Posts Tagged podcast

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 EMCrit.org. 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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Annals audio summary and podcast for August

The August edition of the Annals Audio Summary is now posted. Content for this month includes::

-Risk factors for VTE

-Ketamine and cerebral oximetry for pediatric sedation

-Local anesthesia for IV’s

Also, articles on cardiac arrest resuscitation including:

-Cost effectiveness of public access AED’s

-Termination criteria for prehospital resuscitation

-Post-resuscitation care for survivors

-Disparities in survival in the U.S.

…and much more.

Check it out!

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Annals Podcast for June

annalsThe June issue of Annals of Emergency Medicine is now available. And once again, the online highlight is the monthly podcast, which includes:

  • Dr. Deb Diercks discussing pitfalls and standards for chest pain triage
  • Dr. Vivek Tayal on ultrasound training standards

Dr. Reynolds and Dr. Newman summarize the June studies, including:

  • Failures in patient hand-offs
  • Family presence: no impact on efficiency
  • A trial of computerized risk assessments in low risk chest pain
  • Optic nerve sheath diameter fails to predict ICP in kids
  • ED neurocognitive testing may identify mild TBI
  • S3 doesn’t help to diagnose CHF

There is lots more, so download the Annals podcast today and every month!

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