Air Care Series: Cardiogenic Shock

Air Care Series: Cardiogenic Shock

Cardiogenic shock presents many challenges in both the transport environment and hospital setting. We aim to review the current state of evidence pertaining to the medical management in the critical care transport environment.

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Grand Rounds Recap 8.9.17

Grand Rounds Recap 8.9.17

This week's Grand Rounds began with Quarterly Sim led by Dr. LaFollette who walked us through a case of cardiogenic shock and neutropenic fever. Dr. Curry led us through an oral boards triple case with an unstable MCC, a FB ingestion and perforated viscous. Dr. Hill presented an eOrals case of thyroid storm. Lastly was PEM-EM combined conference, led by Dr. Wurster Ovalle, which focused on the treatment of pediatric DKA with a special focus on cerebral edema. 

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Annals of B-Pod: Intra-Aortic Balloon Pump

Annals of B-Pod: Intra-Aortic Balloon Pump

The third Annals of B Pod December Issue highlights a new section - highlighting cases on the front lines in the helicopter. The intra-aortic balloon pump (IABP), first developed in the 1960s, is one of the most widely-used cardiac assist devices. Placed in critically-ill patients with cardiogenic shock, it increases coronary blood flow and decreases afterload. Patients with IABPs are frequently transferred to tertiary referral hospitals via helicopter emergency medical services (HEMS) transport. As such, prehospital and ED providers must become comfortable with the management of these patients and be aware of complications from these devices, we will take a look at two Air Care cases with IABPs.

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Grand Rounds Recap 11.30.16

Grand Rounds Recap 11.30.16

This week in UCEM Grand Rounds: the harrowing story of the desaturating trauma patient with a metal pole impaled through his mouth and neck. Also: making the diagnosis of HIV in the ED. Managing hemorrhagic shock on Air Care. How much did that ED visit or hospitalization cost your patient? Managing tachy-arrhythmias in the setting of cardiac arrest with a pacemaker.

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Grand Rounds Recap 8/31

Grand Rounds Recap 8/31

Burns, bubbling airways and bradycardic arrests: all part of this week's grand rounds that brought plenty of knowledge our way. This week we heard from Dr. Dale, burn surgeon, about the latest in burn management. Dr. Carleton ran through some of his hardest airway cases for an infallable mental model of intubation. Our R3s gave a practical session on transvenous pacer placement and Dr Kircher gave us his clinical soapbox of pneumonia management.

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Grand Rounds Recap: Critical Care Symposium - 2/4/15

Grand Rounds Recap: Critical Care Symposium - 2/4/15

Pressor Primer with Dr. Hebbeler-Clark

  • Norepinephrine seems to be on top in terms of vasopressor of choice currently (consider it your "easy button")
  • Per Surviving Sepsis Guidelines, Norepi has level 1B evidence as a first line pressor, while Epi is your second line with level 2B evidence and Vasopressin is currently ungraded in terms of evidence level
  • There have been 4 RCT's confirming that Norepi has no mortality difference from Epi and given it's safer side effect profile, use it regularly
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