• It's 2am...

    Frantic parents bring into your ED a 6 week old M with sternotomy scar. Infant is cyanotic, has increased work of breathing, loud systolic murmur and SaO2 of 70-80%.
    What do you do?
  • Join the Critical Care Guys in this podcast program dedicated to the intersection of Emergency Medicine and Critical Care. Keep up-to-date with insightful, penetrating commentary in this exciting and fast moving medical arena.
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  • Lactate has become the most commonly used biomarker to assess tissue perfusion.  Unfortunately, lactate isn't simply produced during states of hypoperfusion and anaerobic metabolism. In this episode, we discuss the current concepts, controversies, and clinical implications of lactate in the critically ill patient.  Listen in and find out why 50% of patients with a normal anion gap may still have elevated lactate levels!

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  • This month we start off with our annual review of key articles from the recent EM/CCM literature.  In Part 2, John goes over yet another critical Bounce-Up case with important take home pearls.  Finally, Bryan Hayes brings us home with the latest guidelines for reversing anticoagulants in the setting of acute intracerebral hemorrhage.  This month the pearls come fast and furious!

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  • We are ending 2015 with our best podcast of the year!  In this episode we discuss the critically ill sickle cell patient, REBOA, and pearls and pitfalls on passive leg raise for volume responsiveness.  Special guest Zaffer Qasim joins Mike, Peter, Rob, and John on the episode.  This episode is chock full of life-saving pearls!

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  • A ton of pearls and pitfalls this month's podcast.  In Part I, we discuss some common myths and misconceptions in managing pain in the critically ill patient.  In Part 2, John Greenwood is back for Bounce-Up case 2.  In Part 3, Bryan Hayes imparts his pearls of wisdom on the effect of TTM on various resuscitation medications.

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  • This month we discuss an incredibly difficult scenario - the pregnant patient who presents in cardiac arrest.  Can you use electricity?  What about vasopressors?  What about targeted temperature management if you get ROSC?  All these pearls and much more in Part 1.  In Part 2, EM/CCM superstar John Greenwood introduces our newest segment - Bounce Ups!  A plethora of pearls and pitfalls in the October podcast.

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  • This month we've got two outstanding discussions!  In Part 1, we discuss recent literature on aspiration pneumonia.  We go over the current organisms, various aspiration syndromes, diagnosis, and treatment of this all too common condition.  My how things have changed!  In Part 2, we review a recent article from Critical Care Medicine on 15 interventions in critically patients that have affected mortality.  Listen in and find out what we should, and should not, be using.

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  • This month we discuss the adverse effects of hyperoxia.  What organ systems are adversely effected?  What's the latest evidence? How should we be titrate oxygen therapy in select critical illnesses?  Can oxygen be too much of a good thing?  In Part 2, we review and discuss the EAST Guidelines for Resuscitative Thoracotomy.  When should you be considering and performing this heroic procedure? Tons of pearls in the August podcast!

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  • This month we discuss some neurocritical care, cardiac arrest management, and PTSD after ICU discharge.  In Part 1, Rob and Mike discuss the presentation and management of patients who develop neurogenic pulmonary edema.  Can you recognize it, and more importantly, do you know the pitfalls in ventilating these patients?  In Part 2, we focus on PEA and provide a simplified algorithm for your next cardiac arrest resuscitation.  Listen and learn why you may not need to remember all those

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  • This month we discuss the essentials of mechanical ventilation in the ED.  Rob imparts his pearls and pitfalls in how to manage the ventilator for select critical illnesses.  In Part 2, Mimi Lu is back to discuss the latest research on TTM for pediatrics.  Should we be cooling kids following cardiac arrest? 

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@CritCareGuys

Meet the Critical Care Guys



  • Meet Mike Winters and Peter DeBlieux at Critical Points this Dec 4-6, 2015 in San Diego, CA!
     

    Critical Points is one of THE best CME courses, teaching the critical care skills needed to best manage the acutely dying patient. Designed for emergency physicians, hospitalists and surgeons, this unique course gives the attendee the framework and tools to feel confident caring for the critically ill patient. The mission of Critical Points is to educate providers in accordance with the highest standards, preparing them to best manage the acutely dying patient, and to grant medical providers the confidence and skills necessary to optimize patient outcomes.  

    Learn more



  • Join course director Amal Mattu and other University of Maryland faculty at The Crashing Patient conference in Baltimore on Oct 22, 2015.

    Looking for a great Fall conference? Look no further! The full-day conference is designed to address risk issues specific to both parties in emergency medicine: the patient and the care provider. Emergency medicine faculty members will present lectures and workshops covering the optimal care of the sickest patients, including those with vascular catastrophes, traumatic brain injury, and acute mesenteric ischemia. A pre-conference Emergency Neurology Symposium will be presented on Wednesday, October 21st. � On Friday, the 23rd, a post-conference workshop will include instruction in Emergency ECHO workshop and a Ultrasound lab. The conference is designed for emergency medicine specialists but will be of interest and benefit to any health care provider who cares for very sick patients.

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