first draft of IBCC is done! There are now chapters up on the core critical care topics.  Nearly all chapters have either been written or updated in 2020-2021, so it's pretty fresh.  Ongoing updates will continue to push this date forwards. Of course, the IBCC will never be finished.  New chapters will be added over […] EMCrit Project by Josh Farkas ..read more

All the Resus and Acute Crit Care Goodness in 10 minutes EMCrit Project by Scott Weingart, MD FCCM ..read more

Chest Tube Insertion (Part 2 of a 2 part series) EMCrit Project by Scott Weingart, MD FCCM ..read more

Pericardial tamponade is an uncommon but extremely important cause of cardiogenic shock, because it is highly treatable.  Unfortunately, the precise definition of tamponade can be challenging – and patients can rapidly transition from an uncomplicated pericardial effusion towards the development of tamponade. The IBCC chapter is located ? here. The podcast & comments are below. […] EMCrit Project by Josh Farkas ..read more

Dynamic LV outflow tract causes an inversion of all hemodynamics.  Diuresis and inotropes may cause cardiogenic pulmonary edema!  Vasoconstrictors and beta-blockers may improve cardiogenic pulmonary edema!  Down is up and up is down.  As you might imagine, failure to recognize this physiology could easily lead to management strategies that make matters worse. The IBCC chapter […] EMCrit Project by Josh Farkas ..read more

Management of myocardial infarction is the core of cardiovascular critical care.  Recent advances in the OMI/NOMI paradigm offer the ability to detect significant infarctions earlier – allowing for prompt triage and management. The IBCC chapter is located ? here. The podcast & comments are below. Follow us on iTunes EMCrit Project by Josh Farkas ..read more

The DDAVP clamp technique has considerably simplified the management of severe hyponatremia.  The fundamentals of the technique are as follows: Before the use of the DDAVP clamp, the primary cause of sodium overcorrection was endogenous free water excretion by the kidneys. For example, patients would present to the hospital with retention of free water due […] EMCrit Project by Josh Farkas ..read more

You need to understand and be able to perform perfectly in the rare circumstances that still demand chest tubes EMCrit Project by Scott Weingart, MD FCCM ..read more

Adrenal crisis can be deadly EMCrit Project by Scott Weingart, MD FCCM ..read more

Acute ischemic stroke (AIS) is a common cause of admission to the neurological ICU, as well as a complication of critical illness that may occur among patients within any ICU.  The stroke neurology team will take the lead in managing these patients (including decisions regarding tPA and endovascular intervention).  This chapter focuses more on aspects […] EMCrit Project by Josh Farkas ..read more