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EMCrit
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Podcast 120 brings Derek Angus on to discuss the ProCESS Trial: http://emcrit.org/podcasts/process-trial/
I speak to the lead author of the ProCESS trial, Dr. Derek Angus
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Tim Davie's profile photo
 
Great interview, thank you. Dr. Angus was very open and honest about his transposition error which I appreciated. Seems like a down-to-earth guy. It's great to have this trial in mind going forward. Thanks Scott!

EMCrit
owner

Discussion  - 
 
EMCrit # 119 is Rich Levitan on the Surg Airway from EMCrit 2014 Conf. Also check out his new advanced airway course: emcrit.org/119
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Søren Steemann Rudolph's profile photoEMCrit's profile photo
3 comments
 
Fantastic !!!

EMCrit
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critical care  - 
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Chris Nickson's profile photo
 
Worth reading for this quote alone: “In combat you do not rise to the occasion, you sink to the level of your training.” –Grossman
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EMCrit
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critical care  - 
 
favorite music to run a code by...
mine is Paint it black by the Stones
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Valerio Pisano Brasca's profile photoMinh Le Cong's profile photoSean Marshall's profile photoEric Schneider's profile photo
21 comments
 
To Live Is To Die, Metallica
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EMCrit
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Discussion  - 
 
Ep 117: Keith Conover discusses Personal Med Kits for when sh*t goes down and you are not in the hospital or the bus http://wp.me/pydEP-1l7
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Katarzyna Hampton's profile photoNicholas Mulcahy's profile photoJakob Mathiszig-Lee's profile photoEMCrit's profile photo
4 comments
 
A great company that offers some options for fun "toys" and prepackaged medical supplies is North American Rescue.  http://www.narescue.com/index.htm     They are a company designed specifically to supply military, EMS, and LE with options for patient management when space and consolidation of supplies is essential.  Great customer service.  I have quite a few items from them in my own "damnit bag". 
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EMCrit
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Discussion  - 
 
EMCrit originally shared:
 
Wee - What the heck is a Mapleson B Circuit and Why unless u r @nicholaschrimes You Probably Shouldn't Care

There is a really smart anesthesiologist out there called Nicholas Chrimes. He along with his mate Peter Fritz invented the Vortex Approach to Airway Management. He also runs a blog called Clinical CrEd. He did a post advocating the Mapleson B Circuit as…
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EMCrit
moderator

emergency medicine  - 
 
 
Hi Guys
Question re: biphasic energy doses for DC cardioversion. For each of the following, what would your starting energy be, and how many cracks would you give it before giving up and going to drugs.
Final question - AP or x2 anterior chest pads?
1/Unstable/ crashing AF or flutter
2/Unstable VT with pulse
3/Torsades with pulse
4/Bradyarrhymias with hemodynamic compromise (I've never used it for this - does anyone do this?)
Ta!
Sara
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suresh naidu's profile photoTony Carnicelli's profile photoCory S's profile photo
3 comments
 
Aussie resus council recommends 3 shocks from memory then admin amiodarone over 10 or 20 mins then shock again for unstable tachys. 

For AFib Scott Weingart from EmCrit recommends max energy as they are often resistant to cardioversion, so you'll need drugs such as ami or diltiazem, but if hypotensive get the BP up first.

I've also been lead to believe that TdP should be shocked if unstable.  Magnesium also recommended.  

Cheers 
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EMCrit
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Discussion  - 
 
Podcast 118 brings @cliffreid on for the first EMCrit Book Club on the book "On Combat" -- trust me it is good. http://emcrit.org/podcasts/emcrit-book-club-on-combat-by-grossman/
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Scott Weingart's profile photoEMCrit's profile photoCaleb Morris's profile photoJoe M's profile photo
6 comments
 
It's great to see Doc's seeing what the firearms training has been saying for years.  Stress Inoculation is key to so many things and I wish more medical professionals would take notice.
Musashi once told a boy who asked him, "How should I hold my sword when I clean it?" Musashi said, "Like you are about to cleave a man in two."
The point being, one needs to do an action with the worse case in mind.

I recommend you take a weekend and attend a Tactical Response course in Camden, TN.  Mindset is a key concept that is internalized.  Could be cathartic. 
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EMCrit
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critical care  - 
4
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Rob Rogers's profile photoChris Nickson's profile photo
 
This looks fantastic - I've listened to all the talks up so far - great work. I'm really looking forward to hearing about an emergency physician led ECMO-CPR program, especially the comparison with the well developed intensivist-led mobile ECMO-CPR program at The Alfred.
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The EMCrit Blog and Podcast will allow you to bring Upstairs Care, Downstairs. We are the source for ED Critical Care, Resuscitation, and Trauma.

No information on these pages should be regarded as medical advice, the opinions of my employers, or useful for anything but hypothetical musings and daydreams. This page is for practitioners only; if you have a medical problem, stop googling and please see a doctor.
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