ICUedu

Acute medical management of valvulopathy.  Part II talks about the pathophysiology and management of stenotic valves: AS and MS.  Check out Rapid Sequence, ICUedu's new education project at rapidsequence.org   Great Core Ultrasound post on POCUS assessment of valvulopathy: https://coreultrasound.com/valves-2/  Additional content and educational resources at ICUedu.org

Acute medical management of valvulopathy.  Part I talks about the pathophysiology and management of regurgitant valves: AI, MR, and TR.  Great Core Ultrasound post on POCUS assessment of valvulopathy: https://coreultrasound.com/valves-2/Additional content and educational resources at ICUedu.org

Updated talk on fluids in sepsis!Access to video version of lecture, supplemental materials & references at: https://www.icuedu.org/fluids-in-sepsis

How can the science of expertise inform our ability to attain excellence in resuscitation?Additional content and educational resources at ICUedu.orgReferences for the papers mentioned in the episode: Kovacs & Croskery. Clinical Decision Making: An Emergency Medicine Perspective. Academic Emergency Medicine, 1999; 6(9): 947-952The Neuroscience of Expertise. Bilalic (2017), Cambridge University PressJeon et al. What does “being an expert” mean to the brain?  Functional specificity and connectivity in expertise.  Cerebral Cortex, 2017; 27(12): 5603-5615Gobet & Simon. Recall of random and distorted chess positions: Implications for the theory of expertise. Memory & Cognition, 1996; 24(4): 493-503 Gold & Ciorciari.  A Review on the Role of the Neuroscience of Flow States in the Modern World. Behav Sci (Basel), 2020;10(9):137

Management approach for electrical storm!For a deep dive into EKGs in wide complex tachycardias, take a look at this awesome lecture by Amal Mattu.References to articles mentioned in the podcast:Cheskes et al. Defibrillation Strategies for Refractory Ventricular Fibrillation. N Engl J Med. 2022 Nov 24;387(21):1947-1956Ortiz et al. Randomized comparison of intravenous procainamide vs. intravenous amiodarone for the acute treatment of tolerated wide QRS tachycardia: the PROCAMIO study. Eur Heart J 2017;38(17):1329-1335Song et al. Association of Dexmedetomidine With New-Onset Atrial Fibrillation in Patients With Critical Illness. JAMA Netw Open 2023;6(4):e239955Wang etc. Effect of Dexmedetomidine on Tachyarrhythmias After Cardiac Surgery: A Systematic Review and Meta-Analysis. J Cardiovasc Pharmacol 2022;79(3):315-324Zhong et al. Dexmedetomidine Reduces Incidences of Ventricular Arrhythmias in Adult Patients: A Meta-Analysis. Cardiol Res Pract 2022;5158362Do et al. Thoracic Epidural Anesthesia Can Be Effective for the Short-Term Management of Ventricular Tachycardia Storm. J Am Heart Assoc. 2017 Oct 27;6(11):e007080Tian et al. Effective Use of Percutaneous Stellate Ganglion Blockade in Patients With Electrical Storm. Circ Arrhythm Electrophysiol. 2019;12(9):e007118Batnyam et al. Safety and Efficacy of Ultrasound-Guided Sympathetic Blockade by Proximal Intercostal Block in Electrical Storm Patients. JACC Clin Electrophysiol 2024;10(4):734-746