Rhythm Strip

Time to Play: What’s That Rhythm?!

Time to Play:  What’s That Rhythm?! Patient is a 60 yr old gentleman with ALS who was admitted for respiratory distress on NIPPV.  This picture is representative of his initial rhythm strip upon arrival to the hospital.  What’s the deal with those intermittent clustered spikes?  Take a long look at it and decide for yourself…

GalvagnoPhoto

Sam Galvagno – Earning the Anesthetic for RSII

Dr. Sam Galvagno is a Lieutenant Colonel in the US Air Force who is an expert in anesthesia critical care, airway management, critical care education, published in JAMA, and a black belt in Tae Kwon Do to boot. Did I mention he earned a PhD in Clinical Investigation?  This short talk is JAM PACKED with clinical pearls.  Needless…

Journal Pic

Must Read Paper: Vincent – 10 BIG mistakes in ICM

Happened upon this commentary written by the venerable Jean-Louis Vincent in Intensive Care Medicine, and it’s a MUST read.  Below is his “Top 10 list,” but there is a lot more discussion in the paper worth reading.  Below are a few of my thoughts, but I’d love to hear what everyone else thinks…. We focus too…

REBOA sign

Megan Brenner – REBOA

Dr. Megan Brenner is currently one of the leaders in the development of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA).  As a trained trauma, critical care, and vascular surgeon Dr. Brenner is actively developing the integration of REBOA here at the Shock Trauma Center and the University of Maryland for both trauma and medical…

hematology

Carl Shanholtz – Hematologic Malignancies and Critical Care

Carl Shanholtz, MD is medical director of the Medical Intensive Care Unit at the University of Maryland Medical Center. After a fellowship in critical care medicine at Johns Hopkins University he did further training in Hematology and Oncology at the University of Maryland Medical Center. He specializes in the care of hematologic and solid malignancy patients and shares…