Saving Lives: Critical Care w/eddyjoemd

Saving Lives: Critical Care w/eddyjoemd

eddyjoemd.com
Reviewing evidence based strategies to care for the Critically Ill patient in the Intensive Care Unit. This podcast is hosted by Eddy Joe Gutierrez, MD. Support this podcast: https://anchor.fm/eddyjoemd/support


Community Questions: Staying Up To Date, Time Management, and Work/Life Balance
Sep 25 • 8 min
Criticalcarereviews.com Criticalcarenow.com Receive a FREE audiobook (TWO for Amazon Prime members) with your FREE 30-day trial by using my link for Audible: CLICK HERE! You will be reminded when your trial is ending, by the way. 😉 Although great care has…
You SHOULD Pursue Critical Care! Part 1
Sep 21 • 12 min
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 my job/career and I love my team. I would love it if you had the same career satisfaction as well. These…
Emotional Intelligence in the ICU
Sep 19 • 15 min
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 medicine with emotional intelligence helps us in healthcare with “enhanced patient satisfaction, lower…
Do NOT pursue Critical Care! Part 3
Sep 11 • 13 min
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 job/career and I love my team. Rather to inform you of the challenges that you will have to deal with so…
Do NOT pursue Critical Care! Part 2
Sep 10 • 14 min
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 job/career and I love my team. Rather to inform you of the challenges that you will have to deal with so…
Do NOT pursue Critical Care! Part 1
Sep 10 • 13 min
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 job/career and I love my team. Rather to inform you of the challenges that you will have to deal with so…
Fix the Magnesium Deficiency Before the Potassium Deficiency!
Sep 8 • 11 min
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 what the protocol says to do: recheck. Labs come back, poor patient got stuck for these labs. Potassium…
Midodrine to Wean Vasopressors: The MIDAS Trial (Journal Club-ish)
Sep 5 • 7 min
Can we wean patients off of vasopressors faster by providing them with Midodrine? The MIDAS trial (Effect of midodrine versus placebo on time to vasopressor discontinuation in patients with persistent hypotension in the intensive care unit) published on…
Vitamin D Supplementation in Hospitalized COVID-19 Patients
Sep 4 • 8 min
Providing Calcifediol (25-hydroxyvitamin D3) to COVID patients in this Pilot Study showed that it decreased the need for transfer to the intensive care unit. Let’s take a look at why we shouldn’t exactly put it in the water… yet. Show Notes:…
VV ECMO: Patient Selection & Pulling the Trigger in ARDS
Sep 3 • 14 min
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 a good candidate for venovenous ECMO? I review some suggested criteria published in CHEST. Show Notes:…
CVP: Can we use it for Fluid Responsiveness?
Aug 27 • 13 min
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 into the data to see whether this actually works or not. Receive a FREE audiobook (TWO for Amazon Prime…
Phosphorus Levels in the Critically Ill
Aug 26 • 9 min
Reviewing the rationale behind checking for hypophosphatemia in patients who are critically ill in the intensive care unit (ICU) exploring the functions of phosphate, phosphate metabolism, as well as causes of hypophophatemia. Unfortunately, there isn’t…
Discontinuing Contact/Isolation Precautions in COVID-19 Patients
Aug 25 • 8 min
When should we discontinue contact and isolation precautions in COVID-19 patients who are hospitalized? Let’s take a look at the CDC recommendations as of August 16th, 2020. Show Notes: https://eddyjoemd.com/covid-precautions/ Receive a FREE audiobook…
IV Fluids: Contextual Introduction & History of 0.9% NaCl, Lactated Ringers, & Plasma-lyte
Aug 24 • 10 min
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 the creation of Normal Saline, Ringer’s lactate/lactated ringers, Plasma-lyte and Normosol. Show Notes:…
Remdesivir: $3120 of “Uncertain Clinical Importance”
Aug 22 • 11 min
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: https://eddyjoemd.com/remdesivir/ Receive a FREE audiobook (TWO for Amazon Prime members) with your FREE 30-day…
COVID & Intubation: Getting the Timing Right
Aug 21 • 10 min
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 different strategies. Show Notes: https://eddyjoemd.com/intubation-covid/ Receive a FREE audiobook (TWO…
Bicarb for a Lactic Acidosis? BICAR-ICU (Journal Club-ish)
Aug 19 • 11 min
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 historical context of it and bring forth more recent data that may change the mind of the naysayers. Show…
A Rationale to use IV Vitamin C followed by a Reality Check: The ACTS Trial (Journal Club-ish)
Aug 18 • 14 min
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 Ascorbic acid, Corticosteroids and Thiamine in Septic shock. Before digging into the paper, though, I provide…
Vitamin C & Thiamine in Septic Shock: ATESS Trial (Journal Club-ish)
Aug 17 • 10 min
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 break down the paper, give my opinions, and provide you all with some insight. Show notes:…
SvO2 & ScvO2: Differences and How to Guide Resuscitation with it
Aug 15 • 9 min
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 examples of how one should interpret them in the critically ill patient. Show Notes:…
ProtekDuo RVAD for Mechanical Circulatory Support
Aug 14 • 7 min
Diving into the world of mechanical circulatory support and right ventricular assist devices, I’d like to introduce you to the ProtekDuo. I learned about this device while creating a lecture titled “Cardiogenic Shock: Rise of the Machines”. Chances are…
Colchicine for COVID-19? A look at the GRECCO-19 Trial
Aug 13 • 7 min
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 which was an open label trial looking at 105 patients with COVID and their outcomes. Show Notes:…
HCW’s exposed to COVID: Should you take HCQ?
Aug 9 • 9 min
Should healthcare workers exposed to COVID take hydroxychloroquine to decreased their chances of contracting the virus? I take a dive into a journal article published in the New England Journal of Medicine that takes a look at this question. Show Notes:…
Zinc for Acute & Critical Illness: Tools for Metabolic Resuscitation
Aug 8 • 13 min
An evaluation of the evidence to promote research looking at potential benefits of zinc administration to those who are critically ill with either bacterial or viral infections. Amongst things discuss include possible dosing, lab testing, defining zinc…
Vitamin C in COVID-19: Possible Prophylaxis & Adjunctive Therapy
Aug 4 • 7 min
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 who have contracted COVID-19? Reviewing an article that investigates the rationale as to how this could…
Dexamethasone Reduces Mortality in COVID-19
Aug 3 • 9 min
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 with COVID-19. In particular, they noted a mortality benefit. This does not mean, however, that we should…
Bicarbonate (Carbon Dioxide) In Serum & Blood Gases
Aug 2 • 12 min
In this podcast, we tackle the “Carbon Dioxide” level in the basic metabolic panel that everyone seems to call “Bicarbonate”. We discuss why this naming issue and why it shouldn’t change. In addition, we explore the accuracy of bicarb levels in blood…
Midodrine in the ICU
Aug 1 • 9 min
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 to administer midodrine to increase their blood pressure? This podcast describes the FDA-approved as well…
Plasma Exchange (PLEX) in COVID: Could it Improve Outcomes?
Jul 31 • 8 min
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 helpful tool to improve outcomes? Let’s explore this concept based on evidence based practices. Show…
Melatonin for COVID-19: Treatment Hunting
Jul 30 • 11 min
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 melatonin, with its anti-inflammatory and antioxidant properties could potentially help patients. Show notes:…
Tocilizumab in Severe COVID- Dead in the Water?
Jul 29 • 10 min
Roche published a press release on 7/29/2020 reflecting the results of the COVACTA study where Actemra/tocilizumab did not improve clinical outcomes nor mortality in patients who had Severe COVID-19 Infections. Show notes:…
HCQ, Azithro & Zinc in the Outpatient Setting for COVID
Jul 28 • 12 min
Lots of excitement today over this recent article/video about hydroxychloroquine, azithromycin and zinc. We need to take a deep breath and review the literature. Turns out there’s no data support that it does work and no data supporting that it doesn’t…
Becoming an Intensivist: Critical Care Fellowship Routes
Jul 26 • 19 min
Are you a pre-med, med student, or resident who is considering becoming a Critical Care Specialist (aka Intensivist)? This podcast explores the different routes you can pursue to achieve your dreams and aspirations. I break down the numerous types of…
A Day In The Life Of An Intensivist
Jul 25 • 21 min
In this podcast, I describe a day in my life as a Critical Care Doctor starting at the beginning of my shift through the end of it. I provide organizational tips as well as strategies to increase efficiency throughout the day. Show notes:…