Resuscitation

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!

Intraosseus: when central access isn’t an option

[tab_nav type=”two-up”][tab_nav_item title=”Clinical Case” active=”true”][tab_nav_item title=”Answer” active=””][/tab_nav][tabs][tab active=”true”] Since 1922, physicians have been using the long bones as a “non-collapsible vein” for fast and reliant resuscitation. Although first targeted to

Achondroplasia and the ICU, a combination fraught with ERROR

[tab_nav type=”two-up”][tab_nav_item title=”Clinical Case” active=”true”][tab_nav_item title=”Answer” active=””][/tab_nav][tabs][tab active=”true”]You are working a typical night shift in the MICU when you hear word of a patient coming up from the ED who

Vasoplegic Syndrome Post-cardiopulmonary Bypass

[tab_nav type=”two-up”][tab_nav_item title=”Clinical Case” active=”true”][tab_nav_item title=”Answer” active=””][/tab_nav][tabs][tab active=”true”]A 65 year old male with a history of CAD, HTN, & HL initially presented to the ED with an NSTEMI was found

PEA arrest- A new look at an old crisis!

Traditionally, the approach to pulseless electrical activity (PEA) has been to focus on reversible causes of arrest — the “Hs and Ts”. This makes sense in theory, but, in practice,

ECMO Troubleshooting: 3 Problems You NEED to Recognize Early!

[tab_nav type=”6-up”][tab_nav_item title=”Clinical Case” active=”true”][tab_nav_item title=”Case 1 Answer” active=””][tab_nav_item title=”Case 2″ active=””][tab_nav_item title=”Case 2 Answer” active=””][tab_nav_item title=”Case 3″ active=””][tab_nav_item title=”Case 3 Answer” active=””][/tab_nav][tabs][tab active=”true”]As we continue through our trek into

CRASH-2: Prosecution’s Closing Statement

The comments regarding our recent post about the limitations of the CRASH-2 trial focus on definitions of trial design and purpose, the relative importance of those limitations in reducing the

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