ICUedu

When, how, and most importantly WHY we should be using diuretics.  Also, checkout Rapid Sequence, our new choose-your-own-adventure resuscitation game at rapidsequence.org (coupon code for ICUedu listeners: ICUEDU2026)

Acute medical management of valvulopathy.  Part II talks about the pathophysiology and management of stenotic valves: AS and MS.  Check out Rapid Sequence, ICUedu's new education project at rapidsequence.org   Great Core Ultrasound post on POCUS assessment of valvulopathy: https://coreultrasound.com/valves-2/  Additional content and educational resources at ICUedu.org

Acute medical management of valvulopathy.  Part I talks about the pathophysiology and management of regurgitant valves: AI, MR, and TR.  Great Core Ultrasound post on POCUS assessment of valvulopathy: https://coreultrasound.com/valves-2/Additional content and educational resources at ICUedu.org

Updated talk on fluids in sepsis!Access to video version of lecture, supplemental materials & references at: https://www.icuedu.org/fluids-in-sepsis

How can the science of expertise inform our ability to attain excellence in resuscitation?Additional content and educational resources at ICUedu.orgReferences for the papers mentioned in the episode: Kovacs & Croskery. Clinical Decision Making: An Emergency Medicine Perspective. Academic Emergency Medicine, 1999; 6(9): 947-952The Neuroscience of Expertise. Bilalic (2017), Cambridge University PressJeon et al. What does “being an expert” mean to the brain?  Functional specificity and connectivity in expertise.  Cerebral Cortex, 2017; 27(12): 5603-5615Gobet & 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

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):1947-1956Ortiz 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):1329-1335Song et al. Association of Dexmedetomidine With New-Onset Atrial Fibrillation in Patients With Critical Illness. JAMA Netw Open 2023;6(4):e239955Wang etc. Effect of Dexmedetomidine on Tachyarrhythmias After Cardiac Surgery: A Systematic Review and Meta-Analysis. J Cardiovasc Pharmacol 2022;79(3):315-324Zhong et al. Dexmedetomidine Reduces Incidences of Ventricular Arrhythmias in Adult Patients: A Meta-Analysis. Cardiol Res Pract 2022;5158362Do 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):e007080Tian et al. Effective Use of Percutaneous Stellate Ganglion Blockade in Patients With Electrical Storm. Circ Arrhythm Electrophysiol. 2019;12(9):e007118Batnyam 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

ICUedu Physiologically Difficult Airway Pocket Intensivist CardICUedu.org page with video lecture, references, and a downloadable link to key visuals: https://www.icuedu.org/physiologicallydifficultairway

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):S94Zada et al (2024). Midodrine in Early Septic Shock. Critical Care Medicine 52(1):S708Lal 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):e0382Additional content and educational resources at ICUedu.org

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

Additional content and educational resources at ICUedu.org

ICUedu Acid-Base 2.0 Pocket Intensivist CardThis 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

ICUedu Vasoplegia Pocket Intensivist CardAdditional content and educational resources at ICUedu.org

Additional content and educational resources at ICUedu.org

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

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

Additional content and educational resources at ICUedu.org

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

Additional content and educational resources at ICUedu.org

Blood Gas Reading Skills seriesAdditional content and educational resources at ICUedu.orgIf 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 

Update content January 2024!  New (and hopefully improved...) version.Pocket Intensivist Card: 3-Pressures Hemodynamic Physiology MapThis 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

Chapter 1: Clinical ContextChapter 2: PhysiologyChapter 3: Diagnosis and Differential DiagnosisChapter 4: Spiral of DeathChapter 5: ManagementChapter 6: RecapICUedu Pocket Intensivist Card: RV Failure Pathophysiology ICUedu Pocket Intensivist Card: RV Failure ManagementICUedu Pocket Intensivist Card: Pressors in RV Failure Access to video version of lecture, supplemental materials & references at: https://www.icuedu.org/rvfailureLink to review article

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

Additional content and educational resources at ICUedu.org

Blood Gas Reading Skills seriesAdditional content and educational resources at ICUedu.orgIf 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 

Additional content and educational resources at ICUedu.org

Blood Gas Reading Skills seriesAdditional content and educational resources at ICUedu.orgIf 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 

Additional content and educational resources at ICUedu.orgYou can find a quick reference chart on inhaled pulmonary vasodilators in the Cardiac Infographics section of the website: https://www.icuedu.org/core-content

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

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

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

Chapter 1: Stages of ShockChapter 2: Shock IdentificationChapter 3: Shock Differential DiagnosisPocket Intensivist Card: The Shock Continuum Access to video version of lecture, supplemental materials & references at: https://www.icuedu.org/reframingshock-1

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

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

Access to video version of lecture, supplemental materials & references at: https://www.icuedu.org/bipapPocket Intensivist Card: BiPAP Initial SettingsPocket Intensivist Card: BiPAP Troubleshooting

Additional content and educational resources at ICUedu.org

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

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

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

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

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

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

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

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

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

Access to video version of lecture & supplemental materials at: https://www.icuedu.org/vents201Link to review article

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

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

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

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

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