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EMCrit Blog - Emergency Department Critical Care & Resuscitation Home EMCrit-RACC PulmCrit IBCC EMNerd Tox & Hound About About EMCrit About PulmCrit EMCrit FAQ Subscription Options Contact Us EMCrit Project Online Medical Education on Emergency Department (ED) Critical Care, Trauma, and Resuscitation Airway Archives Main Content Hot off the Press EMCrit 264 – Case Discussion of Combined CCB and BB Overdose January 26, 2020 PulmCrit- The Rothman Index: Artificial intelligence or merely a symptom of a broken healthcare system? January 25, 2020 “B-Sides” in Analgesia January 23, 2020 Still Super Fresh IBCC chapter & cast – Toxic Alcohols January 23, 2020 PulmCrit – An alternative view of the PEPTIC trial January 22, 2020 EM Nerd: The Case of the Sour Remedy Continues January 20, 2020 PulmCrit- Metabolic Resuscitation: Was the answer inside us all along? January 17, 2020 All the Rest Tox & Hound – MALA-ficence Predicting Outcome in Metformin Lactic Acidosis by Diane Calello A 56-year-old male with diabetes and hepatitis comes in after an intentional overdose of his own metformin. On evaluation, he is awake and alert but mildly tachycardic. Lab evaluation demonstrates elevated lactate at 4 mmol/L and a pH of 7.3. Will he die? Metformin is one […] EMCrit Podcast 263 – The Venous Side – Part 1 – VEXUS Score with Phillipe Rola The VEXUS Score – A way to quantitate how badly you overloaded your patient… IBCC chapter & cast – Central line infection Prevention and treatment of central line infections is a core competency in critical care. Prevention is the true key here. Achieving zero central line infections is an unreachable goal, but with diligence the rate can be pushed close to zero. The IBCC chapter is located here. The podcast & comments are below. Follow us on […] IBCC chapter & cast – Deresuscitation (Dominating the Diuresis) Large-volume diuresis is a topic that isn’t discussed much in critical care curricula or textbooks. Nonetheless, this is a daily reality for intensivists, especially those living in the United States (where patients continue to be empirically treated with 30 cc/kg fluid as initial fluid bolus, for a broad variety of complaints). This chapter attempts to […] PulmCrit- Sepsis special edition & CBC to diagnose septic shock The Journal of Thoracic Diseases is about to release a special edition on sepsis, edited by Paul Marik (open access). It’s deliciously rebellious – just look at the table of contents ...