Bedside Physiology in Septic AKI with Korbin Haycock. #FOAMed, #FOAMcc

So I’ve been meaning to fine tune this concept and really start applying and following more rigorously, so I wanted to see what the only clinician I know of doing it at the bedside was doing in a stepwise fashion.

AKI is one of those things that really, really bugs me. It’s common, it’s serious, impacts mortality in the ICU population, and yet to me, it is usually poorly managed by the vast majority of clinicians, usually by examination of surrogate indices and time-lagging imaging with poor specificity and sensitivity for the actual diagnoses you need to rule in or out, which are pre-renal failure and post-renal failure. With a probe in your hand and a decent understanding of physiology, you can rule both of these categories out in about 30 seconds, add a minute for VEXUS and in a grand total of 90 seconds you are left with either a diagnosis or elseĀ  the intrinsic AKI category as the last one standing and it’s time to hunt for offenders.

But that’s not what we’re talking about today, but rather, the fine tuning of macro-hemodynamics in relation to your intra-renal micro-hemodynamics. Fascinating stuff.

Video Link Here!

 

Audio Only:

 

Love to hear from anyone trying this!

So you can join us during H&R Reloaded’s Virtual Hangout Room and discuss this and a bunch of other skills or strategies involved in critical care and try to tease out the details from Korbin and the rest of our amazing faculty!

 

Cheers,

 

Philippe

Resus Pet Peeves: The Hemoglobin in Hemorrhagic Shock. #FOAMed

For a little non-COVID #FOAMed, which we still need…

Here’s one that always gets me, that I always try to make sure the residents always understand before they leave our rotation!

I’m pretty sure if you have been fortunate enough to not come across someone doing this, you will – when you do, find a tactful way to share the knowledge!

Oh and don’t forget that H&R Reloaded is on!

cheers

 

Philippe

H&R2020 Reloaded: The Virtual Experience!

So after a lot of discussion, we decided to do this, a blend of the original H&R2020 with the current COVID-19 experience, essentially a look to the next year of critical care management as far as one can figure.

This will take place July 29-30-31 from 1800-2200.

Though WebConferencing can’t quite match the atmosphere of a boutique conference like H&R, we are setting up a virtual Hangout Room so that participants can exchange with the different faculty members in an open session.

 

June 14 update:

We hope to have an update and open registration this week! The registration format will likely be two-tiered, a rate for trainees and allied medical professionals, and one for MDs.

If you are from a lower-income country, or are part of a relief work team, or require special consideration, please email hospresusconference@gmail.com to request a registration fee exemption. Please include relevant documentation, if applicable. We believe strongly in the importance of #FOAMed and will do our best to accomodate.

Hoping to see you there!

June 15th update:

CME Accreditation just in, 12 Cat 1 AMA!

Click here! Registration is open!

The H&R2020 Team