ttm

Hypothermia (33°C) vs. Normothermia (37.5°C) in Cardiac Arrest – TTM2

Way back when I was just a baby intern, I remember placing these large IJ cannulas in the patients who suffered cardiac arrests to proceed with hypothermia. Later in my training, in December of 2013, the NEJM published the Targeted Temperature Management (TTM trial) looking at 33°C versus 36°C after Cardiac Arrest. The paradigm began …

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anaphylaxis

Anaphylaxis: Act Fast and Save a Life

This page is a work in progress regarding anaphylaxis and was first updated on 4/26/21 and last updated on 4/22/22. Stay tuned for updates.Cite this post as: Eddy J. Gutierrez, "Anaphylaxis: Act Fast and Save a Life", eddyjoemd blog, April 26, 2021. Available at: https://eddyjoemd.com/anaphylaxis/. Citations for Anaphylaxis: (Updated 4/14/22) Li X, Ma Q, Yin …

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peripheral vasopressors

Peripheral Vasopressors: Are They Safe for our Patients?

I have quite the love-hate relationship with central lines. They sometimes give me the warm and fuzzies when my Emergency Medicine colleagues call me for a sick patient in the ED who is completely appropriate for the ICU and I see a right internal jugular central venous catheter on the chest x-ray. In my practice, …

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Procedure Log for a Private Practice Intensivist: 2020 Update

To conclude 2019, I posted on Instagram my personal statistics/procedure log from my job as an Intensivist in a non-academic facility. I am a private practice physician. The vast majority of the time, I do not work with an NP nor a PA. I have been collecting the data regarding how many encounters I have …

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GI Bleed Dose Vasopressin: Is it even a thing?

I have seen well respected clinicians provide a patient with a gastrointestinal (GI) bleed with high doses of systemic vasopressin. Throughout my three years of residency training and two years of fellowship at a well respected institution, I have not seen this used once in practice. Let's take a look at what this really means …

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Emotional Intelligence in the Intensive Care Unit (ICU)

Dr James Stoller from the Cleveland Clinic published this review on emotional intelligence needed in ICU physicians/practitioners. You can be the smartest person in the world but unless you have developed the key components of emotional intelligence, many of those skills will not have their time to shine. When I was in training, I cared for …

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Phosphorus/Hypophosphatemia in the Critically Ill: Let’s Correct it!

I covered this topic about hypophosphatemia in the critically ill back in the infancy of my Instagram account on 4/19/2019. Seems like an eternity ago. I know it's not very Zentensivist of me to have this as part of my practice, but this is something I actively chase in my patients. Phosphorus, generally speaking, is …

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