Blue Crew Medicine

The Ups and Downs of GI Bleeds

In this episode, Davis and Will discuss GI bleed management. Although many of these patients are not truly critical care management, when they do fall into that category it can be complex, especially when trying to get these patients definitive care. They discuss everything from blood products, airway management, NG/OG tubes, to pharmocology management. Enjoy!

Get in the Chest! Chest Injuries and Management

In this episode, we are joined again by Dr. Zaza and Dr. Wachs to discuss chest injuries and their management. Everything from needle decompression, to complex pericardial injuries, is on the table. As always these are designed for clinicians of all levels, and on evidence-based medicine. 

Pump It Up! Heart Failure Part 2

This is a continuation of the series on heart failure with Audi, Mark, and Will. This episode deals with treatment and management strategies for these patients. 
 
Some of the topics discussed include:
Hemodynamic Support
Optimizing Cardiac Perfusion
Inotropes
Airway Management Strategies
Definitive Management
 

Identifying A Failing Pump - Heart Failure Part 1

In this episode, one of our cardiology fellows, Dr. Sabharwal, Mark, and Will all discuss heart failure. This is a two-part series with this episode focusing on assessment, identification, and ultrasound use. 
Some of the topics discussed include:
Physical exam
Pertinent Labs
Utilizing Mixed Venous Gases
Invasive monitoring
Trending
Ultrasound Use

Back to Basics of Seizures

In this episode Dr. Freeman, Dr. Browning, and Will discuss seizure assessment and management in both adults and pediatrics. 

Pediatric Diabetic Ketoacidosis (DKA)

In this episode, Will, Nathan, Blake, and Stephen all discuss DKA with specific regard to pediatrics. This includes a little pathophysiology as always but is very detailing management. Including what labs and management are important and some pearls to watch for along the way. As always this is based upon current evidence-based medicine and standard of care. 

Pediatric Asthma Part 2: Non-Invasive and Invasive Airway Management Strategy

This is part 2 of 2 on pediatric asthma management. In this episode, Dr. Maready, Ben, Matt, and Will discuss the asthmatic airway management for both invasive and non-invasive modalities. They discuss the use of Hi-Flow, BiPAP, and intubation along with different management and settings associated with each modality. 

Pediatric Asthma - Part 1 Assessment and Pharmocology

This is part 1 of 2 on pediatric asthma management. In this episode, Dr. Maready, Ben, Matt, and Will discuss the definition and diagnosis of asthma in the pediatric population. They go on to discuss the management of these patients using pharmacological adjuncts like magnesium, epinephrine, and terbutaline. Included in the discussion of each adjunct is what respective triggers for utilization of those adjuncts may be. 
 
 

Vital Signs - What Matters

In this episode, Don, Ben, Adyn, and Will discuss several of the common vital signs we are given or can calculate on our patients in primarily emergency medicine. Mean arterial pressure (MAP), temperature, SpO2/FiO2 Ratios, Shock Index are just a few that are discussed in this episode.
 
Mean Arterial Pressure MAP = ( DBP +DBP +SBP ) / 3
Shock Index (SI) = Heart Rate / SBP
Urine Output 0.5 - 1 cc/kg/hr
Temp 96.8 F = 36.0 C and 100.4 F = 38 C

Challenging the Dogma In Trauma Management - Bonus Episode

This is a bonus episode where Dr. Zaza, Dr. Wachs, and Will cover several common dogmas in trauma management from backboards to ketamine administration.