Saving Lives Podcast: Critical Care w/eddyjoemd

Latest Episodes:

Fluid Bolus: Pressure Bag vs. 999ml/hr on the IV Pump in Resuscitation Nov 25, 2021

Show notes

Patient is hypotensive and in need of a fluid bolus resuscitation. Do you place the fluids in a pressure bag or IV Pump?

Show Notes: https://eddyjoemd.com/fluid-bolus/

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.

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Paxlovid: An Upcoming Outpatient Therapy to Potentially Reduce Hospitalizations Nov 06, 2021

Show notes

Pfizer has a new therapeutic Paxlovid (PF-07321332/ritonavir) to help patients stay out of the hospital. Is the cost worth the potential benefit?

Show Notes: https://eddyjoemd.com/paxlovid

Fluvoxamine Reduces Hospitalization Risk in High-Risk Patients (One-Minute Journal Club-ish) Oct 28, 2021

Show notes

Fluvoxamine was shown in the RCT to decrease the risk of hospitalization in high-risk patients.

Show Notes: https://eddyjoemd.com/fluvoxamine/

1L of IVF: How Much Stays Intravascular & Extravasates in Healthy Volunteers? Oct 24, 2021

Show notes

People tend to think that 1L of intravenous fluids (IVF) provided means that the patient retains that amount of fluid intravascularly. This is false. Here's some data to prove this.
Show Notes: https://eddyjoemd.com/fluid-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.
Citation: Lobo DN, Stanga Z, Aloysius MM, Wicks C, Nunes QM, Ingram KL, Risch L, Allison SP. Effect of volume loading with 1 liter intravenous infusions of 0.9% saline, 4% succinylated gelatine (Gelofusine) and 6% hydroxyethyl starch (Voluven) on blood volume and endocrine responses: a randomized, three-way crossover study in healthy volunteers. Crit Care Med. 2010 Feb;38(2):464-70. doi: 10.1097/CCM.0b013e3181bc80f1. PMID: 19789444.

End-Expiratory Occlusion to Determine Fluid/Volume Responsiveness Oct 22, 2021

Show notes

There are various means that we can use to determine fluid/volume responsiveness in our critically ill patients. These include PLR with SV changes, SVV, PPV, VTI, etc. End-expiratory occlusion testing can be performed on patients who are on mechanical ventilation. In this podcast episode, we discuss the use of end-expiratory occlusion (EEO) as a method to determine fluid and volume responsiveness in critically ill patients. We explore the physiology behind EEO and how it can be used as a non-invasive, bedside tool to guide fluid management in patients with varying degrees of fluid responsiveness. We review the current evidence supporting the use of EEO and its limitations, as well as potential future developments in this area. Tune in to learn more about this promising technique and how it can aid in optimizing fluid management in the critically ill.

Show Notes: https://eddyjoemd.com/end-expiratory-occlusion/

Peripheral Intravenous (IV) vs. Intraosseous (IO) Access in Cardiac Arrest in < 1 minute (Journal Club-ish) Oct 10, 2021

Show notes

Cardiac arrest with no IV access: Should we place a peripheral IV or place an intraosseous (IO) access? Let's examine the data. #shorts

Show Notes: https://eddyjoemd.com/io-or-iv

Citation: Schwalbach KT, Yong SS, Chad Wade R, Barney J. Impact of intraosseous versus intravenous resuscitation during in-hospital cardiac arrest: A retrospective study. Resuscitation. 2021 Sep;166:7-13. doi: 10.1016/j.resuscitation.2021.07.005. Epub 2021 Jul 14. PMID: 34273470.

Molnupiravir: From Press Release to Practice Oct 02, 2021

Show notes

Molnupiravir is a potent ribonucleoside analog that inhibits the replication of SARS-CoV-2 made by Merck that helps COVID patients.

Show Notes: https://eddyjoemd.com/molnupiravir/

Pregnancy & COVID-19: What Does 70% Increased Risk of Death Really Mean? (Part 2) Oct 01, 2021

Show notes

Why is pregnancy associated with more severe forms of COVID-19? Looking at the data to learn why we need to protect our pregnant loved ones.

Show Notes: https://eddyjoemd.com/pregnancy-covid/
Link to CDC report: https://emergency.cdc.gov/han/2021/han00453.asp
Link to 70% Increase Source Material: https://www.cdc.gov/mmwr/volumes/69/wr/pdfs/mm6944e3-H.pdf

Pregnancy & COVID-19: Separating the Facts from the Fiction (Part 1) Sep 14, 2021

Show notes

Why is pregnancy associated with more severe forms of COVID-19? Looking at the data to learn why we need to protect our pregnant loved ones.

Show Notes: https://eddyjoemd.com/pregnancy-covid/

Baricitinib: Suppressing the Inflammation and Saving the Lives of COVID Patients Sep 06, 2021

Show notes

Baricitinib is a Janus kinase 1/2 inhibitor the has been shown to decrease mortality in COVID-19 patients who are on HFNC or NIV.

Show Notes: https://eddyjoemd.com/baricitinib-covid/

Citation: RECOVERY Collaborative Group. Tocilizumab in patients admitted to hospital with COVID-19 (RECOVERY): a randomised, controlled, open-label, platform trial. Lancet. 2021 May 1;397(10285):1637-1645. doi: 10.1016/S0140-6736(21)00676-0. PMID: 33933206; PMCID: PMC8084355.

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