Cover art for podcast Saving Lives: Critical Care w/eddyjoemd

Saving Lives: Critical Care w/eddyjoemd

44 EpisodesProduced by Eddy Joe, MDWebsite

Reviewing evidence based strategies to care for the Critically Ill patient in the Intensive Care Unit. This podcast is hosted by Eddy Joe Gutierrez, MD. Support this podcast:

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You SHOULD Pursue Critical Care! Part 3

November 28th, 2020


This is meant to encourage you to pursue a career in the many branches of Critical Care Medicine, whether you're a physician, NP, PA, or nurse. I …

You SHOULD Pursue Critical Care! Part 2

November 26th, 2020


This is meant to encourage you to pursue a career in the many branches of Critical Care Medicine, whether you're a physician, NP, PA, or nurse. I …

Convalescent Plasma in COVID-19 Severe Pneumonia Unfortunately Did Not Pan Out

November 25th, 2020


Convalescent Plasma did not quite pan out the way we all wish it did in this study (PlasmAr) published today in the New England Journal of Medicine

Show Notes:

Receive a FREE audiobook (TWO for …

CVICU: Optimal Transfer of Care from the CVOR

November 24th, 2020


Mitigating errors and improving patient care in the transition of patients who are s/p cardiac surgery as they move from the cardiovascular operating …

Neutrophil to Lymphocyte Ratio (NLR): Predicting Outcomes in COVID-19

November 23rd, 2020


Could a CBC w/diff tell us who's going to do poorly with COVID? Using the neutrophil to lymphocyte ratio could be quite helpful.

Show Notes:

DKA: Which IV Fluids to Use? Balanced Salt Solutions or 0.9% NaCl

November 21st, 2020


Looking into which fluids we should use to resuscitate our patients who are in Diabetic Ketoacidosis based on the findings of the SALT-ED and SMART …

ROX Index: Predicting High-Flow Nasal Cannula Outcomes

November 18th, 2020


The ROX index is defined as the ratio of oxygen saturation as measured by pulse oximetry (SpO2)/FIO2 to respiratory rate (RR). It stands for …

Fluvoxamine: A Potential Outpatient Treatment for COVID

November 14th, 2020


Fluvoxamine is an SSRI that may improve outcomes in COVID-19 when administered in the outpatient setting. This small trial published in JAMA two days ago looks into the positive effects of this therapy to prevent …

Aspirin & COVID-19: Does it Decrease the Severity of Illness?

October 25th, 2020


Could Aspirin 81mg in COVID-19 patients help keep them off of mechanical ventilation, out of the ICU, and decrease mortality? Let's explore!

Show …

Cardiac Arrest & COVID-19: A Very Poor Combination

October 24th, 2020


Do COVID-19 patients who suffer a cardiac arrest in the hospital survive? Should we even attempt CPR on these COVID patients? We should.

Show Notes:

Community Questions: Staying Up To Date, Time Management, and Work/Life Balance

September 25th, 2020


Receive a FREE audiobook (TWO for Amazon Prime members) with your FREE 30-day trial by using my link for Audible: CLICK HERE! You will be reminded when your trial is ending, …

You SHOULD Pursue Critical Care! Part 1

September 21st, 2020


This is meant to encourage you to pursue a career in the many branches of Critical Care Medicine, whether you're a physician, NP, PA, or nurse. I …

Emotional Intelligence in the ICU

September 20th, 2020


This paper by Dr. Stoller out of the Cleveland Clinic published in CHEST several days ago caught my eye. It describes how developing and practicing …

Do NOT pursue Critical Care! Part 3

September 11th, 2020


This is not meant to deter you from going into the many branches of Critical Care Medicine, whether you're a physician, NP, PA, or nurse. I love my job/career and I love my team. Rather to inform you of the challenges …

Do NOT pursue Critical Care! Part 2

September 10th, 2020


This is not meant to deter you from going into the many branches of Critical Care Medicine, whether you're a physician, NP, PA, or nurse. I love my job/career and I love my team. Rather to inform you of the challenges …

Do NOT pursue Critical Care! Part 1

September 10th, 2020


This is not meant to deter you from going into the many branches of Critical Care Medicine, whether you're a physician, NP, PA, or nurse. I love my job/career and I love my team. Rather to inform you of the challenges …

Fix the Magnesium Deficiency Before the Potassium Deficiency!

September 8th, 2020


When patients have hypokalemia, you want to fix it. So you give potassium to make the numbers pretty.  You go ahead and give some potassium and do …

Midodrine to Wean Vasopressors: The MIDAS Trial (Journal Club-ish)

September 5th, 2020


Can we wean patients off of vasopressors faster by providing them with Midodrine? The MIDAS trial (Effect of midodrine versus placebo on time to vasopressor discontinuation in patients with persistent hypotension in the …

Vitamin D Supplementation in Hospitalized COVID-19 Patients

September 4th, 2020


Providing Calcifediol (25-hydroxyvitamin D3) to COVID patients in this Pilot Study showed that it decreased the need for transfer to the intensive …

VV ECMO: Patient Selection & Pulling the Trigger in ARDS

September 3rd, 2020


Ever wonder when you should pull the trigger and call in the ECMO team or your ECMO center to determine whether your patient who is in severe ARDS is …

CVP: Can we use it for Fluid Responsiveness?

August 27th, 2020


Do you use Central Venous Pressure (CVP) to assess whether your patient is fluid responsive or not? What about volume status? Let's take a deep dive …

Phosphorus Levels in the Critically Ill

August 26th, 2020


Reviewing the rationale behind checking for hypophosphatemia in patients who are critically ill in the intensive care unit (ICU) exploring the …

Discontinuing Contact/Isolation Precautions in COVID-19 Patients

August 26th, 2020


When should we discontinue contact and isolation precautions in COVID-19 patients who are hospitalized? Let's take a look at the CDC recommendations …

IV Fluids: Contextual Introduction & History of 0.9% NaCl, Lactated Ringers, & Plasma-lyte

August 24th, 2020


Lecture 1 on my IV Fluid Series. In this podcast, I discuss how much fluid we keep intravascularly after resuscitation, as well as the history behind …

Remdesivir: $3120 of "Uncertain Clinical Importance"

August 22nd, 2020


Reviewing the trial published in JAMA on 8/21/2020 where they looked at the clinical outcomes of Remdesivir in Moderate COVID-19. 

Show Notes:

Receive a FREE audiobook (TWO for Amazon …

COVID & Intubation: Getting the Timing Right

August 21st, 2020


Early intubation or a trial of high-flow nasal cannula for COVID-19 patients? This retrospective analysis out of Emory assesses the outcomes from the …

Bicarb for a Lactic Acidosis? BICAR-ICU (Journal Club-ish)

August 19th, 2020


Have you ever wondered why we don't give sodium bicarbonate to patients with a metabolic acidosis or a lactic acidosis? In this podcast I discuss the …

A Rationale to use IV Vitamin C followed by a Reality Check: The ACTS Trial (Journal Club-ish)

August 18th, 2020


Another day, another IV vitamin C trial. It appears as if the dust is settling a bit on all this. This paper will be known as the ACTS trial for Ascorbic acid, Corticosteroids and Thiamine in Septic shock. Before …

Vitamin C & Thiamine in Septic Shock: ATESS Trial (Journal Club-ish)

August 17th, 2020


The ATESS trial looked at IV thiamine and vitamin C in septic shock patients. They enrolled patients early in 4 academic ED's in South Korea. Here, I …

SvO2 & ScvO2: Differences and How to Guide Resuscitation with it

August 15th, 2020


Every hear these terms thrown around and wondered what they meant? ScvO2, SvO2, mixed venous blood gas. I break down these confusing terms and …

ProtekDuo RVAD for Mechanical Circulatory Support

August 14th, 2020


Diving into the world of mechanical circulatory support and right ventricular assist devices, I'd like to introduce you to the ProtekDuo. I learned …

Colchicine for COVID-19? A look at the GRECCO-19 Trial

August 13th, 2020


Could colchicine help keep patients out of the inflammatory phase of COVID-19 and help save lives? A quick look at the GRECCO-19 Trial out of Greece …

HCW's exposed to COVID: Should you take HCQ?

August 9th, 2020


Should healthcare workers exposed to COVID take hydroxychloroquine to decreased their chances of contracting the virus? I take a dive into a journal …

Zinc for Acute & Critical Illness: Tools for Metabolic Resuscitation

August 8th, 2020


An evaluation of the evidence to promote research looking at potential benefits of zinc administration to those who are critically ill with either bacterial or viral infections. Amongst things discuss include possible …

Vitamin C in COVID-19: Possible Prophylaxis & Adjunctive Therapy

August 4th, 2020


We need help. Can we prevent getting sick with COVID by taking Vitamin C or even use it as an adjunctive therapy to help decrease severity in patients who have contracted COVID-19? Reviewing an article that investigates …

Dexamethasone Reduces Mortality in COVID-19

August 3rd, 2020


The RECOVERY Collaborative Group out of the UK performed an open-label trial where they looked at the effects of IV or PO Dexamethasone in patients …

Bicarbonate (Carbon Dioxide) In Serum & Blood Gases

August 2nd, 2020


In this podcast, we tackle the "Carbon Dioxide" level in the basic metabolic panel that everyone seems to call "Bicarbonate". We discuss why this …

Midodrine in the ICU

August 1st, 2020


Ever have a patient who is on low dose norepinephrine or another vasopressor who you can't get out of the ICU solely for that reason? Have you tried …

Plasma Exchange (PLEX) in COVID: Could it Improve Outcomes?

July 31st, 2020


We need all the help we can get in the ICU to help save the lives of our patients with severe COVID-19. Could plasmapheresis/plasma exchange/PLEX be …

Melatonin for COVID-19: Treatment Hunting

July 30th, 2020


Time to start thinking outside the box to help treat our patients with COVID-19. In this podcast, I explore data from 4 articles on how using …

Tocilizumab in Severe COVID- Dead in the Water?

July 29th, 2020


Roche published a press release on 7/29/2020 reflecting the results of the COVACTA study where Actemra/tocilizumab did not improve clinical outcomes …

HCQ, Azithro & Zinc in the Outpatient Setting for COVID

July 28th, 2020


Lots of excitement today over this recent article/video about hydroxychloroquine, azithromycin and zinc. We need to take a deep breath and review the literature. Turns out there's no data support that it does work and …

Becoming an Intensivist: Critical Care Fellowship Routes

July 26th, 2020


Are you a pre-med, med student, or resident who is considering becoming a Critical Care Specialist (aka Intensivist)? This podcast explores the different routes you can pursue to achieve your dreams and aspirations. I …

A Day In The Life Of An Intensivist

July 25th, 2020


In this podcast, I describe a day in my life as a Critical Care Doctor starting at the beginning of my shift through the end of it. I provide organizational tips as well as strategies to increase efficiency throughout …

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