AIR-Pro Series: Critical Care (part 2) Module

Welcome to the Critical Care (Part 2) Block!

Below we have listed our selection of the highest quality posts related to 4 advanced level questions on critical care topics posed, curated, and approved for senior residents by the AIR-Pro Series Board. The blogs relate to the following questions:

Advanced ventilatory management
Submassive pulmonary embolism management
Hypotensive intubation
End of life discussion

AIR Stamp of Approval and Honorable Mentions

In an effort to truly emphasize the highest quality posts, we have 2 subsets of recommended resources. The AIR-Pro stamp of approval will only be given to posts scoring above a strict scoring cut-off of ≥28 points (out of 35 total), based on our AIR-Pro scoring instrument, which is slightly different from our original AIR Series scoring instrument. The other subset is for “Honorable Mention” posts. These posts have been flagged by and agreed upon by AIR-Pro Board members as worthwhile, accurate, unbiased and useful to senior residents. Only the posts with the AIR-Pro stamp of approval will be part of the quiz needed to obtain III credit. To decrease the repetitive nature of posts relating to these advanced concepts, we did not always include every post found that met the score of ≥28 points.

Take the quiz at ALiEMU
ALiEMU AIR-Pro Critical Care (Part 2) block quiz

Interested in taking the quiz for fun or asynchronous (Individualized Interactive Instruction) credit? Please go to the above link. You will need to create a one-time login account if you haven’t already.

Highlighted AIR-Pro posts

Article Title	Author	Date	Link	Title
Taking ownership of the ventilator	Evan Miller & Maxim Dzeba	April 21, 2016	EM Docs: Ventilator management	AIR-PRO
Mechanical ventilation in ARDS: 2014 update	Matthew Hoffman	May 12, 2014	PulmCCM: Mechanical Ventilation	AIR-PRO
Thrombolysis for submassive pulmonary embolism	Chris Nickson	Jan 7, 2016	LITFL: Thrombolysis for submassive PE	AIR-PRO
Controversies of thrombolytics for pulmonary embolism	Brit Long	May 28, 2016	EM Docs: Controversies in thrombolytics	AIR-PRO
How to intubate a patient with hypotension	Scott Weingart	Aug 5, 2013	EM Crit: Hemodynamic kills	AIR-PRO
Intubating the critically ill patient	Zach Radwine	Jan 6, 2014	EM Docs: Intubating the critically ill	AIR-PRO
DNR means do not treat… and other end of life care myths	Ashley Shreves	Aug 2014	EP Monthly: DNR means do not treat	AIR-PRO
Dominating the vent: Part 1	Scott Weingart	May 24, 2010	EM Crit: Dominating the vent (1)	Honorable Mention
Dominating the vent: Part 2	Scott Weingart	June 1, 2010	EM Crit: Dominating the vent (2)	Honorable Mention
Pulmonary embolism treatment options	Scott Weingart & Oren Friedman	July 14, 2014	EM Crit: Pulmonary Embolism	Honorable Mention
Critical care palliation	Scott Weingart & Ashley Shreves	Feb 18, 2013	EM Crit: Critical care palliation	Honorable Mention

If you have any questions or comments, please contact us!

By Fareen Zaver, MD|2017-03-05T14:18:45-08:00Jul 5, 2016|Approved Instructional Resources PRO (AIR-Pro Series), Critical Care/ Resus|

Trick of the Trade: Pre-Charge the Defibrillator

In cardiac arrest care it is well accepted that time to defibrillation is closely correlated with survival and outcome.¹ There has also been a lot of focus over the years on limiting interruptions in chest compressions during CPR. In fact, this concept has become a major focus of the current AHA Guidelines. Why? Because we know interruptions are bad.^2,3 One particular aspect of CPR that has gotten a lot of attention in this regard is the peri-shock period. It has been well established that longer pre- and peri-shock pauses are independently associated with decreased chance of survival.^4,5 Can we do better to shock sooner and minimize these pauses?

(more…)

By Sam Ghali, MD|2016-12-16T16:05:59-08:00May 16, 2016|CME, Critical Care/ Resus, Expert Peer Reviewed (Clinical), Tricks of the Trade|

Trick of the Trade: Securing the intraosseous needle

So much attention is appropriately focused on the anatomy and technique for intraosseous needle placement. In contrast, very little attention is paid to securing the needle. Often this involves a make-shift setup which involves gauze, wraps, and/or tape. This becomes especially important in the prehospital setting where these can be easily dislodged. The following trick stems from a Twitter discussion in 2015 amongst prehospital providers, lamenting this fact.

(more…)

By Michelle Lin, MD|2019-01-28T21:40:34-08:00May 3, 2016|Critical Care/ Resus, Tricks of the Trade|

AIR Pro Series: Critical Care, Part 1 (2016)

Below we have listed our selection of the 12 highest quality blog posts related to 5 advanced level questions on critical care topics posed, curated, and approved for residency training by the AIR-Pro Series Board. The blogs relate to the following questions:

Ultrasound fluid assessment
Ultrasound in critical care
Vasopressors for critical care patients
Peripheral intravenous vasopressor administration
Extracorporeal membrane oxygenation basics

In this module, we have 8 AIR-Pro’s and 4 honorable mentions. To strive for comprehensiveness, we selected from a broad spectrum of blogs identified through FOAMSearch.net.

(more…)

By Fareen Zaver, MD|2017-07-21T09:52:08-07:00Apr 20, 2016|Approved Instructional Resources PRO (AIR-Pro Series), Critical Care/ Resus|

Highlights from the 2015 American Heart Association CPR and ECC guidelines

The newest round of the 2015 American Heart Association (AHA) Guidelines for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiac Care (ECC) contains 315 recommendations.¹ It is easy to be overwhelmed by this massive (275 pages) document so this post will distill what you need to know in the emergency department. This update marks the end of a 5-year revision cycle for the AHA and the shift to a continuously updated model. Current and future guidelines can now be found at ECCGuidelines.heart.org. This round lacks any of the major foundational changes seen in 2010; however, we do say goodbye to some recommendations (bye bye vasopressin).

(more…)

By Sean Kivlehan, MD MPH|2019-09-05T20:30:15-07:00Nov 9, 2015|Cardiovascular, CME, Critical Care/ Resus, Guideline Review|

PV Card: Continuous End Tidal CO2 Monitoring in Cardiac Arrest

For many years, end tidal CO2 monitoring initially was helpful in differentiating tracheal versus esophageal intubations. Now with continuous end tidal capnography, providers have access to so much more information during a cardiac arrest resuscitation, as summarized by the recently released 2015 American Heart Association (AHA) recommendations.¹ Thanks to Dr. Abdullah Bakhsh from Emory University for a great PV card to help remind us of these key cardiac resuscitation pearls.

PV Card: Continuous End Tidal CO2 Monitoring in Cardiac Arrest

<span data-mce-type="bookmark" style="display: inline-block; width: 0px; overflow: hidden; line-height: 0;" class="mce_SELRES_start"></span>
Adapted from [1-4]

References

Link M, Berkow L, Kudenchuk P, et al. Part 7: Adult Advanced Cardiovascular Life Support: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2015;132(18 Suppl 2):S444-64. [PubMed]
Ahrens T, Schallom L, Bettorf K, et al. End-tidal carbon dioxide measurements as a prognostic indicator of outcome in cardiac arrest. Am J Crit Care. 2001;10(6):391-398. [PubMed]
Silvestri S, Ralls G, Krauss B, et al. The effectiveness of out-of-hospital use of continuous end-tidal carbon dioxide monitoring on the rate of unrecognized misplaced intubation within a regional emergency medical services system. Ann Emerg Med. 2005;45(5):497-503. [PubMed]
Kleinman M, Brennan E, Goldberger Z, et al. Part 5: Adult Basic Life Support and Cardiopulmonary Resuscitation Quality: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2015;132(18 Suppl 2):S414-35. [PubMed]

By Michelle Lin, MD|2021-10-19T19:25:31-07:00Oct 20, 2015|ALiEM Cards, Cardiovascular, Critical Care/ Resus|

Your Patient In Extremis: THAM To The Rescue?

One of the final common denominators dictating the success or failure of any resuscitative effort, be it a trauma or medical code, is the patient’s acid-base status. In the presence of acidosis, many of the tools at your disposal, including vasopressors, become impotent and the patient’s ability to strike a balance between bleeding and clotting or mounting an appropriate inflammatory response become deranged.^1–6 So what are the options to tilt the acid-base status in our favor?

(more…)

By Prathap Sooriyakumaran, MD|2016-11-11T19:39:36-08:00Oct 5, 2015|Critical Care/ Resus, Expert Peer Reviewed (Clinical), Tox & Medications|

Previous 1···567 8 9 10 Next