EMCrit Blog and Podcast

EMCrit 411 - You Need to Understand the Andromeda-Shock-2 RCT for Septic Shock
Personalized Hemodynamic Optimization based on Cap Refill
On this episode, I discuss the ins and outs of the entire trial--next week I speak with the study authors
#ANDROMEDASHOCK
emcrit.org/411

EMCrit 1:1 Nursing 006 - Post-Cardiac Arrest (Post-Arrest) Care
We did the arrest, now let's talk about afterwards...
These are the sickest patients in the hospital and you need aggressive, proactive resus nursing!
Docs should listen to this one too!
[#FOAMed for a bit]
emcrit.org/1to1-006

EMCrit 410 - What PulmToilet Taught Me About Views on SCAPE (Sigh...)

In which an instragrammer Sh!tPosts His Way Successfully on to the Podcast and then is too nice for me to feel good about dragging him...

emcrit.org/410

EMCrit RACC-Lit Review - October 2025 All the lit goodness for Oct 2025

EMCrit RACC-Lit Review - October 2025
- CTA A/P is not good enough for brain death
- Add. low-dose tPA infusion study for submassive PE
- Suctioning's effects on RSI oxygenation
and so much more...
emcrit.org/dc0b

EMCrit 409 - Pulmonary Embolism (PE) Update 2025 with @klinelab (Jeff Kline)
We explore some of the questions raised by the recently posted PE malpractice case.
When can you PERC???
Should you give heparin at the same time as your lytics?
and so much more
[#FOAMed for a bit]
emcrit.org/409

CV-EMCrit Wee - Electrical Storm: Surviving the Storm - Part I
-Which Anti-Dysrhythmics? and how to mix that cocktail
-When SGB?
-When to tube and sedate?
and so much more with @TrinaAugustinMD
[#FOAMed for Now]
emcrit.org/emcrit/elec...

I’ll ask Kline and report back

that is not true, nor was that the conclusion of that blogpost. they clearly separated inapprop perc use (preg, high prev pops, and abnormal vitals) from pleuritic cp, which had higher OR, but clearly is a perc eligible population.

EMCrit 1:1 Nursing 005 - Medical Cardiac Arrest Cardiac Arrest on 1:1 Nursing

EMCrit 1:1 Nursing 005 - Medical Cardiac Arrest. Candice and I discuss:
- The Nurse Code Leader
- Prebrief/Debrief
-Holding Mech CPR Hostage
and so much more!!!
[#FOAMed for now]
emcrit.org/1to1-005

that would be amazing. i imagine once the pm cardio folks start feeding their model pe vs. non-pe ecgs we will have a black box solution that trumps our skill set

may be helpful to listen to the podcast for discussion on that point

EMCrit 408 - Behind the Scenes of an Infuriating Medical Malpractice Trial.
I am joined by @medmalreviewer to discuss the case and then in a true surprise-the Jury Foreperson weighs in.
@embouncebacks @GitaPensaMD
[#FOAMed for Now]
emcrit.org/408

EMCrit 407 - Massive Hemorrhage Protocol 2.0 with @petrosoniak.
We cover:
-Mass Trans at Rural Hospitals
-Debate 1:1:1
-Easier admin of TXA
-Lab based vs. ratioed resus
[#FOAMed for Now]
emcrit.org/407

If we can't sell 4 more tickets, then we will not go forward with the event b/c of the kickstarter-style ticket sales. That is the only reason I am bugging you now. Click through and if it looks interesting, please commit ASAP!
emcrit.org/awakeaware

We explore rediscovering joy in your career, honing your purpose, modulating stress and physiology, , and so much more... But what made last year's course extraordinary is that a retreat-like bubble emerged. A sanctuary of time in which things become clearer and more solid

I am doing a kickstarter that ends in 5 days for the Awake & Aware Conference. We have 4 more tickets we are selling at cost. This is the most special non-clinical conference I have ever taught at.
emcrit.org/awakeaware

EMCrit 1:1 Nursing 004 - Listener Q&A and Follow-Up 1
- Hear about how Scott pissed numerous people off re: adenosine
- LR issues
- How to teach without a teaching position
and so much more!
[#FOAMed for now]
emcrit.org/1to1-004

EMCrit 406 - Awake NasoTracheal Intubation - When to Pick Your Patient's Nose.
We go into a ton of logistics (big surprise on an EMCrit show, huh?)

emcrit.org/406

great video!!!

EMCrit RACC-Lit Review - August 2025 All the literature goodness for August 2025...

EMCrit RACC-Lit Review - August 2025
- New site for radial art lines
- Game-changing New Dissection Policy
- ED Doc Initiated ECMO
and much more...
emcrit.org/emcrit/racc...

study compared a true seldinger device (most elegant insertion method) to regular IV caths. Would bet placement method & the general crappiness of using IV caths for anything more than the length of an operation (i see u, anesthesia) is likely culprit and not the plastic that the aline is made from.

EMCrit 405 - Paracentesis - the EMCrit (Easy) Way Everything Paracentesis -- If you are going to do it, let's learn to do it quickly, safely, and with the minimum amount of fuss.

EMCrit 405 - Paracentesis - the EMCrit (Easy) Way.
- Don't use bottles
- Don't use crappy 18g central line kit catheters
- Should we be doing large volume taps in the ED?
and much more!
emcrit.org/405

NeuroEMCrit - Neurocritical Care Year in Review 2023-2024 Part 1 - Acute Ischemic Stroke Part 1 of the Year in Review for NeuroEMCrit

NeuroEMCrit - Neurocritical Care Year in Review 2023-2024 Part 1 - Acute Ischemic Stroke [Blog Post]
emcrit.org/bjcd

EMCrit 404 covers Facial Trauma with Bellal Joseph, MD. He wrote the BIG guidelines and now moved on to FIG-facial injury guidelines. After this podcast you will know which injuries are serious and which can be sent home.
[#FOAMed for now]
emcrit.org/404

EMCrit 1:1 Nursing Podcast 003 - Intubation In episode 3, we discuss the resus nurse's role in intubation

EMCrit 1:1 Nursing Podcast 003 - Intubation
- Full Syringes of Meds
- ISMP Style Labeling
- Checklists
- Blow to Know
and so much more!!
[#FOAMed for a bit]
emcrit.org/1to1-003

CV-EMCrit Wee - Mastering Persistent Air Leaks: Management of Pleural Fistulae from Conservative Care to VV ECMO-facilitated Ultra-Ultra Lung Protective Ventilation.
@TrinaAugustinMD temporarily branches into the thoracics world with Gabriel Ortiz Jaimes, MD
[#FOAMed for a bit]
emcrit.org/paf

EMCrit 403 - What's the Status of Status - Status Epilepticus 2025 with @PulmCrit
emcrit.org/403

On Deeper Reflection 014 - This is the 1st of a multi-part series in which I discuss each session of our UnBurnable Course. This one goes into Inner Voice, which in most burnt-out clinicians (and most clinicians in general) manifests as a negativity spouting inner critic...
emcrit.org/odr/inner-v...

had so much fun in this conversation

EMCrit RACC-Lit Review - June 2025 All the RACC-Lit goodness for June 2025

EMCrit RACC-Literature review for June 2025, including papers on:
- Facial Fx Xfer Criteria
-Optpress shows high MAP goals=badness
-HOB up for LVO stroke can be life/brain threatening...
and so much more
emcrit.org/bula