Podcasts about emergency critical care

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Best podcasts about emergency critical care

Latest podcast episodes about emergency critical care

The Uncharted Veterinary Podcast
UVP - 274 - How Do I Give Them Time Off AND Keep Everyone Happy?

The Uncharted Veterinary Podcast

Play Episode Listen Later Feb 21, 2024 60:13


This week on the podcast, veterinary practice management super nerd Stephanie Goss gets to dive into another mailbag but this time, with RVT and Manager, Tami Lind. This mailbag comes from an ER Practice Manager who loves how close the team is but is struggling to accommodate giving them time off together. Stephanie and Tami navigate the very difficult world of time off requests and what to do when you simply can't please everyone. Let's get into this... ABOUT OUR GUEST Tami Lind, RVT is currently ICU, ER and Immediate Care supervisor at Purdue University and has been working at the university for the last 13 years. She attended veterinary technology school at Purdue and graduated in 2010 with a bachelor's degree in Veterinary technology. Two years later Tami assumed the ICU and ER supervisor role at Purdue University. She received her VTS in Emergency/Critical Care in 2016. Her passion is teaching veterinary nurses and veterinary students in preparing them for their career ahead. UPCOMING EVENTS/INFO ⚓ Join us at the Practice Manager Summit – a virtual event designed to tackle the unique challenges faced by practice managers. Dive into interactive workshop sessions, peer discussion segments, and experience the energy of Uncharted events firsthand! ✨ Explore sessions on.....

The Community Cats Podcast
Oops! We Need to Fix the Veterinary Shortage with Amy Newfield, MS, CVT, VTS (ECC), Owner of Veterinary Team Training

The Community Cats Podcast

Play Episode Listen Later Nov 21, 2023 33:53


“We've got to use veterinary technicians. And here's what happens – I feel so good getting to help a pet owner and increase that pet owner-animal bond, and my veterinarian can go do doctor things! If you utilize your technicians more, you get to be a doctor more.” This episode is sponsored in part by Meow Cat Lounge, Doobert.com, and Maddie's Fund. In today's show, Stacy chats with Amy Newfiled, Certified Veterinary Technician (CVT), Veterinary Technician Specialist (VTS) in Emergency & Critical Care, author, and owner of the educational platform Veterinary Team Training. In this episode, Stacy and Amy talk about the field of veterinary medicine, and how the role of veterinary technicians in particular has grown and evolved since the 1990s. They talk about the key differences between veterinary technicians, specialists, and assistants, and what the general public should keep in mind when taking their animals to their veterinary care provider. They also discuss the many challenges veterinarians and practices are facing today, including the worst staffing shortages – from veterinarians to veterinary technicians, to front desk support – that Amy has seen in her career. They also talk about the capabilities of veterinary technicians, and the opportunities available to veterinarians who fully utilize their teams. Amy talks about her books in the Oops Management Series, Oops, I Became a Manager, and Oops, My Team is Toxic, aimed at helping managers and leaders in the veterinary profession build stronger leaders and create and maintain positive work cultures. The Oops Management Series currently includes three books, available to purchase on Amazon. Amy also tells us about Vet Team Training, and her work to help develop teams through practical and real-world techniques. The website offers free information and videos for anyone with a passion for animals, as well as RACE-accredited courses for veterinary technicians looking to continue their education. More information about Vet Team Training is available at www.vetteamtraining.com. More information about the CE courses offered by Vet Team Training is available here.

The Clydesdale, Fitness & Friends
Clydesdale Media | Callista Lang - Atlas Games

The Clydesdale, Fitness & Friends

Play Episode Listen Later Jun 10, 2022 16:52


Calista who really wants to help people progress either in the gym or in life, that lead to her degree in Health Sciences with a concentration in Emergency Critical Care. After going last year on a team has decided that this is her year to go Individual. Now that she is a graduate she is looking to stay on Long Island where she trains with Mike Needleman.

The Skeptics Guide to Emergency Medicine
SGEM#350: How Did I Get Epi Alone? Vasopressin and Methylprednisolone for In-Hospital Cardiac Arrests

The Skeptics Guide to Emergency Medicine

Play Episode Listen Later Nov 13, 2021 26:40


Date: November 10th, 2021 Reference: Andersen, et al: Effect of Vasopressin and Methylprednisolone vs Placebo on Return of Spontaneous Circulation in Patients With In-Hospital Cardiac Arrest. JAMA Sept 2021. Guest Skeptic: Dr. Neil Dasgupta is an emergency physician and ED intensivist from Long Island, NY, and currently an assistant clinical professor and Director of Emergency Critical Care […]

Careercast
Medical Podcasting and Social Media for Medical Education

Careercast

Play Episode Listen Later Jun 30, 2021 45:51


In this EAST Careercast, Dr. Zaffer Qasim reviews the growing field of medical podcasting and the use of social media for medical education.  Dr. Qasim interviews Dr. Dennis Kim, Associate Professor of Trauma Surgery, Harbor-UCLA Medical Center, and creator of the Trauma ICU Rounds podcast and Dr. Scott Weingart, Professor of Emergency Medicine, Chief of the Division of Emergency Critical Care, Stony Brook University Hospital, and creator of the EMCrit podcast. They discuss the reasons behind creating medical podcasts, some of the challenges and opportunities involved, and the way this form of medical education can fit into an academic career for the Trauma and Critical Care specialist.

ERCAST
53. The Five Fears of Scott Weingart

ERCAST

Play Episode Listen Later Jun 28, 2021 52:19


Scott Weingart is arguably one of the most influential and polarizing physicians on the planet. He is not one to mince words and often comes across as definitive in how he describes his practice of medicine.  What people don't realize, he says, is that his clinical care is often guided by fear, not bravado, ego, or machismo. In this episode, Scott breaks down his five fears when it comes to medical practice and thinks that those who seek to follow his advice should take these fears into account before acting. Listen on: iTunes Spotify Stitcher   Guest Bio:  Scott Weingart is an emergency physician who went on to complete fellowships in Trauma, Surgical Critical Care, and ECMO at the Shock Trauma Center in Baltimore. He is currently chief of the Division of Emergency Critical Care at Stony Brook Hospital and a tenured professor of emergency medicine at Stony Brook Medicine. He is best known for his podcast on Resuscitation and ED Critical Care called the EMCrit Podcast; it currently is downloaded > 400,000 times per month. Scott is the author of multiple books including Emergency Medicine Decision Making and the Resuscitation Crisis Manual.    This episode is in support of the I AM ALS. I AM ALS was founded by Brian Wallach and his wife Sandra shortly after his diagnosis at the age of 37. He was given 6 months to live, and now 4 years later he is leading a revolution to find a cure. People often refer to ALS as rare, which is not really so. The lifetime risk is around 1 in 300. Since Lou Gehrig was diagnosed 80 years ago, available treatments have been shown to extend life a mere 3 months. I AM ALS supports research, legislation to fast track therapies, and provides critical resources to patients and caregivers. ALS is relentless, and so are they. The question is no longer if we'll find a cure for ALS, but when. This is an underfunded disease and every little bit makes a difference. We will match donations to I AM ALS up to $5000 -- get started here on our Stimulus Donation Page. And for your daily dose of positivity, follow Brian on Twitter. We discuss: The distinction between carrying fear and being afraid [06:50]; Delayed sequence intubation (DSI) as an example for how healthy fear can keep things safe in the emergency department [09:30]; The importance of embracing the idea that sick patients don't take a joke [13:40]; Scott's fear number one:  lawyers [15:15]; A common fear that Scott does not personally experience: being an imposter [21:00]; Fear of Monday morning quarterbacking [28:10]; Fear of procedural complications [33:15]; How Scott Weingart is not a jerk. He's an acquired taste. [41:35]; Scott's final fear: a patient dying on his watch [46:55]; And more.   For complete and detailed show notes, previous episodes, or to sign up for our newsletter: https://www.stimuluspodcast.com/ If you like what you hear on Stimulus and use Apple/iTunes as your podcatcher, please consider leaving a review of the show. I read all the reviews and, more importantly, so do potential guests. Thanks in advance! Interested in sponsoring this podcast? Connect with us here Follow Rob: Twitter: https://twitter.com/emergencypdx Facebook: https://www.facebook.com/stimuluswithrobormanmd Youtube: https://www.youtube.com/c/emergencypdx  

Stimulus.
53. The Five Fears of Scott Weingart

Stimulus.

Play Episode Listen Later Jun 28, 2021 52:19


Scott Weingart is arguably one of the most influential and polarizing physicians on the planet. He is not one to mince words and often comes across as definitive in how he describes his practice of medicine.  What people don't realize, he says, is that his clinical care is often guided by fear, not bravado, ego, or machismo. In this episode, Scott breaks down his five fears when it comes to medical practice and thinks that those who seek to follow his advice should take these fears into account before acting. Listen on: iTunes Spotify Stitcher   Guest Bio:  Scott Weingart is an emergency physician who went on to complete fellowships in Trauma, Surgical Critical Care, and ECMO at the Shock Trauma Center in Baltimore. He is currently chief of the Division of Emergency Critical Care at Stony Brook Hospital and a tenured professor of emergency medicine at Stony Brook Medicine. He is best known for his podcast on Resuscitation and ED Critical Care called the EMCrit Podcast; it currently is downloaded > 400,000 times per month. Scott is the author of multiple books including Emergency Medicine Decision Making and the Resuscitation Crisis Manual.    This episode is in support of the I AM ALS. I AM ALS was founded by Brian Wallach and his wife Sandra shortly after his diagnosis at the age of 37. He was given 6 months to live, and now 4 years later he is leading a revolution to find a cure. People often refer to ALS as rare, which is not really so. The lifetime risk is around 1 in 300. Since Lou Gehrig was diagnosed 80 years ago, available treatments have been shown to extend life a mere 3 months. I AM ALS supports research, legislation to fast track therapies, and provides critical resources to patients and caregivers. ALS is relentless, and so are they. The question is no longer if we'll find a cure for ALS, but when. This is an underfunded disease and every little bit makes a difference. We will match donations to I AM ALS up to $5000 -- get started here on our Stimulus Donation Page. And for your daily dose of positivity, follow Brian on Twitter. We discuss: The distinction between carrying fear and being afraid [06:50]; Delayed sequence intubation (DSI) as an example for how healthy fear can keep things safe in the emergency department [09:30]; The importance of embracing the idea that sick patients don't take a joke [13:40]; Scott's fear number one:  lawyers [15:15]; A common fear that Scott does not personally experience: being an imposter [21:00]; Fear of Monday morning quarterbacking [28:10]; Fear of procedural complications [33:15]; How Scott Weingart is not a jerk. He's an acquired taste. [41:35]; Scott's final fear: a patient dying on his watch [46:55]; And more.   For complete and detailed show notes, previous episodes, or to sign up for our newsletter: https://www.stimuluspodcast.com/ If you like what you hear on Stimulus and use Apple/iTunes as your podcatcher, please consider leaving a review of the show. I read all the reviews and, more importantly, so do potential guests. Thanks in advance! Interested in sponsoring this podcast? Connect with us here Follow Rob: Twitter: https://twitter.com/emergencypdx Facebook: https://www.facebook.com/stimuluswithrobormanmd Youtube: https://www.youtube.com/c/emergencypdx  

AAEM/RSA Podcasts
The Field of Critical Care in Emergency Medicine

AAEM/RSA Podcasts

Play Episode Listen Later Jul 30, 2020 66:21


Present by Joshua Sawyer, a medical student at the Alabama College of Osteopathic Medicine and the AAEM/RSA Medical Student Council Southern Regional Representative and Adam Kessler, DO, an Associate Professor in the Department of Emergency Medicine and Anesthesiology Critical Care at the University of Alabama-Birmingham, where he developed an ED-ICU and an Emergency Critical Care consult service. He also serves on the Therapeutic Hypothermia Service, Quality Variance, and Critical Care Committee. Intro music by Akashic Records, Key to Success - Discover the Possibility from the album Corporate Presentation - Key to Success, powered by JAMENDO.

AAEM/RSA Podcasts
The Field of Critical Care in Emergency Medicine

AAEM/RSA Podcasts

Play Episode Listen Later Jul 29, 2020 66:21


In this episode, Joshua Sawyer, a medical student at the Alabama College of Osteopathic Medicine and the AAEM/RSA Medical Student Council Southern Regional Representative, speaks with Dr. Adam Kessler, an Associate Professor in the Department of Emergency Medicine and Anesthesiology Critical Care at the University of Alabama-Birmingham, where he developed an ED-ICU and an Emergency Critical Care consult service. He also serves on the Therapeutic Hypothermia Service, Quality Variance, and Critical Care Committee.

Tiger Country: The Trauma Podcast
Emergency Medicine & Trauma Surgery: Frenemies for Life - Drs. Scott Weingart & William Teeter

Tiger Country: The Trauma Podcast

Play Episode Listen Later May 2, 2020 46:27


Podcast celebrity and emergency medicine physician Scott Weingart (EMCrit, Chief of Emergency Critical Care, SUNY Stonybrook) and EM critical care fellow William Teeter join Dr. DuBose and discuss the relationship between our specialties, why we should be the best of friends and why we often aren't. Finally, the question of the creepiness of clowns is definitively settled.

VET Talk Radio
The Dangers of Too Much Doggy Exercise! - Dr Kersti Seksel Off-Leash Dangers

VET Talk Radio

Play Episode Listen Later Apr 29, 2020 9:19


Sadly at the Animal Refererral Hospital (ARH) they've seen a huge increase in the number of dogs that have been attacked by other dogs while out walking with their owners. In fact this has been happening in all the ARH locations across the country and as you might imagine is both distressing for owners as it is for their Emergency & Critical Care teams & Surgeons. Knowing that these attacks have occurred due to many people now ‘stuck at home’ due to the various state ‘lock down’ regulations thanks to COVID-19, we thought we’d ask well known Veterinary Behaviourist Specialist Dr Kersti Seksel from the Sydney Animal Behaviour Service for some advice on both Off-Leash parks and walking dogs in general.

VET Talk Radio Podcasts
The Dangers of Too Much Doggy Exercise! - Dr Kersti Seksel Off-Leash Dangers

VET Talk Radio Podcasts

Play Episode Listen Later Apr 29, 2020 9:19


Sadly at the Animal Refererral Hospital (ARH) they've seen a huge increase in the number of dogs that have been attacked by other dogs while out walking with their owners.In fact this has been happening in all the ARH locations across the country and as you might imagine is both distressing for owners as it is for their Emergency & Critical Care teams & Surgeons.Knowing that these attacks have occurred due to many people now ‘stuck at home' due to the various state ‘lock down' regulations thanks to COVID-19, we thought we'd ask well known Veterinary Behaviourist Specialist Dr Kersti Seksel from the Sydney Animal Behaviour Service for some advice on both Off-Leash parks and walking dogs in general.

Beyond the Expected
The Coronavirus Effect: Research Response

Beyond the Expected

Play Episode Listen Later Apr 23, 2020 47:45


Saving lives today and looking for solutions for tomorrow. Facing the biggest healthcare challenge of the past century head-on, feverishly searching for clues and innovations to protect patients and providers today and prevent similar outbreaks in the future. Drawing on past and present evidence, engineering and know-how to make the world a safer place. In the latest podcast in our series Beyond the Expected: The Coronavirus Effect - Research Response, hosted by Interim President Michael Bernstein, we provide three strategic vantage points from experts leading the charge to contain and defeat Covid-19: Dr. Kenneth Kaushansky, a hematologist and senior executive of Long Island's premiere academic medical center; Dr. Lilianne Mujica-Parodi, a biomedical engineer and pioneer in the field of personalized medicine through computational neurodiagnostics, and Dr. Scott Weingart, Department of Emergency Medicine; Chief of the Division of Emergency Critical Care. Guests: Kenneth Kaushansky, MD, MACP, Senior Vice President for Health Sciences; Dean, Renaissance School of Medicine (RSOM) A successful teacher, clinician and biomedical researcher, Dr. Kaushansky has performed critical laboratory work leading to significant discoveries in the areas of platelet and stem cell disorders, for which he has received numerous awards. He's a member of the National Academy of Medicine (formerly the Institute of Medicine), the American Academy of Arts and Sciences and a Master of the American College of Physicians. Ken will talk about bridging the gap between the laboratory and clinical arena, along with clinical trials we're conducting to fight COVID-19. Lilianne Mujica-Parodi, Ph.D., Professor Director of the Laboratory for Computational Neurodiagnostics Dr. Mujica-Parodi is Director of the Laboratory for Computational Neurodiagnostics and Professor at Stony Brook University's School of Medicine, as well as Research Staff Scientist and Lecturer in the Department of Radiology at Massachusetts General Hospital and Harvard Medical School. Her interdisciplinary laboratory integrates the fields of physics, mathematics, engineering and neuroscience in developing cutting-edge neuroimaging tools to study brain-based disorders in humans. She will talk about engineering-driven medicine and share how we're using the OuraRing to monitor doctors' health while they're treating patients. Scott Weingart, MD, Professor, Department of Emergency Medicine; Chief of the Division of Emergency Critical Care Dr. Weingart received his medical degree and completed a residency in Emergency Medicine at the Mount Sinai School of Medicine. He is an attending in and chief of the Division of Emergency Critical Care at Stony Brook Hospital. He is a tenured professor of emergency medicine at Stony Brook Medicine and an adjunct professor at the Icahn School of Medicine at Mount Sinai. He is best known for his podcast on Resuscitation and ED Critical Care called the EMCrit Podcast; it currently is downloaded more than 500,000 times per month.

Wild Health
Episode 104 - Dr. Scott Weingart

Wild Health

Play Episode Listen Later Apr 12, 2020 54:35


400,000 times per month."}" data-sheets-userformat= "{"2":768,"11":4,"12":0}">Dr. Weingart is currently an attending in and chief of the Division of Emergency Critical Care at Stony Brook Hospital. He is a tenured professor of emergency medicine at Stony Brook Medicine and an adjunct professor at the Icahn School of Medicine at Mount Sinai. He is best known for his podcast on Resuscitation and ED Critical Care called the EMCrit Podcast; it currently is downloaded > 400,000 times per month.

The LITTERBOX
Helping Navigate Feline Nutrition

The LITTERBOX

Play Episode Listen Later Feb 23, 2020


About: Ann Wortinger LVT, VTS Ann graduated from  Michigan State University, and earned  her specialty certification in Emergency/ Critical Care in 2000, in Small Animal Internal Medicine in 2008 and in Nutrition in 2013.  She is one of the few triple specialty certified Vet Techs.   Ann has a myriad of experience from her work in [...]

nutrition cats cat navigate michigan state university feline small animal internal medicine emergency critical care
Fear Free Pets
The Role of Fear Free in Emergency, Critical Care & Internal Medicine

Fear Free Pets

Play Episode Listen Later Sep 23, 2019 22:52


The fields and practices of emergency, critical care, and internal medicine are a vital part of the profession, and referral practices are often in a world of their own when it comes to many day-to-day practices. Things moves fast, patients are often in extreme amounts of pain and distress, and clients are often overwhelmed. Many professionals across all veterinary fields might ask how Fear Free can help address some of those issues. In this podcast, two of the most renowned board-certified veterinarians in these respective fields—Dr. Alice M. Wolf, who is board-certified in Internal Medicine and Dr. Tony Johnson, a board-certified veterinarian in Emergency and Critical Care—elaborate on the role Fear Free can play in these life-saving specialties.

Mastering Intensive Care
Episode 45: Scott Weingart - Useful mental strategies of a thoughtful ED intensivist and hugely influential podcaster

Mastering Intensive Care

Play Episode Listen Later Jul 21, 2019 75:01


Today’s guest is Scott Weingart, the pioneer podcaster in the intensive care field through his EMCrit podcast. Scott is an ED Intensivist from New York, where he is Chief of the Division of Emergency Critical Care at Stony Brook Hospital and a Professor of Emergency Medicine at Stony Brook Medicine. Scott has devoted his career to bringing "Upstairs Care, Downstairs" (ie. bringing ICU care down to the ED - where it needs to be). He loves his job taking care of the sickest patients, innovating new ways to do it better, and then teaching these concepts to his residents. Of course, none of that is nearly as much fun as playing with his son, Mace. Scott is best known for talking to himself about Resuscitation and Critical Care on the EMCrit podcast, which has been downloaded over 20 million times. EMCrit is also a hugely valuable blog and educational resource. In this conversation Scott talks about: How he trained to be where he is now as an ED intensivist What inspired his mission to improve critical care prior to ICU admission How he got into podcasting The benefit of putting his views out into the online community How podcasting and new media can allow the “small to be seen” The automatic peer review built in to his podcasting The value he’s had from SMACC conferences and the FOAM movement His obsession to improve What a day in his life is like How his martial arts experience spurned his meditation practice What his minimal effective dose of meditation is His thoughts and use of negative visualisation and mental rehearsal The value of errors in improving ourselves The need to be care- rather than people-orientated in resuscitation How his communication is changing over time The use of dramatic pauses to spur knowledge translation and learning His advice on reading And some of his favourite books and podcasts Scott is a deep-thinking man, very focused on understanding and practicing well considered and patient-oriented care particularly at the resuscitation end of intensive or critical care medicine, and is very good with spoken language. Please enjoy listening to Scott Weingart. Andrew Davies   -------------------- About the Mastering Intensive Care podcast: The podcast is aimed to inspire and empower you to bring your best self to the intensive care unit, through conversations with thought-provoking guests. I hope you’ll glean insights to help you improve as a healthcare professional and as a human being so you can make a truly valuable contribution to your patient’s lives.   -------------------- Links to people, organisations and other resources mentioned: Scott Weingart Scott Weingart on Twitter: @emcrit EMCrit podcast & website Liz Crowe Essay: The Thousand True Fans (by Kevin Kelly) Seth Godin SMACC Talk by Scott Weingart “The Path to Insanity” Talk by Scott Weingart “Kettlebells for the Brain” Mastering Intensive Care podcast - Episode 21 with Martin Bromiley Book “House of God” (by Samuel Shem) Cliff Reid Chris Hicks Sara Gray Mastering Intensive Care podcast – Episode 13 with Sara Gray Book “A Confederacy of Dunces” (by John Kennedy Toole) Book “Catch 22” (by Joseph Heller) 99% Invisible podcast Radiolab podcast The Flop House podcast Mastering Intensive Care podcast – episode 44 with Geoff Toogood Crazy Socks 4 Docs New Normal Project podcast Mastering Intensive Care podcast Mastering Intensive Care page on Facebook Mastering Intensive Care at Life In The Fast Lane Andrew Davies on Twitter: @andrewdavies66 Andrew Davies on Instagram: @andrewdavies66 Email Andrew Davies

resus10
The 2 a.m. advocate

resus10

Play Episode Listen Later May 7, 2019 8:48


When deciding whether to send a cardiac arrest patient to the cath lab, is it a question of the right timing or the right patient?  In today's episode, Nicole interviews Dr. David Gaieski, Professor of Emergency Medicine at Sidney Kimmel Medical College at Thomas Jefferson University, Vice Chair for Resuscitation Services and Director of Emergency-Critical Care. They discuss a recent study – the first of its kind – that focused on a randomized trial of immediate cardiac catheterization in post-arrest patients without ST elevation versus delayed cardiac catheterization during hospitalization.

RESUS NURSE
015 How Low Can You Go? Hypotension is an Emergency w/Scott Weingart, MD

RESUS NURSE

Play Episode Listen Later Dec 14, 2017 26:44


"This used to be merely intuition...even a minute or two at low MAPs may be too much and certainly waiting 20 minutes for pharmacy to send up a drip is probably way too long...and your kidneys may actually be getting damaged in that short period of time." - Scott Weingart, MD Who is Scott Weingart, MD? Courtesy of Scott Weingart, MD Scott D. Weingart, MD FCCM FUCEM DipHTFU Scott is an ED Intensivist from New York. He did fellowships in Trauma, Surgical Critical Care, and ECMO. He is currently an attending in and chief of the Division of Emergency Critical Care at Stony Brook Hospital. He is a clinical associate professor of emergency medicine at Stony Brook Medicine and an adjunct associate professor at the Icahn School of Medicine at Mount Sinai. He is best known for talking to himself about Resuscitation and Critical Care on a podcast called EMCrit, which has been downloaded > 19 million times. EMCrit Twitter Team @emcrit What is a MAP? (Mean Arterial Pressure) Average pressure in a patient’s arteries during one cardiac cycle Really good number to measure organ perfusion Systolic BP is a useless measurement in super hypotensive patients Calculations: MAP = CO x SVR MAP = SBP + 2(DBP)/3 Low MAPs should be treated as an Emergency = Requires Good Nursing!! What is a minimal MAP for adequate perfusion? No one knows!!  Minimal MAPs (what we think and have made up) to adequately perfuse 3 main organs. Use this as a loose guideline. May have to individualize for each patient.   Brain MAP 60-65 but can go lower for a bit of time before damage MAP 40 starts to have altered mental status Heart MAP 60-65 Kidney MAP 65 super sensitive to low MAPs May not be able to measure output in ED if kidneys were hit hard and due to shunting In the ED, we like MAP 65... because the organs will have minimal perfusion and we often don't know what the medical history is or have had 24 hours of patient observation.  Normal MAP + Low SBP + Normal DBP = Okay Organs are being perfused Low MAP + Normal SBP + Low DBP (Ex: 100/20) = Badness Can be in cardiac arrest if you don't pay attention and do something ASAP Low MAP, How long is too long? New Anesthesia literature that shows a minute or two may be too much. Concern for kidney injury Hearts may dislike low MAP esp. Pts with cardiac history. React quickly to low MAPs (MAP 40s and 50s) No barrier to treating low MAPs No Harm in treating low MAPs Can start peripheral NE drip and if in 45 minutes, NE drip is titrated off - no harm done to Pt Wait and See approach with fluids doesn't work Fluids don't last to maintain MAPs, it will drop 30-60 minutes later Harm to keep Pt at low MAPs "Permissive Hypotension" A confusing term No one is really in a permissive hypotension state lower than the minimal MAP 65 Trauma A confusing term because the trauma studies still show that a Pt is being perfused and hovering around MAP 60-65 Term came about because fluids were restricted instead of giving bunch of fluids - but BPs were normal Some say the clot is formed so don't break the clot - still BPs are at MAPs that we talked about Bickell study on penetrating trauma Scott mentioned Permissive hypotension/hypotensive resuscitation and restricted/controlled resuscitation in patients with severe trauma by D. Kudo Rick Dutton Approach for penetrating trauma management as described by Scott Keep your patient from being vasoconstricted Organs are not being perfused with higher MAP but in fact exsanguinating due to vasoconstriction Manage by hovering around a MAP 60-65 and perfuse organs MAP 80 (or whatever upper limit you decide), give them some anesthetic and dilate them. Fentanyl is an indirect vasodilator Read more about Richard Dutton and trauma at emcrit.org Hemostatic Resuscitation Hemorrhagic Shock Patient in Trauma Neuro - term doesn't really apply

The Curbsiders Internal Medicine Podcast
#65: Scott Weingart of EMCrit on Emergency versus Internal Medicine: The Devil of the Gaps

The Curbsiders Internal Medicine Podcast

Play Episode Listen Later Oct 30, 2017 51:51


Fighting with Emergency Medicine colleagues is stupid. Learn how EM doctors think and avoid the petty infighting with tips from Dr. Scott Weingart, MD FCCM FUCEM DipHTFU, host of the EMCrit podcast, Clinical Associate Professor and Chief, Division of Emergency Critical Care at Stony Brook Hospital, NY. We discuss decision making, how to avoid anchoring bias, the devil of the gaps, why the elderly always get admitted, how to build relationships with the ED, and Scott’s pet peeves. Full show notes available at http://thecurbsiders.com/podcast Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com. Time Stamps 00:00 Intro 01:10 Picks of the week 05:28 Guest bio 07:00 Getting to know our guest 12:00 Do EM and IM docs hate each other? 14:04 Where conflicts arise. 17:05 System 1 versus system 2 thinking 20:19 When the patient doesn’t match the story 23:55 Why does every 85 year old get admitted? 26:05 Transitions of care: form ED to medical ward 32:08 Is face-to-face signoff only needed for sick patients? 36:28 The devil in the gaps 41:03 Scott’s beer recommendation 42:17 BP cutoff for discharge home 43:44 Scott’s biggest pet peeve with primary care 45:04 How to make friends and collaborate with your EM colleagues 47:14 Take home points 50:35 Outro Tags: emergency, department, room, em, ed, im, conflict, devil, gaps, post-test, probability, illness, serious, system, one, bias, heuristic, assistant, care, education, doctor, family, foam, foamed, health, hospitalist, hospital, internal, internist, nurse, meded, medical, medicine, practitioner, professional, primary, physician, resident, student

Vegas Rock Dog Radio
Veterinary Emergency Critical Care Animal Blood Bank

Vegas Rock Dog Radio

Play Episode Listen Later Jan 7, 2017 64:39


On today's show, I have three special guests.Kelly Tantalo LVT, VTS(ECC), a licensed veterinary technician with a specialty license in emergency and critical care at Veterinary Emergency + Critical CareVE+CC has been providing the Las Vegas area with cutting edge emergency care since May 2011.2 locations, VE+CC provides the only fully staffed, dedicated 24-hour emergency hospitals in southern Nevada.VE+CC is associated with the Las Vegas Veterinary Specialty Center (LVVSC), allowing for rapid consultation with specialists in surgery, internal medicine, ophthalmology, cardiology, oncology, and neurology. The combination of VE+CC and LVVSC allows for rapid intervention, diagnosis, and treatment, across a broad range of specialties. All the doctors at VE+CC and LVVSC work together to provide the highest quality of collaborative medicine to ensure your pet is treated with the highest level of care.http://vecc24.comBaby Roger and Sam RaymondBaby Roger is a canine blood donor. MEET THE DONOR: ROGER!"Hello, my name is Roger, or rather "baby Roger" as I am known by my family and friends, even though I am 4 and a half years old! My mum says I am always in a good mood, which is true because I really do love life. My very favorite toy is my ball, especially the one that has treats stuffed in it. I also love to sleep and when I sleep my tongue always hangs out of my mouth! I love my daily walks and I also love going to the mountains to play in the snow, because I can eat the snowballs (but I never eat the yellow ones!!!) I like it when I donate blood, because the people at the clinic spoil me and give me lots of treats and my family tell me I'm a hero"Thank you to Roger and Roger's family for being so supportive of our blood donor program and helping to save so many special doggie lives!Enjoy the show!www.vegasrockdogradio.com

las vegas dogs cats animal nevada blood bank veterinary emergency emergency critical care
VETgirl Veterinary Continuing Education Podcasts
Assessment of Blood Pressure with Pulse Quality | VETgirl Veterinary CE Podcasts

VETgirl Veterinary Continuing Education Podcasts

Play Episode Listen Later Feb 29, 2016 18:41


In this VETgirl online veterinary continuing education podcast, we interview Dr. Erica Reineke, DACVECC, an Assistant Clinical Professor in Emergency Critical Care at University of Pennsylvania School of Veterinary Medicine on a recent paper that she published. In this JVECC publication, she evaluates systolic blood pressure measurement based on physical examination as compared to Doppler analysis. In this prospective, observational study, the authors evaluated 102 cats that presented to the emergency services and evaluated the femoral and dorsal pedal pulse to predict systolic blood pressure in cats. House officers (e.g., interns, residents) evaluated pulse quality and defined it as either: strong, moderate, poor, or absent. A concurrent SBP was also performed. What'd they find?

VETgirl Veterinary Continuing Education Podcasts
Assessment of Blood Pressure with Pulse Quality | VETgirl Veterinary CE Podcasts

VETgirl Veterinary Continuing Education Podcasts

Play Episode Listen Later Feb 29, 2016 18:41


In this VETgirl online veterinary continuing education podcast, we interview Dr. Erica Reineke, DACVECC, an Assistant Clinical Professor in Emergency Critical Care at University of Pennsylvania School of Veterinary Medicine on a recent paper that she published. In this JVECC publication, she evaluates systolic blood pressure measurement based on physical examination as compared to Doppler analysis. In this prospective, observational study, the authors evaluated 102 cats that presented to the emergency services and evaluated the femoral and dorsal pedal pulse to predict systolic blood pressure in cats. House officers (e.g., interns, residents) evaluated pulse quality and defined it as either: strong, moderate, poor, or absent. A concurrent SBP was also performed. What'd they find?

EMCrit FOAM Feed
Podcast 167- Emergency Critical Care with Sara Gray

EMCrit FOAM Feed

Play Episode Listen Later Feb 8, 2016 18:06


Sara Gray is amazing--hear her talk about ED Critical Care from @smaccteam:

emergency critical care sara gray
AAEM Podcasts: Critical Care in Emergency Medicine
Surgical Airway: Preparedness and Making the Decision

AAEM Podcasts: Critical Care in Emergency Medicine

Play Episode Listen Later Jun 29, 2015 31:12


David Farcy, MD FAAEM FCCM, Chairman, Department of Emergency Medicine at Mount Sinai Medical in Miami Beach, Florida, speaks with Scott D. Weingart, MD FCCM, Chief of the Division of Emergency Critical Care at Elmhurst Hospital Center and Associate Professor of Emergency Medicine in the Icahn school of medicine at Mount Sinai in New York. In this episode, Drs. Farcy and Weingart discuss preparedness and decision making surrounding surgical airways. Intro music by SaReGaMa, "Sky is the Limit," from the album "Sky is the Limit," powered by JAMENDO.