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Today we are pleased to post the parting lecture that Darryn R. Potosky, MD gave to the attendants of the December 2016 UMMC Critical Care conference. Dr. Potosky was an undergrad, medical student, resident, and fellow of the University of Maryland system. During his tenure as staff at UMMC, Dr. Potosky was the director of Hepatology and Assistant Professor of Medicine. In addition, he has published numerous articles in peer-reviewed publications on liver transplantation, spoken at national and international meetings including the American Association for the Study of Liver Diseases (AASLD). Today he is breaking down a problem plaguing ICUs around the country: the massive influx of pre-transplant liver failure patients. This is an issue I can assure you is not just effecting the doctors here in Baltimore!
This afternoon we were fortunate to pull Michael G. Allison, MD from the ICU at St Agnes Hospital, Baltimore, MD back over to UMMC where he was gracious to donate an hour of his his brilliance. Dr. Allison is a previous graduate of the Emergency Medicine/Internal Medicine/Critical Care fellowship here at the University of Maryland Medical Center where he molded his training and career to the speciality use of ultrasound and echocardiography in the intensive care unit. He has taken this unique niche and dominated the field of volume assessment in the critically ill patient. Today I welcome you to sit back and enjoy what has been one of the more enjoyable journeys in education we have been privy to here at CCproject!
Today we have the pleasure of undergoing something we have NEVER before demonstrated on MCCP, our first whiteboard lecture! And we have the best person possible to accomplish this monumental feat: Patricia A. Kritek, MD, EDM. Dr. Kritek is a Professor in the Division of Pulmonary and Critical Care Medicine and Associate Medical Director of Critical Care at the University of Washington Medical Center. In addition, she has revolutionized the way training programs use technology to teach medical students, residents and fellows, having earned her EdM from the Harvard Graduate School of Education. Today she was kind enough to cross the USA and grace us with a fantastic, interactive, and highly educational talk on the ways we should and should not treat ARDS. Don’t miss this opportunity to experience her brilliance!
Today we are immensely honored to welcome Timothy G. Buchman, PhD, MD, FACS, FCCP, MCCM, Professor of Surgery and Anesthesiology, Emory University School of Medicine. In addition, Dr. Buchman has served as president of nearly EVERY major critical care society, has published 231 peer reviewed journals, and most recently acts as the Editor in Chief for Critical Care Medicine. In 2012 Dr. Buchman founded the Emory Critical Care Center (ECCC), and as director he has united the care of all the critically ill patients in the Emory Health Care System. In 2014, he directed his focus to the development of the Emory Electronic ICU (eICU), a mecca of telemedicine which has revolutionized the way critical care is administered. Today he is gracious to have flown up in order to speak with us on a very hot topic: where is critical care going and how can we not be left behind?
Today we are fortunate to have convinced Dr. Thomas Stephen Metkus to cross the interstate and join us for CCP rounds here at the University of Maryland. Dr. Metkus is an assistant professor of cardiology at the Johns Hopkins University School of Medicine whose research focuses on using cardiac physiology for risk stratification and therapeutics in non-cardiac critical illness (mainly sepsis & ARDS). Dr. Metkus started his career with an undergraduate degree from Boston University College of Engineering, moving down 95 to collect a medical degree from the University of Pennsylvania School of Medicine. Keeping the Ivy League streak going he went onto to complete a medicine residency at Brigham and Women’s Hospital, and then a fellowship at both Harvard Medical School and Johns Hopkins Hospital. Fresh off publication of a highly lauded article focusing on bedside diagnoses in the ICU, today he is gracious enough to take the reigns of the late/great Osler and discuss why physical exam in the ICU is NOT a dead art!
Today we welcome another brilliant individual, Philip Verhoef, MD, PhD, FAAP, FACP. Dr. Verhoef demonstrates a significant level of dedication to medicine. Not only did he do a Med-Peds residency at University of California-Los Angeles, but he then went and completed a Fellowship in both Adult and Pediatric Critical Care Medicine at the University of Chicago (10 years of training!!). Since that time he has stayed on at the University of Chicago with an appointment in both Pulmonary/Critical Care Medicine and Pediatric Critical Care Medicine, recently rising to the level of Assistant Professor. He has also made a name for himself as a clinical expert on the REAL ramifications of the boom that is Healthcare Reform. Today he was kind enough to stop by for lunch and share a very concentrated view on the ACA, AHCA, and on the idea of Single Payer system. This talk is vital not only to the intensivist, but to everyone in the United States. I assure you, this is one lecture you will want to watch with the ENTIRE family!!
Today we welcome Mojdeh Saba Heavner, Pharm.D., BCPS, BCCCP. Dr. Heavner is an assistant professor here at the University of Maryland School of Pharmacy and a clinical pharmacy specialist in the UMMC MICU. She recently came back to us after a Critical Care & Transplant Specialty Pharmacy Residency at Yale, where she was voted the BEST Pharmacist in Connecticut. Now she is shaking things up here on MICU daily rounds and has revolutionized the care of our patients. So if you want to avoid the brow beating from your own pharmacist every morning, I highly suggest you listen to this lecture twice!!
Today we welcome a local legend: H. Neal Reynolds, MD. Dr. Reynolds is an Associate Professor of Medicine at the University of Maryland School of Medicine as well as the Associate Director of the Shock Trauma Center’s Multi-Trauma ICU. Today Dr. Reynolds provides us with an in-depth look at the world of the chronically ill. Every ICU has them, now it’s time to have a primer on the proper management of this issue before it becomes too late!
Welcome back to MCCP! To kick things off we welcome in Dr. Michael Mazzeffi, Associate Professor of Anesthesia at the UMMC, where he additionally acts as the Director for Resident Research Education and Adult Cardiothoracic Fellowship Program Director. He has fast become one of the foremost experts in the field of mechanical circulatory support, publishing numerous papers on the topic. Additionally, his academic prowess has yielded invitations to speak at many prestigious locations around the world. Dr. Mazzeffi was recently a key speaker at the 2016 International Anesthesia Research Society and today he has graciously offered to give us the talk that was the talk of the symposium!
Today Michael Rothman, Ph.D., co-founder and chief science officer, PeraHealth is presenting his work on early detection of critical illness. After losing his mother to an undetected complication following a low-risk surgical procedure, Dr. Rothman was determined to develop a method to predict such travesties before they occurred. He accomplished this by leveraging over 30 years of data analysis and mathematical modeling experience to create a method of tracking patient progress, allowing detection of declining health, and allowing earlier intervention. These models are referred to as the Rothman Index and the pediatric Rothman Index, both of which are revolutionizing the way we care for critically ill patients.
Today we welcome back Samuel M. Galvagno, DO, PhD, Associate Professor of Anesthesiology & Chief, Division of Critical Care Medicine, University of Maryland School Of Medicine. Dr. Galvagno has an extremely impressive resume, including a Ph.D. from The Johns Hopkins Bloomberg University School of Public Health as well as over 60 peer reviewed publications coupled with years of clinical expertise in airway and ventilator management. Today he is gracious to share some pearls of wisdom to guide the average intensivist in the management of a newly ventilated patient. There is so much information in this lecture that I am certain you will want to watch it multiple times!
Today we have the pleasure to welcome Nancy Maureen Hardy, MD, MA, FACP, Associate Professor of Medicine at the University of Maryland Marlene & Stewart Greenebaum Cancer Center. Dr. Hardy originally trained at Duke University for her medical degree, her Internal Medicine residency, and an Oncology fellowship. Next she moved on to the NIH where she completed both an ID fellowship and Research Fellowship in Immunology. She then stayed on the NIH faculty for 10 years at the Experimental Transplantation and Immunology Branch of the National Cancer Institute until 2014. Now we have get genius gracing the halls of UMMC where she acts as the Director of Allogenic Transplantation and Cell Therapy Laboratories….
Today we wrap up our wonderful tour of ECMO-ology with a few lectures that will give you a few ideas on the finer things of ECMO: what can go wrong, what can go right, and of course what we need to do to get the patient off ECMO and back home. With the …
Today we continue with day 2 of ECMO training. The speakers today have been practicing ECMO for numerous years and what you are going to hear is information garnered from hundreds of ECMO cases. This course is tailored to both give beginners some foundation on ECMO and also introduce some novel …
Today you are welcome to a rarity in modern medicine, we will posting an ENTIRE ECMO course online, for free! This will be a weekly event for a three week stretch. I hope you enjoy the lectures and share them with all your colleagues. Please note: listening to this course does …
Today’s special guest speaker, Paul J McCarthy MD, CNSC, is a new addition to the Maryland family. Dr. McCarthy recently practiced at the LSU Health Sciences Center, where he acted as an Assistant Professor of Medicine and Neurosurgery as well as the Assistant Director Neurosurgical Intensive Care Unit. Now he serves his time as an Assistant Professor in the Department of Internal Medicine here at the University of Maryland SOM and had been a constant presence in the MICU. Over his extensive career in medicine, Dr. McCarthy has been a voice of reason when it comes to ICU nutrition. Today he gives us a crash course in everything we need to know to keep our patients healthy and fed!
Today we welcome Jennie Y. Law, M.D., Assistant Professor of Medicine here at the University of Maryland. Dr. Law is a true home grown talent, doing both her medical school and medicine residency here at the University of Maryland before leaving to do her fellowship in Hematology/Oncology at UT Southwestern down in Dallas, Texas. Today she is here to talk about Hemophagocytic Lymphohistiocytosis (HLH), a topic that has puzzled internists, intensivists, and hematologists alike. Review the pathophysiology, learn the criteria for diagnosis – both the HLH 2004 criteria and the newer HSCORE – and go through her treatment algorithms. See why and how you may be overlooking this important diagnosis in your patients!
Today we are pleased to feature a groundbreaking talk by a recent addition to the Shock Trauma faculty, Samuel Tisherman, MD, FACS, FCCM. Dr. Tisherman is a Professor of Surgery and Director of the Division of Critical Care and Trauma Education here at the University of Maryland. He is also one of the worlds foremost experts on using hypothermia in the resuscitation of trauma patients. Today he gives a preface for his revolutionary EPR-CAT trail. You will want to be on the cutting edge of this revolutionary concept!
Today we welcome back Larry Weiss, M.D., J.D., Clinical Professor of Emergency Medicine at the University of Maryland and overall expert in the field of medico-legal issues. Dr. Weiss has been invited all over the United States to speak on the delicate aspects of practicing medicine in the legal mine fields of modern medicine. Today he focuses on the subtleties of the medical consent process. Although the laws and statutes are focused on the state he practices medicine, Maryland, the overall concepts are secure. It’s been said before, but these ideals are something you have to master to practice medicine successfully!
Today we welcome a very special guest, Ms. Erin Gillard, LCSW-C. Ms. Gillard is the Clinical Manager, Family Services at The Living Legacy Foundation of Maryland. Additionally, she is has over ten years of social work experience here at the University of Maryland. Most recently, she has broadened her expertise as a yoga therapy instructor with Yama Studio. Today Ms. Gillard will approach a topic that is often overlooked in standard critical care training, how to truly communicate with families when they dealing with a significant level of crisis and emotional distress. This is a topic that is truly cutting-edge in the modern ICU, so I assure you this will be a skill you will be expected to master!
Today we welcome the brilliant mind of Larry D. Weiss M.D., J.D. for an afternoon not to be missed. Dr. Weiss has been a staple for legal-based lectures for the last 16 years here at the University of Maryland where he acts as a Professor of Emergency Medicine. Although Dr. Weiss stopped actively practicing law years ago, he is one of the foremost experts in his field as he has been called to all corners of the world to speak on health policy and risk reduction. I highly recommend that you take the time to soak in only a brief sampling of his infinite wisdom!
Today we are excited to welcome back one of the smartest fellows we have ever graduated, Michael Allison, MD. Dr. Allison is a native New Yorker, training at SUNY Downstate College of Medicine before completing a rigorous EM/IM/CCM training program here at the University of Maryland. Since that time he has spent his days at St. Agnes Hospital located downtown in Baltimore, MD. Since his departure, Dr. Allison has spent countless hours researching the exact mechanisms of respiratory failure in an attempt to solve this problem before it ever develops. Today he takes us through his approach to using high flow nasal cannula for nearly every patient who walks into his ICU, and in doing so unlocks a few novel uses along the way. Trust me, this is a talk your patients cannot afford for you to miss!
Today we are excited to present a Pulmonary Grand Rounds presentation from Daniel S. Chertow, M.D., M.P.H. Dr. Chertow is an Assistant Clinical Investigator in the Critical Care Medicine Department of the NIH and a Special Volunteer in the Viral Pathogenesis and Evolution Section, Laboratory of Infectious Diseases, NIAID. Over the last several years he has solidified his role as a world expert in the field of virology and today speaks on a topic he has published a great deal about, Influenza virus. Tis the season for influenza, and if you ever hope to survive it, you will listen to this talk!
Today we welcome Giora Netzer M.D., M.S.C.E., Associate Professor of Medicine here at the University of Maryland Medical Center. Dr. Netzer was trained at the great bastion of intensive care medicine, the University of Pennsylvania, where he also earned a master’s degree in clinical epidemiology. Since joining the University of Maryland Pulmonary and Critical Care Medicine department he has proven to be one the greatest minds the ICU has to offer, earning him the title: Wiki-Netzer. His passion for knowledge led to his appointment as the Director of Clinical Research and has yielded a tremendous breadth of publications. Today he focuses on his true passion: how to assist family members care for their loved ones both in the ICU and in the post-ICU setting. Trust me, this is a topic that is often overlooked and one that can truly mean life or death for your patients!
Today we welcome one of the gurus in anti-coagulant reversal, John J. Lewin. Dr. Lewin recently published one of the recent landmark articles in the field of Neurocritical care: “Guideline for Reversal of Antithrombotics in Intracranial Hemorrhage”. Today he is gracious enough to spend 60 minutes with us, and not a second can be missed if you EVER expect to take care of a patient with a head bleed on AC!!
Today we welcome Dr. Thomas Pallone, Professor of Medicine in the Division of Nephrology here at the University of Maryland. In addition to being a brilliant clinician, Dr. Pallone also spent time doing research at the Medical Engineering Medical Sciences division of the HST program at the Massachusetts Institute of Technology. It is safe to say, he is one of the most brilliant minds we have at Maryland and today he takes an hour to give us a simplified look at the way the kidneys deal with acids and bases. This talk will give you a common sense look at renal physiology and just might give you the information you need to crack the next complex renal failure case!
Today we are very excited to host Dr. Lakhmir S. Chawla, nephrologist, intensivist, and international expert on the management of shock. Dr. Chawla has recently taken a sabbatical from his position as Professor of Critical Care Medicine, George Washington U to become the Chief Medical Officer of La Jolla Pharmaceuticals. It in this role he investigates an old and forgotten friend in the treatment of hypotension, and has become the chief researcher for the ATHOS (Angiotensin II for the Treatment of High-Output Shock) 3 trial. Today he takes a fascinating look at the way we treat shock-induced hypotension and asks one simple question: Can’t we do better?
Today we have a talk that Dr. Robert Reed gave at a 2015 Maryland Pulmonary Medicine Conference. Dr. Reed is a Associate Professor of Medicine here at the University of Maryland and the current Medical Director of Lung Transplantation at the Veterans Administration Southeast Region. This talk was SO educational and useful that we begged him for the opportunity to share this knowledge. Thankfully he agreed! So sit back and prepare to have a concentrated 40 minutes of COPD pearls and a fantastic discussion on just how well we do with lung transplants!
Today we were able to convince Dr. Gunjan Parikh to grace the lecture hall and give us an amazing update in the field of neurocritical care! Dr. Parikh is an Assistant Professor of Neurology at the University of Maryland Medical Center where he primarily works in the Neurocritical ICU and Neurotrauma ICU. Today we will go through everything from the newest studies of tPA use in intracranial hemorrhage to the use of diabetic medications to improve outcomes in CVA patients. This talk cannot be missed no matter which ICU you find yourself in!
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!!
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!
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.
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.
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!!
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 .
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!!
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!
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!
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)
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!!
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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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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Today we would like to welcome Dr. Megan Anders, Assistant Professor of Anesthesiology at the University of Maryland and QA/QI guru! In fact, her most recent quality improvement project involved analyzing the failures of tracheostomy management in the ICU and has led to a significant improvements at every level of …
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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!
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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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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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!
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