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.
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There has been an explosion of literature on the evaluation and management of patients with COVID-19 infection. In this podcast, we discuss updates (as of June 2020) in the care of critically ill patients with COVID-19. We touch on non-invasive ventilation, mechanical ventilation, proning, and medication administration. Download Companion HandoutDownload You can get CME credit for this episode here!Click here for CME Account Creation Instructions ...
Untreated pain, anxiety, and agitation have both short- and long-term consequences for our critically ill patients. More importantly, it is well-known that patients remember the pain experienced during their critical illness. New guidelines for the assessment and management of pain, agitation, delirium, immobility, and sleep were just published. In this podcast, we review the latest guideline and discuss pearls and pitfalls of analgesia and sedation in the critically ill. Companion Handout MaterialDownload You can get CME credit for this episode here! Click here for CME Account Creation Instructions ...
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