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EMCrit 413 – Translating Recent Sepsis Papers to the Bedside with PulmCrit (Farkas)
Ok, new sepsis papers, but what should we actually do?
EMCrit Wee – A Discussion of Opioid Adulterants with a Harm Reduction Specialist
Today, I air the first of 3 episodes on opioid adulterants and opioid harm reduction. Today, I am joined by a harm reduction specialist and FTIR technician, Courtney Dorritie… Courtney Dorritie Courtney has been creating TikTok content for roughly five years with the goal of increasing awareness of issues such as homelessness, harm reduction, and […]
EMCrit 412 – 2025 AHA ACLS Guidelines with Shel Cheskes
I am joined by Shel Cheskes to discuss the AHA 2025 guidelines on ACLS
EMCrit Wee – ANDROMEDA-SHOCK-2 Explosion – A Discussion with the Lead Investigators
A discussion with the investogators of ANDROMEDA-SHOCK-2
EMCrit 411 – You Need to Understand the Andromeda-Shock-2 RCT for Septic Shock
Individualized hemodynamic optimization for septic shock based on cap refill–multicenter RCT-must read!!!
PulmCrit – 2025 AHA & ESICM guidelines on post-arrest care
The ESICM and AHA both just released new guidelines on post-arrest care. It’s always interesting when two professionals produce “evidence-based” guidelines on the same topic, based on the same evidence. If these guidelines were truly evidence-based, they should be identical. But of course, they’re not. Having conflicting guidelines can be frustrating, but I actually find […]
EMCrit 1:1 Nursing 006 – Post-Cardiac Arrest (Post-Arrest) Care
We did the arrest, now let’s talk about the afterwards…
EMCrit 410 – What PulmToilet Taught Me About Views on SCAPE (Sigh…)
In which an instragrammer Sh!tPosts His Way Successfully on to the Podcast and then is too nice for me to feel good about dragging him…
PulmCrit: 6 pearls on HIT (heparin induced thrombocytopenia)
Theodore Warkentin, a leading world expert on HIT, recently visited Vermont and delivered a talk on emerging concepts in HIT. During his talk, he lamented that it takes ten years for a new idea to make it into Harrison’s textbook of internal medicine. Within the next day, I read several of his articles, as well […]
EMCrit 408 – Behind the Scenes of an Infuriating Medical Malpractice Trial
A missed PE case leads to an infuriating verdict–we discuss…
PulmCrit Blog: Nalbuphine, the Diet Coke of opioids
Let’s talk quickly about Nalbuphine, the Diet Coke of opioids. mechanism Most opioids are basic. They’re pure μ-opioid and kappa-opioid agonists. Nalbuphine is more complex: [#1] Partial agonism at μ-opioid receptors: Nalbuphine functions as a partial μ-agonist, similar to buprenorphine. Compared to buprenorphine, nalbuphine seems to stimulate the μ-opioid receptors less strongly. For patients who […]
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