Saving Lives Podcast: Critical Care w/eddyjoemd
By Eddy Joe Gutierrez, MD
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Description
| Episode | Date |
|---|---|
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s/p 50 Episodes: The Inner Workings and the Future of the Podcast
1019
I really can't believe that this is the 50th episode of the Saving Lives Podcast. It feels like I only started it yesterday which is partly true. I started it back in late September. I would like to thank you all for your support as I work through the kinks of this podcasting business. Show Notes: https://eddyjoemd.com/saving-lives-50/ 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 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 |
Dec 21, 2020 |
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COVID-19 Vaccine: My Personal Decision
636
Show Notes: https://eddyjoemd.com/covid-vaccine/ 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 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 |
Dec 19, 2020 |
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Hypercapnic Respiratory Failure: Quick Tricks for Ventilator Management (Journal Club-ish)
1029
Hypercapnic respiratory failure happens occurs often in patients on mechanical ventilation. How could we go about fixing this and should we? Show Notes: https://eddyjoemd.com/hypercapnia 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 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 Citation: Tiruvoipati R, Gupta S, Pilcher D, Bailey M. Management of hypercapnia in critically ill mechanically ventilated patients—A narrative review of literature. Journal of the Intensive Care Society. 2020;21(4):327-333. --- 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 |
Dec 12, 2020 |
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Does NIV/BiPAP Improve Outcomes in Acute Asthma Exacerbations? (Journal Club-ish)
651
Can we use non-invasive ventilation (NIV/BiPAP/BPAP) to improve outcomes acute severe asthma exacerbations in patients? Looking at evidence from this very recently published paper. Show Notes: https://eddyjoemd.com/niv-asthma 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 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. My website: www.eddyjoemd.com Citation: Althoff MD, Holguin F, Yang F, Grunwald GK, Moss M, Vandivier RW, Ho PM, Kiser TH, Burnham EL. Noninvasive Ventilation Use in Critically Ill Patients with Acute Asthma Exacerbations. Am J Respir Crit Care Med. 2020 Dec 1;202(11):1520-1530. doi: 10.1164/rccm.201910-2021OC. PMID: 32663410; PMCID: PMC7706169. --- 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 |
Dec 11, 2020 |
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High-Flow Nasal Cannula (HFNC) in Severe Asthma Exacerbations (Journal Club-ish)
577
Can we use high flow nasal cannula (HFNC/HFO/NHF) devices to manage acute severe asthma exacerbations in patients? Looking at evidence. Show Notes: https://eddyjoemd.com/high-flow-asthma/ 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 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. My website: www.eddyjoemd.com Citation: Ruangsomboon O, Limsuwat C, Praphruetkit N, Monsomboon A, Chakorn T. Nasal High Flow Oxygen Versus Conventional Oxygen Therapy for Acute Severe Asthma Patients: A Pilot Randomized Controlled Trial. Acad Emerg Med. 2020 Nov 30. doi: 10.1111/acem.14187. Epub ahead of print. PMID: 33258213. --- 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 |
Dec 09, 2020 |
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You SHOULD Pursue Critical Care! Part 3
773
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 are my opinions and I could be wrong. Show Notes: https://eddyjoemd.com/yes-critical-care/ 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 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. My website: www.eddyjoemd.com |
Nov 28, 2020 |
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You SHOULD Pursue Critical Care! Part 2
753
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 are my opinions and I could be wrong. Show Notes: https://eddyjoemd.com/yes-critical-care/ 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 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. My website: www.eddyjoemd.com |
Nov 26, 2020 |
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Convalescent Plasma in COVID-19 Severe Pneumonia Unfortunately Did Not Pan Out
654
Convalescent Plasma did not quite pan out the way we all wish it did in this study (PlasmAr) published today in the New England Journal of Medicine Show Notes: www.eddyjoemd.com/conplas 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 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 Citation: Simonovich VA, Burgos Pratx LD, Scibona P, Beruto MV, Vallone MG, Vázquez C, Savoy N, Giunta DH, Pérez LG, Sánchez MDL, Gamarnik AV, Ojeda DS, Santoro DM, Camino PJ, Antelo S, Rainero K, Vidiella GP, Miyazaki EA, Cornistein W, Trabadelo OA, Ross FM, Spotti M, Funtowicz G, Scordo WE, Losso MH, Ferniot I, Pardo PE, Rodriguez E, Rucci P, Pasquali J, Fuentes NA, Esperatti M, Speroni GA, Nannini EC, Matteaccio A, Michelangelo HG, Follmann D, Lane HC, Belloso WH; PlasmAr Study Group. A Randomized Trial of Convalescent Plasma in Covid-19 Severe Pneumonia. N Engl J Med. 2020 Nov 24. doi: 10.1056/NEJMoa2031304. Epub ahead of print. PMID: 33232588. --- 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 |
Nov 25, 2020 |
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CVICU: Optimal Transfer of Care from the CVOR
665
Mitigating errors and improving patient care in the transition of patients who are s/p cardiac surgery as they move from the cardiovascular operating room to the cardiovascular intensive care unit (CVICU). Show Notes: www.eddyjoemd.com/cvicu 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 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 Citation: Gleicher Y, Mosko JD, McGhee I. Improving cardiac operating room to intensive care unit handover using a standardised handover process. BMJ Open Qual. 2017;6(2):e000076. Published 2017 Nov 6. doi:10.1136/bmjoq-2017-000076 --- 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 |
Nov 24, 2020 |
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Neutrophil to Lymphocyte Ratio (NLR): Predicting Outcomes in COVID-19
682
Could a CBC w/diff tell us who's going to do poorly with COVID? Using the neutrophil to lymphocyte ratio could be quite helpful. Show Notes: www.eddyjoemd.com/NLR 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 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 Citation: Li, X., Liu, C., Mao, Z. et al. Predictive values of neutrophil-to-lymphocyte ratio on disease severity and mortality in COVID-19 patients: a systematic review and meta-analysis. Crit Care 24, 647 (2020). https://doi.org/10.1186/s13054-020-03374-8 --- 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 |
Nov 23, 2020 |
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DKA: Which IV Fluids to Use? Balanced Salt Solutions or 0.9% NaCl
967
Looking into which fluids we should use to resuscitate our patients who are in Diabetic Ketoacidosis based on the findings of the SALT-ED and SMART trials. 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 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. My website: www.eddyjoemd.com |
Nov 21, 2020 |
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ROX Index: Predicting High-Flow Nasal Cannula Outcomes
847
The ROX index is defined as the ratio of oxygen saturation as measured by pulse oximetry (SpO2)/FIO2 to respiratory rate (RR). It stands for Respiratory rate - OXygenation. ROX ≥ 4.88 at 2, 6, and 12 hours means they're likely in the safe zone. ROX < 2.85 at 2 hours, ROX < 3.47 at 6 hours, ROX < 3.85 at 12 hours means the patient likely needs to be intubated. Show Notes: www.eddyjoemd.com/rox 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 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. My website: www.eddyjoemd.com |
Nov 18, 2020 |
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Fluvoxamine: A Potential Outpatient Treatment for COVID
771
Fluvoxamine is an SSRI that may improve outcomes in COVID-19 when administered in the outpatient setting. This small trial published in JAMA two days ago looks into the positive effects of this therapy to prevent clinical worsening of patients with COVID. Show Notes: https://eddyjoemd.com/fluvoxamine 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 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. My website: www.eddyjoemd.com Citation: Lenze EJ, Mattar C, Zorumski CF, Stevens A, Schweiger J, Nicol GE, Miller JP, Yang L, Yingling M, Avidan MS, Reiersen AM. Fluvoxamine vs Placebo and Clinical Deterioration in Outpatients With Symptomatic COVID-19: A Randomized Clinical Trial. JAMA. 2020 Nov 12. doi: 10.1001/jama.2020.22760. Epub ahead of print. PMID: 33180097. --- 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 |
Nov 14, 2020 |
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Aspirin & COVID-19: Does it Decrease the Severity of Illness?
735
Could Aspirin 81mg in COVID-19 patients help keep them off of mechanical ventilation, out of the ICU, and decrease mortality? Let's explore! Show Notes: https://eddyjoemd.com/aspirin-covid/ 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 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. My website: www.eddyjoemd.com Citation: Chow JH, Khanna AK, Kethireddy S, Yamane D, Levine A, Jackson AM, McCurdy MT, Tabatabai A, Kumar G, Park P, Benjenk I, Menaker J, Ahmed N, Glidewell E, Presutto E, Cain S, Haridasa N, Field W, Fowler JG, Trinh D, Johnson KN, Kaur A, Lee A, Sebastian K, Ulrich A, Peña S, Carpenter R, Sudhakar S, Uppal P, Fedeles BT, Sachs A, Dahbour L, Teeter W, Tanaka K, Galvagno SM, Herr DL, Scalea TM, Mazzeffi MA. Aspirin Use is Associated with Decreased Mechanical Ventilation, ICU Admission, and In-Hospital Mortality in Hospitalized Patients with COVID-19. Anesth Analg. 2020 Oct 21. doi: 10.1213/ANE.0000000000005292. Epub ahead of print. PMID: 33093359. --- 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 |
Oct 25, 2020 |
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Cardiac Arrest & COVID-19: A Very Poor Combination
969
Do COVID-19 patients who suffer a cardiac arrest in the hospital survive? Should we even attempt CPR on these COVID patients? We should. Show Notes: https://eddyjoemd.com/cardiac-arrest-covid/ 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 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. My website: www.eddyjoemd.com Citation: Shah, Priyank MD, MPH, FACC1; Smith, Hallie ABJ, MS; Olarewaju, Ayodeji MD; Jani, Yash MS; Cobb, Abigail MSN, FNP; Owens, Jack MD, MPH; Moore, Justin MPH, PhD; Chenna, Avantika MD; Hess, David MD. Is Cardiopulmonary Resuscitation Futile in Coronavirus Disease 2019 Patients Experiencing In-Hospital Cardiac Arrest?, Critical Care Medicine: October 21, 2020 - Volume Online First - Issue - doi: 10.1097/CCM.0000000000004736 --- 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 |
Oct 24, 2020 |
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Community Questions: Staying Up To Date, Time Management, and Work/Life Balance
566
Criticalcarenow.com 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. My website: www.eddyjoemd.com |
Sep 25, 2020 |
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You SHOULD Pursue Critical Care! Part 1
811
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 are my opinions and I could be wrong. Show Notes: https://eddyjoemd.com/yes-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 therefrom. My website: www.eddyjoemd.com |
Sep 21, 2020 |
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Emotional Intelligence in the ICU
933
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 burnout, lower litigation risk, and enhanced leadership success". Let's take a deeper dive on this. Show Notes: https://eddyjoemd.com/emotional-intelligence-icu 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. My website: www.eddyjoemd.com Citation: Stoller JK, Leadership Essentials for the Chest Physician: Emotional Intelligence, CHEST (2020), doi: https://doi.org/10.1016/j.chest.2020.09.093. --- 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 |
Sep 20, 2020 |
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Do NOT pursue Critical Care! Part 3
849
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 that you're not blindsided. Show Notes: https://eddyjoemd.com/not-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 therefrom. My website: www.eddyjoemd.com |
Sep 11, 2020 |
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Do NOT pursue Critical Care! Part 2
911
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 that you're not blindsided. Show Notes: https://eddyjoemd.com/not-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 therefrom. My website: www.eddyjoemd.com |
Sep 10, 2020 |
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Do NOT pursue Critical Care! Part 1
866
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 that you're not blindsided. 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. My website: www.eddyjoemd.com |
Sep 10, 2020 |
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Fix the Magnesium Deficiency Before the Potassium Deficiency!
720
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 burned a bit on the way in because the IV was acting funny. Low and behold, the potassium did not go up. What just happened? Where did it go? Did you check the magnesium level? Probably not. Show Notes: https://eddyjoemd.com/hypokalemia-magnesium/ 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. My website: www.eddyjoemd.com |
Sep 08, 2020 |
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Midodrine to Wean Vasopressors: The MIDAS Trial (Journal Club-ish)
473
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 September 3rd, 2020 is a randomized-controlled trial looking at this question. 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. My website: www.eddyjoemd.com |
Sep 05, 2020 |
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Vitamin D Supplementation in Hospitalized COVID-19 Patients
543
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: https://eddyjoemd.com/vitamind-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. My website: www.eddyjoemd.com |
Sep 04, 2020 |
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VV ECMO: Patient Selection & Pulling the Trigger in ARDS
904
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: www.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 consequences arising therefrom. My website: www.eddyjoemd.com |
Sep 03, 2020 |
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CVP: Can we use it for Fluid Responsiveness?
867
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. 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. My website: www.eddyjoemd.com |
Aug 27, 2020 |
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Phosphorus Levels in the Critically Ill
605
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 much randomized controlled study data about this. Show Notes: www.eddyjoemd.com/hypophosphatemia 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. My website: www.eddyjoemd.com |
Aug 26, 2020 |
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Discontinuing Contact/Isolation Precautions in COVID-19 Patients
522
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/ 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. My website: www.eddyjoemd.com |
Aug 26, 2020 |
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IV Fluids: Contextual Introduction & History of 0.9% NaCl, Lactated Ringers, & Plasma-lyte
634
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: https://eddyjoemd.com/ My website: www.eddyjoemd.com |
Aug 24, 2020 |
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Remdesivir: $3120 of "Uncertain Clinical Importance"
728
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/ My website: www.eddyjoemd.com |
Aug 22, 2020 |
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COVID & Intubation: Getting the Timing Right
691
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/ 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. My website: www.eddyjoemd.com |
Aug 21, 2020 |
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Bicarb for a Lactic Acidosis? BICAR-ICU (Journal Club-ish)
703
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 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 in any way liable for the continued accuracy of the information, or for any errors, omissions or inaccuracies, or for any consequences arising therefrom. My website: www.eddyjoemd.com |
Aug 19, 2020 |
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A Rationale to use IV Vitamin C followed by a Reality Check: The ACTS Trial (Journal Club-ish)
906
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 a bit of a biologic rationale as why these trials should improve outcomes. Show notes: https://eddyjoemd.com/vitaminc/ My website: www.eddyjoemd.com |
Aug 18, 2020 |
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Vitamin C & Thiamine in Septic Shock: ATESS Trial (Journal Club-ish)
639
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. My website: www.eddyjoemd.com |
Aug 17, 2020 |
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SvO2 & ScvO2: Differences and How to Guide Resuscitation with it
600
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: https://eddyjoemd.com/scvo2svo2/ 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. My website: www.eddyjoemd.com |
Aug 15, 2020 |
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ProtekDuo RVAD for Mechanical Circulatory Support
503
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 that you'll more likely than not be caring for a patient with one of these sooner rather than later. Better to familiarize yourself with it now. Show Notes: https://eddyjoemd.com/protekduo/ 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. My website: www.eddyjoemd.comInstagram: www.instagram.com/eddyjoemdTwitter: www.twitter.com/eddyjoemdFacebook: www.facebook.com/eddyjoemdPodcast: https://anchor.fm/eddyjoemdMy Amazon store for resources you may find helpful: www.amazon.com/shop/eddyjoemd --- 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 |
Aug 14, 2020 |
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Colchicine for COVID-19? A look at the GRECCO-19 Trial
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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: https://eddyjoemd.com/colchicine-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. My website: www.eddyjoemd.com |
Aug 13, 2020 |
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HCW's exposed to COVID: Should you take HCQ?
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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: https://eddyjoemd.com/hcq-prophylaxis/ My website: www.eddyjoemd.com |
Aug 09, 2020 |
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Zinc for Acute & Critical Illness: Tools for Metabolic Resuscitation
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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 deficiencies, potential benefits for both viral as well as bacterial infections, and adverse effects. Show notes: https://eddyjoemd.com/zinc-metabolic-resuscitation/ 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. My website: www.eddyjoemd.com |
Aug 08, 2020 |
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Vitamin C in COVID-19: Possible Prophylaxis & Adjunctive Therapy
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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 potentially work to improve outcomes. Show notes: https://eddyjoemd.com/vitamin-c-covid/ |
Aug 04, 2020 |
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Dexamethasone Reduces Mortality in COVID-19
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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 be putting it in the water. Show Notes: https://eddyjoemd.com/dexamethasone-covid/ My website: www.eddyjoemd.com 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. --- 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 |
Aug 03, 2020 |
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Bicarbonate (Carbon Dioxide) In Serum & Blood Gases
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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 gases and discuss how they're calculated. Show Notes: https://eddyjoemd.com/carbon-dioxide-bicarbonate/ |
Aug 02, 2020 |
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Midodrine in the ICU
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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 as the off-label uses of midodrine, pharmacology data explained in english, dosing, side effects, and a little about the studies. Show Notes: https://eddyjoemd.com/midodrine/ 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. --- 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 |
Aug 01, 2020 |
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Plasma Exchange (PLEX) in COVID: Could it Improve Outcomes?
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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 Notes: https://eddyjoemd.com/plasma-exchange-covid/ |
Jul 31, 2020 |
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Melatonin for COVID-19: Treatment Hunting
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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: https://eddyjoemd.com/melatonin-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. |
Jul 30, 2020 |
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Tocilizumab in Severe COVID- Dead in the Water?
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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: https://eddyjoemd.com/tocilizumab-covacta/ |
Jul 29, 2020 |
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HCQ, Azithro & Zinc in the Outpatient Setting for COVID
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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 work. Thank you for your support. 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. --- 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 |
Jul 28, 2020 |
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Becoming an Intensivist: Critical Care Fellowship Routes
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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 programs and lengths of time spent training. My website: www.eddyjoemd.com |
Jul 26, 2020 |
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A Day In The Life Of An Intensivist
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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: https://eddyjoemd.com/intensivist-a-day-in-the-life/ If you want to watch the 2+ year old youtube video that was inspiration to this podcast, it's at https://youtu.be/ONwFUp-mDsA 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. --- 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 |
Jul 25, 2020 |