Saving Lives Podcast: Critical Care w/eddyjoemd
Episodes
Do NOT Drown Your Shock Patients with IV Fluids
11 Apr 2021
Contributed by Lukas
Septic shock patients need some IV fluids for resuscitation, there's no argument about that. But there seems to be a tendency of proving too much ...
The Five Reasons Why COVID-19 Causes Death
02 Apr 2021
Contributed by Lukas
An examination of the five reasons listed by a group of Italian physicians as to why COVID-19 patients die. Show Notes: https://eddyjoemd.com/co...
Timing of Intubation in COVID-19 Patients: Early or Late? (Journal Club-ish)
28 Mar 2021
Contributed by Lukas
When should we be intubating our COVID-19 patients? Soon upon arrival to the ICU or should we delay? This paper attempts to answer the clinical questi...
Ivermectin Doesn't Help Healthy Patients with COVID-19 (Journal Club-ish)
05 Mar 2021
Contributed by Lukas
Median 37yo patients w/a median BMI of 26 were provided Ivermectin to see if it helped with their mild COVID-19 and it didn't. Big surprise. Show Note...
Azithromycin for Outpatient COVID-19? Nope. (Journal Club-ish)
05 Mar 2021
Contributed by Lukas
Is azithromycin use in the outpatient setting for COVID-19 beneficial for our patients? The latest data from The Lancet says no. Show Notes: https://e...
Indirect Calorimetry: Gaining an Edge using Nutrition in the ICU (Journal Club-ish)
02 Mar 2021
Contributed by Lukas
Should we be using indirect calorimetry to give our critically ill patients an edge to survive their insult that landed them in the ICU? This systemat...
Prone Your Non-Intubated COVID Patients! (Journal Club-ish)
01 Mar 2021
Contributed by Lukas
Should we be proning COVID patients who are not intubated/spontaneously breathing? The short answer is yes. Prone positioning works. Show Notes: https...
w/Dr. Rishi Kumar: Discussing Giapreza/Angiotensin II Applications
20 Feb 2021
Contributed by Lukas
I have admittedly zero clinical experience with angiotensin II/Giapreza. My colleague Rishi Kumar, MD explains how he uses Giapreza in his practice.&n...
Giapreza/Angiotensin II: Should we be using it more? (Journal Club-ish)
18 Feb 2021
Contributed by Lukas
Reviewing a new article published in this month's issue of CHEST looking at the safety and effectiveness of angiotensin II in patients with shock of d...
Choosing Wisely in Critical Care: 10 Recommendations, 5 New Ones (Journal Club-ish)
15 Feb 2021
Contributed by Lukas
Looking at the new (and old) Choosing Wisely recommendations for critical care patients who are in the Intensive Care Unit (ICU). Show Notes: https://...
Hypothermia for COVID-19? Exploring Other Options (Journal Club-ish)
14 Feb 2021
Contributed by Lukas
Looking at using mild hypothermia (34°C) to decrease inflammation and mitigate the coagulopathy (amongst other benefits) in our COVID-19 patients. Sh...
Tocilizumab for COVID-19: The Return (RECOVERY Group) Journal Club-ish
13 Feb 2021
Contributed by Lukas
Analyzing the RECOVERY analysis of Tocilizumab in COVID-19 patients. Is it time to put it back into the arsenal after several failed trials? Hat tip t...
Colchicine in Outpatient COVID-19: COLCORONA Trial (Journal Club-ish)
30 Jan 2021
Contributed by Lukas
Does colchicine work for COVID-19 patients in the outpatient setting? Let's closely examine the COLCORONA study out of Canada which has NOT been yet p...
s/p 50 Episodes: The Inner Workings and the Future of the Podcast
21 Dec 2020
Contributed by Lukas
I really can't believe that this is the 50th episode of the Saving Lives Podcast. It feels like I only started it yesterday which is partly true. I st...
COVID-19 Vaccine: My Personal Decision
19 Dec 2020
Contributed by Lukas
Show Notes: https://eddyjoemd.com/covid-vaccine/ Receive a FREE audiobook (TWO for Amazon Prime members) with your FREE 30-day trial by using my link ...
Hypercapnic Respiratory Failure: Quick Tricks for Ventilator Management (Journal Club-ish)
12 Dec 2020
Contributed by Lukas
Hypercapnic respiratory failure happens occurs often in patients on mechanical ventilation. How could we go about fixing this and should we? Show Note...
Does NIV/BiPAP Improve Outcomes in Acute Asthma Exacerbations? (Journal Club-ish)
11 Dec 2020
Contributed by Lukas
Can we use non-invasive ventilation (NIV/BiPAP/BPAP) to improve outcomes acute severe asthma exacerbations in patients? Looking at evidence from this ...
High-Flow Nasal Cannula (HFNC) in Severe Asthma Exacerbations (Journal Club-ish)
09 Dec 2020
Contributed by Lukas
Can we use high flow nasal cannula (HFNC/HFO/NHF) devices to manage acute severe asthma exacerbations in patients? Looking at evidence. Show Notes: ht...
You SHOULD Pursue Critical Care! Part 3
28 Nov 2020
Contributed by Lukas
This is meant to encourage you to pursue a career in the many branches of Critical Care Medicine, whether you're a physician, NP, PA, or nurse. I love...
You SHOULD Pursue Critical Care! Part 2
26 Nov 2020
Contributed by Lukas
This is meant to encourage you to pursue a career in the many branches of Critical Care Medicine, whether you're a physician, NP, PA, or nurse. I love...
Convalescent Plasma in COVID-19 Severe Pneumonia Unfortunately Did Not Pan Out
25 Nov 2020
Contributed by Lukas
Convalescent Plasma did not quite pan out the way we all wish it did in this study (PlasmAr) published today in the New England Journal of Medicine Sh...
CVICU: Optimal Transfer of Care from the CVOR
24 Nov 2020
Contributed by Lukas
Mitigating errors and improving patient care in the transition of patients who are s/p cardiac surgery as they move from the cardiovascular operating ...
Neutrophil to Lymphocyte Ratio (NLR): Predicting Outcomes in COVID-19
23 Nov 2020
Contributed by Lukas
Could a CBC w/diff tell us who's going to do poorly with COVID? Using the neutrophil to lymphocyte ratio could be quite helpful. Show Notes: www.eddyj...
DKA: Which IV Fluids to Use? Balanced Salt Solutions or 0.9% NaCl
21 Nov 2020
Contributed by Lukas
Looking into which fluids we should use to resuscitate our patients who are in Diabetic Ketoacidosis based on the findings of the SALT-ED and SMART tr...
ROX Index: Predicting High-Flow Nasal Cannula Outcomes
18 Nov 2020
Contributed by Lukas
The ROX index is defined as the ratio of oxygen saturation as measured by pulse oximetry (SpO2)/FIO2 to respiratory rate (RR). It stands for Resp...
Fluvoxamine: A Potential Outpatient Treatment for COVID
14 Nov 2020
Contributed by Lukas
Fluvoxamine is an SSRI that may improve outcomes in COVID-19 when administered in the outpatient setting. This small trial published in JAMA two days ...
Aspirin & COVID-19: Does it Decrease the Severity of Illness?
25 Oct 2020
Contributed by Lukas
Could Aspirin 81mg in COVID-19 patients help keep them off of mechanical ventilation, out of the ICU, and decrease mortality? Let's explore! Show Note...
Cardiac Arrest & COVID-19: A Very Poor Combination
24 Oct 2020
Contributed by Lukas
Do COVID-19 patients who suffer a cardiac arrest in the hospital survive? Should we even attempt CPR on these COVID patients? We should. Show Notes: h...
Community Questions: Staying Up To Date, Time Management, and Work/Life Balance
25 Sep 2020
Contributed by Lukas
Criticalcarereviews.com Criticalcarenow.com Receive a FREE audiobook (TWO for Amazon Prime members) with your FREE 30-day trial by using my link for ...
You SHOULD Pursue Critical Care! Part 1
21 Sep 2020
Contributed by Lukas
This is meant to encourage you to pursue a career in the many branches of Critical Care Medicine, whether you're a physician, NP, PA, or nurse. I love...
Emotional Intelligence in the ICU
20 Sep 2020
Contributed by Lukas
This paper by Dr. Stoller out of the Cleveland Clinic published in CHEST several days ago caught my eye. It describes how developing and practicing me...
Do NOT pursue Critical Care! Part 3
11 Sep 2020
Contributed by Lukas
This is not meant to deter you from going into the many branches of Critical Care Medicine, whether you're a physician, NP, PA, or nurse. I love my jo...
Do NOT pursue Critical Care! Part 2
10 Sep 2020
Contributed by Lukas
This is not meant to deter you from going into the many branches of Critical Care Medicine, whether you're a physician, NP, PA, or nurse. I love my jo...
Do NOT pursue Critical Care! Part 1
10 Sep 2020
Contributed by Lukas
This is not meant to deter you from going into the many branches of Critical Care Medicine, whether you're a physician, NP, PA, or nurse. I love my jo...
Fix the Magnesium Deficiency Before the Potassium Deficiency!
08 Sep 2020
Contributed by Lukas
When patients have hypokalemia, you want to fix it. So you give potassium to make the numbers pretty. You go ahead and give some potassium and do wh...
Midodrine to Wean Vasopressors: The MIDAS Trial (Journal Club-ish)
05 Sep 2020
Contributed by Lukas
Can we wean patients off of vasopressors faster by providing them with Midodrine? The MIDAS trial (Effect of midodrine versus placebo on time to vasop...
Vitamin D Supplementation in Hospitalized COVID-19 Patients
04 Sep 2020
Contributed by Lukas
Providing Calcifediol (25-hydroxyvitamin D3) to COVID patients in this Pilot Study showed that it decreased the need for transfer to the intensive car...
VV ECMO: Patient Selection & Pulling the Trigger in ARDS
03 Sep 2020
Contributed by Lukas
Ever wonder when you should pull the trigger and call in the ECMO team or your ECMO center to determine whether your patient who is in severe ARDS is ...
CVP: Can we use it for Fluid Responsiveness?
27 Aug 2020
Contributed by Lukas
Do you use Central Venous Pressure (CVP) to assess whether your patient is fluid responsive or not? What about volume status? Let's take a deep dive i...
Phosphorus Levels in the Critically Ill
26 Aug 2020
Contributed by Lukas
Reviewing the rationale behind checking for hypophosphatemia in patients who are critically ill in the intensive care unit (ICU) exploring the functio...
Discontinuing Contact/Isolation Precautions in COVID-19 Patients
26 Aug 2020
Contributed by Lukas
When should we discontinue contact and isolation precautions in COVID-19 patients who are hospitalized? Let's take a look at the CDC recommendations a...
IV Fluids: Contextual Introduction & History of 0.9% NaCl, Lactated Ringers, & Plasma-lyte
24 Aug 2020
Contributed by Lukas
Lecture 1 on my IV Fluid Series. In this podcast, I discuss how much fluid we keep intravascularly after resuscitation, as well as the history behind ...
Remdesivir: $3120 of "Uncertain Clinical Importance"
22 Aug 2020
Contributed by Lukas
Reviewing the trial published in JAMA on 8/21/2020 where they looked at the clinical outcomes of Remdesivir in Moderate COVID-19. Show Notes: ht...
COVID & Intubation: Getting the Timing Right
21 Aug 2020
Contributed by Lukas
Early intubation or a trial of high-flow nasal cannula for COVID-19 patients? This retrospective analysis out of Emory assesses the outcomes from the ...
Bicarb for a Lactic Acidosis? BICAR-ICU (Journal Club-ish)
19 Aug 2020
Contributed by Lukas
Have you ever wondered why we don't give sodium bicarbonate to patients with a metabolic acidosis or a lactic acidosis? In this podcast I discuss the ...
A Rationale to use IV Vitamin C followed by a Reality Check: The ACTS Trial (Journal Club-ish)
18 Aug 2020
Contributed by Lukas
Another day, another IV vitamin C trial. It appears as if the dust is settling a bit on all this. This paper will be known as the ACTS trial for Ascor...
Vitamin C & Thiamine in Septic Shock: ATESS Trial (Journal Club-ish)
17 Aug 2020
Contributed by Lukas
The ATESS trial looked at IV thiamine and vitamin C in septic shock patients. They enrolled patients early in 4 academic ED's in South Korea. Here, I ...
SvO2 & ScvO2: Differences and How to Guide Resuscitation with it
15 Aug 2020
Contributed by Lukas
Every hear these terms thrown around and wondered what they meant? ScvO2, SvO2, mixed venous blood gas. I break down these confusing terms and provide...
ProtekDuo RVAD for Mechanical Circulatory Support
14 Aug 2020
Contributed by Lukas
Diving into the world of mechanical circulatory support and right ventricular assist devices, I'd like to introduce you to the ProtekDuo. I learned ab...
Colchicine for COVID-19? A look at the GRECCO-19 Trial
13 Aug 2020
Contributed by Lukas
Could colchicine help keep patients out of the inflammatory phase of COVID-19 and help save lives? A quick look at the GRECCO-19 Trial out of Greece w...
HCW's exposed to COVID: Should you take HCQ?
09 Aug 2020
Contributed by Lukas
Should healthcare workers exposed to COVID take hydroxychloroquine to decreased their chances of contracting the virus? I take a dive into a journal a...
Zinc for Acute & Critical Illness: Tools for Metabolic Resuscitation
08 Aug 2020
Contributed by Lukas
An evaluation of the evidence to promote research looking at potential benefits of zinc administration to those who are critically ill with either bac...
Vitamin C in COVID-19: Possible Prophylaxis & Adjunctive Therapy
04 Aug 2020
Contributed by Lukas
We need help. Can we prevent getting sick with COVID by taking Vitamin C or even use it as an adjunctive therapy to help decrease severity in patients...
Dexamethasone Reduces Mortality in COVID-19
03 Aug 2020
Contributed by Lukas
The RECOVERY Collaborative Group out of the UK performed an open-label trial where they looked at the effects of IV or PO Dexamethasone in patients wi...
Bicarbonate (Carbon Dioxide) In Serum & Blood Gases
02 Aug 2020
Contributed by Lukas
In this podcast, we tackle the "Carbon Dioxide" level in the basic metabolic panel that everyone seems to call "Bicarbonate". We discuss why this nami...
Midodrine in the ICU
01 Aug 2020
Contributed by Lukas
Ever have a patient who is on low dose norepinephrine or another vasopressor who you can't get out of the ICU solely for that reason? Have you tried t...
Plasma Exchange (PLEX) in COVID: Could it Improve Outcomes?
31 Jul 2020
Contributed by Lukas
We need all the help we can get in the ICU to help save the lives of our patients with severe COVID-19. Could plasmapheresis/plasma exchange/PLEX be a...
Melatonin for COVID-19: Treatment Hunting
30 Jul 2020
Contributed by Lukas
Time to start thinking outside the box to help treat our patients with COVID-19. In this podcast, I explore data from 4 articles on how using melatoni...
Tocilizumab in Severe COVID- Dead in the Water?
29 Jul 2020
Contributed by Lukas
Roche published a press release on 7/29/2020 reflecting the results of the COVACTA study where Actemra/tocilizumab did not improve clinical outcomes n...
HCQ, Azithro & Zinc in the Outpatient Setting for COVID
28 Jul 2020
Contributed by Lukas
Lots of excitement today over this recent article/video about hydroxychloroquine, azithromycin and zinc. We need to take a deep breath and review the ...
Becoming an Intensivist: Critical Care Fellowship Routes
26 Jul 2020
Contributed by Lukas
Are you a pre-med, med student, or resident who is considering becoming a Critical Care Specialist (aka Intensivist)? This podcast explores the differ...
A Day In The Life Of An Intensivist
25 Jul 2020
Contributed by Lukas
In this podcast, I describe a day in my life as a Critical Care Doctor, starting at the beginning of my shift. I provide organizational tips and strat...