Saving Lives Podcast: Critical Care w/eddyjoemd

Septic shock patients need some IV fluids for resuscitation, there's no argument about that. But there seems to be a tendency of proving too much IV fluids which can be deleterious to our patients as I will discuss in this podcast. In this episode, we discuss the controversial topic of fluid management in shock patients. While fluids are an essential part of resuscitation, excessive fluid admi...

An examination of the five reasons listed by a group of Italian physicians as to why COVID-19 patients die.  Show Notes: https://eddyjoemd.com/covid-death/ Receive a FREE audiobook (TWO for Amazon Prime members) with your FREE 30-day trial by using my link for Audible: CLICK HERE! You will be reminded when your trial is ending, by the way. 😉 Although great care has been taken to ensure that...

When should we be intubating our COVID-19 patients? Soon upon arrival to the ICU or should we delay? This paper attempts to answer the clinical question we all have to find what is the optimal strategy to care for these patients and avoid their unfortunate demise. Show Notes: https://eddyjoemd.com/intubation-timing/ Receive a FREE audiobook (TWO for Amazon Prime members) with your FREE 30-day tria...

Median 37yo patients w/a median BMI of 26 were provided Ivermectin to see if it helped with their mild COVID-19 and it didn't. Big surprise. Show Notes: https://eddyjoemd.com/ivermectin-covid19/ Receive a FREE audiobook (TWO for Amazon Prime members) with your FREE 30-day trial by using my link for Audible: CLICK HERE! You will be reminded when your trial is ending, by the way. 😉 Although great c...

Is azithromycin use in the outpatient setting for COVID-19 beneficial for our patients? The latest data from The Lancet says no. Show Notes: https://eddyjoemd.com/azithromycin-covid/ Receive a FREE audiobook (TWO for Amazon Prime members) with your FREE 30-day trial by using my link for Audible: CLICK HERE! You will be reminded when your trial is ending, by the way. 😉 Although great care has been...

Should we be using indirect calorimetry to give our critically ill patients an edge to survive their insult that landed them in the ICU? This systematic review and meta-analysis suggests that we should! In critically ill patients, assessing their metabolic status and nutritional requirements can be a challenging task. In this episode, we explore how indirect calorimetry can be used to calculate th...

Should we be proning COVID patients who are not intubated/spontaneously breathing? The short answer is yes. Prone positioning works. Show Notes: https://eddyjoemd.com/proning-covid/ Receive a FREE audiobook (TWO for Amazon Prime members) with your FREE 30-day trial by using my link for Audible: CLICK HERE! You will be reminded when your trial is ending, by the way. 😉 Although great care has been...

I have admittedly zero clinical experience with angiotensin II/Giapreza. My colleague Rishi Kumar, MD explains how he uses Giapreza in his practice.  Check out Rishi's website: rk.md Follow him on Instagram: www.instagram.com/rishimd Follow him on Twitter: www.twitter.com/rishikumarmd Check out his videos on YouTube: www.youtube.com/RishiKumarMD Show Notes: https://eddyjoemd.com/vasopressors/...

Reviewing a new article published in this month's issue of CHEST looking at the safety and effectiveness of angiotensin II in patients with shock of differing etiologies.  Show Notes: https://eddyjoemd.com/vasopressors/ Receive a FREE audiobook (TWO for Amazon Prime members) with your FREE 30-day trial by using my link for Audible: CLICK HERE! You will be reminded when your trial is ending, b...

Looking at the new (and old) Choosing Wisely recommendations for critical care patients who are in the Intensive Care Unit (ICU). Show Notes: https://eddyjoemd.com/choosing-wisely/ Receive a FREE audiobook (TWO for Amazon Prime members) with your FREE 30-day trial by using my link for Audible: CLICK HERE! You will be reminded when your trial is ending, by the way. 😉 Although great care has been t...

Looking at using mild hypothermia (34°C) to decrease inflammation and mitigate the coagulopathy (amongst other benefits) in our COVID-19 patients. Show Notes: https://eddyjoemd.com/covid-hypothermia/ Receive a FREE audiobook (TWO for Amazon Prime members) with your FREE 30-day trial by using my link for Audible: CLICK HERE! You will be reminded when your trial is ending, by the way. 😉 Although gr...

Analyzing the RECOVERY analysis of Tocilizumab in COVID-19 patients. Is it time to put it back into the arsenal after several failed trials? Hat tip to the authors. Show Notes: www.eddyjoemd.com/tocilizumab-recovery Receive a FREE audiobook (TWO for Amazon Prime members) with your FREE 30-day trial by using my link for Audible: CLICK HERE! You will be reminded when your trial is ending, by the way...

Does colchicine work for COVID-19 patients in the outpatient setting? Let's closely examine the COLCORONA study out of Canada which has NOT been yet peer-reviewed to see what the hype is all about.  Show Notes: https://eddyjoemd.com/colchicine-covid/ Receive a FREE audiobook (TWO for Amazon Prime members) with your FREE 30-day trial by using my link for Audible: CLICK HERE! You will be remind...

I really can't believe that this is the 50th episode of the Saving Lives Podcast. It feels like I only started it yesterday which is partly true. I started it back in late September. I would like to thank you all for your support as I work through the kinks of this podcasting business. Show Notes: https://eddyjoemd.com/saving-lives-50/ Receive a FREE audiobook (TWO for Amazon Prime members) with y...

Show Notes: https://eddyjoemd.com/covid-vaccine/ Receive a FREE audiobook (TWO for Amazon Prime members) with your FREE 30-day trial by using my link for Audible: CLICK HERE! You will be reminded when your trial is ending, by the way. 😉 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 fo...

Hypercapnic respiratory failure happens occurs often in patients on mechanical ventilation. How could we go about fixing this and should we? Show Notes: https://eddyjoemd.com/hypercapnia Receive a FREE audiobook (TWO for Amazon Prime members) with your FREE 30-day trial by using my link for Audible: CLICK HERE! You will be reminded when your trial is ending, by the way. 😉 Although great care has...

Can we use non-invasive ventilation (NIV/BiPAP/BPAP) to improve outcomes acute severe asthma exacerbations in patients? Looking at evidence from this very recently published paper. Show Notes: https://eddyjoemd.com/niv-asthma Receive a FREE audiobook (TWO for Amazon Prime members) with your FREE 30-day trial by using my link for Audible: CLICK HERE! You will be reminded when your trial is ending,...

Can we use high flow nasal cannula (HFNC/HFO/NHF) devices to manage acute severe asthma exacerbations in patients? Looking at evidence. Show Notes: https://eddyjoemd.com/high-flow-asthma/ Receive a FREE audiobook (TWO for Amazon Prime members) with your FREE 30-day trial by using my link for Audible: CLICK HERE! You will be reminded when your trial is ending, by the way. 😉 Although great care has...

This is meant to encourage you to pursue a career in the many branches of Critical Care Medicine, whether you're a physician, NP, PA, or nurse. I love my job/career and I love my team. I would love it if you had the same career satisfaction as well. These are my opinions and I could be wrong. Show Notes: https://eddyjoemd.com/yes-critical-care/ Receive a FREE audiobook (TWO for Amazon Prime member...

This is meant to encourage you to pursue a career in the many branches of Critical Care Medicine, whether you're a physician, NP, PA, or nurse. I love my job/career and I love my team. I would love it if you had the same career satisfaction as well. These are my opinions and I could be wrong. Show Notes: https://eddyjoemd.com/yes-critical-care/   Receive a FREE audiobook (TWO for Amazon Prime...

Convalescent Plasma did not quite pan out the way we all wish it did in this study (PlasmAr) published today in the New England Journal of Medicine Show Notes: www.eddyjoemd.com/conplas Receive a FREE audiobook (TWO for Amazon Prime members) with your FREE 30-day trial by using my link for Audible: CLICK HERE! You will be reminded when your trial is ending, by the way. 😉 Although great care has b...

Mitigating errors and improving patient care in the transition of patients who are s/p cardiac surgery as they move from the cardiovascular operating room to the cardiovascular intensive care unit (CVICU).  Show Notes: www.eddyjoemd.com/cvicu Receive a FREE audiobook (TWO for Amazon Prime members) with your FREE 30-day trial by using my link for Audible: CLICK HERE! You will be reminded when...

Could a CBC w/diff tell us who's going to do poorly with COVID? Using the neutrophil to lymphocyte ratio could be quite helpful. Show Notes: www.eddyjoemd.com/NLR Receive a FREE audiobook (TWO for Amazon Prime members) with your FREE 30-day trial by using my link for Audible: CLICK HERE! You will be reminded when your trial is ending, by the way. 😉 Although great care has been taken to ensure tha...

Looking into which fluids we should use to resuscitate our patients who are in Diabetic Ketoacidosis based on the findings of the SALT-ED and SMART trials. Show Notes: www.eddyjoemd.com/ivf-guide Receive a FREE audiobook (TWO for Amazon Prime members) with your FREE 30-day trial by using my link for Audible: CLICK HERE! You will be reminded when your trial is ending, by the way. 😉 Although great...

The ROX index is defined as the ratio of oxygen saturation as measured by pulse oximetry (SpO2)/FIO2 to respiratory rate (RR). It stands for Respiratory rate - OXygenation. ROX ≥ 4.88 at 2, 6, and 12 hours means they're likely in the safe zone. ROX < 2.85 at 2 hours, ROX < 3.47 at 6 hours, ROX < 3.85 at 12 hours means the patient likely needs to be intubated.  Show Notes: w...