Emergency medicine, critical care, and resuscitationists often use the Shock Index to identify patients with increased mortality. The Shock Index is calculated by dividing heart rate by the systolic blood pressure, with a value > 0.8 identifying a potential critically ill patient. In the setting of sepsis, the use of systolic blood pressure to calculate the Shock Index may be less sensitive. In this podcast, we review a recent article that suggests the use of the Diastolic Shock Index may be better in identifying septic patients who require earlier initiation of vasopressor medications.
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Though we’ve discussed the use of balanced solutions in the resuscitation of critically ill patients numerous times on CCPEM, the literature remains controversial with mixed results as to which IVFs are superior. In this podcast, we discuss the latest randomized trial, the PLUS Study, comparing the use of balanced multielectrolyte solution and 0.9% normal saline. Download Companion HandoutDownload You can get CME credit for this episode hereClick here for CME Account Creation Instructions ...
In this podcast we discuss the pearls and perils of ED mechanical ventilation. What are the numbers you NEED to know! We also discuss the critical points of post-intubation analgesia and sedation. Still providing benzo’s to your intubated ED patient? Better listen to this episode! Download Companion HandoutDownload You can get CME credit for this episode here! Click here for CME Account Creation Instructions ...
Hyperkalemia is a life-threatening electrolyte disorder that is commonly encountered in the ED and ICU. In this podcast we review the latest evidence in the management of hyperkalemia based on a recently published consensus-based panel. https://ccpem.blog/wp-content/uploads/2021/11/CCPEM-Hyperkalemia-in-the-Emergency-Department.pdf Download Companion HandoutDownload You can get CME credit for this episode hereClick here for CME Account Creation Instructions ...
