The EM Critical Care Audio Series Vol. II - $59.00
The EM Critical Care Audio Series Vol. II
Each topic in this collection condenses the information you need to know into easily digestible sessions. You only need to spend 14- to-16 minutes listening to each topic to get up-to-date! The entire collection contains over an hour-and-a-half of evidence-based audio content and will give you recommendations you can immediately begin applying to your practice. The EM Critical Care Audio Series Vol. II includes an MP3 download (available as soon as you complete your purchase). As an added bonus, you can also earn up to 1.25 AMA PRA Category 1 CreditsTM -- at no extra charge.
- Resuscitation Of The Patient with Massive Upper Gastrointestinal Bleeding
- Practical Aspects Of Postcardiac Arrest Therapeutic Hypothermia
- The Use Of Vasoactive Agents In The Management Of Circulatory Shock
- Ventilator Management In The Intubated Emergency Department Patient
- Evidence-based reviews on 4 critical patient presentations: headache, acute asthma, pediatric airway, and capnography
- Convenient format: You get an MP3 download containing all 4 topics instantly after you order
- Speaker: Dr. Scott Weingart
- Recording date: August 1, 2014
- Length: 60 minutes (individual topics run from 14-16 minutes)
- CME: 1.25 AMA PRA Category 1 CreditsTM
- CME expiration date: August 1, 2017
- Price: $59
Topic #1: Resuscitation Of The Patient with Massive Upper Gastrointestinal Bleeding
This article serves as an initial framework for the treatment of the critically ill patient with massive upper GI bleeding for any emergency medicine or critical care clinician who will be resuscitating and stabilizing these patients in any practice setting, but particularly where subspecialty services are not immediately available and more temporizing measures may need to be employed. These patients often present with precarious hemodynamics and need multiple, complex interventions. This audio review provides an outline of critical steps that must be considered or employed for stabilization of the massive upper GI bleed.
This review provides a rational approach to airway management in a patient who will, undoubtedly, have both anatomic and physiologic predictors of difficulty with regard to intubation. Successful hemodynamic resuscitation and stabilization to deliver this patient to definitive therapy requires a multitiered effort at both hemostasis and product replacement through appropriate vascular access, which is also discussed in this review. Finally, the use of medications in an evidence-based manner to result in better patient outcomes is explored.
Length: 15 minutes
CME Objectives: Upon completion of this audio review, you will be able to: (1) describe an approach to definitive airway management in a hypotensive, actively bleeding massive upper GI bleeding patient; (2) identify a strategy for hemodynamic resuscitation with respect to both hemostasis and product replacement; and (3) identify potentially life-saving medications in the treatment of a patient with massive upper GI bleeding.
Topic #2: Practical Aspects Of Postcardiac Arrest Therapeutic Hypothermia
This audio summary is intended for the emergency medicine or critical care clinician who cares for patients undergoing therapeutic hypothermia for postcardiac arrest. With new literature continually forthcoming and many different protocols for therapeutic hypothermia in postcardiac arrest patients, there are many considerations for the clinician utilizing this therapy, including methods and maintenance of cooling, potential complications in both the hypothermic and postcardiac arrest patient, and even which patients may benefit from the use of this therapy.
After a brief review of the literature, including an introduction to the Hypothermia After Cardiac Arrest and Bernard trials, and a mention of the new Targeted Temperature Management trial, this review goes into depth regarding the indications and contraindications, both relative and absolute, for the initiation of therapeutic hypothermia in postcardiac arrest. Technical aspects of the initiation of hypothermia and maintenance of temperature are discussed as well as considerations regarding rewarming.
Length: 16 minutes
CME Objectives: Upon completion of this audio review, you will be able to: (1) identify the indications and relative/absolute contraindications for initiation of postcardiac arrest therapeutic hypothermia; (2) describe an effective method for initiation and maintenance of cooling postcardiac arrest therapeutic hypothermia; and (3) identify potential complications in postcardiac arrest hypothermia, including hemodynamic changes, electrolyte abnormalities, and issues regarding rewarming.
Topic #3: The Use Of Vasoactive Agents In The Management Of Circulatory Shock
Due to varying availabilities, differing mechanisms of action, and evolving applications, the use of vasoactive medications can cause hesitation in even the most seasoned clinician. All emergency medicine and critical care clinicians will at some point encounter the need to use vasoactive medications for critically ill patients, and this review is intended as a refresher, especially for the clinician who uses these medications infrequently.
This audio review discusses the basic vasoactive medications available in most clinical settings as well as their individual mechanisms of action. There is a reminder that the treatment of circulatory shock is dependent on the mechanism causing the shock. A general overview of both vasopressor and inotropic medications is included as well as an evidence-based discussion of the appropriate clinical situations in which these medications may be used. Specific examples with respect to certain clinical indications are given.
Length: 14 minutes
CME Objectives: Upon completion of this audio review, you will be able to: (1) describe the mechanism of action of the various vasopressors and inotropes; (2) discuss the risks and benefits of these medications and identify their specific indications; and (3) identify the appropriate vasopressor or inotrope for specific clinical indications, such as sepsis, anaphylaxis, cardiogenic shock, neurogenic shock, and pulmonary embolism.
Topic #4: Ventilator Management In The Intubated Emergency Department Patient
With many lights, alarms, and different names for varying settings, the ventilator can be frustrating and anxiety-inducing. Combined with the fact that often the most tenuous patients require mechanical ventilation and that slight adjustments can have dramatic consequences, knowing the basics of ventilator management is necessary for any emergency medicine clinician who will be initiating mechanical ventilation. This review, specifically designed for the novice or infrequent user of mechanical ventilation, serves as an introduction for initiating mechanical ventilation in the emergency department.
Starting with the various modes of ventilation, the audio review describes the benefits and drawbacks of both volume control and pressure control while also introducing the listener to the concepts of pressure support and pressure-regulated volume control. After briefly discussing assist control and synchronized intermittent mandatory ventilation, the review goes through the various additional settings, including tidal volume, positive end-expiratory pressure, respiratory rate, and fraction of inspired oxygen, and the considerations that should be given to each of these settings. This will provide a basic framework for initial ventilator settings for a wide variety of patients requiring mechanical ventilation in the emergency department.
Length: 15 minutes
CME Objectives: Upon completion of this audio review, you will be able to: (1) describe the benefits and downfalls of both volume and pressure modes of ventilation; (2) distinguish the differences between assist control and synchronized intermittent mandatory ventilation; and (3) assess the initial settings and how to titrate the various parameters of the ventilator for specific clinical indications.