Saving Lives Podcast: Critical Care w/eddyjoemd
Saving Lives Podcast: Critical Care w/eddyjoemd is a podcast that reviews evidence-based strategies to care for the critically ill patient in the Intensive Care Unit and other topics in Medicine. It is hosted by Eddy Joe Gutierrez, MD, a board-certified critical care physician. In each episode, Dr. Gutierrez discusses the latest research and best practices in Intensive Care Medicine. He also shares his own insights and experiences as an Intensivist/Critical Care physician. The podcast is designed for healthcare professionals who want to stay up-to-date with evidence-based medicine.
Episodes
Albumin in Critically Ill Patients: Evidence, Indications, and the 5% vs 25% Debate
Albumin is one of those topics where everyone has an opinion, but very few people actually look at the cost-benefit data. In this lecture, I’m breaking down why the 5% albumin you’re hanging might be a waste of money, and where the 25% concentration actually moves the needle in septic shock and cardiac surgery.In this episode, we cover: The "Cool" Science: Where does this stuff come from
Peripheral Vasopressors, Practically Safe: What a 250-Patient Prospective Cohort Means for Your Unit
A new prospective multicenter cohort of 250 patients with shock examines the safety and outcomes of peripheral vasopressor administration. Extravasation events were rare and clustered only after several days of infusion, while norepinephrine use and simple physiologic markers correlated with survival. In this episode, I translate the findings into bedside guardrails—which sites and gauges to use,
CCBs and Oxygenation: Why the Sat Falls After the Drip
Intravenous dihydropyridine calcium channel blockers can quietly worsen oxygenation by blunting hypoxic pulmonary vasoconstriction. In this episode, we break down the bedside mechanism, which agents are implicated, who’s at highest risk (post-op atelectasis, obesity, pneumonia, focal ARDS, COPD), how soon it happens, and exactly what to do.The Vasopressor & Inotrope HandbookAmazon:
Timing Is Everything: Early Inotropes and Survival in Cardiogenic Shock
In this episode of Saving Lives: Critical Care Conversations, we discuss new evidence from the University of Pennsylvania that challenges how we time inotropic therapy in acute decompensated heart failure–related cardiogenic shock.This retrospective cohort study found that patients who received inotropes within eight hours of meeting SCAI stage C criteria had a 28-day mortality of 17%, compared to
Should You Avoid the Right IJ for Central Lines in Critically Ill Patients?
In this episode of the Saving Lives Podcast, Eddy Joe breaks down a 2025 Journal of Critical Care study examining how the choice of the internal jugular vein for initial central line placement impacts outcomes when patients later need hemodialysis catheters. You'll learn why using the left IJV first may reduce the need for repeat procedures and complications. Essential insights for optimizing
Acetazolamide + Furosemide: Boosting Diuretic Response & Fighting Alkalosis in the ICU
In this episode, we dive into a new pilot RCT exploring the addition of acetazolamide to furosemide in critically ill patients. We break down the study’s methods, findings, and practical implications for fluid management in the ICU. Could this inexpensive, decades-old drug be the key to sustaining diuresis and preventing metabolic alkalosis? Tune in to find out.The Vasopressor & Inotrope Handb
Methylprednisolone vs. Hydrocortisone: Which Can Save More Lives in Severe Pneumonia?
In this episode of the Saving Lives Podcast, we review a July 2025 study from the Journal of Intensive Care comparing methylprednisolone and hydrocortisone for severe pneumonia treatment. The discussion focuses on how these findings may influence clinical decisions, particularly for patients with septic shock. The Vasopressor & Inotrope HandbookAmazon: https://amzn.to/47qJZe1
Sodium Bicarbonate for ICU Acidosis: New Evidence Supporting a Controversial Therapy
In this episode of the Saving Lives Podcast, we break down a 2025 study from Intensive Care Medicine that emulates a target trial on the use of sodium bicarbonate in ICU patients with metabolic acidosis. With over 6,000 patients across 12 Australian ICUs, the study reveals a small but significant reduction in mortality and RRT use with bicarbonate therapy. Tune in to learn how this could transform
Predicting Mortality in a Pulmonary Embolism: What the Data Really Tells Us
In this episode of the Saving Lives Podcast, we review a comprehensive 2025 meta-analysis on mortality risk factors in pulmonary embolism. Learn which clinical signs, biomarkers, and imaging findings most strongly predict outcomes — and how they can guide triage and therapy decisions in acute PE cases. A must-listen for anyone managing thromboembolic disease in the critically ill patients.The Vaso
Hyponatremia Correction: Is Going Too Slow Riskier Than You Think?
In this episode of the Saving Lives Podcast, we review a 2025 NEJM-Evidence study analyzing over 21,000 cases of severe hyponatremia to determine the safest and most effective correction rates. Learn why moderate correction (8–10 mmol/L/day) may actually reduce mortality, and how central pontine myelinolysis (CPM) remains rare even with faster correction. The Vasopressor & Inotrope HandbookI h
Why Low Hemoglobin Spells Trouble in Cardiogenic Shock
In this episode, we analyze a June 2025 study from the Journal of Intensive Care, which shows that lower hemoglobin levels at admission are strongly associated with worse outcomes in cardiogenic shock. We dive into the data from the FRENSHOCK registry, uncover key subgroup findings, and discuss implications for transfusion strategies. Could this shift how we manage anemia in shock? Tune in and fin
Valproic Acid for ICU Delirium: A New Tool for Agitation Management?
In this episode of the Saving Lives Podcast, we reviews a 2024 multicenter study on valproic acid for hyperactive delirium and agitation in ICU patients. The findings show that VPA may help reduce sedation needs, improve ventilator synchrony, and resolve delirium without major adverse effects. Tune in for practical insights into this emerging option for complex critical care cases.The Vasopressor
Chloride, pH, and Fluid Choices: Should Labs Guide Resuscitation Strategy?
In this episode of the Saving Lives Podcast, we discuss a study from Intensive Care Medicine that explores whether baseline serum chloride and pH affect outcomes with balanced fluids versus saline. The findings from the PLUS trial show no significant interaction, but intriguing trends suggest that hyperchloremic patients may benefit more from balanced fluids. The Vasopressor & Inotrope Handboo
Normosol-R vs. Lactated Ringer’s: Do Buffered Crystalloids Impact ICU Outcomes?
In this episode of the Saving Lives Podcast, we break down a randomized trial from CHEST (2025) comparing Normosol-R vs. Lactated Ringer’s in critically ill adults. Learn whether acetate/gluconate-buffered fluids offer advantages over lactate-buffered solutions regarding acid-base balance, kidney function, and mortality. Tune in to hear how this study impacts critical care fluid management!The Vas
Lactated Ringer’s vs. 0.9% Saline in Sepsis: Does Fluid Choice Affect Survival?
In this episode of the Saving Lives Podcast, we review a 2025 study from Critical Care Medicine comparing lactated Ringer’s and normal saline for initial fluid resuscitation in sepsis-induced hypotension. The findings suggest that LR may improve survival and increase hospital-free days compared to NS, supporting current guidelines favoring balanced crystalloids. Tune in for a deep dive into the st
Cardiogenic Shock: Insights on Mortality and Management
In this episode of the Saving Lives Podcast, we review a nationwide study on cardiogenic shock in general ICUs, recently published in the European Heart Journal: Acute Cardiovascular Care. Discover why non-ischemic heart failure now leads cardiogenic shock admissions, which patient groups face the highest mortality, and how early ICU intervention can improve outcomes. Stay tuned for critical insig
Reducing ICU Delirium: The Role of Sleep Interventions
In this episode of the Saving Lives Podcast, we explore a systematic review and meta-analysis from the Journal of Critical Care on sleep interventions in ICU patients. We learn about the effectiveness of pharmacologic and non-pharmacologic strategies in reducing delirium and discover how improving sleep could transform critical care outcomes.
The Vasopressor & Inotrope Handbook
I have written
Sepsis Order Sets: Potentially Enhancing Outcomes and Reducing Costs in Care
In this episode of the Saving Lives Podcast, we dive into the latest research from CHEST, exploring how sepsis order sets can improve care value. Learn about the impact of these sets on reducing mortality, lowering hospital costs, and their role in streamlining sepsis management. Discover why order sets can be a game-changer for hospitals and society in addressing sepsis care.
The Vasopressor &am
Continuous Glucose Monitoring: Is It the Future of ICU Glycemic Control?
In this episode of the Saving Lives Podcast, Eddy Joe breaks down a study comparing continuous glucose monitoring systems (CGMS) to conventional point-of-care monitoring in ICU patients. Learn how CGMS improves glycemic control, reduces variability, and eases nursing workloads, even without reducing mortality.
The Vasopressor & Inotrope Handbook
I have written "The Vasopressor & Inotrope H
Propofol Infusion Syndrome: A Rare but Deadly Complication in ICU Sedation
In this episode of The Saving Lives Podcast, we explore Propofol Infusion Syndrome (PRIS), looking at this complication's incidence, laboratory, and clinical manifestations. Hat tip to the authors.
The Vasopressor & Inotrope Handbook
I have written "The Vasopressor & Inotrope Handbook: A Practical Guide for Healthcare Professionals," a must-read for anyone caring for critically ill patien
Hyperdynamic LV Function in Septic Patients: Does It Matter?
In this episode of The Saving Lives Podcast, we dive into a compelling study from the Annals of Intensive Care, exploring the prevalence and impact of hyperdynamic left ventricular systolic function in septic patients. Unpacking the findings, we discuss how this condition influences mortality rates and what it means for clinical practice in intensive care units.
The Vasopressor & Inotrope Hand
Advance Directives in the ICU: Challenges and Challenges
In this episode of The Saving Lives Podcast, we delve into the intricate subject of advance directives in the intensive care setting. Titled "Deciphering the Complex World of Advance Directives in ICU Care: Challenges and Solutions," the episode explores the historical background, implementation challenges, and the impact of advance directives on patient care within ICUs. Let's highlight the pract
Does Left Atrial Appendage Closure Worsen Postoperative Atrial Fibrillation Risk in Cardiac Surgery?
In this episode, we discuss recent findings on the potential risks of left atrial appendage closure (LAAC) in cardiac surgery patients without prior atrial fibrillation. The study highlights an increased risk of new-onset postoperative AF and prolonged hospital stays without clear benefits in mortality or stroke prevention.
The Vasopressor & Inotrope Handbook
I have written "The Vasopressor &
Severe Tricuspid Regurgitation Treatment: Transcatheter Tricuspid-Valve Replacement (TRISCEND II)
In this episode of the Saving Lives Podcast, Eddy Joe explores the TRISCEND II trial’s groundbreaking findings on transcatheter tricuspid valve replacement (TTVR) for severe tricuspid regurgitation. Learn about the quality-of-life improvements, procedural risks, and future directions for this innovative therapy.
The Vasopressor & Inotrope Handbook
I have written "The Vasopressor & Inotrope
Dexmedetomidine in Septic Shock: DecatSepsis Trial
In this episode of the Saving Lives Podcast, we dive into the DecatSepsis trial, exploring the role of dexmedetomidine in reducing mortality and managing septic shock. Discover how this sedative could help mitigate the harmful effects of the hyperadrenergic state in septic patients.
The Vasopressor & Inotrope Handbook
I have written "The Vasopressor & Inotrope Handbook: A Practical Guide
Minocycline: A New Hope in Delirium Prevention for Critically Ill Patients?
In this episode of the Saving Lives Podcast, we discuss a recent randomized controlled trial exploring the use of minocycline to prevent delirium in critically ill patients. The study reveals that minocycline may significantly reduce delirium incidence and hospital mortality, offering a promising new pharmacologic approach.
The Vasopressor & Inotrope Handbook
I have written "The Vasopressor &a
DKA Management: Balanced Electrolyte Solutions vs. Saline
In this episode of the Saving Lives Podcast, Eddy Joe delves into the latest research comparing balanced electrolyte solutions to 0.9% saline for treating diabetic ketoacidosis (DKA). Discover how BES could potentially revolutionize DKA management by speeding up recovery and reducing complications. Tune in for an in-depth analysis of the study and its implications for clinical practice.
The Vasopr
Optimizing Organ Procurement: Managing Brain-Dead Donors in the ICU
In this episode, Eddy Joe delves into the intensive care management of brain-dead donors, based on a recent article from Intensive Care Medicine. Learn about hemodynamic support, endocrine treatment, and respiratory management strategies to optimize organ procurement. Tune in for an in-depth discussion on improving donor organ viability while maintaining the dignity of the deceased.
The Vasopresso
Vasopressin vs. Norepinephrine in Post Cardiac Surgery-Related Vasoplegia
In this episode of the Saving Lives Podcast, we examine a groundbreaking 2017 study comparing vasopressin and norepinephrine for treating vasoplegic shock after cardiac surgery. We explore the study's compelling results, how vasopressin outperformed norepinephrine in reducing severe complications, and the potential implications for clinical practice.
The Vasopressor & Inotrope Handbook
I have
Frailty Assessment in Critically Ill Older Adults: Implications for ICU Care
In this episode of the Saving Lives Podcast, we discuss the comprehensive review of frailty assessment tools in critically ill older adults. Learn about the Clinical Frailty Scale and how these tools can influence clinical practice and patient outcomes. Tune in for insights on improving care for the elderly in ICU settings.
The Vasopressor & Inotrope Handbook
I have written "The Vasopressor &a
Navigating End-Of-Life Care
The Vasopressor & Inotrope Handbook
I have written "The Vasopressor & Inotrope Handbook: A Practical Guide for Healthcare Professionals," a must-read for anyone caring for critically ill patients (check out the reviews)! You have several options to get a physical copy.
Amazon: https://amzn.to/47qJZe1 (Affiliate Link)
Signed & Personalized Copy: https://eddyjoemd.myshopify.com/pr
CPR Duration and Outcomes in In-Hospital Cardiac Arrest
What are the outcomes in patients who suffer in-hospital cardiac arrest based on the duration of the code? This podcast episode covers a retrospective cohort study that analyzed this.
The Vasopressor & Inotrope Handbook
I have written "The Vasopressor & Inotrope Handbook: A Practical Guide for Healthcare Professionals," a must-read for anyone caring for critically ill patients (check out t
Artificial Intelligence and Mechanical Ventilation
In this episode, we explore a groundbreaking study on the cost-effectiveness of artificial intelligence (AI) in managing mechanically ventilated ICU patients. Discover how AI can improve patient outcomes, reduce hospital stays, and enhance decision-making in critical care settings. Tune in to learn about AI's potential to revolutionize ICU care and its practical implications for healthcare profess
Mitraclip Complications to Watch Out For
In this episode of The Saving Lives Podcast, we explore the innovative MitraClip system, a less invasive treatment for mitral regurgitation. The discussion covers the device's evolution, its impact on patient outcomes, and the challenges and complications associated with its use.
The Vasopressor & Inotrope Handbook
I have written "The Vasopressor & Inotrope Handbook: A Practical Guide for
Rethinking Physical Restraints: Unveiling ICU Practices and Patient Care
In this episode of The Saving Lives Podcast, we delve into the compelling findings of a recent review on the adverse effects of physical restraint use in ICUs. We discuss the paradoxical nature of restraints, designed for patient safety but linked to significant complications, including skin injuries, delirium, PTSD, and more. Understanding the limitations of our current system, we explore how thi
New 2024 Guidelines: Corticosteroids in Sepsis, ARDS, and CAP
This episode delves into the 2024 update on corticosteroid guidelines for critically ill patients with sepsis, ARDS, and community-acquired pneumonia. We break down the recommendations, evidence, and clinical implications of this crucial guidance for healthcare providers.
The Vasopressor & Inotrope Handbook: Amazon Affiliate Link (I will earn an extra small commission) and Signed/P
Exploring the Potential of Therapeutic Plasma Exchange in Sepsis
In this episode, we delve into the groundbreaking study "Influence of therapeutic plasma exchange treatment on short-term mortality of critically ill adult patients with sepsis-induced organ dysfunction." We explore how Therapeutic Plasma Exchange (TPE) could revolutionize the treatment of sepsis, a condition notoriously difficult to manage. The episode breaks down the study's method
Integrating Palliative Care in the ICU: Enhancing Quality of Life
In this episode of The Saving Lives Podcast, "Integrating Palliative Care in the ICU: Enhancing Quality of Life," host EddyJoe discusses the article 'Palliative Care in Intensive Care' from 'Intensive Care Medicine.' The episode examines how palliative care improves patient quality of life and reduces ICU stays, highlighting its role beyond end-of-life care. It emphasizes
The Impact of Microcirculation Assessment in ICU Shock Patients: Insights from the DAMIS Trial
In this episode, we delve into the groundbreaking DAMIS trial, exploring the impact of sublingual microcirculation assessment on treatment decisions for ICU patients with shock. We discuss the methodology, findings, and implications of this extensive multicenter study, offering insights into how real-time microcirculatory data influences clinical outcomes in critical care. Join us for an in-depth
Should We Go Searching for Asymptomatic Catheter-Related Thrombosis?
The Vasopressor & Inotrope Handbook: Amazon Affiliate Link (I will earn an extra small commission) and Signed Copies.
Show Notes: eddyjoemd.com/asymptomatic-catheter-related-thrombosis/
Explore the often-overlooked issue of asymptomatic catheter-related thrombosis (CRT) in ICU patients on The Saving Lives Podcast. This episode delves into a revealing study published in the Annals of Intensive
Haloperidol in ICU Delirium: Insights from the EuRIDICE Trial
This episode delves into the pivotal EuRIDICE randomized clinical trial published in Critical Care in 2023. This episode provides an in-depth analysis of the trial's findings on using haloperidol in managing delirium among critically ill adults in the ICU. We'll explore the implications of these results for clinicians and the broader healthcare community, discussing whether haloperidol tru
I'm Writing a Book!
Show Notes: https://eddyjoemd.com/book/
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Direct (DL) vs Video Laryngoscopy (VL) for Intubation? DEVICE Trial
In this podcast I break down the DEVICE trial looking at using video laryngoscopy (VL) or direct laryngoscopy (DL) for intubation.
Show Notes: https://eddyjoemd.com/vl-dl-intubation/
This Video was Editing Using Descript: https://www.descript.com?lmref=BGOxjQ
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Citation: Prekker ME, Driver BE, Trent
Aortic Pulsatility Index (API): Optimizing Cardiogenic Shock Management
First of all, I apologize for the bad audio. This episode was lost until my buddy Haney Mallemat (@criticalcarenow) saved it.
Aortic pulsatility index (API) is a hemodynamic measurement being studied to predict clinical outcomes in heart failure & cardiogenic shock.
Show Notes: https://eddyjoemd.com/aortic-pulsatility-index/
TrueLearn Link: https://truelearn.referralrock.com/l/EDDYJOEMD25/
IV Thiamine: Can it Help Critically Ill Septic Shock Patients?
IV Thiamine may be helpful to improve the outcomes of critically ill (ICU) patients who have sepsis or septic shock.
Show Notes: https://eddyjoemd.com/iv-thiamine
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Although great care has been taken to ensure that the information in this podcast are accurate, eddyjoe, LLC shall not be held responsible or
Hydrocortisone for Severe Community-Acquired Pneumonia (CAP)
Show Notes: https://eddyjoemd.com/hydrocortisone-cap/
In this episode of the podcast, I discuss a new study that found that hydrocortisone can save lives in patients with severe community-acquired pneumonia (CAP). I discuss the findings and what they mean for the treatment of CAP. In addition I also discuss the risks and benefits of using hydrocortisone, and who should be considered for treatment.
Methylene Blue for Septic Shock?
Show Notes: https://eddyjoemd.com/methylene-blue-septic-shock/
Link to Lactic Acid Post: https://eddyjoemd.com/lactic-acid-sepsis/
In this episode, we discuss the use of methylene blue as a potential treatment for septic shock. We explore the science behind how methylene blue can help improve circulation and reduce inflammation in patients experiencing septic shock, and share a new study that was
Vitamin B12 for Septic Shock?
In this episode, Dr. Eddy Joe explores the crucial role of Vitamin B12, hydroxocobalamin, can be potentially used in septic shock. He discusses the indications using evidence based medicine of how hydroxocobalamin can potentially be helpful in septic shock and how Vitamin B12 can help in treating this life-threatening condition. This informative and engaging episode is a must-listen for anyone int
Appreciating Our Nurses: The Role of the ICU Physician
Show Notes: eddyjoemd.com/appreciating-nurses/
TrueLearn Link: https://truelearn.referralrock.com/l/EDDYJOEMD25/Discount code: EDDYJOEMD25
Citation: Vincent JL, Boulanger C, van Mol MMC, Hawryluck L, Azoulay E. Ten areas for ICU clinicians to be aware of to help retain nurses in the ICU. Crit Care. 2022 Oct 13;26(1):310. doi: 10.1186/s13054-022-04182-y. PMID: 36229859.
Although great care has been
More Fluids vs. Vasopressors During the First 24 Hours of Septic Shock (CLOVERS Trial)
Show Notes: eddyjoemd.com/clovers/
TrueLearn Link: https://truelearn.referralrock.com/l/EDDYJOEMD25/Discount code: EDDYJOEMD25
Citation:
National Heart, Lung, and Blood Institute Prevention and Early Treatment of Acute Lung Injury Clinical Trials Network; Shapiro NI, Douglas IS, Brower RG, Brown SM, Exline MC, Ginde AA, Gong MN, Grissom CK, Hayden D, Hough CL, Huang W, Iwashyna TJ, Jones AE, Khan
Goodbye, 2022. Hello, 2023!
Show Notes: eddyjoemd.com/hello-2023/
Cardiogenic Shock: Part 3
Evaluation of patients with Cardiogenic Shock. Why do we need a swan, introduction to CPO, PAPi and survival rates in these critically ill patients
Show Notes: https://eddyjoemd.com/cardiogenic-shock-mcs/
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Cardiogenic Shock: Part 2
Evaluation of patients with Cardiogenic Shock. Part two of who knows how many episodes I will create on this topic. In this episode I discuss the stages and prognosis based on the staging.
Show Notes: https://eddyjoemd.com/cardiogenic-shock-mcs/
TrueLearn Link: https://truelearn.referralrock.com/l/EDDYJOEMD25/
Discount code: EDDYJOEMD25
Cardiogenic Shock: Part 1
Evaluation of patients with Cardiogenic Shock. Part one of who knows how many episodes I will create on this topic. Definition, Clinical Manifestations, Phenotypes and an Introduction to Management Strategies
Show Notes: https://eddyjoemd.com/cardiogenic-shock-mcs/
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Discount code: EDDYJOEMD25
Acute Pancreatitis Resuscitation: No Need to Overdo It
How should we provide IV fluids to patient with acute pancreatitis? Let's look at a recent paper in the NEJM that helps with rate & duration. In this episode, we discuss the resuscitation of acute pancreatitis and why it's important not to overdo it. Acute pancreatitis is a common condition that can be associated with significant morbidity and mortality. Fluid resuscitation is a key co
Milrinone vs. Dobutamine in Cardiogenic Shock: Which is Better?
Should we use milrinone or dobutamine in patients in cardiogenic shock? NEJM published data providing us with the answer.
In this episode, we explore the topic of cardiogenic shock and the use of two common medications, milrinone and dobutamine, in treating it. We examine the mechanisms of action, potential side effects, and clinical outcomes associated with each drug to determine which may be the
Do Cardiogenic Shock Patients Need a Swan-Ganz/Pulmonary Artery Catheter?
Do Cardiogenic Shock Pts Need a Swan-Ganz/Pulmonary Artery Catheter? Let's look at the data. Let's also look at the devices such as pulse-contour analysis and bioreactance to see if they could replace the PA catheter in the management of cardiogenic shock.
Show Notes: https://eddyjoemd.com/cardiogenic-shock-swan/
Mechanical Circulatory Support Notes: https://eddyjoemd.com/cardiogenic-shock-mcs/
Pulmonary Artery Pulsatility Index (PAPi)
Pulmonary Artery Pulsatility Index (PAPi) is a hemodynamic parameter with prognostic value in pts w/right heart failure & cardiogenic shock.
Show Notes: https://eddyjoemd.com/papi/
Citations:
Lim HS, Gustafsson F. Pulmonary artery pulsatility index: physiological basis and clinical application. Eur J Heart Fail. 2020 Jan;22(1):32-38. doi: 10.1002/ejhf.1679. Epub 2019 Nov 28. PMID: 31782244.
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Bicarb in Diabetic Ketoacidosis (DKA): Should You Change Your Practice?
Should we provide our DKA patients with sodium bicarbonate (bicarb) pushes or drips to improve their pH? Let's look at the data.
In this episode, we dive into the controversial topic of using bicarbonate in the management of diabetic ketoacidosis (DKA). Is it beneficial or harmful? We review the current evidence and guidelines to help you make informed decisions on whether to incorporate bicar
Trust the MAP on the Patient Monitor. Not the SBP nor DBP on Patients with a BP Cuff
When you're taking one of those automated blood pressure measurements on an oscillometric device, you should trust the MAP.
Show Notes: https://eddyjoemd.com/oscillometric-map/
High-Flow Nasal Oxygen: Clinical Guidelines by the European Respiratory Society
The European Respiratory Society has provided 8 conditional recommendations for the use of nasal high flow/high flow nasal cannula/high flow oxygen/whatever you want to call it. Here, I review the 8 recommendations and add some commentary on them.
Show Notes: https://eddyjoemd.com/high-flow/
Citation:
Oczkowski S, Ergan B, Bos L, Chatwin M, Ferrer M, Gregoretti C, Heunks L, Frat JP, Longhin
Intermittent Fasting: Debunked?
Is intermittent fasting (time-restricted-eating) with a calorie restriction better than just a calorie restriction?
Show Notes: https://eddyjoemd.com/intermittent-fasting/
Citation:
Liu D, Huang Y, Huang C, Yang S, Wei X, Zhang P, Guo D, Lin J, Xu B, Li C, He H, He J, Liu S, Shi L, Xue Y, Zhang H. Calorie Restriction with or without Time-Restricted Eating in Weight Loss. N Engl J Med. 2022
Aspirin in COVID-19: Has It Made a Comeback?
Aspirin has been thoroughly studied for patients with COVID-19. This study is a positive trial suggesting benefits to using it. But should we? Let's interpret the data given recent advancements.
Show Notes: https://eddyjoemd.com/aspirin-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 w
High Flow Nasal Oxygen or NIV in the Immunocompromised?
In patients who are immunocompromised, we must determine whether using high flow oxygen (HFNC/NHF/HFO) or NIV would better serve our patients
Show Notes: https://eddyjoemd.com/high-flow-immunocompromised/
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 i
tPA for Critically Ill ICU Patients with COVID-19: Does Alteplase Help?
Should we be considering tPA (alteplase) as a last-ditch effort to try to improve oxygenation in our COVID-19 patients?
Show Notes: https://eddyjoemd.com/tpa-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
Rapid Shallow Breathing Index (RSBI): Does it Predict A Successful Extubation?
Should we use rapid shallow breathing index (RSBI) in isolation or in conjunction with other parameters to predict extubation success?
In this episode, we discuss the use of Rapid Shallow Breathing Index (RSBI) as a predictor of successful extubation in critically ill patients. We review the significance of the RSBI, and the factors that affect its accuracy. We also explore the evidence behind the
VTE Prophylaxis or Full Anticoagulation in COVID: Visiting the Guidelines
Reviewing the data and guidelines to provide anticoagulation or VTE prophylaxis to our patients with COVID-19.
Show Notes: https://eddyjoemd.com/anticoagulation-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, omissi
When to Perform a Tracheostomy on a COVID-19 Patient
Show Notes: https://eddyjoemd.com/expectations/
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
Instagram: www.instagram.com/
Why Do We Order Two Sets of Blood Cultures?
Are you annoyed when the clinician orders two sets of blood cultures for your patient? Let's look at why you have to do two and 20ml's. In this episode, we explore the reasons behind ordering two sets of blood cultures when a patient presents with a suspected infection. We discuss the importance of obtaining accurate and reliable results, how the two sets of cultures increase the chances o
Lactate/Lactic Acid: Why Do We Check It and Why Do We Trend it?
In this podcast I cover lactate levels (aka lactic acid levels) sorting out the original data as to why we check it on every patient with sepsis or septic shock upon arrival to the ED, how it is associated with mortality, and how trending it could provide insight to the prognosis of our patients. In this episode, we explore the importance of lactate/lactic acid levels in critically ill patients. W
The Data on Natural Immunity and Mandates
Are the vaccine mandates that are seen around the world today evidence based? Based on these data, it appears that they are not.
Show Notes: https://eddyjoemd.com/vaccine-mandate/
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
The Heart and COVID-19 Are Not BFF's
Reviewing a recently published article on Cardiac Injury in COVID-19 that was published in the Intensive Care Medicine Journal by Julie Helms, Alain Combes and Nadia Aissaoui.
Show Notes: https://eddyjoemd.com/foamed
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
How to Stay Up To Date with the Critical Care Literature
Many people often ask me how I stay up to date with the most recent literature in Critical Care Medicine. This podcast will hopefully explain this.
Show Notes: https://eddyjoemd.com/up-to-date-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 th
Plasma-lyte vs. Saline (0.9% NaCl) in the Critical Ill: Reviewing the PLUS Trial
The PLUS Trial compared plasma-lyte to 0.9% NaCl (aka normal saline) in patients who were critically ill and needed IV fluids. In this episode, we review the PLUS trial that compared Plasma-lyte to Saline (0.9% NaCl) in critically ill patients. We discuss the rationale behind the trial, its design, and the key findings. We also delve into the implications of the study results and explore how this
Vasopressin & Methylprednisolone: Time to Add Them to ACLS Protocols?
A new study is showing that we should add vasopressin and methylprednisolone to our ACLS protocols as it helps patients achieve ROSC faster. Should they be standard of care? In this episode, we discuss the use of vasopressin and methylprednisolone in cardiac arrest and their potential benefits. We explore the studies that have examined the use of these medications in ACLS protocols and their mecha
Atorvastatin for ICU COVID Patients: Not Ready for Prime Time (Journal Club-ish)
Could atorvastatin (lipitor) help improve outcomes in our COVID patients who are in the ICU? Let's review the evidence from this trial.
Show Notes: https://eddyjoemd.com/atorvastatin-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
Changing ECMO Criteria: Do Days on Vent Prior to Cannulation Matter?
Traditionally, we do not cannulate patients for VV-ECMO if they've been on invasive mechanical ventilation for more than 7 days. These new data say we should allow for a bit more grace.
Show Notes: https://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
2022 Resolutions: A Fresh-ish Start
The following are my resolutions for the year 2022 with regards to my educational and social media endeavors to bring you all the best.
Show Notes: https://eddyjoemd.com/2022-resolutions/
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 fo
Obesity in Critical Illness & COVID-19: A Very Bad Combination
Obesity is a risk factor for COVID that we are not hearing enough about. It is a modifiable risk factor that should be addressed.
Show Notes: https://eddyjoemd.com/obesity-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 err
Bicarbonate for Respiratory Acidosis: Not So Fast
When a patient has an acidosis which is respiratory in nature, the right answer should not include using sodium bicarbonate. In this podcast episode, we explore the use of bicarbonate for the treatment of respiratory acidosis. While it is a commonly used therapy, recent studies have suggested that it may not be as effective as previously thought. We discuss the physiology of respiratory acidosis,
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