EMCrit Project

EMCrit Wee – An Airway Discussion with Jonathan St George of the Protected Airway Collaborative

DAS guidelines and more

PulmCrit: Six reasons to stop relying on the NPi (neurological pupil index)

what is the NPi (neurological pupil index)? The pupillary light reflex is one of the most fundamental tests of clinical medicine. Unfortunately, traditional techniques for measuring it are error-prone and poorly reproducible. Digital pupillometry solves this problem while simultaneously offering additional data reflective of neurological physiology: There is useful data hidden within these pupillary response […]

EMCrit 420 – CV-EMCrit – Nuanced Presentations of Dynamic Left Ventricular Outflow Tract Obstruction (LVOTO): When It’s a “Two-Ventricle” Problem — and So Much More

Have you diagnosed dLVOTO in the past 3 months? If not, then you missed it!

PulmCrit: Four fatal flaws in the new AHA/ACC risk-stratification system for PE

Prognostication is perhaps the most important aspect of treating PE, because it drives treatment intensity. Underestimating risk leads to inadequate treatment. Overestimating risk leads to excessive therapies, which carry their own risks. Prognostication is difficult because PE patients exist along a continuous distribution of risk that changes over time. Nature doesn’t neatly package PE patients […]

PulmCrit: Catheter-directed lysis = Peripheral lysis for PE (STRATIFY trial!)

Catheter-directed thrombolysis for PE has always been a silly idea, for numerous reasons: Clots are widely distributed throughout both lungs. 100% of the blood flow goes to the lungs. Blood flow in PE is fast and turbulent, so the thrombolytic released adjacent to the clot is immediately whisked away and sometimes ends up in the […]

EMCrit 419 – Questions and Answers (Members Q&A Episode 003)

EMCrit Members Q&A 003

EMCrit 418 – Questions and Answers (Members Q&A Episode 002)

Members, you had questions–I have answers!!! Here is the 2nd EMCrit Members Q&A episode.

PulmCrit Mythbusting: Beta-blockade isn’t indicated for sinus tachycardia in thyroid storm

ABSTRACT Beta-blockade is generally regarded as a standard therapy for thyroid storm. However, this practice isn’t evidence-based. Recent studies have emphasized that beta-blockade often cause cardiovascular collapse in this context. Until more evidence is available, thyroid storm with sinus tachycardia shouldn’t be considered an indication for beta-blockade. MANUSCRIPT Guidelines have consistently recommended beta-blockers for thyroid […]