Core Content – Page 20 – University of Maryland

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

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

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!!

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

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

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!