Posts Tagged Critical Care

The ED Critical Care Dirty Dozen for 2010

Here are my 12 favorite ED Critical Care things for 2010…the EMCrit Dirty Dozen:

12. SmartEM by David Newman and Ashley Shreves

11. The Poison Review by Leon Gussow

10. Academic Life in Emergency Medicine by Michelle Lin

9. Zdoggmd–the funniest internist I have ever come across

8. Emergency Medicine Cases Podcast by Anton Hellman

7. One Night in the ED, an incredible radiology blog for EM folks by a radiologist, Daniel Cornfeld

6. Steve Smith’s EKG Blog-even the cardiologists are not giving the same amount of detail as you will find here

5. by Cliff Reid

4. EM:RAP by med ed hero, Mel Herbert

3. Ercast by my friend, Rob Orman

2. the Life in the Fast Lane Blog headed up by the amazing Mike Cadogan and Chris Nickson

1. Well for #1, you are just going to have to listen

[Click here to hear the Show]

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Upstairs Care, Downstairs!

Upstairs Care, DownstairsHappy New Year!

My name is Scott Weingart. I’m an emergency physician intensivist from New York. For the past ten years, I have been hosting a webtext on ED critical care at Over the past year, this has flowed into the free EMCrit blog and podcast on all things ED Critical Care.

Both these efforts have been devoted to bringing Upstairs Care, Downstairs. What I mean by this is that geography alone should not determine the aggressiveness of treatment. monitoring, and comfort-giving  in critically ill patients. If the care makes sense and is based on good evidence in the ICU, it should be started the moment the patient rolls through the ED bay doors. Some might consider this far-fetched, but we’ve been trying to make it work for a few years now with some notable successes (and a few set-backs.)

I am pleased to now be able to post my podcasts and show notes here at the Central Line Blog. To start it all off, here are the top 3 posts from 2009:

Sympathetic-surge Crashing Acute Pulmonary Edema – When a patient gets wheeled in with crackles up to their clavicles and a BP of 280/190, the problem is NOT volume overload. These patients need afterload reduction. And if you need to intubate them, it is on some levels a failure [Read More & Listen to the podcast]

Intubating the Critical GI-Bleeder – Nothing is as sphincter-tightening as having to tube a variceal bleed with a belly full of blood. As in so many things, proper planning prevents poor performance.  [Read More & Listen to the podcast]

Non-traumatic Subarachnoid Bleeds – A ton of things need to be done in a very short time in these critically ill SAH patients.
[Read More & Listen to the podcast]

I would love to hear your comments and any suggestions for future topics.

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