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Baltimore SCCM 2021 Spring Seminar

About the AuthorJim Lantry Twitter Google+Just your average critical care doc: wandering the ED and ICUs of Maryland, dedicating time to the USAF to travel the globe to cannulate for ECLS wherever the need arises, and trying to keep up with great minds of today. E: JlantryMD@gmail.com Just your average …

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Nates – General and COVID-19 ICU triage

Dr. Joseph Nates, Professor, Deputy Chair, and Medical Director of Intensive Care Units at the University of Texas M.D. Anderson Cancer Center discusses intensive care triage and triaging during the COVID-19 pandemic.

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Pickering/Holden – Management of Massive Hemoptysis and Tracheal Complications in the ICU

Van K. Holden, MD, FCCP, Assistant Professor of Pulmonary & Critical Care Medicine and Director of the Pulmonary/Critical Care Medicine Fellowship Program at the University of Maryland and Edward M. Pickering, MD, Assistant Professor of Pulmonary & Critical Care Medicine at the University of Maryland and Director of Interventional Pulmonology at the Baltimore VA Medical Center present on the management of massive hemoptysis and tracheal complications in the ICU.

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Baltimore SCCM Fall Symposium – COVID-19

Happy Thanksgiving! Since there are no lectures this week I felt it would be the right time to post the recent Baltimore SCCM Fall Symposium lectures. We were fortunate to have five amazing speakers: 1) Vinciya Pandian, PhD, MBA, MSN, RN, ACNP-BC, FAANP, FAAN who is an Associate Professor in …

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Zakaria – Ventricular Arrhythmias in the ICU

Sammy Zakaria, M.D., M.P.H., Associate Professor of Medicine at the Johns Hopkins University School of Medicine, Assistant Director of the Johns Hopkins Bayview Cardiac Intensive Care Unit presents on ventricular arrhythmias in the ICU.

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Munir – Thyroid Emergencies

Dr. Kashif Munir, associate professor and medical director of the University of Maryland Center for Diabetes and Endocrinology, presents on thyroid emergencies.

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Butcher – Post ICU Syndrome

Dr. Brad Butcher, Assistant Professor of Critical Care Medicine from the University of Pittsburgh School of Medicine, presents on post-ICU syndrome and post-ICU care.

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Saleeb – Tuberculosis

Dr. Paul Saleeb, Assistant Professor of Medicine, from the Division of Infectious Diseases presents on tuberculous infections focusing on pulmonary manifestations

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Galvagno – Endpoints of Resuscitation

Samuel M. Galvagno Jr., DO, PhD, MS, FCCM, Associate Professor of Anesthesiology at the University of Maryland SOM & Associate Director, Maryland Critical Care Network at UMMC and Ross Carpenter, MD, Fellow in Cardiothoracic Anesthesia at the University of Maryland, presents the weekly multi-departmental critical care fellows’ lecture on “Endpoints of Resuscitation”

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King – Nephrology and Toxicology Challenges in COVID-19

Dr. Joshua D. King, Assistant Professor of Medicine at the Division of Nephrology, and the Director of the Maryland Poison Control presents Ground Rounds at the University of Maryland. The topic is:
“Nephrology and Toxicology Challenges in COVID-19: AKI, Addiction, and Accidental Poisonings”

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Murthi – Lung Ultrasound in the ICU: Focus on COVID-19

Dr. Sarah B. Murthi, MD, Associate Professor of Surgery at the University of Maryland School of Medicine and director of the the critical care ultrasound program presents the weekly multi disciplinary critical care lecture. The lecture is entitled “Lung Ultrasound in the ICU: Focus on COVID-19.”

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Gordon – COVID-19 Literature Review Part 1

Dr. David Gordon, will be hosting a two part series. The series will be a concise review of the critical care COVID-19 literature with some discussion on current COVID-19 management controversies. Part 1 will focus on respiratory therapeutics and coagulopathy.

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Suffredini – Omics and Diagnosis of Sepsis

This is the Critical Care Grand Rounds presented by Dr. Anthony Suffredini, Deputy Chief, Senior Investigator at the Critical Care Medicine Department of the National Institutes of Health. The lecture is entitled “Will Omics Improve the Diagnosis of Sepsis in Critical Ill Patients?”

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Khanna – Perioperative Cardiorespiratory Compromise

Dr. Ashish Khanna, Associate Professor, Department of Anesthesiology, Section on Critical Care Medicine at Wake Forest School of Medicine, presents on “Perioperative Cardiorespiratory Compromise – Connecting the operating room, the ICU, and the hospital wards.”

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Motta – Encephalitis

Dr. Melissa Motta, Assistant Professor of Neurology at University of Maryland. presents the multidisciplinary Critical Care Curriculum. The lecture will focus on Encephalitis.

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Masur – HIV/AIDS Related Infections

Dr. Henry Masur, Senior Investigator and Chief of the Critical Care Medicine Department at the National Institutes of Health. The lecture will focus on HIV/AIDS Related Critical Care Complications.

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Talbot and Dean – Moral Injury

This is a special lecture on Moral Injury (also known as Burnout). This is an important issue for trainees and faculty. The Grand Rounds will be presented by Dr. Talbot and Dr. Dean.

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Rivera-Lebron & Toma – Pulmonary Embolism Response Team

Dr. Belinda Rivera-Lebron, Associate Professor of Medicine, Director of the PERT Team, and Director of the CTEPH program and Dr. Caitilin Toma, Assistant Professor of Medicine and Interventional Cardiologist on the PERT at the University of Pittsburgh present on Pulmonary Embolism and discuss the current PE literature and management guidelines.

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Cox – Approach to Airway

Today’s lecture will be a Core Curriculum presented by Dr. Elizabeth Cox Williams, Assistant
Professor of Anesthesiology at the University of Maryland. The lecture will focus on Airway Management.

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King – ICU Toxicology

Dr. Joshua King, Assistant Professor of Medicine and Pharmacy at the University of Maryland and Medical Director of Maryland Poison Control presents on “ICU Toxicology”.

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Morris – Brain Death

Dr. Nicholas Morris, Assistant Professor of Neurology at the University of Maryland. Dr. Morris’ lecture will cover “Brain Death.”

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Galvagno & Carpenter – Molecular Adsorbent Recirculating System: Life on MARS.

Samuel M. Galvagno Jr., DO, PhD, MS, FCCM, Associate Professor of Anesthesiology at the University of Maryland SOM & Associate Director, Maryland Critical Care Network at UMMC and Ross Carpenter, MD, Fellow in Cardiothoracic Anesthesia at the University of Maryland, present the weekly multi-departmental critical care fellows’ lecture on “Molecular Adsorbent Recirculating System: Life on MARS.” 

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Osborn – ECMO and the Brain

Erik Osborn, MD, COL, MC USA, Director Adult Extracorporeal Service, Cardiovascular Intensive Care Unit at Inova Fairfax Hospital, presents the weekly multi-departmental critical care fellows’ lecture on “ECMO and the Brain”.

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Trager – Patient transport: In-between and within

Jonathan Trager, DO, PA Medical Director at Lehigh University EMS & Police Department and PA Medical Director- Emergency/EMS, Transport and Critical Care Transport at St. Luke’s Emergency & Transport Services, presents the weekly multi-departmental critical care fellows’ lecture (Thursday, 6/13) on “Patient Transport: In-between & Within.”

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Merino – Appraising manuscripts: an editor’s perspective

José G. Merino, M.D., M.Phil., FAAN, FAHA, Associate Professor, Department of Neurology at the University of Maryland SOM and US Research Editor, The BMJ, presents the weekly multi-departmental critical care fellows’ lecture on “Appraising manuscripts: an editor’s perspective.”

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Koenig – Transesophageal Echocardiography in the Intensive Care Unit

Dr. Seth J Koenig, Professor, Dept of Medicine and Cardiovascular and Thoracic Surgery; Professor of Medicine, Donald and Barbara Zucker SOM at Hofstra/Northwell; Director, Acute Lung Injury Center, Northwell Health; and Director, MICU at the Long Island Jewish Medical Center, presents on “Transesophageal Echocardiography in the Intensive Care Unit”.

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Sethuraman – Hyperbaric Medicine

Kinjal Sethuraman, M.D., M.P.H., Assistant Professor, Department of Emergency Medicine at the University of Maryland SOM and Associate Director of Hyperbaric Medicine at R Adams Cowley Shock Trauma Center, presents the weekly multi-departmental critical care fellows’ lecture on ”An Introduction to Hyperbaric Oxygen.”

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Spiegel – Starling Guyton and Venous Ultrasound

Rory Spiegel, MD, Critical Care Medicine Fellow, Division of Pulmonary & Critical Care Medicine and Clinical Instructor, Department of Emergency Medicine at the University of Maryland SOM, presents the weekly multi-departmental critical care fellows’ lecture on “Starling, Guyton, and Ultrasonographic Findings of Venous Excess.”

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Stein – What kills you in the first 20 minutes after injury

Dr. Deborah M. Stein, MD, MPH, R Adams Cowley Professor in Shock & Trauma and Chief of Trauma at the R Adams Cowley Shock Trauma Center and University of Maryland SOM presents the weekly multi-departmental critical care fellows’ lecture on ”What kills you in the first 20 minutes after injury.”

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Chow – Rescue Medications for Vasodilatory Shock

Jonathan Chow, MD, Assistant Professor and Director, Critical Care Fellowship in the Division of Critical Care Medicine, Department of Anesthesiology at the University of Maryland SOM presents the weekly multi-departmental critical care fellows’ lecture on “When All Else Fails – Rescue Medications for Vasodilatory Shock.”

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Chandra – RUSH Ultrasound

Amitabh Chandra, MD, Assistant Professor of Emergency Medicine at University of Maryland SOM and Chief of Emergency Medicine at UMMC – Midtown Campus, presents the weekly multi-departmental critical care fellows’ lecture on “RUSH ultrasound exam.”

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Hirsch – Brain Injury after Cardiac Arrest: Management, Prognosis, and Controversies

Please welcome back an old friend of Baltimore, Karen G. Hirsch, MD. Dr. Hirsch is an Assistant Professor of Neurology and the Director of Neurocritical Care at the Stanford University Medical Center. She is also one of the guru’s and experts in the field of neuroprognostication after cardiac arrest leading to a multitude of publications and numerous grants. Today we are exceedingly fortunate to have her grace the halls of The University of Maryland to give us a crash course on what we SHOULD be doing for our cardiac arrest patients. I assure you, this is a lecture all of us need to hear!

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O’Connor – Thoracic Complications of Trauma

James O’Connor, M.D., FACS, FCCP, Professor of Surgery, Department of Surgery at the University of Maryland SOM; Chief, Thoracic and Vascular Trauma at the R Adams Cowley Shock Trauma Center/UMMC; and Executive Medical Director at Shock Trauma Associates, P.A., presents the weekly multi-departmental critical care fellows’ lecture on “Thoracic Complications of Trauma: Empyema, Hemothorax, Bronchopleural Fistula.”

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Richards – Plasma Based Resuscitation

Justin Richards, MD, Assistant Professor and Fellowship & Education Director, Division of Trauma Anesthesiology at the University of Maryland SOM, presents the weekly multi-departmental critical care fellows’ lecture on “Plasma Based Resuscitation: Should we pamper our critically ill patients?”

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Tisherman – Acute Abdomen in ICU patients

Today we welcome back Samuel Tisherman, MD, Professor of Surgery and Director of the Center for Critical Care and Trauma Education and the Director of the Surgical ICU of the University of Maryland Medical Center. Dr. Tisherman recently joined UMMC directly from The University of Pittsburgh, where he was the Director of the Multidisciplinary Critical Care Training Program and program director for the Surgical Critical Care Fellowship. In his 20 years at the University of Pittsburgh he held several other titles, including Associate Director of the Safar Center for Resuscitation Research, Professor in the Departments of Critical Care Medicine and Surgery, and Director of the Neurotrauma Intensive Care Unit. Today we are fortunate to have Dr. Tisherman speak on what he know’s best: the cursed surgical abdomen. Over the next 60 minutes he navigates this unstable mine-field and leaves you with a better understanding of the thought process used before opening someone’s abdomen!

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Hsu: Lung US; Reading sonographic tea leaves

Today we are fortunate to welcome Sam Hsu, MD, RDMS, Assistant Professor for the University of Maryland Medical School. Dr. Hsu is the acting Emergency Department Ultrasound Director at one of the UMMC satellite centers her in Baltimore, Mercy Medical Center. He also takes on command of medical student emergency ultrasound education for the medical school. I guess you could say, he lives and breaths ED ultrasound! Today he takes us through his algorithm on how to approach ultrasonography of the lungs. I have attending many lectures on the topic and have even performed lung US research, but this lecture is the best presentation I have ever seen on the topic. You NEED to watch this lecture.

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Rubinson – Life Threatening Status Asthmaticus

Lewis Rubinson, MD, PhD, Professor of Medicine, Program in Trauma, R Adams Cowley Shock Trauma Center at the University of Maryland SOM and Vice President & Deputy Chief Clinical Officer at UMMC, presents the weekly multi-departmental critical care fellows’ lecture on “Status Asthmaticus.” 

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Pickering – Evaluation and Management of Hemoptysis

Edward Pickering, MD, Assistant Professor of Medicine, Division of Pulmonary & Critical Care Medicine at University of Maryland SOM and Director, Interventional Pulmonology at Baltimore VAMC, presents the weekly multi-departmental critical care fellows’ lecture on “Evaluation and Management of Hemoptysis: From a Trickle to Projectile.”

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Heavner – Alcohol withdrawal management in the ICU

Mojdeh S. Heavner, PharmD, BCPS, BCCCP, Assistant Professor, Critical Care, Department of Pharmacy Practice and Science at the U of Maryland School of Pharmacy and Jason J. Heavner, M.D., Chair, Department of Critical Care Medicine, University of Maryland Baltimore Washington Medical Center, present the weekly multi-departmental critical care fellows’ lecture on “Advances in Protocol-Driven Management of Alcohol Withdrawal Syndrome in the ICU.”

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Kon- VA-ECMO for massive pulmonary embolism

Today we welcome Zachary Kon, M.D., Assistant Professor in the Department of Cardiothoracic Surgery at NYU. In addition to acting as the Surgical Director of Pulmonary Hypertension/Pulmonary Thromboendarterectomy Program, Dr. Kon also acts as the Surgical Director of the NYU Lung Transplantation Program. In addition to > 70 peer-reviewed publications, he has been invited all over the world as an expert speaker in the field pulmonary embolism therapy. We are fortunate to have him in-house to share his knowledge of what to do when the PE is starting to become overwhelming!

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King: Poisonings treated (and caused) by the ICU!

Today we welcome Josh D King, MD, Assistant Professor of Medicine at the University of Virginia School of Medicine where he also serves as the associate program director for the nephrology fellowship program. Dr. King is a rare specimen, with board certifications in both Nephrology and Toxicology he focuses on critical care nephrology, acute treatment of drug overdoses, and addressing acute poisoning and envenomation. In addition to his clinical work, Dr King is a prolific academician, publishing numerous journal articles on the topic of acute care toxicology. Today he was kind enough to travel up Interstate 95 and donate an hour of his time to explain what we HAVE TO KNOW if we plan to work in the modern ICU!

Turnbull – family engagement research 5-31-18

A Right Thing Measured Poorly: An Epidemiologist’s View of Patient-Family Engagement in the ICU Alison E. Turnbull, DVM, MPH, PhD *Summary written by Avnee Kumar, MD Clinical Pearls Patient and Family Engagement in the ICU – how do know if it works? Imperfect Indicators [1] ICU use in the last …

Freed – endothelial dysfunction 5-24-18

“A Tale of Two Studies: Flow-Induced Dilation and Vasoplegia in the Human Microcirculation” Julie K. Freed, MD, PhD **summary by Avnee Kumar, MD *Video does not start till 04:30 Clinical Pearls Causes of Vascular Inflammation and Dysfunction Obesity Aging Cancer Study #1: Flow-Induced Dilation (FID) and Vascular Hemostasis Increased vascular …

DeVita – Rapid Response Systems and End of Life Care Discussions 5-10-18

Summary written by Avnee Kumar, MD Lecture starts at 57:20 Clinical Pearls What is the Rapid Response System? Organized process for identifying critical and dangerous events by clinical observations, triggering notifications, and response by predetermined organized team to resolve the crisis Crisis determined by time frame and needs out of …

Pinsky – heart-lung hemodynamics 4-9-18

Summary by Erik Manninen, MD Breathing is exercise: *Spontaneous breathing can have such high metabolic demand that gut ischemia can even be precipitated.  Weaning from mechanical ventilation is a cardiac stress test.  With more negative esophageal pressures seen with deep inspiration this can cause an increase in venous return and …

Greenwood – RV failure 4-5-18

Summary by Erik Manninen, MD *Pulmonary hypertension is found in the majority of patients with ARDS or COPD *pulmonary edema, ARDS, hypoxemia, and acidemia can worsen pulmonary HTN *intubation and high mean airway pressures can cause significant RV strain *LV is designed to overcome arterial HTN, but the RV is …

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Shah – Lactate in the ICU

Dr. Sanjeev Shah, Assistant Professor of Clinical Medicine at the University of Pennsylvania presents present the weekly multi-departmental critical care fellows’ lecture on “Lactate in the ICU – more th

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Chung- Critical Care of the Severely Burned

Today with have the distinct pleasure to welcome a mentor of mine and a true expert in the field of critical care, Kevin K Chung, MD, FCCM, FACP, Colonel, Army. After finishing a fellowship in Critical Care Medicine at Walter Reed Army Medical Center, Dr. Chung was assigned to the US Army Institute of Surgical Research (USAISR) where he has served in the capacity of Medical Director of the Burn Intensive Care Unit, Task Area Manager of Clinical Trials in Burns and Trauma, and the Director of Research for the USAISR. We are exceedingly fortunate to have him in town to speak on ICU management of Burns. Dr. Chung is the WORLD EXPERT on this topic. I recommend everyone, no matter your practice, take 60 minutes to appreciate the depth of knowledge passed along in this lecture. Burns don’t just present to burn centers!

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Adhikari – Challenge and opportunities for sepsis research in resource-limited settings

Today we have the distinct pleasure to welcome Neill Adhikari, MDCM, M.Sc., one of the world’s experts on critical care management in resource limited settings. Dr Adhikari is currently practicing as an intensivist at Sunnybrook Health Sciences Centre in the Interdepartmental Division of Critical Care at the University of Toronto. He also acts as an Associate scientist, Evaluative Clinical Sciences, Trauma, Emergency & Critical Care Research Program, at the Sunnybrook Research Institute where he focuses on critical care delivery in low-resource settings. Over his brief academic career Dr. Adhikari has been incredibly prolific in academic production, publishing over 180 peer-reviewed journal articles and accepting speaking engagements from around the globe. This afternoon we were fortunate to lure him down from Canada to speak on an exceedingly important topic: how can we address the devastation of sepsis in areas of the world where basic labs and clean water can often be a luxury and not a guarantee?

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Shanholtz: Accidental Drowning in the ICU

Enough is enough….. When have we gone too far with fluid resuscitation? Dr. Carl B. Shanholtz, Professor of Medicine and author to over 100 peer reviewed journal articles discusses this highly debated topic. I assure you, this talk will truly open your mind into exactly how LITTLE we know about fluid resuscitation!

Srivisatava – mechanical support 1-18-18

written by Scott Sullivan, MD Today it is my pleasure to introduce Dr. Mukta Srivastava. She is the Cardiology Fellowship Program Director and an interventionist actively involved in the insertion and management of these devices. Dr. Srivastava did her undergraduate work at Johns Hopkins University, then went to Virginia for …

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James: We count our successes in lives; the best medical results at the lowest necessary cost

This is a rare occasion, for a brief period we were able to lure Brent C. James, M.D., M.Stat. off Capital Hill long enough to allow us to record his brilliance in the form of a 90 minute lecture. Dr. James has earned too many accolades to list all in one place, briefly he joined Intermountain Healthcare in 1986 as the Director of Medical Research and Continuing Medical Education and quickly crafted Intermountain into a juggernaut of medical informatics pushing them to the pinnacles of quality health care. He just recently has stepped down as the Chief Quality Officer to focus more on the teaching aspects of his career as he continues to lead the Intermountain Advanced Training Program.

Winters – CC literature update 12-14-17

Summary by Lia Losonczy, MD, MPH Sepsis: “Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock: 2016” https://www.ncbi.nlm.nih.gov/pubmed/28101605 Had over 90 recommendations Pearls: SSC acknowledges but does not endorse Sepsis 3 definitions; more research/data needed CMS has its own definition Eliminated term “severe sepsis” –> sepsis = …

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Tanaka: ROTEM-guided Coagulation Management

Join me in welcoming Kenichi Tanaka, M.D., MSc., Professor of Anesthesiology and Division Chief Cardiothoracic Anesthesiology at the University of Maryland Medical Center. Dr. Tanaka started his Anesthesia training at Pittsburgh, then specialized in Cardiothoracic Anesthesia at Emory where he also earned a Masters in the Science of Clinical Research. Since joining UMMC in 2014 Dr. Tanaka has raised the bar in regards to academic research by publishing > 100 peer-reviewed journals and serving on the editorial boards of British Journal of Anaesthesia (Associate Editor), Anesthesia & Analgesia (Senior Editor), and Journal of Cardiothoracic Vascular Anesthesia. Dr. Tanaka discusses how to stop the bleeding like a sniper, rather than using a shotgun approach.

Massey – microcirculation 11-9-17

Summary written by Dr. Scott Sullivan Today it is my pleasure to welcome Dr. Michael Massey.  Dr. Massey got his Master’s Degree at MIT, as well as a PhD in physics at University of Michigan. Over the past number of years, he has been working closely with Dr. Nathan Shapiro …

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Lim: Understanding global critical care

Today is quite a pleasure and a unique opportunity for MCCP, this talk was sent to us by Andrew Lim, MD. During his tenure as a medical student at UCSF Dr. Lim found time to also complete the UC Berkeley – UCSF Joint Medical Program for his M.S. in Public Health. Andrew put these skills to good use as an Emergency Medicine resident at The University of Washington jumping on every chance to make his mark on the International Health community. However, don’t let the ACGME status fool you, he has been around the world working with some remarkable people along the way. The things you will hear and learn in this talk will open your eyes to just what it means to treat sepsis in Sub-Saharan Africa, or how to make an ARDS diagnosis when a blood gas is a luxury. I assure you, this is one the better uses of 30 minutes you will find all year!

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Scott: Submassive PE; What to do?

Today we welcome back one of our favorite graduates of the EM/IM/CCM residency/fellowship here at University of Maryland, Michael C. Scott, MD. Luckily he stayed local and has been paving his own path across town at St. Agnes Hospital of Baltimore, Maryland. Dr. Scott originally hails from San Antonio Texas, where he graduated from the University of Texas Medical School Medical School before heading up to the North East. Since his arrival to Baltimore, Mike has demonstrated a wide knowledge of modern academic literature and has continued to challenge the status quo in medicine! Dr. Scott has proved time and time again that there are no definitives in medicine and today he tackles a very polarizing topic: what to do with a submassive PE?

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Palmer: Long run ECMO, The Stockholm experience

Today it is a privilege to welcome Kenneth Palmér, MD, Director of the Extracorporeal Membrane Oxygenation Center (ECMO) at Karolinska Hospital located in Stockholm, Sweden. In his tenure at Karolinska he started the world’s first ECMO center in 1986, has perfected the use of awake ECMO support, and has assisted in creating one of the three biggest ECMO centers in the world! In addition, Dr. Palmér has been invited to give over 200 international lectures on the topic of ECMO. In addition to perfecting ECMO use for inpatients, Dr. Palmér has also perfected the use of extracorporeal membrane oxygenation in transport.

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Potosky: Liver transplantation for alcoholic liver disease

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!

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Allison: Volume responsiveness in the ICU, the Lebowski way!

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!

Callahan – ICU leadership 8-24-17

• Assumptions and bias • Coming from a single-payer system, so not from a background of healthcare economy ◦ Leadership experts aren’t ◦ Leadership is life ◦ Nature, Nurture, and Knocks ◦ Leadership doesn’t equal position nor boss ◦ Model for leadership • This model has been used at the …

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Kritek: ARDS Management Overview (What can whiteboards do for you? )

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!

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Buchman- The next generation of critical care

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?

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Metkus: Should we examine our ICU patients? The subtle art of physical exams in the ICU

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!

Seam – ARDS phenotypes 6-29-17

Summary by Dr. Basel Acute Respiratory Distress Syndrome Histopathology Definition: Diffuse alveolar damage (DAD) In reality, it likely more heterogeneous than that. The First ARDS Consensus Definitions 1994 American-European Consensus conference: “syndrome of inflammation and increased permeability” Acute onset Bilateral Infiltrates on CXR PaO1/FIO2 <300 No evidence of cardiogenic edema …

Phipps – ischemic stroke 6-22-17

Summary by Dr. Tony Basel Stroke:  A clinical neurologic syndrome that occurs when blood flow to the brain is interrupted by either a blocked (Ischemic) or ruptured (Hemorrhagic) blood vessel. Per AHA, 800,000 strokes per year A stroke occurs every 40 seconds! A stroke KILLS someone every 4 minutes! It’s …

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Verhoef: Healthcare reform in 2017, What does it mean for the intensivist?

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!!

Verceles – nutrition & rehab 4-20-17

Nutrition & Rehabilitation (Verceles) Summary by Dr. Alison Grazioli Goal of nutrition in critically ill: balance catabolism of critical illness with anabolism of recovery. Provide adequate energy (primarily carbohydrate as body has difficulty mobilizing fatty acids in critically ill) Provide adequate protein intake Promote physiologic repair Importance of enteral nutrition …

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Heavner: Pharmacokinetic & pharmacodynamic changes in critically ill patients

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!!

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Reynolds: Chronic critical illness, what can be done?

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!

Co – Diaphragm US 3-30-17

Diaphragm Ultrasonography in the ICU Summary by Dr. Kamel Gharaibeh Methods to assess diaphragm function Transdiaphragmatic pressure (pdi) is the gold standard Phrenic stimulation & tracheal occlusion pressure CXR Fluoroscopy & sniff test CT scan MRI Ultrasound – noninvasive, repeatable, accurate Of the above modalities, only ultrasound provides information about …

Hirsch – neuroprognostication after arrest 3-23-17

Brain Injury after Cardiac Arrest: Management, Prognosis and Controversies Summary written by Dr. Kamel Gharaibeh Epidemiology Over 500,000 cases of cardiac arrest per year in USA (75% are out of hospital) Most morbidity & mortality in those with ROSC results from neurologic injury 60-80% of patients who survive ROSC die …

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Mazzeffi: Management of Bleeding in Patients on Mechanical Circulatory Support

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!

Vaught – Obstetric Emergencies in the ICU 3-2-17

Summary written by Dr. Mustafa Abdulmahdi General Issues Patient at <20 week gestation can be treated similar to other ICU patients Fetus <32 week gestation may benefit from magnesium sulfate (less cerebral palsy in pre-term infants) Administration of betamethasone upon admission to ICU if you expect delivery in 1-2 weeks …

Hong – Endocrine Emergencies 2-23-17

Lecture Pearls by: Faith Armstrong, MD CCM Fellow The most important thing is to identify these disorders which can potentially be fatal. Thyroid Thyroid Storm Stimulated by stressful stimuli (such as being critically ill) Presents with delirium, tachycardia, vomiting/diarrhea, fever, dehydration (much like many other illnesses in ICU) High mortality …

Gingold – racial disparities in ICU 2-2-17

Effect of Racial Disparities in the ICU Summary written by Dr. Mustafa Abdulmahdi Black Americans compared to white Increased mortality rates Earlier onset of illness Greater severity of illness Faster disease progression Notes This disparity begins at birth! Black Americans have 2x the infant mortality compared to the rest of …

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Rothman: Beyond the Early Warning Score, The Rothman Index

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.

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Galvagno: Patient-ventilator interactions, perfusion-protection strategies

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!

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Hardy: HSCT for the intensivist: indications, interventions, & complications

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….

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ECMO Boot Camp – Day 3

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 …

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ECMO Boot Camp – Day 2

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 …

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ECMO Boot Camp – Day 1

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 …

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McCarthy- Nutrition in the ICU, a vital update!

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!

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Law: Hemophagocytic Lymphohistiocytosis, a critical care conundrum!

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!

Kleinberg – febrile neutropenia 11-3-16

Summary by Meagan Pate Fever and Neutropenia Immune system • 2 systems ◦ Innate, i.e. neutrophils, monos, etc ‣ First line of defense against microbes that get into places they don’t belong • Adaptive, i.e. lymphs, macs ‣ Specific for each pathogen using antibodies and specialized killer cells • Neutropenic …

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Tisherman- Hypothermia, coming to trauma bay near you!

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!

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Weiss: Informed consent- statutes and caselaw

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!

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Gillard: Communicating with grieving families

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!

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Weiss: EMTALA- What the Intensivist needs to know!

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!

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Allison: High flow like a pro!!

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!

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Chertow: Influenza, coming soon to an ICU near you!

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!

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Netzer: Family Intensive Care Syndrome (FICUS)

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!

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Lewin- Reversal agents in ICH, What you need to know!

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!!

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Pallone- Acid-Base physiology, a tale of NH3

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!

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Chawla: Vasopressors- Time to target new receptors?

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?

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Reed: The past, present, and future of COPD

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!

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Parikh – Updates in NeuroCritical Care

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!

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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: Apple Podcasts | 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!