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Today, Trina & I take listener CV-EMCrit ?s EMCrit Project by Scott Weingart, MD FCCM.
In this episode of EMCrit, Dr. Sarah Crager joins me to break down down-and-dirty bedside shock management, moving beyond simple blood pressure targets to a dynamic "shifting gears...
In this episode, Scott Weingart introduces the RUSH Exam 2.0, also known as the iRUSH. Moving beyond its original role for the crashing patient, this updated protocol provides a st...
EMCrit RACC-Lit Review for July 2026 This month: • Does prehospital whole blood actually improve outcomes? • Can DSD damage your defibrillator? • Go big or go home for adenosine &...
The YEARS protocol has gained popularity as a straightforward approach to identify a subset of patients undergoing a workup for suspected pulmonary embolism (PE) who are at suffici...
I dive deep into member-submitted airway nightmares, breaking down how to manage petrified "airway concrete" and high-risk hypoxemia. Learn how to apply the CHOP criteria, avoid ph...
As glorious as direct laryngoscopy was, it's time to transition to hyperangulated videolaryngoscopy as the mainstay of intubation among critically ill patients. There are a few rea...
Dr. Cho Espinosa—surgical intensivist, OB-GYN, and flight doc—joins me to overhaul how we handle catastrophic post-partum hemorrhage. Moving past standard ivory-tower guidelines, S...
Given the history of bad faith shenanigans undertaken by Roche to hide the borderline efficacy of oseltamivir in an effort to maximize profits, the results of REMAP-CAP should come...
Another MC-RCT just dropped on catheter-directed tPA for intermediate-high risk PE patients. It’s overall pretty similar to the HI-PEITHO trial (previously discussed here). I doubt...
Is HFNC as effective as NIV in reducing respiratory rate and improving respiratory distress within 2 hours in ACPE? The post HFNC vs. NIV in Acute Cardiogenic Pulmonary Edema: Go w...
The chloride saga continues... EMCrit Project by Rory Spiegel.
In our previous post, we explored some of the more nuanced considerations when interpreting Bayesian analyses. In Part 2, we’ll apply those concepts to a recently published Bayesia...
I break down the distinction between institutional competence and operator-level systems competence for High-Acuity, Low-Occurrence (HALO) emergency procedures. The episode discuss...
It seems like every few years, someone tests whether further risk stratification in patients following a negative workup for acute coronary syndrome (ACS) provides a clinically mea...
Pediatric emergencies are challenging. The Critical Kids series provides summaries of hot-off-the-press guidelines and evidence to support your decisions at the bedside. Today we c...
Is HFNC as effective as NIV in reducing respiratory rate and improving respiratory distress within 2 hours in ACPE? The post SPICE III Trial: Does Early Dexmedetomidine Improve Sur...
This particular story has a familiar shape. A small, methodologically flawed study finds a striking benefit. The p-value is impressively low. The paper lands in a major journal. An...
Rory and Jerry Hoffman host the inaugural episode of a new podcast EMCrit Project by Rory Spiegel.
What's the evidence behind premedication for contrast reactions? This post from Kevin Molyneux and Jenny Beck-Esmay breaks down the myths. The post Premedication to Prevent Contra...
Is there any moderate or high-level evidence that SEP-1 compliance and/or implementation is associated with improvement in sepsis mortality? The post Effect of Sepsis Bundle (SEP-1...
Just when I thought I was out, they pull me back in. -Michael Corleone A new meta-analysis by Liu et al. was just published in Frontiers in Medicine, comparing balanced crystalloid...
Category: Critical Care Nursing Other positive-pressure ventilation regional injuries include: Pericardium (pneumopericardium), subcutaneous tissue (subcutaneous emphysema), pleura...
Imagine, for a moment, that targeted temperature management (TTM), the standard of care in post cardiac arrest management for more than two decades, was built on a false premise fr...
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