Podcasts about haney mallemat

In this episode, Dr. Zanotti discusses the management of acute life-threatening asthma exacerbations in the ICU with this guest, Dr. Haney Mallemat, a physician trained in EM/IM and Critical Care. Dr. Mallemat is currently an Associate Professor of Emergency Medicine and Internal Medicine at the Cooper Medical School at Rowan University. Additional Resources: How Not to Kill an Asthmatic – Presented at CODA Change by Haney Mallemat: https://codachange.org/severe-asthma Management of Acute Life-Threatening Asthma Exacerbations in the Intensive Care Unit. Talbot T, et al. Appl. Sci 2024: https://www.mdpi.com/2076-3417/14/2/693 ResusX,- a medical resuscitation conference created by Dr. Mallemat: https://www.resusx.com Last Week Now! - A curated newsletter by ResusX: https://www.resusx.com/newsletter Keynotable – a course for beginners and seasoned speakers: https://www.keynotable.net Books mentioned in this episode: How to Win Friends and Influence People. By Dale Carnegie: https://bit.ly/49WlcOd

First of all, I apologize for the bad audio. This episode was lost until my buddy Haney Mallemat (@criticalcarenow) saved it. Aortic pulsatility index (API) is a hemodynamic measurement being studied to predict clinical outcomes in heart failure & cardiogenic shock. Show Notes: https://eddyjoemd.com/aortic-pulsatility-index/ TrueLearn Link: ⁠⁠https://truelearn.referralrock.com/l/EDDYJOEMD25/⁠⁠ Discount code: EDDYJOEMD25 Although great care has been taken to ensure that the information in this podcast are accurate, eddyjoe, LLC shall not be held responsible or in any way liable for the continued accuracy of the information, or for any errors, omissions or inaccuracies, or for any consequences arising therefrom.  My website: ⁠⁠www.eddyjoemd.com⁠⁠  Instagram: ⁠⁠www.instagram.com/eddyjoemd⁠⁠  Twitter: ⁠⁠www.twitter.com/eddyjoemd⁠⁠ Facebook: ⁠⁠www.facebook.com/eddyjoemd⁠⁠  Podcast: ⁠⁠https://anchor.fm/eddyjoemd⁠ --- Support this podcast: https://podcasters.spotify.com/pod/show/eddyjoemd/support

In this episode of the podcast, we will discuss the first hour of clinical care post return of spontaneous circulation in cardiac arrest survivors. Our guest is Dr. Haney Mallemat a critical care intensivist and emergency medicine clinician at Cooper University Health. He is also an associate professor of medicine and of emergency medicine at Cooper Medical School of Rowan University, in Camden, New Jersey. Additional Recources: Critical Care Now: A site for intensivists and resuscitationists.: https://criticalcarenow.com/ RESUS-X: The ultimate resuscitation educational experience: https://www.resusx.com/ https://pubmed.ncbi.nlm.nih.gov/25599355/ European Resuscitation Council and European Society of Intensive Care Medicine guidelines 2021: post-resuscitation care: https://link.springer.com/article/10.1007/s00134-021-06368-4 Oxygen Targets in Comatose Survivors of Cardiac Arrest. BOX Trial: https://www.nejm.org/doi/full/10.1056/NEJMoa2208686 Blood-Pressure Targets in Comatose Survivors of Cardiac Arrest. BOX Trial: https://www.nejm.org/doi/full/10.1056/NEJMoa2208687 Books Mentioned in this Episode: SmartLess. One of Haney's favorite podcasts: https://podcasts.apple.com/us/podcast/smartless/id1521578868 How to win Friends & Influence People. By Dale Carnegie: bit.ly/3VVlTRQ EMRAP. A leading educational platform recommended by Haney: https://www.emrap.org/

In this episode, we're joined by Dr. Haney Mallemat from @critcarenow to discuss the patient with a massive pulmonary embolism and how we need to manage these patients in the acute phase to keep them alive until we can get them to definitive care.Below are several resources Dr. Mallemat referenced in our talk, as well as links to Critical Care Now and the ResusX conference.Please do us a favor and check out Dr. Mallemat's site.  You'll be happy you did.Critical Care Now - https://criticalcarenow.com/ResusX Conference - https://www.resusx.com/PEAPETT Trial - https://pubmed.ncbi.nlm.nih.gov/27422214/RebelEM Post about PEAPETT - https://rebelem.com/peapett-trial-half-dose-tpa-pea-due-massive-pulmonary-embolism/PERT Teams - https://pertconsortium.org/about/PERT Teams - https://onlinelibrary.wiley.com/doi/10.1002/rth2.12216Nebulized Nitro from PulmCrit - https://emcrit.org/pulmcrit/ntg/Nebulized nitro from the American Academy of Emergency Physicians - https://www.aaem.org/UserFiles/file/CS21_MarAprCCMS.pdf Nebulized Nitro - https://rc.rcjournal.com/content/57/3/444Support the show

The modern ICU, or Intensive Care Unit, was born out of a time of crisis. It was 1952, and polio was raging in many places — especially the city of Copenhagen. Patients poured into the hospitals, many of them gasping for air, turning blue, and eventually dying. Then a brilliant doctor tried a radically different approach — pumping air directly into patients' lungs. It was an idea that would require intensive manpower, but save many lives. And it led to the birth of a new kind of medicine: intensive care. Seventy years later, ICUs sit at the cutting edge of modern medicine. They’re the destination for the sickest patients — including those who’re hovering at death’s door — and home to some of medicine’s most profound interventions. ICUs can be a place of pain and healing, of comfort and dying, a laboratory for innovation, or a sanctuary for grieving families. On this episode, we take a look at intensive care — its roots, what it's like to work there, and how the coronavirus pandemic has changed it. Also heard on this week's episode: Journalist Daniel Semo tells the story of anesthesiologist Bjorn Ibsen — the brilliant doctor who ushered in a new era in medicine. We talk with Haney Mallemat, a critical care physician at Cooper Medical Center at Rowan University, about what drew him to intensive care, making life-and-death decisions, and dealing with the lingering trauma of COVID-19. Reporter Jad Sleiman talks with Nirav Shah, an ICU doctor at the University of Maryland Medical Center, about the strange, sometimes one-sided relationships doctors develop with their unconscious patients … and one patient he will never forget.

Dr. Haney Mallemat, a triple-boarded critical care physician and Editor-in-Chief at criticalcarenow.com, joins us to discuss all things vasopressor related. During the interview, Dr. Mallemat mentions the Arginine Vasopressin During the Early Resuscitation of Traumatic Shock (AVERTShock) trial. You can find a summary of that study here, and deployedmedicine.com has a good video discussing the trial as well.Dr. Mallemat also mentions a study describing a "central line-less" ICU while discussing the safety of vasopressin administration through peripheral IVs. You can find that study here:Cardenas-Garcia, J., Schaub, K. F., Belchikov, Y. G., Narasimhan, M., Koenig, S. J., & Mayo, P. H. (2015). Safety of peripheral intravenous administration of vasoactive medication. Journal of hospital medicine, 10(9), 581–585. https://doi.org/10.1002/jhm.2394

Fluid resuscitation is a cornerstone of our treatment for circulatory failure and is often quite challenging to get right. In today's episode of the podcast, we will discuss the prediction of fluid responsiveness. Our guest is Dr. Haney Mallemat, a critical care intensivist and emergency medicine clinician at Cooper University Health. He is also an associate professor of medicine and of emergency medicine at Cooper Medical School of Rowan University, in Camden, New Jersey. Additional Resources: Critical Care Now: A site for intensivists and resuscitationists. - https://criticalcarenow.com/ RESUS-X: The ultimate resuscitation educational experience. - https://bit.ly/3nXtWih Prediction of fluid responsiveness: a review. Enev R, et al. 2021. - https://bit.ly/33NNHBT Prediction of fluid responsiveness: an update. Monnet X, et al. 2016. - https://bit.ly/3H2R6ew Predictors of fluid responsiveness in critically ill patients mechanically ventilated at low tidal volumes: systematic review and metanalysis. Alvarado Sanchez JI, et al. 2021 - https://bit.ly/3KJ6D5l Music and Podcasts mentioned in this episode: Haney's musical recommendation – listen to the band Wilco. - https://wilcoworld.net/ 99% Invisible. One of Haney's favorite podcasts. Open access. - https://99percentinvisible.org/ The Joe Rogan Experience. Popular podcast on Spotify. - https://open.spotify.com/show/4rOoJ6Egrf8K2IrywzwOMk EMRAP. A leading educational platform recommended by Haney. - https://www.emrap.org/

In this episode we hear from eight leading physician educators about a core principle of patient care:  primum non nocere. We learn that limiting harm can translate into doing what's medically right, putting the patient's welfare first, judicious use of IV fluids, reducing opioid prescribing, making a habit of pausing when depleted, acknowledging the end of life, and allowing a natural death.    Listen on: iTunes Spotify Stitcher   Guests:  Cam Berg MD, Neda Frayha MD, Scott Weingart MD, Josh Russell MD, Haney Mallemat MD, Alan Sielaff MD, Vicky Vella MD, and Mike Weinstock MD    We Discuss: The importance of figuring out the core principles that drive your medical decision-making [1:30]; Primum non nocere, and how it is good for patients and good for us [02:40]; Cameron Berg is concerned about the harm caused by excessive prescription of opiates in the ED [05:10];    Neda Frayha learned that ordering more tests on patients can cause more harm than good [07:25];.  Scott Weingart applies the “do no harm” principle to the use of IV fluids when resuscitating patients in septic shock [09:20]; Josh Russell tries to limit harm by thinking about what he'd want to have done, if he were in his patient's shoes [11:00]; Haney Mallemat has come to learn that many patients are predestined for bad outcomes, and the provision of maximal therapy is actually harmful [13:40]; Alan Sielaff uses shared decision-making to help guide him in doing no harm [15:50]; Vicky Vella believes that “do no harm” is recognizing when a patient is near the end of their life and, as a physician, trying to act in a way that reflects that [16:20]; Mike Weinstock makes an effort to treat all patients as he would treat them if they were his own family member [17:15]; And more.   Shownotes by Melissa Orman, MD 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

In this episode we hear from eight leading physician educators about a core principle of patient care:  primum non nocere. We learn that limiting harm can translate into doing what's medically right, putting the patient's welfare first, judicious use of IV fluids, reducing opioid prescribing, making a habit of pausing when depleted, acknowledging the end of life, and allowing a natural death.    Listen on: iTunes Spotify Stitcher   Guests:  Cam Berg MD, Neda Frayha MD, Scott Weingart MD, Josh Russell MD, Haney Mallemat MD, Alan Sielaff MD, Vicky Vella MD, and Mike Weinstock MD    We Discuss: The importance of figuring out the core principles that drive your medical decision-making [1:30]; Primum non nocere, and how it is good for patients and good for us [02:40]; Cameron Berg is concerned about the harm caused by excessive prescription of opiates in the ED [05:10];    Neda Frayha learned that ordering more tests on patients can cause more harm than good [07:25];.  Scott Weingart applies the “do no harm” principle to the use of IV fluids when resuscitating patients in septic shock [09:20]; Josh Russell tries to limit harm by thinking about what he'd want to have done, if he were in his patient's shoes [11:00]; Haney Mallemat has come to learn that many patients are predestined for bad outcomes, and the provision of maximal therapy is actually harmful [13:40]; Alan Sielaff uses shared decision-making to help guide him in doing no harm [15:50]; Vicky Vella believes that “do no harm” is recognizing when a patient is near the end of their life and, as a physician, trying to act in a way that reflects that [16:20]; Mike Weinstock makes an effort to treat all patients as he would treat them if they were his own family member [17:15]; And more.   Shownotes by Melissa Orman, MD 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

This week, on part 2 of my conversation with Dr. Haney Mallemat, we continue to discuss the importance of education and empowerment, the Bad Decisions to question your value and experience, and he shares some lessons he's learned over his time on rounds and on social media. Connect with @criticalcarenow:Twitter - @CriticalCareNowFacebook - @CriticalCareNowIG - @CriticalCareNowTikTok - @CriticalCareNowYoutube - https://www.youtube.com/c/criticalcarenowWebsite - www.CriticalCareNow.com (free website of collective of educators) ResusX - ResusX.com (a conference for anyone involved in Emergency Medicine, Critical Care, and Resuscitation)Connect with Katie:Instagram - https://www.instagram.com/thekatiedukeFacebook - https://www.facebook.com/thekatiedukeWebsite - https://www.katiedukeonline.comLearn More:https://katieduke--theresumerx.thrivecart.com/the-np-society/ https://www.theresumerx.com/katieduke/See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

This week, I sit down with Intensivist and Emergency Medicine Attending Dr. Haney Mallemat to discuss the importance of education and empowerment, the Bad Decisions to question your value and experience, and to share some lessons he's learned over his time on rounds and on social media. Connect with @criticalcarenow:Twitter - @CriticalCareNowFacebook - @CriticalCareNowIG - @CriticalCareNowTikTok - @CriticalCareNowYoutube - https://www.youtube.com/c/criticalcarenowWebsite - www.CriticalCareNow.com (free website of collective of educators) ResusX - ResusX.com (a conference for anyone involved in Emergency Medicine, Critical Care, and Resuscitation)Connect with Katie:Instagram - https://www.instagram.com/thekatiedukeFacebook - https://www.facebook.com/thekatiedukeWebsite - https://www.katiedukeonline.comLearn More:https://katieduke--theresumerx.thrivecart.com/the-np-society/ https://www.theresumerx.com/katieduke/See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

An asthmatic who is hemodynamic compromised, can be killed instantly. This distinguishes these asthmatics from the standard asthmatic and how these patients are treated will make a huge difference to the outcome. Haney Mallemat recounts a story of an asthmatic who minutes after he was intubated, became bradycardic, hypertensive and coded. Haney discusses how breath stacking is what kills the asthmatic patient and how we can best avoid this happening to ultimately save lives. For more head to: codachange.org/podcasts

On this weeks episode of NurseSpeak we take a look at the covid-19 Pandemic Special thanks to all our guests (those named and those unnamed) Haney Mallemat (instagram @criticalcarenow)Nicole Kupchik (instagram @nicolekupchik) Paul Pater (instagram @Paulpaterrn)Also to Brandon Slavinski, our multimedia specialist. You can find him at Brandonslavinski.com and to Enré (ecbeats.store) for providing some of the music for this episode last but certainly not least, thank you to my assistant Emily Lewis for all the work she does behind the scenes to make this podcast possible

We can't immediately change the process of medicine, the stuff that is kind of a drag and wears us down. What we can change, however, is our mindset. In this episode, we dissect several practices for shift preparation with a common goal of operating at a peak level of performance and experiencing more joy in what we do. Today we learn how to pregame, like a pro.   We discuss: When the process of practicing medicine becomes your purpose for being a doctor, you’re at risk for burnout, if not worse. [00:30] The system will not adjust to what you need right now.  You have to adjust yourself. [1:45] How accepting gratitude, and other small changes in mindset, can have a logarithmic return on investment. [4:50] The ways that many elite-level performers pregame.  They rely on their rituals for peak performance. [07:15] Physicians are elite-level performers who rarely have the time to mentally prepare for each day. [8:40]   How some doctors pregame (or not).... Mike Weinstock doesn't pregame [12:06] Clay Smith's pregame distraction [13:20] Joshua Russell's sequence of physical, emotional and mental prep [15:10] Sabrina Adams the BAFERD [18:00] Jaime Hope thinks of her 4 professional identities [19:10] Mizuho Morrison's 3 steps of self talk [21:40] Ran Ran biking to work. [24:20] Joe Dubois walks to work Chris Nickson walks to work Ross Fisher calms during his commute. Haney Mallemat uses mental visualization. Luz Silverio's pregame ritual is to arrive to work 15 minutes early to “chit-chat” with members of her team.[28:40] Alan Sielaff allows sufficient time before the shift to get prepared. [29:30]:  Dan McCollum starts the day mentally preparing with the 5 Minute Journal.[31:00]  Reuben Strayer mentally prepare for a shift by practicing mindfulness [32:50]  Salim Rezaie isolates himself from social media and email for at least 1-2 hours prior to each shift.[35:30]  Mike Mallin uses intermittent fasting to improve his focus, attitude, and endurance at work. [37:15]   Rich Hamilton treats a shift like it’s a competitive sport. [38:30]  Rob's 2 pregame exercises. [41:10]  Jocko Willink’s “Good” [44:06]    Learn More: https://www.stimuluspodcast.com/ Complete shownotes for this episode: https://www.stimuluspodcast.com/post/2-pregame-like-a-pro

We can't immediately change the process of medicine, the stuff that is kind of a drag and wears us down. What we can change, however, is our mindset. In this episode, we dissect several practices for shift preparation with a common goal of operating at a peak level of performance and experiencing more joy in what we do. Today we learn how to pregame, like a pro.   We discuss: When the process of practicing medicine becomes your purpose for being a doctor, you’re at risk for burnout, if not worse. [00:30] The system will not adjust to what you need right now.  You have to adjust yourself. [1:45] How accepting gratitude, and other small changes in mindset, can have a logarithmic return on investment. [4:50] The ways that many elite-level performers pregame.  They rely on their rituals for peak performance. [07:15] Physicians are elite-level performers who rarely have the time to mentally prepare for each day. [8:40]   How some doctors pregame (or not).... Mike Weinstock doesn't pregame [12:06] Clay Smith's pregame distraction [13:20] Joshua Russell's sequence of physical, emotional and mental prep [15:10] Sabrina Adams the BAFERD [18:00] Jaime Hope thinks of her 4 professional identities [19:10] Mizuho Morrison's 3 steps of self talk [21:40] Ran Ran biking to work. [24:20] Joe Dubois walks to work Chris Nickson walks to work Ross Fisher calms during his commute. Haney Mallemat uses mental visualization. Luz Silverio's pregame ritual is to arrive to work 15 minutes early to “chit-chat” with members of her team.[28:40] Alan Sielaff allows sufficient time before the shift to get prepared. [29:30]:  Dan McCollum starts the day mentally preparing with the 5 Minute Journal.[31:00]  Reuben Strayer mentally prepare for a shift by practicing mindfulness [32:50]  Salim Rezaie isolates himself from social media and email for at least 1-2 hours prior to each shift.[35:30]  Mike Mallin uses intermittent fasting to improve his focus, attitude, and endurance at work. [37:15]   Rich Hamilton treats a shift like it’s a competitive sport. [38:30]  Rob's 2 pregame exercises. [41:10]  Jocko Willink’s “Good” [44:06]    Learn More: https://www.stimuluspodcast.com/ Complete shownotes for this episode: https://www.stimuluspodcast.com/post/2-pregame-like-a-pro

Point-of-care ultrasound continues to grow in availability and is now embedded in many critical care practices. In this episode Critical Matters, we discuss the use of point-of-care ultrasound (POCUS) in the management of hypotension and shock. Our guest is Dr. Haney Mallemat a recognized educator with a strong interest in POCUS. Dr. Mallemat holds dual academic appointments in Critical Care Medicine and Emergency Medicine at Cooper Medical School of Rowan University. Additional Resources: Bedside ultrasound in resuscitation and the rapid ultrasound in shock protocol: http://bit.ly/359RkgX The Society of Point of Care Ultrasound: http://bit.ly/2senLMJ Guidelines for the Appropriate Use of Bedside General and Cardiac Ultrasonography in the Evaluation of Critically Ill Patients—Part II: Cardiac Ultrasonography: http://bit.ly/35b1D4r Does Point-of-Care Ultrasonography Improve Clinical Outcomes in Emergency Department Patients With Undifferentiated Hypotension? An International Randomized Controlled Trial From the SHoC-ED Investigators: http://bit.ly/2Ehzhd3 Rebel Cast Ep 58 - Would you be SHoC-ED if POCUS did not Improve Clinical Outcomes in Patients with Undifferentiated Shock?: http://bit.ly/345uq93 Clinical significance of portal hypertension diagnosed with bedside ultrasound after cardiac surgery: http://bit.ly/2LFJ7sY Education Conferences: UltraRounds: http://bit.ly/2RAgkdk ResusX: http://bit.ly/2t86q8J Music Mentioned in this Episode: The Joshua Tree by U2: https://amzn.to/2sYlOnM

The use of point-of-care ultrasound (POCUS) has penetrated our clinical practice. In the hands of trained intensivists POCUS can quickly provide valuable diagnostic information and lead to specific therapeutic interventions. Today’s episode explores the use of POCUS during cardiac arrest. Our guest is Haney Mallemat, MD. Dr. Mallemat is board certified in emergency medicine, internal medicine, and critical care medicine and works in the emergency department and intensive care unit at Cooper University Hospital in Camden, NJ. He has lectured both nationally and internationally and has contributed to several emergency medicine and critical care podcasts. He is a firm believer in the benefits of bedside ultrasound for better patient care. Additional Resources - The REASON Trial evaluated the role of POCUS in out of hospital cardiac arrest arriving to the emergency department. Click here to read. - Point of care ultrasound can be associated with frequent interruptions during CPR. As Dr. Mallemat discusses in the podcast, providers must pay very close attention to this issue. Additional Resources: The REASON Trial evaluated the role of POCUS in out of hospital cardiac arrest arriving to the emergency department. Click here to read. Point of care ultrasound can be associated with frequent interruptions during CPR. As Dr. Mallemat discusses in the podcast, providers must pay very close attention to this issue. Click here to read more.

In part 2 of her interview with Dr. Haney Mallemat, Dr. Jessie Werner finds out how to manage the ventilator in the ED and reviews some real-life cases with Haney! Overview: As Emergency Medicine physicians we’re tasked with taking care of the sickest of the sick, often before we even have a diagnosis to clarify the clinical picture. Stabilizing critically ill patients may require placing a definitive airway and providing hemodynamic support with pressors. When faced with these challenging situations, what do you do? So you decide to intubate. Now what? What are the different ventilator modes and how do we choose? What does it mean when the vent is alarming? Find out how to select vent settings and troubleshoot problems in Part 2 on becoming a critical care beast in the ED!  Key Points There’s no difference between pressure and volume control If you’re giving a certain pressure, you monitor the volume, and vice-versa Remember 6-8cc/kg of volume (using ideal body weight) for lung protective strategy Peak pressure is the sum of resistance and compliance Plateau pressure measures compliance High peak pressure indicates a resistance problem High peak AND plateau pressure indicate the lungs are stiff To diagnose a ventilator problem think DOPES: D: displaced tube or cuff problem O: obstructed tube P: pneumothorax E: equipment problem S: breath stacking To fix a ventilator problem think DOTTS: D: disconnect from the ventilator and allow for full exhalation O: oxygenation - are they bagging okay? T: tube in the right place T: tweak the vent to prevent breath stacking S: ultraSound   References / Resources Weingart, Scott D. "Managing initial mechanical ventilation in the emergency department." Annals of emergency medicine68.5 (2016): 614-617.    

In part 1 of her interview with Dr. Haney Mallemat, Dr. Jessie Werner discusses using pressors in the ED. Stay tuned for part 2 on managing the ventilator! Overview: As Emergency Medicine physicians we’re tasked with taking care of the sickest of the sick, often before we even have a diagnosis to clarify the clinical picture. Stabilizing critically ill patients may require placing a definitive airway and providing hemodynamic support with pressors. When faced with these challenging situations, how do you choose the right pressor? What’s the dose? When do you add another agent? What about fluids? We answer all these questions and more in this episode of EMRA CAST. Also, stay tuned for the follow-up to this episode which covers vent management in ED.  We’ve got you covered with all the tips you need to become a critical care beast in the ED! Key Resources: The RUSH protocol (which includes the HI-MAP technique Dr. Mallemat mentions) – Rapid Ultrasound for Shock and Hypotension.  Key Points Perfusion is composed of the tank (preload), the pump (cardiac output), and the pipes (systemic vascular resistance).  Hypotension or shock can be caused by ANY of these, so consider performing ultrasound using the HIMAP protocol: HEART, IVC, MORISON’S POUCH, AORTA, and PULMONARY to determine the cause of the hypotension and tailor your resuscitation. Pressor Algorithm: As long as there is not evidence of a decreased EF or another cause of hypotension, Haney recommends starting with fluids to resuscitate a hypotensive patient. If a patient is critically ill and/or not responsive to fluids, consider starting norepinephrine. It’s okay to start it peripherally! If the patient is profoundly vasoplegic and norepinephrine is not working, consider adding vasopressin at a dose of 0.03 mg/kg. After that point, you can consider starting epinephrine at a higher dose, or greater than 0.05 mcg/kg/min to get the most vasopressive effect. There is no known maximum dosing, but organ ischemia - particularly gut ischemia - can occur.   Dopamine has fallen out of favor due to concern over arrhythmogenic properties; however, you could consider using dopamine if a patient is bradycardic AND hypotensive (for example, if they’re beta-blocked). If a patient has a “pump” problem with a significantly reduced EF, you should consider dobutamine in conjunction with cardiology or an intensive care specialist. References / Resources Rezaie S. RUSH protocol: Rapid Ultrasound for Shock and Hypotension. ALiEM Website. https://www.aliem.com/2013/06/rush-protocol-rapid-ultrasound-shock-hypotension/. Updated 6/1/2013. Accessed 12/13/2018.   Host Jessie Werner, MD Alpert Medical at Brown University PGY3 @JessWernerMDEMRA Cast Episodes Guest Haney Mallemat, MD Associate Professor of Emergency Medicine at Cooper Medical School Triple boarded in EM, IM, CritCare Medicine.  Internationally recognized educator in CC Medicine. Hospital Affiliation: Cooper Medical School @CriticalCareNowEMResident Articles

Last podcast Mike and Jacob gave you their tips on how to be an effective lecturer. This week our mentors (Haney Mallemat, Resa Lewiss, Alyson McGregor, Victoria Brazil, Matt Dawson, and Anand Swaminathan) give us their top tips for how to be a rockstar on the stage. Check it out! Wanna learn from us in person? Well, we have good news. There are 2 conferences coming up, one in Bend, Oregon, and the other in Lexington, Ky. Click the links to learn more!

We always lecture about ultrasound, but we’ve never lectured on how to lecture about ultrasound.  In our latest episode, Mike Mallin and Jacob Avila discuss the finer points of how to produce a good lecture. Also, stay tuned for our next episode where we get tips from the experts: Haney Mallemat, Anand Swaminathan, Resa Lewiss, Vic Brazil, Ashley Shreeves and Matt Dawson. Wanna learn from us in person?  Well, we have good news.  There are 2 conferences coming up, one in Bend, Oregon, and the other in Lexington, Ky.  Click the links to learn more!

This week I sit down with the one and only Haney Mallemat (@criticalcarenow) to give you some presentation pearls and tips.  Check it out and let me know what you think! We still have a few spots left for CaboFEST 2018! Offer code "5MINSONO10" gets you 10% off! If the beach isn't "castle-y" enough for you, come hang out with us in Versailles, Kentucky at Castlefest 2018!   Check out my other podcasts, ultrasoundpodcast.com and ultrasoundgel.org.  Subscribe and get emails everytime a new episode comes out!

This week, we're going to explore Haney Mallemat's top three central line placement tips and tricks.  This episode was shot during a phenomenal hike in the Tetons in Jackson Hole, Wyoming.  Check it out and let me know what you think! Want to come learn ultrasound with us? Check out www.castlefest2018.com for one of my top three ultrasound conferences for the upcoming year.

This week, we look at a patient with severe bradycardia.  The monitor is showing pacing, but...is it, though?   If you want more cool sonos or if you need some guided hands-on AND would like to do it at Jackson Hole, Wyoming join me, Mike Mallin, Matt Dawson and Haney Mallemat at Yellowstone Ultrasound 2017! Spots are filling up fast!

What I Want To Be When I Grow Up Series: Dr. Haney Mallemat on EM Critical Care.

In this ongoing series about wellness and resiliency during residency, Dr. Haney Mallemat (Associate Professor Emergency Medicine at Cooper) talks about how life happens despite your best plans and advice for residents today. https://www.aliem.com/2017/wellness-life-happens-despite-best-plans/

Patients who present with pulseless electrical activity (PEA) arrest have a high mortality. The treatment of PEA requires finding and reversing the underlying cause, therefore a simple and rapid approach is required. Traditionally we were taught to use the H's and the T's, but this diagnostic tool is cumbersome and of questionable utility overall. This talk will discuss the problems with the traditional H's and T's as well as focusing on newer approaches to PEA arrest. The speaker will discuss tools such as bedside ultrasound and using the width of the QRS complex to rapidly workup and treat patients in PEA arrest.

Patients presenting to the emergency department sometimes require positive pressure ventilation. The risk of death during intubation is generally low however patients with RV dysfunction and pulmonary hypertension are at extremely high-risk of death during the peri-intubation period. In this lecture, Haney Mallemat, MD FAAEM, focuses on the steps a physician can take to minimize the risk of death. This talk was featured at the American Academy of Emergency Medicine’s 22nd Annual Scientific Assembly.

Technology (tech) makes our lives in many ways, yet that same technology is lacking from healthcare. Many of the things that are used in our daily lives can be applied to providing better healthcare to our patients and bring specialized care to any corner of the planet. This talk will discuss some of the ways such technology is being used and ideas for care in the future.

It’s unusual to go through a shift without seeing a patient with shortness of breath. Many times the diagnosis is obvious – asthma, COPD, or CHF. But not always. Some patients will present with dyspnea from anemia, or a PE, cardiac tamponade, methemoglobinemia, or acute metabolic acidosis. The speaker will go through a systematic approach to the acutely dyspneic patient, to not miss the case that isn’t so obvious. Not-so-typical cases of dyspnea also will be presented.

In this episode of the Pulse podcast, we’re discussing trends in emergency medicine with Dr. Haney Mallemat, assistant professor of emergency medicine at University of Maryland. We met with Dr. Mallemat at the American Academy of Emergency Medicine Scientific Assembly where he shared how emergency medicine has changed and where it's going as well as his general thoughts on the industry. “If you have access to high quality evidence, it makes your job a lot easier in terms of what’s going to happen for the patient.”

Working night shifts is a part of medicine that we have come to accept. We work these shift because generations of people before us had done it. But could working night shifts have negative consequences? Night shifts have been shown to be detrimental to patient safety by increasing errors in medication administration and direct patient care. Working night shifts may negatively affect our health by increasing the risks of substance abuse, obesity, social relationships, and certain malignancies. Finally, working night shifts may lead to career burnout leading to dissatisfaction and early retirement from the profession. Several strategies can be used to combat the negative effects of working night shifts and these include a better awareness of the problem, improved sleep hygiene, strategies for better rest, and alternative staffing techniques. The Casino shift is an alternative approach to scheduling, which has been found to combat several of the problems associated with night shifts. Night shifts will never disappear because hospitals must operate 24 hours a day. We must be aware, however, that there are many potentially negative consequences to this practice as a better understanding of this problem will allow us to develop and research new solutions.

So, your patients dead.  You’d like to bring them back to life…but they’ve got standstill on echo.  Drop the probe and walk away, right?  Not so fast!  We’ve got some new evidence to discuss. Also, do you want to come to Sonoscandinavia or the Yellowstone Ultrasound course?  Would you like to come for free?  If so, just tweet “I want Sweden” or “I want Yellowstone” and tag us @ultrasoundpod.  We’re going to randomly select one person from each string and they’ll get FREE REGISTRATION! Lastly, we know you love learning ultrasound in a castle, so why not resuscitation as well!  Our good friends Scott Weingart and Haney Mallemat are putting on Resusfest this year in conjunction with Castlefest and registration is open.  Go to Castlefest2016.com to find out more and register.  Basically it’s 2 days of incredible resuscitation education in a castle on 4/30-5/1.  If you’ve already registered for Castlefest and want to add it on, then just email us.  We’ll sort it out for you.  See you there! Follow us:  @ultrasoundpod Learn with us:  www.ultrasoundleadershipacademy.com Register:  Castlefest 2016, Yellowstone Ultrasound Course, SonoScandinavia, ResusFest FREE Introduction to Bedside Ultrasound eBook: Volume 1 Volume 2 One Minute Ultrasound Smartphone App for iOS One Minute Ultrasound Smartphone App for Android

And you thought the Summer of R Heart Failure was over……wrong!  Well, actually it is over, but you all can’t seem to get enough.  We’ve got a lot of feedback about how much people enjoyed all the R heart talk, so we’ve got a little more for you. We were in Havanna, Cuba recently with the DevelopingEM crew and we were lucky enough to catch up with James Daley who’s been doing some pretty sweet research on TAPSE.  As luck would have it, we were also able to corral some other super echo experts, Brian Galovic, Patrick Ockerse, and Jimmy Fair to discuss just how useful TAPSE is and how not to screw it up. Also, we know you love learning ultrasound in a castle, so why not resuscitation as well!  Our good friends Scott Weingart and Haney Mallemat are putting on Resusfest this year in conjunction with Castlefest and registration is open.  Go to Castlefest2016.com to find our more and register.  Basically it’s 2 days of incredible resuscitation education in a castle on 4/30-5/1.  If you’ve already registered for Castlefest and want to add it on, then just email us.  We’ll sort it out for you.  See you there! {powerpress} Follow us:  @ultrasoundpod Learn with us:  www.ultrasoundleadershipacademy.com Register:  Castlefest 2016, Yellowstone Ultrasound Course, SonoScandinavia, ResusFest FREE Introduction to Bedside Ultrasound eBook: Volume 1 Volume 2 One Minute Ultrasound Smartphone App for iOS One Minute Ultrasound Smartphone App for Android

This edition of the Emergency Medicine Clinics podcast features discussion on the August 2015 issue on Cardiovascular Emergencies, guest edited by Drs. Semhar Tewelde and Joshua Reynolds. Article authors Drs. Laura Bontempo, Ashley Strobel, Michael Scott, Michael Winters, Michael Allison, and Haney Mallemat dissect their articles and offer key points and issue highlights.

Why don’t the right heart get no respect?!?! We think it should, and so does our good buddy and brilliant critical care doctor, Haney Mallemat.  This is maybe the best right heart talk you’ll ever hear.  No…..wait…..this IS the best right heart talk you’ll ever hear!  If you know Haney, you know he’s the man.  Now hear him tell you why you should care about the right heart, and how to care for the right heart.  Your mind ready to be blown??? Stay tuned for an interview with him about this exact stuff very soon. Follow us:  @ultrasoundpod Learn with us:  www.ultrasoundleadershipacademy.com Register:  Castlefest 2016, DevelopingEM Cuba Course, Atlantis CME Bahamas Course FREE Introduction to Bedside Ultrasound eBook: Volume 1 Volume 2 One Minute Ultrasound Smartphone App for iOS One Minute Ultrasound Smartphone App for Android

CHEST Ultrasound Corner Section Editor Seth Koenig, MD, FCCP, and Haney Mallemat, MD, are interviewed by CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP on the growth of use of ultrasound in the ICU and the resources that the CHEST organization provides to train physicians on its use.

You’re just now coming down from your nerve block high off of SCP and Tibial block goodness, but we’ve got another for you!  It’s a block that isn’t super common, but it’s got some really nice potential in the right patient. Obviously we’ve got the nerve block man, Mike Stone, on to talk about this one.  Who else would, right?!?  At the end stay tuned to hear a special announcement about an incredible course with Scott Weingart, Haney Mallemat, Rich Levitan, Andy Sloas, Anand Swaminathan, and Rob Orman. And see you next time when we talk about DVT ultrasound and whether what we’ve been teaching for several years is total crap…… Follow us:  @ultrasoundpod Learn with us:  www.ultrasoundleadershipacademy.com Register:  Yellowstone Course, DevelopingEM Cuba Course, Atlantis CME Bahamas Course FREE Introduction to Bedside Ultrasound eBook: Volume 1 Volume 2 One Minute Ultrasound Smartphone App for iOS One Minute Ultrasound Smartphone App for Android

Haney Mallemat discusses the crashing patient with pericardial tamponade. Download Episode

Haney Mallemat discusses critical care ultrasound from grand rounds at BellevueDownload Episode

Haney Mallemat is an Assistant Professor of Emergency Medicine at University of Maryland and triple boarded in EM, IM and Critical Care. In this lecture form All NYC EM 6 he discusses the critically ill pregnant patient.  Download Episode

Welcome to the All NYC EM Podcast! The All NYC EM Conference was started in 2011 by Kaushal Shah, then Associate Program Director at Elmhurst Hospital. The All NYC EM committee was subsequently formed from APDs around the city. The goal of the group was to bring high-quality conferences to the EM residents in New York City and encourage residents to collaborate and form professional relationships. With the All NYC EM Podcast, we endeavor to bring the amazing talks from our conferences to Emergency Physicians across the globe. Our conferences have featured world-renowned speakers including Judd Hollander, Haney Mallemat, Ashley Shreves, Scott Weingart, Bob Hoffman and David Newman. The podcast will feature some local NYC names as well. We’ll also be supplementing the podcast with talks from our respective residency conferences.Alright, enough introduction. Let’s get to the podcasts! Download Episode

23-25 Ocak 2014 tarihleri arasında Birleşik Arab Emirliklerinin Al Ain kentinde yaklaşık 200 kişinin katılımı ile Emergency Cardiology and Critical Care kursu düzenlendi. Üç günlük bu kursun ardından, izleyenlerde inanılmaz bir mutluluk ve yeni şeyler öğrenmenin verdiği haz vardı. Çok iyi seçilmiş konular, alanlarında uzman akademisyenlerce aktarıldı. Amal Mattu, kursun en önemli ismiydi. Onun yanında Michael Winters, Haney Mallemat kursu taşıyan isimlerdi. EACEM organizasyonunda yakından tanıdığımız Terry Mulligan ise bu kursun uluslararası alana açılmasını sağlayan kişiydi. Acilci.net olarak bu kursta Amal Mattu ile bir söyleşi yaptık. Umarım gelecekte kendisini Türkiye'de de ağırlarız. ECCC ile ilgili diğer ilgili videolar: Dr. Robert F. Corder - kursu nasıl düzenlediklerini anlatıyor A/Prof. Haney Mallemat - kurs ile ilgili düşüncelerini aktarıyor