volume management

Chung- Critical Care of the Severely Burned

Today with have the distinct pleasure to welcome a mentor of mine and a true expert in the field of critical care, Kevin K Chung, MD, FCCM, FACP, Colonel, Army. After finishing a fellowship in Critical Care Medicine at Walter Reed Army Medical Center, Dr. Chung was assigned to the US Army Institute of Surgical Research (USAISR) where he has served in the capacity of Medical Director of the Burn Intensive Care Unit, Task Area Manager of Clinical Trials in Burns and Trauma, and the Director of Research for the USAISR. We are exceedingly fortunate to have him in town to speak on ICU management of Burns. Dr. Chung is the WORLD EXPERT on this topic. I recommend everyone, no matter your practice, take 60 minutes to appreciate the depth of knowledge passed along in this lecture. Burns don’t just present to burn centers!

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?

Shanholtz: Accidental Drowning in the ICU

Enough is enough….. When have we gone too far with fluid resuscitation? Dr. Carl B. Shanholtz, Professor of Medicine and author to over 100 peer reviewed journal articles discusses this highly debated topic. I assure you, this talk will truly open your mind into exactly how LITTLE we know about fluid resuscitation!

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!

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!!

Chawla: Vasopressors- Time to target new receptors?

Today we are very excited to host Dr. Lakhmir S. Chawla, nephrologist, intensivist, and international expert on the management of shock. Dr. Chawla has recently taken a sabbatical from his position as Professor of Critical Care Medicine, George Washington U to become the Chief Medical Officer of La Jolla Pharmaceuticals. It in this role he investigates an old and forgotten friend in the treatment of hypotension, and has become the chief researcher for the ATHOS (Angiotensin II for the Treatment of High-Output Shock) 3 trial. Today he takes a fascinating look at the way we treat shock-induced hypotension and asks one simple question: Can’t we do better?

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!

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