View Post

Chyle- coming to a paracentesis near you!

You are sitting in the call room, counting down the minutes until you are finished covering the critical care floor when you get a phone call from one of the floor surgical teams: “We are super busy and we have a paracentesis that needs to be done…. do you have …

View Post

How CRASH-2 got it wrong – A response by Dr. Mark Walsh

Some great questions came out of Dr. Mark Walsh’s lecture on TEG, so we decided to go straight to the source and pick the HUMONGOUS brain of Dr. Walsh and get his thoughts on the CRASH-2 trial.  In this 15 minute review, Dr. Walsh will make you reconsider what you …

View Post

VTE Prophylaxis in TBI

A 32 year old male is admitted to your trauma ICU after a head on motor vehicle collision. He was intubated in the resuscitation unit for altered mental status and was found to have bilateral subdural hematomas as well as a traumatic subarachnoid hemorrhage.  At this point, the patient does …

View Post

Extracorporeal Liver Support

A 17 yo woman is admitted to the ICU with fulminant liver failure due to Wilson’s disease; her course is complicated by encephalopathy, renal failure, and circulatory collapse despite maximal medical therapy and copper chelation. Are there any additional therapies that may be utilized to provide a bridge to recovery …