Core Content – Page 21 – University of Maryland

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!

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

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

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.

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!