Ever have that critical pneumonia ARDS patient that just cannot be safely transported without a temporizing (or longer) fix? Join Dr. Ferreri on a case study and deep dive into the physiology behind Epoprostenol use in Transport Medicine.
Read MoreJoin Us for another week of Grand Rounds as Visiting Professor Dr. Wilcox guides us through management of hypoxemia respiratory failure in the ED and Visiting Professor Dr. Henwood recounts her experiences with ultrasound in global health.
Read MoreThis is a great paper recently presented at the Critical Care Transport Medicine Scientific Forum. It covers a subject area I have always been interested in. Over time, our understanding of critical care has evolved to show the importance of a low tidal volume strategy for ventilating patients, particularly those with lung injury/ARDS. However, even patients with normal lungs are potentially harmed by high tidal volume strategies.
Read MoreTransport of the ARDS patient is fraught with risk. These patients are at high risk of decompensation, which can be disastrous in the back of an ambulance or helicopter. The primary goal for critical care transport teams should be safe arrival of both the crew and patient to their destination. As such, if patients are achieving an adequate oxygen saturation at the referring facility, the better part of valor is to continue the current course, even if ventilator settings are suboptimal. If ventilator changes need to be made due to inadequate oxygenation, ventilation, or other factors, strong consideration should be given to LPV settings. Review the management literature behind ARDS management in 2020 with Chris Shaw, MD.
Read MoreAs we continue our teleconferenced grand rounds, we started with a timely review of ARDS management and refractory hypoxemia with Dr. Shaw, two successful faculty guessed CPCs presented by Drs Irankunda and Pulvino and finally Dr. Jarrell gave us a much needed break with a baking show from her kitchen, with an included recipe for a mug cake!
Read MoreNo Lung? No problem! Join Liz Powell, Paige Barger and Adam Gottula as they take a look at the basics of VV ECMO in the transport environment.
Read MoreInvasive ventilation is one of the most frequently applied interventions utilized for critically ill patients. However, as with all medical interventions, there are potential risks and harms which must be balanced with perceived benefit. As our understanding of physiology grows, we have found more and more potential harms associated with invasive mechanical ventilation. This review of a recent article published in JAMA explores the impact of different tidal volume strategies for patients who do not have ARDS.
Read MoreSRU (pronounced "shrew") = Shock Resuscitation Unit
Training in, and managing, the SRU is one of the crown jewels of our residency. It is where the sickest of the sick patients are found in our ED. It is a crucible, a test of knowledge and strength, and a true manifestation of the tripartite mission of our department: Leadership, Excellence, and Opportunity.
Training in, and managing, the SRU is one of the crown jewels of our residency. It is where the sickest of the sick patients are found in our ED. It is a crucible, a test of knowledge and strength, and a true manifestation of the tripartite mission of our department: Leadership, Excellence, and Opportunity.
