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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 […]

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?

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.

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!

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!

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?

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!

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

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