Should we use milrinone or dobutamine in patients in cardiogenic shock? NEJM published data providing us with the answer. Show Notes: https://eddyjoemd.com/milrinone-dobutamine/ TrueLearn Link: https://truelearn.referralrock.com/l/EDDYJOEMD25/ Discount code: EDDYJOEMD25 Citation: Mathew R, Di Santo P, Jung RG, Marbach JA, Hutson J, Simard T, Ramirez FD, Harnett DT, Merdad A, Almufleh A, Weng W, Abdel-Razek O, Fernando SM, Kyeremanteng K, Bernick J, Wells GA, Chan V, Froeschl M, Labinaz M,...

Do Cardiogenic Shock Pts Need a Swan-Ganz/Pulmonary Artery Catheter? Let's look at the data. Let's also look at the devices such as pulse-contour analysis and bioreactance to see if they could replace the PA catheter in the management of cardiogenic shock. Show Notes: https://eddyjoemd.com/cardiogenic-shock-swan/ Mechanical Circulatory Support Notes: https://eddyjoemd.com/cardiogenic-shock-mcs/ --- This episode is sponsored by · Anchor: The easiest way to make a podcast. ...

Pulmonary Artery Pulsatility Index (PAPi) is a hemodynamic parameter with prognostic value in pts w/right heart failure & cardiogenic shock. Show Notes: https://eddyjoemd.com/papi/ Citations: Lim HS, Gustafsson F. Pulmonary artery pulsatility index: physiological basis and clinical application. Eur J Heart Fail. 2020 Jan;22(1):32-38. doi: 10.1002/ejhf.1679. Epub 2019 Nov 28. PMID: 31782244. Škulec R, Parizek T, Stadlerova B, Bilska M, Cerny V. Subcostal TAPSE measured by anatomical...

Should we provide our DKA patients with sodium bicarbonate (bicarb) pushes or drips to improve their pH? Let's look at the data. Show Notes: https://eddyjoemd.com/bicarb-dka/ --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app Support this podcast: https://anchor.fm/eddyjoemd/support

When you're taking one of those automated blood pressure measurements on an oscillometric device, you should trust the MAP. Show Notes: https://eddyjoemd.com/oscillometric-map/ --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app Support this podcast: https://anchor.fm/eddyjoemd/support

The European Respiratory Society has provided 8 conditional recommendations for the use of nasal high flow/high flow nasal cannula/high flow oxygen/whatever you want to call it. Here, I review the 8 recommendations and add some commentary on them.  Show Notes: https://eddyjoemd.com/high-flow/ Citation: Oczkowski S, Ergan B, Bos L, Chatwin M, Ferrer M, Gregoretti C, Heunks L, Frat JP, Longhini F, Nava S, Navalesi P, Ozsancak Uğurlu A, Pisani L, Renda T, Thille AW, Winck JC, Windisch W,...

Is intermittent fasting (time-restricted-eating) with a calorie restriction better than just a calorie restriction?  Show Notes: https://eddyjoemd.com/intermittent-fasting/ Citation: Liu D, Huang Y, Huang C, Yang S, Wei X, Zhang P, Guo D, Lin J, Xu B, Li C, He H, He J, Liu S, Shi L, Xue Y, Zhang H. Calorie Restriction with or without Time-Restricted Eating in Weight Loss. N Engl J Med. 2022 Apr 21;386(16):1495-1504. doi: 10.1056/NEJMoa2114833. PMID: 35443107. --- This episode is...

Aspirin has been thoroughly studied for patients with COVID-19. This study is a positive trial suggesting benefits to using it. But should we? Let's interpret the data given recent advancements.  Show Notes: https://eddyjoemd.com/aspirin-covid/ 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...

In patients who are immunocompromised, we must determine whether using high flow oxygen (HFNC/NHF/HFO) or NIV would better serve our patients Show Notes: https://eddyjoemd.com/high-flow-immunocompromised/ 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...

Should we be considering tPA (alteplase) as a last-ditch effort to try to improve oxygenation in our COVID-19 patients? Show Notes: https://eddyjoemd.com/tpa-covid/ 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. Citation: Barrett CD, Moore HB,...

Should we use rapid shallow breathing index (RSBI) in isolation or in conjunction with other parameters to predict extubation success? Show Notes: https://eddyjoemd.com/rsbi/ GoodRx Link: https://goodrx.onelink.me/1153955910/x52sjptq 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...

Reviewing the data and guidelines to provide anticoagulation or VTE prophylaxis to our patients with COVID-19. Show Notes: https://eddyjoemd.com/anticoagulation-covid/ 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. Website:...

Show Notes: https://eddyjoemd.com/expectations/ 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. Website: www.eddyjoemd.com Instagram: www.instagram.com/eddyjoemd Twitter: www.twitter.com/eddyjoemd Facebook: www.facebook.com/eddyjoemd Podcast:...

Are you annoyed when the clinician orders two sets of blood cultures for your patient? Let's look at why you have to do two and 20ml's. Show Notes: https://eddyjoemd.com/blood-cultures/ 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. Website:...

In this podcast I cover lactate levels (aka lactic acid levels) sorting out the original data as to why we check it on every patient with sepsis or septic shock upon arrival to the ED, how it is associated with mortality, and how trending it could provide insight to the prognosis of our patients. Show Notes: https://eddyjoemd.com/lactic-acid-sepsis/ Although great care has been taken to ensure that the information in this podcast are accurate, eddyjoe, LLC shall not be held responsible or...

Are the vaccine mandates that are seen around the world today evidence based? Based on these data, it appears that they are not.  Show Notes: https://eddyjoemd.com/vaccine-mandate/ 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. Website:...

Reviewing a recently published article on Cardiac Injury in COVID-19 that was published in the Intensive Care Medicine Journal by Julie Helms, Alain Combes and Nadia Aissaoui.  Show Notes: https://eddyjoemd.com/foamed 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...

Many people often ask me how I stay up to date with the most recent literature in Critical Care Medicine. This podcast will hopefully explain this. Show Notes: https://eddyjoemd.com/up-to-date-critical-care/ 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...

The PLUS Trial compared plasma-lyte to 0.9% NaCl (aka normal saline) in patients who were critically ill and needed IV fluids. Show Notes: https://eddyjoemd.com/plus-trial/ 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. Website:...

A new study is showing that we should add vasopressin and methylprednisolone to our ACLS protocols as it helps patients achieve ROSC faster. Should they be standard of care? Show Notes: https://eddyjoemd.com/vasopressin-methylprednisolone/ 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...

Could atorvastatin (lipitor) help improve outcomes in our COVID patients who are in the ICU? Let's review the evidence from this trial. Show Notes: https://eddyjoemd.com/atorvastatin-covid/ 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. Website:...

Traditionally, we do not cannulate patients for VV-ECMO if they've been on invasive mechanical ventilation for more than 7 days. These new data say we should allow for a bit more grace.  Show Notes: https://eddyjoemd.com/ecmo/ 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...

The following are my resolutions for the year 2022 with regards to my educational and social media endeavors to bring you all the best. Show Notes: https://eddyjoemd.com/2022-resolutions/ 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. Website:...

Obesity is a risk factor for COVID that we are not hearing enough about. It is a modifiable risk factor that should be addressed. Show Notes: https://eddyjoemd.com/obesity-covid/ 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. Anderson MR,...

When a patient has an acidosis which is respiratory in nature, the right answer should not include using sodium bicarbonate. Show Notes: https://eddyjoemd.com/bicarbonate-respiratory-acidosis/ 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...