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Shah: Mechanical Ventilation, Focusing on the basics

Today we welcome back Dr. Nirav Shah, program director for the Pulmonary and Critical Care Fellowship program at the University of Maryland Medical Center. Today Dr. Shah takes us back to the basics of ventilator use. Even the experts in the audience will find tips and tricks to take back to the ICU in order to improve patient care. And for all the budding intensivists out there, this is a talk you cannot miss!!

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Wacker: Refeeding Syndrome: Recognizing and Treating

Today we present a talk by David Wacker MD, PhD, one of our recently graduated University of Maryland EM/IM/CCM critical care fellows and new addition to the University of Minnesota. Today he presents a fantastic talk on what happens when we become TOO aggressive with ICU feeding. The history lesson alone is worth the listen, but it is a topic that is often overlooked and misdiagnosed. You might be surprised after this talk at just how many of these patients you have missed!

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Shiber: The History of Resuscitative Medicine

We are excited to welcome back Dr. Joseph R. Shiber, Associate Professor of Emergency Medicine at the University of Florida College of Medicine. Dr. Shiber is currently on loan to us here at the University of Maryland as he completes his Critical Care Medicine Fellowship. He is the first EM/IM/CCM graduate our program ever had and has been making waves in the academic world since his departure. After many requests he has agreed to share one of his most requested lectures: A history of resuscitative medicine.

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Slack- Refractory Status Asthmaticus: Drips & Gases & ECMO, Oh My!

Today we are happy to welcome Dr. Donald Slack, A second year Pulmonary-Critical Care fellow here at the University of Maryland. He hails to us most recently from Christiana Health Care System where he completed his internal medicine residency before returning home to UMMC, where he spent his medical school training. Today he shares some information extracted from a VERY difficult asthma case that presented to his service several months ago. This is a fantastic review of the random things we attempt to keep asthmatic airways open. So before you reach for that EpiPen or start the ketamine drip, you should take 45 minutes and learn about why those ideas may not be as helpful as you think.

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Herr: You think you know ETCO2?!?

Today we are fortunate that Dr. Daniel Herr, Chief of Surgical Critical Care services and Director of the Cardiac Surgery/Heart-Lung Transplant ICU here at the University of Maryland and overall critical care genius. Today Dr. Herr tackles a topic that often stares us right in the face, offering us all the knowledge we could ever need to treat patients, and yet we ignore it: End Tidal CO2!!

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Rubin: AKI in the ICU, an Updated Look

Today we are joined by Dr. Mario Rubin, Associate Professor of Medicine in the Nephrology Department and the acting Director of the Nephrology fellowship here at the University of Maryland. Dr. Rubin is a recent transplant from Boston where he served as director of nephrology education and director of the Transplant Nephrology Fellowship at Massachusetts General Hospital. We stole him for a single hour to discuss some of the basics & cutting edge controversies about AKI in the the critically ill patient .

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Lane-Fall: After the ICU: post-intensive care syndrome

Today we are fortunate to welcome Meghan Brooks Lane-Fall, MD, MSHP all the way down from Philadelphia! Dr. Lane-Fall is an Assistant Professor of Anesthesiology and Critical Care at the Hospital of the University of Pennsylvania and one of the world’s experts on what happens to your patient’s after they leave the ICU. She has published numerous papers on the topic and is THE GURU on improving transitions of care. She has perfected the art of transitioning care between physicians, and today she will delve into the complicated topic of transitioning patients from their ICU bed all the way to their trip home with family. This is a VERY hot topic and one that will truly change the future of ICU medicine!!

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D’Alessio: The Pathobiology of Sepsis

Today we are very fortunate to welcome Franco Rafael D’Alessio MD, assistant professor of medicine at the Johns Hopkins University School of Medicine with a specialty on critical care medicine. If there is one thing that Dr. D’allasio knows, it is sepsis. In fact over the last several years he has published numerous papers on the immunology of lung disease, focusing on T cell use, macrophage response, and the changes to inflammation that occur with aging. Today he focuses his brilliance to a 45 minute talk that is essential if you ever want to truly understand what sepsis does to your patients!

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Spiegel: Science vs. truth, an approach to journal analysis

Today we are visited by Dr. Rory Spiegel. The man behind EM Nerd and the most recent winner of the EMRA Educator and FOAMer of the year! Dr. Spiegel is most recently completing his Resuscitation Fellowship at Stony Brook University Medical Center where every day activities focus on two things: the creation of an ED-ICU model AND reviewing/critiquing scientific papers. Today he will be doing his best to concentrate his brilliance into a 45 minute presentation. I have heard a ton of lectures on EBM, but never before has one made so much sense in such a short period of time!

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Winters: Running the perfect code

Dr. Michael Winters is the medical director of the Department of Emergency Medicine at the University of Maryland and a brilliant speaker on critical care and emergency medicine topics. Dr. Winters has become one of the most well known and widely published experts in the field of practicing critical care medicine in the emergency room. You cannot find a more knowledgable and dedicated educator, so I hope you take advantage of this fantastic lecture! Your patients will thank you for it!! He is also well known as the creator and host of Critical Care Perspectives in Emergency Medicine (Twitter: @critcareguys)

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Tisherman: Preventing surgical airway disasters

Today we have Dr. Samuel Tisherman, the current Director of the Center for Critical Care and Trauma Education here at the UMMC. Dr. Tisherman is a recent transplant from the University of Pittsburg where he was the Director of the Multidisciplinary Critical Care Training Program and program director for the Surgical Critical Care Fellowship. If all that wasn’t enough, in addition to his numerous teaching awards, he was also elected to the prestigious University of Pittsburgh School of Medicine Academy of Master Educators. So obviously with this phenomenal educational pedigree, Dr. Tisherman is the perfect individual to lead a discussion on the one topic we only get one shot to master: Emergency and Surgical Airways! Trust me, this talk WILL save someone’s life in the next week!!

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Brower: Driving pressure in ARDS, does it matter?!?

Dr. Roy Brower returns to discuss a HOT topic in critical care – Driving Pressure. Is this the new mechanical ventilation resus end-point? Is pPlat < 30 out? In this talk, Dr. Brower will explain how to calculate the driving pressure, how it correlates with the stress index, and how you may be able to prevent VILI with just some simple bedside adjustments.

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Wood: The Quality-Cost Interface of Healthcare Reform

Today we are fortunate to welcome Dr. Kenneth E. Wood, current Associate Chief Compliance Officer for the University of Maryland Medical Center as well as the new Director of the Maryland Critical Care Network. Dr. Wood just recently joined us from the Geisinger Health System, where he was the Chief Medical Officer as well as the Director of the IAA Geisinger Center for Healthcare Systems Re-Engineering. AND before that he was the Director of Critical Care Medicine and the and Program Director for the Pulmonary and Critical Care Fellowship at the University of Wisconsin…. Needless to say, he has spent a majority of his life making medicine run like an efficient machine. However, today Dr. Wood explains the real issue plaguing our society. Quite simply, the United States health care system is failing to do its most fundamental duty: take care of it’s people. This is a lecture I assure you cannot be watched just once…

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Stein: Coma and Brain Death

http://media.blubrry.com/marylandccproject/p/content.blubrry.com/marylandccproject/Stein_Brain_Death_AUDIO.mp3Podcast: Play in new window | DownloadSubscribe: iTunes | Android | RSS

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Galvin: Lung Imaging as a Bridge to Anatomy, Physiology, and Histology

Today we welcome Jeffrey R. Galvin, MD, Professor, Departments of Radiology and Internal Medicine (Division of Pulmonary and Critical Care Medicine) at the University of Maryland Medical System, and Chief, Chest Imaging at the American Institute for Radiologic Pathology. Dr Galvin has the distinct pleasure of being board certified in Internal Medicine, Pulmonary Medicine and Radiology! That background makes him one of the world’s experts in diagnostic imaging of the lung. This is a must listen lecture, in fact, put this into your listening rotation and on repeat once a month!

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Hu: Bronchopleural Fistula- Summary and Recommendations

Bronchopleural fistulae (BPF) are more than simply air leaks to be fixed with a chest tube. Albeit relatively rare, they carry a high morbidity and mortality, and knowledge regarding their management is important to facilitate healing and limit negative outcomes.

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Shiber: Non-Invasive Ventilation in the ICU

Today we are fortunate to have Dr. Joseph R. Shiber, an Associate Professor in the Departments of Emergency Medicine and Surgical Critical Care at the University of Florida College of Medicine. Dr. Shiber also acts as the Co-Director of the Neuroscience ICU and attends in the SICU/TICU. And if that wasn’t enough, he has also has the distinct pleasure of the being in the FIRST graduating class of the EM/IM/CCM program at the University of Maryland! This is a talk that you CANNOT miss if you ever plan to encounter COPD or CHF in your patient population.

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Motta – Cutting Edge Acute Ischemic Stroke Care

Today we are privileged to welcome Dr. Melissa Motta, Assistant Professor of Neurology and a mainstay in the Neuro-Critical Care Unit here at the University of Maryland. Dr. Motta has an extensive research background on the topics of rehab and quality of life improvement after an acute stroke and has published numerous papers that have revolutionized the field. Over the last several years she has compiled all current research on the treatment of acute ischemic stroke and was gracious enough to share a summary of this information over the next 50 minutes. If you come across stroke patients in your daily practice, then this talk cannot be missed!