Saving Lives Podcast: Critical Care w/eddyjoemd

Show Notes: eddyjoemd.com/hello-2023/

Evaluation of patients with Cardiogenic Shock. Why do we need a swan, introduction to CPO, PAPi and survival rates in these critically ill patients Show Notes: https://eddyjoemd.com/cardiogenic-shock-mcs/ TrueLearn Link: https://truelearn.referralrock.com/l/EDDYJOEMD25/ Discount code: EDDYJOEMD25

Evaluation of patients with Cardiogenic Shock. Part two of who knows how many episodes I will create on this topic. In this episode I discuss the stages and prognosis based on the staging. Show Notes: https://eddyjoemd.com/cardiogenic-shock-mcs/ TrueLearn Link: https://truelearn.referralrock.com/l/EDDYJOEMD25/ Discount code: EDDYJOEMD25

Evaluation of patients with Cardiogenic Shock. Part one of who knows how many episodes I will create on this topic. Definition, Clinical Manifestations, Phenotypes and an Introduction to Management Strategies Show Notes: https://eddyjoemd.com/cardiogenic-shock-mcs/ TrueLearn Link: https://truelearn.referralrock.com/l/EDDYJOEMD25/ Discount code: EDDYJOEMD25

How should we provide IV fluids to patient with acute pancreatitis? Let's look at a recent paper in the NEJM that helps with rate & duration. In this episode, we discuss the resuscitation of acute pancreatitis and why it's important not to overdo it. Acute pancreatitis is a common condition that can be associated with significant morbidity and mortality. Fluid resuscitation is a key co...

Should we use milrinone or dobutamine in patients in cardiogenic shock? NEJM published data providing us with the answer. In this episode, we explore the topic of cardiogenic shock and the use of two common medications, milrinone and dobutamine, in treating it. We examine the mechanisms of action, potential side effects, and clinical outcomes associated with each drug to determine which may be the...

Do Cardiogenic Shock Pts Need a Swan-Ganz/Pulmonary Artery Catheter? Let's look at the data. Let's also look at the devices such as pulse-contour analysis and bioreactance to see if they could replace the PA catheter in the management of cardiogenic shock. Show Notes: https://eddyjoemd.com/cardiogenic-shock-swan/ Mechanical Circulatory Support Notes: https://eddyjoemd.com/cardiogenic-shock-mcs/

Pulmonary Artery Pulsatility Index (PAPi) is a hemodynamic parameter with prognostic value in pts w/right heart failure & cardiogenic shock. Show Notes: https://eddyjoemd.com/papi/ Citations: Lim HS, Gustafsson F. Pulmonary artery pulsatility index: physiological basis and clinical application. Eur J Heart Fail. 2020 Jan;22(1):32-38. doi: 10.1002/ejhf.1679. Epub 2019 Nov 28. PMID: 31782244. Šk...

Should we provide our DKA patients with sodium bicarbonate (bicarb) pushes or drips to improve their pH? Let's look at the data. In this episode, we dive into the controversial topic of using bicarbonate in the management of diabetic ketoacidosis (DKA). Is it beneficial or harmful? We review the current evidence and guidelines to help you make informed decisions on whether to incorporate bicar...

When you're taking one of those automated blood pressure measurements on an oscillometric device, you should trust the MAP. Show Notes: https://eddyjoemd.com/oscillometric-map/

The European Respiratory Society has provided 8 conditional recommendations for the use of nasal high flow/high flow nasal cannula/high flow oxygen/whatever you want to call it. Here, I review the 8 recommendations and add some commentary on them.  Show Notes: https://eddyjoemd.com/high-flow/ Citation: Oczkowski S, Ergan B, Bos L, Chatwin M, Ferrer M, Gregoretti C, Heunks L, Frat JP, Longhini...

Is intermittent fasting (time-restricted-eating) with a calorie restriction better than just a calorie restriction?  Show Notes: https://eddyjoemd.com/intermittent-fasting/ Citation: Liu D, Huang Y, Huang C, Yang S, Wei X, Zhang P, Guo D, Lin J, Xu B, Li C, He H, He J, Liu S, Shi L, Xue Y, Zhang H. Calorie Restriction with or without Time-Restricted Eating in Weight Loss. N Engl J Med. 2022 A...

Aspirin has been thoroughly studied for patients with COVID-19. This study is a positive trial suggesting benefits to using it. But should we? Let's interpret the data given recent advancements.  Show Notes: https://eddyjoemd.com/aspirin-covid/ Although great care has been taken to ensure that the information in this podcast are accurate, eddyjoe, LLC shall not be held responsible or in any w...

In patients who are immunocompromised, we must determine whether using high flow oxygen (HFNC/NHF/HFO) or NIV would better serve our patients Show Notes: https://eddyjoemd.com/high-flow-immunocompromised/ Although great care has been taken to ensure that the information in this podcast are accurate, eddyjoe, LLC shall not be held responsible or in any way liable for the continued accuracy of the i...

Should we be considering tPA (alteplase) as a last-ditch effort to try to improve oxygenation in our COVID-19 patients? Show Notes: https://eddyjoemd.com/tpa-covid/ Although great care has been taken to ensure that the information in this podcast are accurate, eddyjoe, LLC shall not be held responsible or in any way liable for the continued accuracy of the information, or for any errors, omissions...

Should we use rapid shallow breathing index (RSBI) in isolation or in conjunction with other parameters to predict extubation success? In this episode, we discuss the use of Rapid Shallow Breathing Index (RSBI) as a predictor of successful extubation in critically ill patients. We review the significance of the RSBI, and the factors that affect its accuracy. We also explore the evidence behind the...

Reviewing the data and guidelines to provide anticoagulation or VTE prophylaxis to our patients with COVID-19. Show Notes: https://eddyjoemd.com/anticoagulation-covid/ Although great care has been taken to ensure that the information in this podcast are accurate, eddyjoe, LLC shall not be held responsible or in any way liable for the continued accuracy of the information, or for any errors, omissi...

Show Notes: https://eddyjoemd.com/expectations/ Although great care has been taken to ensure that the information in this podcast are accurate, eddyjoe, LLC shall not be held responsible or in any way liable for the continued accuracy of the information, or for any errors, omissions or inaccuracies, or for any consequences arising therefrom. Website: www.eddyjoemd.com Instagram: www.instagram.com/...

Are you annoyed when the clinician orders two sets of blood cultures for your patient? Let's look at why you have to do two and 20ml's. In this episode, we explore the reasons behind ordering two sets of blood cultures when a patient presents with a suspected infection. We discuss the importance of obtaining accurate and reliable results, how the two sets of cultures increase the chances o...

In this podcast I cover lactate levels (aka lactic acid levels) sorting out the original data as to why we check it on every patient with sepsis or septic shock upon arrival to the ED, how it is associated with mortality, and how trending it could provide insight to the prognosis of our patients. In this episode, we explore the importance of lactate/lactic acid levels in critically ill patients. W...

Are the vaccine mandates that are seen around the world today evidence based? Based on these data, it appears that they are not.  Show Notes: https://eddyjoemd.com/vaccine-mandate/ Although great care has been taken to ensure that the information in this podcast are accurate, eddyjoe, LLC shall not be held responsible or in any way liable for the continued accuracy of the information, or for...

Reviewing a recently published article on Cardiac Injury in COVID-19 that was published in the Intensive Care Medicine Journal by Julie Helms, Alain Combes and Nadia Aissaoui.  Show Notes: https://eddyjoemd.com/foamed Although great care has been taken to ensure that the information in this podcast are accurate, eddyjoe, LLC shall not be held responsible or in any way liable for the continued...

Many people often ask me how I stay up to date with the most recent literature in Critical Care Medicine. This podcast will hopefully explain this. Show Notes: https://eddyjoemd.com/up-to-date-critical-care/ Although great care has been taken to ensure that the information in this podcast are accurate, eddyjoe, LLC shall not be held responsible or in any way liable for the continued accuracy of th...

The PLUS Trial compared plasma-lyte to 0.9% NaCl (aka normal saline) in patients who were critically ill and needed IV fluids. In this episode, we review the PLUS trial that compared Plasma-lyte to Saline (0.9% NaCl) in critically ill patients. We discuss the rationale behind the trial, its design, and the key findings. We also delve into the implications of the study results and explore how this...

A new study is showing that we should add vasopressin and methylprednisolone to our ACLS protocols as it helps patients achieve ROSC faster. Should they be standard of care? In this episode, we discuss the use of vasopressin and methylprednisolone in cardiac arrest and their potential benefits. We explore the studies that have examined the use of these medications in ACLS protocols and their mecha...