Friday
Lets go to the replay
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Great teams review their performances. A recent publication from George Washington University used video of cardiac arrest resuscitations to generate educational interventions to minimize pulse checks during resuscitation.
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Should remdesivir be utilized for severe COVID-19?
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As the number of COVID-19 cases rises drastically and the global pandemic continues to change life as we know it, we are all hoping for news of effective treatment. Approximately 15 percent of patients infected with SARS-CoV-2 develop pneumonia requiring supplemental oxygen and an additional 5 percent progress to critical illness and acute hypoxemic respiratory failure. Although numerous drugs have been investigated, only dexamethasone has demonstrated improved survival in patients hospitalized with COVID-19 in a randomized controlled trial design. We now have data from 3 randomized controlled trials to guide the use of remdesivir for severe COVID-19.
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Why We Prone Patients
You ever wonder why we prone patients with acute respiratory distress syndrome? Watch this CritBits and find out.
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Disseminated Intravascular Coagulation
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Dr. Comber discusses DIC
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Cap Refill and Lactate
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A growing body of literature shows targeting capillary refill time is non-inferior to lactate clearance in sepsis resuscication.
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TTP: Rapid diagnosis and management
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You are working at a tertiary care center and a 55-year-old woman is transferred to you from an outside hospital for severe persistent thrombocytopenia of unknown origin. On arrival, she is mildly confused and tachycardic. The platelet count is 7K and the hemoglobin is 5.8. Peripheral blood smear demonstrates schistocytes consistent with microangiopathic hemolytic anemia. The diagnosis of thrombotic thrombocytopenic purpura (TTP) is suspected. TTP is a hematologic emergency: what are the next steps in management?
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How to Manage Refractory Hypoxemia
As the COVID epidemic continues with cases rising, managing patients with hypoxemia will continue to be challenging. This video with Dr. Matt Siuba and myself will discuss a few strategies to manage the patient with refractory hypoxemia.
The video is here
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Fishing for Hooks: A Therapeutic Misadventure
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Dr. Sikina discusses an interesting foreign body case.
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Post ROSC Care
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A patient is brought to the ED following a cardiac arrest. ROSC is achieved 1 minute after arrival to the ED. What treatments should the ED physician provide to allow the best outcomes?
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