Perhaps this slowed up (0.5x) A3C loop will help with that LVOT doppler!
Perhaps this slowed up (0.5x) A3C loop will help with that LVOT doppler!
As with all continuing medical education events, this one will make you a better physician. But we know who you are: It’s 2am. Your pager is blowing up. You go to the floor with 3 simultaneously crashing patients. We’ve all been there. As a result, we’ve collectively designed this educational event to bring together an ultimate think-tank on how to improve your clinical management of all those things that make us scared at night, and even in the day… If it’s an organ that can fail, we’ve got you covered for a solid, easy, memorable approach to how to support it.
Mixed throughout the day will be cases to solidify your newly acquired clinical pearls & hands on stations with all the toys you need to stabilize your patients.
Hosted by The IBCC (Internet Book of Critical Care) co-creators Adam Thomas and Josh Farkas – also the man behind PulmCrit – this is going to be jam-packed with physiology, clinical pearls, interactive and case-based. If you take care of patients on the wards, this is one not to miss.
Co-directors: Adam Thomas & Josh Farkas.
Hypotension on the wards – Adam Thomas reviews the physiology of shock, the use of invasive & non-invasive monitoring, POCUS & “how your radiologist can help”, initial stabilization (hint, it is not just giving fluid), the hunt for & elimination of hypovolemic, cardiogenic, obstructive shock & distributive shock, as well reviewing the role of hormones and regulatory cytokines as well as how this can potentially be modulated.
Recognizing Illness at a Glance – in this interesting talk, Daniel Kaud shares his data-linkage and pattern recognition skills on common but important pathologies, to help clinicians develop rapid muscle memory and make elusive diagnoses.
Initial stabilization of respiratory failure – this can be one of the most harrowing and time-critical clinical scenarios facing the hospitalist, before the critical care team can take over or the patient can be transferred. Adam Thomas takes participants thru the identification of respiratory failure, the rule of 2s in type & treatment of respiratory failure and the right tools for the job on the wards.
Managing the Congestive Heart Failure Patient – here, Philippe Rola introduces a physiologic and POCUS-based approach to the management of the admitted CHF patient, particularly with the management of effusions and venous congestion.
Physiologic approach to Renal Failure – nephro-intensivist Sharad Patel drags the management of this common disease into this century and will share a rapid approach based on evidence, physiology and the efficiency that POCUS brings to bedside diagnosis and clinical decision-making.
The Biliary patient – whether neoplasia or lithiasis, these patients are often real puzzles. Echo? ERCP? MRCP? Drain? Stent? Fever? Jaundiced? Let’s lay down a solid base for approaching these before calling for the GI SWAT team.
Cirrhosis for the Hospitalist – in this one, hepatologist Ahn Le reviews the most pertinent pearls related to the care of patients with cirrhosis, such as managing encephalopathy, ascites, coagulopathy and more.
ID pearls – microbiologist extraordinaire Silvana Trifiro runs us through some interesting cases to make sure we don’t overlook sometimes subtle symptoms and signs of unexpected infectious diseases.
Neuro pearls – Jeff Scott shares some interesting cases highlighting key elements of the examination and management of neurological emergencies.
Wound Management – microbiologist Marc Laroche sheds some light into what is for most of us a nebulous topic, and provides a thorough, but simple and practical approach to the dressings and management of the various wounds that hospitalists come across.
Lytes, a Pot-Pourri – Josh Farkas, inventor of the “Nephron Bomb,” brings his unique, hard-hitting physiological approach to electrolyte management. This is the thinking doc’s approach, not a check-the-box one.
Clinical Cases – tying everything together, Sharad Patel, Adam Thomas, Silvana Trifiro and Josh Farkas will discuss several cases bringing together several of the key concepts and skills explored during the day.
We reserve the right to make the programme even more awesome by adding to or modifying the above, and promise you’ll come out of this one with a few extra notches on your belt!
But wait…only 30 spots. So don’t wait till the last minute!
Hope to see you there!
…and of course, if you stumbled on this, do make sure to check out the main event, H&R2020!
Adam, Josh, Philippe & The H&R2020 Team.
So the pundits still try to claim the lack of evidence for the use of POCUS, bla, bla bla. Just wait till they get a load of this: POCUS in delirium? Master Andre Denault introduces us here to a completely new way of assessing a little known potential aetiology of acute delirium.
Here it is, certainly one of the most interesting and forward-thinking lectures of H&R2019:
Don’t forget The Hospitalist & The Resuscitationist H&R2020 is happening May 20-22 and registration is open! Seating is limited…
So I’m really glad to see that recently, a lot of discussion has been taken place on the topic of right sided failure and venous congestion, which has huge clinical applications. Even more so, the fact that a lot of individual practitioners have taken this on and have been applying it clinically with physiological results is really amazing.￼
So a common question that has been popping up revolves around clinical thresholds of significance, and I thought it was worth clarifying that we need to stay away from a pure threshold approach, but rather try to embrace a holistic cardio pulmonary and whole body assessment.￼
So here’s my two cents:
Thank you, love to hear any comments!￼￼
ps obviously, this type of discussion will be what H&R2020 will be chock full of!
So metabolic resuscitation is a topic that both Josh (@Pulmcrit) and I are really interested in. We were looking forward to the CITRUS-ALI study. The results, to me, are good. They continue to establish the fact that there are no real side effects, particularly renal, as this was a concern to some (despite the already large data sets – particularly in the Matsuda study), and in an even higher dose than the Marik study.
Of course since the study was not designed to show a mortality benefit, it wouldn’t be clean to tout their results from that angle, but it certainly should be hypothesis-generating (imagine the cheers from the pundits who would certainly have used it in reverse had the mortality been increased instead!!!). So for me, it changes nothing, because – if my institution hadn’t decreed (for no legitimate reason I can see) that I cannot use it in patients that I feel would benefit – I would still use it as an adjunct to septic shock management.
There are more studies around the corner, and hope they will come out before next may, so that Josh can give us an update for H&R2020 (#Hresus20)!
Here is our chat:
the best is yet to come.
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