ann Intensive Care. 2023 Oct 19;13(1):106. doi: 10.1186/s13613-023-01206-w. PMID: 37858003; PMCID: PMC10587047. Link to Article | |||