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!
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
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
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!
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
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
Effect of Racial Disparities in the ICU Summary written by Dr. Mustafa Abdulmahdi Black Americans compared to white Increased mortality rates Earlier onset of illness Greater severity of illness Faster
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.
