An intensivist on a learning frenzy. Caring for the critically ill using evidence-based medicine.
Part of the reason why I love critical care includes all the sexy high adrenaline stuff we do to keep people alive. Some of the not so sexy stuff is trying to save money as well as resources to provide good value for our hospital systems and the country as a whole if we're being …
Continue reading Choosing Wisely in Critical Care: There are now 10.
I am going to be completely honest here and mention that this particular article that I'm going to be looking at today looking at hypothermia in COVID is more for entertainment purposes at this juncture rather than actual data. The paper that I am using as a citation for this post was published on 30 …
Continue reading Hypothermia for ICU COVID-19 Patients? Exploring other options
Today is February 12 of 2021 and I'm gonna be discussing this new not quite yet peer-reviewed article from the recovery trial collaborative group titled “Tocilizumab for COVID-19” or it might be called “Tocilizumab in patients admitted to hospital with COVID-19 (RECOVERY): Preliminary results of a randomized, controlled, open-label, platform trial. Should we be giving …
Continue reading Tocilizumab for COVID-19: The Return (RECOVERY Group)
During this journey I have learned that standard-of-care is not necessarily practiced as well as we all think. We all have our own issues, but there are some things that should just be done in the interest of our patients. During the current pandemic, I have come to realize that many institutions did not have …
Continue reading High Flow Nasal Cannula in Clinical Practice: Recommendations/Guidelines
For historical context, today is 11/19/2021 when I have provided a major update to this page with the citations. Like everything else on my page, it is a work-in-progress. The guidelines are still recommending 6mg of dexamethasone per day for oxygen-requiring patients with COVID-19. I have extensively covered the data behind doing so on this …
Continue reading Methylprednisolone in COVID-19: Pulse dose & other regimens
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 …
Continue reading Procedure Log for a Private Practice Intensivist: 2020 Update
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 …
Continue reading GI Bleed Dose Vasopressin: Is it even a thing?
This is episode 50 of the Saving Lives Podcast. On September 25th I took the plunge into the podcast stratosphere with a version of my YouTube video titled "A Day in the Life of an Intensivist". I have been doing YouTube for several years now but I am usually on time constraints and setting up …
We are individual humans with free will. Today, I made the choice to receive the COVID vaccine. It was not a decision that was made lightly. After all, there are numerous unknowns regarding the vaccine that can only become knowns with time. And right now I feel we do not have a great deal of …
Continue reading The COVID-19 Vaccine: My Personal Decision To Get It
This week, my video on YouTube titled "ICU/Intensive Care: How to Present A Patient During Rounds" surpassed 100000 views on my YouTube channel. This is the first time that my medical channel has accomplished this feat and I am quite happy about it. It's quite funny to me that my third YouTube video is still …
Continue reading 100,000 views on a Medical YouTube Video: How much did I earn?