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@emcrit

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We are EMCrit. We explore an obsession with Critical Care and Resuscitation. Editor in Chief: Scott Weingart

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Joined April 2009
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@emcrit
the EMCrit Crew
8 years
There is no such thing as crash intubation anymore, there is only crash oxygenation followed by slow, controlled intubation
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@emcrit
the EMCrit Crew
2 years
NeuroEMCrit - Time is Brain - Acute Ischemic Stroke Part I: Vascular Syndromes and Thrombolysis via @emcrit by @caseyalbin & @drdangayach
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@emcrit
the EMCrit Crew
7 years
Six myths promoted by the new sepsis guidelines -by @PulmCrit
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@emcrit
the EMCrit Crew
8 years
Your first year as an attending should be thought of as a fellowship in not killing people #emlife
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@emcrit
the EMCrit Crew
6 years
Shrug Technique for US-guided subclavian lines -by @PulmCrit
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@emcrit
the EMCrit Crew
3 years
Is Post-Cardiac Arrest hypothermia dead? I am interviewing the TTM2 trial authors tomorrow. What ?s do you have. Are you still cooling after that impeccable trial?
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@emcrit
the EMCrit Crew
7 months
[1/3] Years of video review of emergency intubations led me to create a list of the discrete errors that I witnessed. Along with some brilliant co-authors, we recently published a paper on this taxonomy. You can see the paper here:
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@emcrit
the EMCrit Crew
4 years
EMCrit 277 - COVID Pulmonary Physiology with Martin Tobin (he literally wrote the book on Mechanical Ventilation):
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@emcrit
the EMCrit Crew
6 years
Announcement: Launching the Internet Book of Critical Care -by @PulmCrit
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@emcrit
the EMCrit Crew
3 years
So… next week’s EMCrit episode will be on a new algorithm for dealing with sub-massive and massive PE. It includes fibrinolytic choices as well as whether PERT teams are a good idea in the way they are currently being utilized. (1/5)
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@emcrit
the EMCrit Crew
6 years
Get SMART: 9 reasons to quit using normal saline -by @PulmCrit
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@emcrit
the EMCrit Crew
8 years
Top ten problems with the new sepsis definition -by @PulmCrit
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@emcrit
the EMCrit Crew
5 years
Using statistical magic to extend the time window for IV tPA by @EMNerd_
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@emcrit
the EMCrit Crew
9 months
EMCrit 354 - Reduced-Dose Systemic Fibrinolysis in Massive Pulmonary Embolism (PE). 25 mg tPA given peripherally over 6 hours may be enough for high-risk submassive and low risk massive. @OrenFriedman @jameshorowitzmd @PulmCrit
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@emcrit
the EMCrit Crew
7 years
iSepsis - Vena Caval Ultrasonography - Just Don't Do It! @paulmarik
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@emcrit
the EMCrit Crew
3 years
The Future is Simulated: Breaking the Shackles of Bad Clinical Design by Hicks and Petrosoniak
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@emcrit
the EMCrit Crew
7 years
Practical Evidence Podcast 015 – Surviving Sepsis Campaign (SSC) Guidelines 2016 (in 2017)
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@emcrit
the EMCrit Crew
9 years
In Memory of our friend: Podcast 153 - @docJohnHinds - On How He Ran His Unit http://t.co/m6UcOM43Ga http://t.co/WEhP4s10gZ
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@emcrit
the EMCrit Crew
4 years
EMCrit - Critical Care for Non-Intensivists during COVID19 Pandemic - Please put in comments anything you would add:
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@emcrit
the EMCrit Crew
6 years
iSepsis - The Lactate Myths @paulmarik
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@emcrit
the EMCrit Crew
4 years
Eleven reasons the NEJM paper on remdesivir reveals nothing - rant by @PulmCrit
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@emcrit
the EMCrit Crew
6 years
Petition to retire the surviving sepsis campaign guidelines
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@emcrit
the EMCrit Crew
6 years
this GIF is easily the best thing a medical education has ever produced @heshiegreshie @ToxAndHound
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@emcrit
the EMCrit Crew
6 years
pH-guided fluid resuscitation & BICAR-ICU -by @PulmCrit
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@emcrit
the EMCrit Crew
5 years
Is pure RSI a failed paradigm in critical illness? The primacy of pressure -by @PulmCrit #CCC48
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@emcrit
the EMCrit Crew
4 years
COVID19 - Awake Pronation, The Pig Roast Protocol by David Cherkas, MD along with the EMCrit Protocol:
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@emcrit
the EMCrit Crew
7 years
Algorithm for diagnosing ICP elevation with POCUS -by @PulmCrit
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@emcrit
the EMCrit Crew
7 years
How to convert a VBG into an ABG -by @PulmCrit
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@emcrit
the EMCrit Crew
2 years
So... Delayed Sequence Intubation (DSI): It was conceptualized >10 years ago and has evolved quite a bit since then... Hopefully this thread may disambiguate some of the misunderstandings and add some gasoline to the fire.
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@emcrit
the EMCrit Crew
4 years
Understanding happy hypoxemia physiology: how COVID taught me to treat pneumococcus -by @PulmCrit
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@emcrit
the EMCrit Crew
6 years
Mastering the dark arts of BiPAP & HFNC -by @PulmCrit
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@emcrit
the EMCrit Crew
8 years
10 reasons oximetry beats ABG for testing oxygenation -by @PulmCrit
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@emcrit
the EMCrit Crew
8 years
Ahhhh, wading through the built-up emails post- #smaccDUB
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@emcrit
the EMCrit Crew
4 years
COVID Respiratory Management Webinar by @thinkingcc :
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@emcrit
the EMCrit Crew
5 years
EMCrit 256 - RUSH Exam Redux with @ultrasoundmd :
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@emcrit
the EMCrit Crew
4 years
Blog post with Some Additional COVID Airway Management Thoughts--please peer review:
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@emcrit
the EMCrit Crew
8 years
How Not to be a #ResusWANKER , a lecture I gave in Scotland:
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@emcrit
the EMCrit Crew
5 years
One of the most important podcasts I have ever done: EMCrit Podcast 244 - We have been using the wrong pressure for DBP vasopressor titration in Cardiac Arrest with @sonorambler
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@emcrit
the EMCrit Crew
4 years
Some interesting bits about the COVID experience in New York -by @PulmCrit
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@emcrit
the EMCrit Crew
6 years
EMCrit 231 - How to Practice Cricothyroidotomy (Cric) EVERY MONTH just like @EmICUcanada . Print the model, buy a roll of tape and then watch this video:
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@emcrit
the EMCrit Crew
6 years
Balanced crystalloids and the dangers of composite outcomes by @EMNerd_
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@emcrit
the EMCrit Crew
2 years
NeuroEMCrit - The Perils of the ICH Score. If you are using this as a surrogate to not offer aggressive care--Don't DO THAT! @caseyalbin & @drdangayach
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@emcrit
the EMCrit Crew
4 years
EMCrit 259 - Cardiogenic Shock -- The Next Level & Mechanical Circulatory Support with @JenelleBadulak -
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@emcrit
the EMCrit Crew
7 years
Podcast 191 - Cardiac Arrest Update & the Syndromes of Arrest:
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@emcrit
the EMCrit Crew
7 years
Metabolic sepsis resuscitation: the evidence -by @PulmCrit
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@emcrit
the EMCrit Crew
7 years
Epinephrine vs. atropine for bradycardic periarrest -by @PulmCrit
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@emcrit
the EMCrit Crew
5 years
Fluid selection & pH-guided fluid resuscitation: fresh IBCC chapter & cast (by @PulmCrit & @adamdavidthomas )
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@emcrit
the EMCrit Crew
3 years
NeuroEMCrit - What Every Clinician Should Know about External Ventricular Drains (EVDs)
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@emcrit
the EMCrit Crew
9 years
This EMCrit Wee is a Mind Blowing Cric Video performed by Ram Parekh, MD and filmed by @emupdates with some case… http://t.co/PgYe2CM2cb
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@emcrit
the EMCrit Crew
4 years
EMCrit Wee – Stop Kneejerk Intubation with the EMCrit Crew
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@emcrit
the EMCrit Crew
4 years
COVID19 Respiratory Rescue and Ventilatory Optimization – Airway Pressure Release Ventilation (APRV) Time-Controlled Adaptive Ventilation
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@emcrit
the EMCrit Crew
3 months
EMCrit 368 - Acute Critical Care Medication Reconciliation with Josh Farkas @pulmcrit Doesn't sound tantalizing as a topic, but it is absolutely critical to get right! We are not taught this skill in EM or most of CCM #Pharmacists peer review please
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@emcrit
the EMCrit Crew
7 years
iSepsis – Death by Fluids Part 1.5 & the “Non” Surviving Sepsis Guidelines @paulmarik
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@emcrit
the EMCrit Crew
2 years
EMCrit 331 - Awareness after Resus RSI and ICU Paralysis - It is Unacceptable!!! People like my @emupdates and I helped to create this problem--now we must fix it. [Should have been paid episode, but too important so whole episode is FOAM4ever] [1/x]:
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@emcrit
the EMCrit Crew
4 years
Nebulized nitroglycerin: The stealth pulmonary vasodilator hiding under your nose? -by @PulmCrit
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@emcrit
the EMCrit Crew
7 years
iSepsis - Vitamin C, Hydrocortisone and Thiamine - The "Metabolic Resuscitation Protocol" @paulmarik
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@emcrit
the EMCrit Crew
6 years
Drowned Airway Algorithm: Cut to the chase -by @PulmCrit
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@emcrit
the EMCrit Crew
4 years
EMCrit 268 - A new CPAP set-up without NC, COVID Airway, Cardiac Arrest, Some Ethical Questions, etc.
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@emcrit
the EMCrit Crew
4 years
EMCrit 278 - Labors of Trauma - Blunt Edition (Part 1) - Breaking down the cognitive and operational tasks of a Trauma Team Leader - a project with @humanfact0rz -
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@emcrit
the EMCrit Crew
4 months
EMCrit 366 - Should Delayed Sequence Intubation (DSI) become the Standard for Critical Care Intubations? The ? is not rhetorical--I put it out there as a dialectic. Listen to the episode [ #FOAMed ] and let me know your thoughts. #JanuAirway
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@emcrit
the EMCrit Crew
6 years
A-lines in septic shock: the wrist versus the groin -by @PulmCrit
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@emcrit
the EMCrit Crew
7 years
iSepsis - Death by Fluids, Part 1 by @paulmarik
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@emcrit
the EMCrit Crew
6 years
EMCrit RACC 228 - Physiology-Guided Cardiac Arrest Management in 2018 with Dr. Robert Sutton -
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@emcrit
the EMCrit Crew
4 years
EMCrit Wee - Airway Management of COVID-19 with @brianjwrightmd
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@emcrit
the EMCrit Crew
7 years
Some thoughts on apneic oxygenation, RSI, and the burden of proof by @EMNerd_
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@emcrit
the EMCrit Crew
6 years
EMCrit 236 - @kovacsgj on EVLI Airway Incrementalization
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@emcrit
the EMCrit Crew
3 years
Atypical headache=SAH w/u right? Except sometimes it is CVT. This is a critical diagnosis to make and to treat properly. Today I interview @caseyalbin on EMCrit 304 - cerebral venous thrombosis
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@emcrit
the EMCrit Crew
6 months
EMCrit 361 is on the new Life Threatening Tox and Toxicologic Cardiac Arrests from the Am Heart Assoc. and they are actually really quite good... a host of agents and some practice changing recs...
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@emcrit
the EMCrit Crew
4 years
EMCrit Wee - Webinar I Gave to Pulm/Crit Care Fellows on Avoiding Intubation and Initial Ventilation of COVID19 Patients
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@emcrit
the EMCrit Crew
7 years
A new video by @paulmarik Understanding Lactate
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@emcrit
the EMCrit Crew
2 years
EMCrit 317 - Neuro-Prognostication after Cardiac Arrest with @drdangayach . If you are winging this prognostication then you are screwing over your patients! [FREEfor3]
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@emcrit
the EMCrit Crew
4 years
COVID19 Intubation Packs and Preoxygenation Video. Preox while keeping your team as safe as possible:
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@emcrit
the EMCrit Crew
4 years
Is COVID ARDS, pseudoARDS, L, or H? Physiology data from Boston -by @PulmCrit
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@emcrit
the EMCrit Crew
7 years
EMCrit 201 - Deeper on Vasopressors and Athos 3 study of Angiotensin II with Mink Chawla:
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@emcrit
the EMCrit Crew
3 years
EMCrit - Risk Stratification and Treatment of Pulmonary Embolism (PE) 2021 - Is the PERT Wilted? Sick PE is hard, but I think in many ways we are making it even more tough then it needs to be:
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@emcrit
the EMCrit Crew
6 years
A better approach to Torsade de Pointes -by @PulmCrit
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@emcrit
the EMCrit Crew
7 years
Podcast 194 – Definitive Emergent Awake Intubation with George Kovacs
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@emcrit
the EMCrit Crew
6 years
iSepsis - A 30ml/kg bolus: Yes or No -The Results @paulmarik
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@emcrit
the EMCrit Crew
3 months
EMCrit 367 - Panel: 4 Quadrant Hemodynamic Ultrasound Integration, IVC Ultrasound and Much More! We have a wide ranging conversation on how to break down the physiology of complex shock patients and then how to treat them: [ #FOAMed ]
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@emcrit
the EMCrit Crew
7 years
All things Arterial Lines-Part 1:
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