Latest Episodes

Should We Use NIPPV for Preoxygenation for All Intubations?
Over 1 million critically ill patients are intubated each year in the US. Hypoxemia occurs in up to 20% of patients and can lead...

Cefepime vs. Piperacillin-Tazobactam for Infection? The ACORN Trial
Timely and appropriate administration of empiric broad-spectrum antibiotics for adult patients with sepsis is critical. Current guidelines recommend an antipseudomonal antibiotic for those at...

Are We Ventilating our OHCA Patients?
In recent years, there has been intense focus on delivering high-quality compressions during the resuscitation of patients with OHCA. In contrast, ventilation metrics in...
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Steroids in Sepsis, ARDS, and CAP - A Focused Clinical Update
Critically ill patients commonly develop a dysregulated inflammatory response. Corticosteroids are hypothesized to be beneficial due to their anti-inflammatory properties. In recent years, several...

Should We Intubate For GCS < 8?
Acute mental status changes after the ingestion of alcohol or other substances are a common presentation to the ED. Those with severe obtundation may...
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Should We Be Placing REBOA?
REBOA is a relatively new and novel technique that in animal studies has demonstrated benefit in controlling hemorrhage. However, the evidence for the efficacy...