ICUedu

Resuscitation & the Science of Expertise Oct 20, 2024

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

Electrical Storm Jun 21, 2024

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

Physiologically Difficult Airway May 03, 2024

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

Permutations of Sick + Hypotensive Apr 26, 2024

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

Beyond the ABCs Jan 12, 2024

ICUedu Approach to the Acutely Ill Patient Pocket Intensivist Card
Additional content and educational resources at ICUedu.org

Bedside Echo Physiologic DDX Jan 10, 2024

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Acid-Base 2.0 Dec 17, 2023

ICUedu Acid-Base 2.0 Pocket Intensivist Card
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/approachacidbase

Vasoplegia Nov 21, 2023

ICUedu Vasoplegia Pocket Intensivist Card
Additional content and educational resources at ICUedu.org

The Big 5: Misses That Matter May 25, 2023

Additional content and educational resources at ICUedu.org

The Sepsis Survey May 25, 2023

Like the Trauma Survey... but for sepsis!
Additional content and educational resources at ICUedu.org

Approach to Cardiac Arrest May 14, 2023

Updated talk on approach to cardiac arrest!
Access to video version of lecture, supplemental materials & references at: https://www.icuedu.org/cardiacarrest

Mistakes #2: Agitation, CRRT & Trachs May 11, 2023

Additional content and educational resources at ICUedu.org

Critical Cases #4: SCAPE with WCT May 11, 2023

Additional content and educational resources at ICUedu.org
More discussion of unstable A-fib: https://www.icuedu.org/unstableaf

Mistakes #1: Fourniers, A-fib & Cholecystitis Mar 27, 2023

Additional content and educational resources at ICUedu.org

Blood Gas Reading Skills: ABG #3 Mar 27, 2023

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

Reframing Shock Part II: 3-Pressures Approach to Shock Mar 23, 2023

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

Right Ventricular Failure & Pulmonary Hypertension Mar 21, 2023

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

Pressors and Vasoactives Mar 16, 2023

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

Critical Cases #3: Hypoxemia with Abdominal Distention Feb 17, 2023

Additional content and educational resources at ICUedu.org

Blood Gas Reading Skills: ABG #2 Feb 17, 2023

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

Thoughtful Use: Bicarb and Calcium Jan 23, 2023

Additional content and educational resources at ICUedu.org

Blood Gas Reading Skills: ABG #1 Jan 22, 2023

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

Critical Cases #2: Sick Atrial Fibrillation Jan 22, 2023

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

Ventilator Alarms Jan 13, 2023

Pocket Intensivist Card: Vent Alarms
Access to video version of lecture & supplemental materials: https://www.icuedu.org/ventalarms

LVADs in the Emergency Department Jan 13, 2023

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

Hemorrhagic Shock and Massive Transfusion Jan 12, 2023

Access to video version of lecture, supplemental materials & references at: https://www.icuedu.org/hemorrhagicshock
Pocket Intensivist Card: Hemorrhagic Shock Pathophysiology

Reframing Shock Part I: The Shock Continuum Oct 25, 2022

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

Emergency Medicine Cognitive Toolbox Oct 25, 2022

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

Unstable Atrial Fibrillation Aug 05, 2022

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

Precision BiPAP Aug 04, 2022

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

Critical Cases #1: Respiratory Acidosis Aug 03, 2022

Additional content and educational resources at ICUedu.org

Fluid Resuscitation II: Physiology Aug 02, 2022

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

Vents 201 Part VIII: VQ Mismatch Aug 02, 2022

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

Vents 201 Part VII: APRV Aug 02, 2022

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

Vents 201 Part VI: Lung Injury Physiology Aug 02, 2022

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

Vents 201 Part V: Obstructive Physiology Aug 02, 2022

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

Vents 201 Part IV: Patient-Vent Dyssynchrony. Aug 02, 2022

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

Vents 201 Part III: Resistance and Compliance Aug 02, 2022

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

Vents 201 Part II: Goal of Mechanical Ventilation Aug 02, 2022

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

Vents 201 Part I: Introduction Aug 02, 2022

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

The Critically Ill Cirrhotic Patient Aug 01, 2022

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

COVID Intubation Triggers Aug 01, 2022

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

Vents 101 Part IV: Troubleshooting Aug 01, 2022

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

Vents 101 Part III: Basic Management Strategies Aug 01, 2022

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

Vents 101 Part II: Basic Metrics and Modes Aug 01, 2022

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

Vents 101 Part I: Pulmonary Physiology Aug 01, 2022

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

DKA Case Part VI: Electrolyte Composition of IV Fluids Jul 29, 2022

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

DKA Case Part V: Strong Ion Difference Jul 29, 2022

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

DKA Case Part IV: Hyperchloremic Metabolic Acidosis Jul 29, 2022

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

DKA Case Part III: Intubating the Acidotic Patient Jul 29, 2022

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

DKA Case Part II: Correcting the Acidosis Jul 29, 2022

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

DKA Case Part I: Compensation for Metabolic Acidosis Jul 29, 2022

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

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