More than 1.5 million patients undergo endotracheal intubation each year in the U.S. Endotracheal intubation can be complicated by hypoxemia, which is a known risk factor for peri-intubation cardiac arrest and death. Rapid sequence intubation typically involves a delay of up to 2 minutes between the administration of sedative/paralytic medications and laryngoscopy. In this podcast, we discuss a recent article in the New England Journal of Medicine that suggests critically ill patients may benefit from bag-mask ventilation during the period between medication administration and laryngoscopy.
In 2017, Paul Marik published a single-center retrospective before-and-after study that demonstrated significant mortality benefit to patients with septic shock who received a cocktail of steroids, vitamin C, and hydrocortisone. Since that time, many providers have adopted this cocktail for the treatment of septic shock, despite the fact that no randomized trial has evaluated this regimen. In this podcast, we welcome EM/CCM superstar Dr. Gabriel Wardi to review the VITAMINS trial, a randomized clinical trial evaluating this cocktail among patients with septic shock. Download Companion Handout Download You can get CME credit for this episode here!Click here for CME Account Creation Instructions ...
Current international guidelines recommend TTM for adult patients with ROSC from OHCA who remain comatose or unable to follow verbal commands. However, the overall level of evidence for this recommendation remains of low certainty. In this podcast, we discuss the results of the recently published TTM2 Trial and its implications on the management of post-cardiac arrest patients. Download Companion HandoutDownload You can get CME credit for this episode hereClick here for CME Account Creation Instructions ...
In recent weeks, there have been several important studies and guidelines published that have served to improve our understanding of treating critically ill patients with COVID-19 infection. In this podcast, we highlight the latest update from the SSC and discuss studies on convalescent plasma and IL-6 antagonists. Download Companion HandoutDownload You can get CME credit for this episode here!Click here for CME Account Creation Instructions ...
