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Management approach for electrical storm!

For a deep dive into EKGs in wide complex tachycardias, take a look at this awesome lecture by Amal Mattu.

References to articles mentioned in the podcast:

Cheskes et al. Defibrillation Strategies for Refractory Ventricular Fibrillation. N Engl J Med. 2022 Nov 24;387(21):1947-1956

Ortiz et al. Randomized comparison of intravenous procainamide vs. intravenous amiodarone for the acute treatment of tolerated wide QRS tachycardia: the PROCAMIO study. Eur Heart J 2017;38(17):1329-1335

Song et al. Association of Dexmedetomidine With New-Onset Atrial Fibrillation in Patients With Critical Illness. JAMA Netw Open 2023;6(4):e239955

Wang etc. Effect of Dexmedetomidine on Tachyarrhythmias After Cardiac Surgery: A Systematic Review and Meta-Analysis. J Cardiovasc Pharmacol 2022;79(3):315-324

Zhong et al. Dexmedetomidine Reduces Incidences of Ventricular Arrhythmias in Adult Patients: A Meta-Analysis. Cardiol Res Pract 2022;5158362

Do et al. Thoracic Epidural Anesthesia Can Be Effective for the Short-Term Management of Ventricular Tachycardia Storm. J Am Heart Assoc. 2017 Oct 27;6(11):e007080

Tian et al. Effective Use of Percutaneous Stellate Ganglion Blockade in Patients With Electrical Storm. Circ Arrhythm Electrophysiol. 2019;12(9):e007118

Batnyam et al. Safety and Efficacy of Ultrasound-Guided Sympathetic Blockade by Proximal Intercostal Block in Electrical Storm Patients. JACC Clin Electrophysiol 2024;10(4):734-746

ICUedu Physiologically Difficult Airway Pocket Intensivist Card

ICUedu.org page with video lecture, references, and a downloadable link to key visuals: https://www.icuedu.org/physiologicallydifficultairway

ICUedu Physiologically Difficult Airway Pocket Intensivist Card

Access to video version of lecture, supplemental materials & references at: https://www.icuedu.org/physiologicallydifficultairway

We know what to do with the patient who is sick and hypotensive.  But what about the patient who is sick but not hypotensive?  Or the patient who is hypotensive but not sick?

References for the papers mentioned in the podcast on use of midodrine in the ED:

Puissant et al (2022). Wait, What? Oral Midodrine Instead of Pressors for Septic Shock? Annals of Emergency Medicine;80(4):S94

Zada et al (2024). Midodrine in Early Septic Shock. Critical Care Medicine 52(1):S708

Lal et al (2021). Oral Midodrine Administration During the First 24 Hours of Sepsis to Reduce the Need of Vasoactive Agents: Placebo-Controlled Feasibility Clinical Trial. Critical Care Explorations 3(5):e0382

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ICUedu Approach to the Acutely Ill Patient Pocket Intensivist Card

Additional content and educational resources at ICUedu.org

Additional content and educational resources at ICUedu.org

ICUedu Acid-Base 2.0 Pocket Intensivist Card

This lecture has a lot of important visuals.  Here is is a link to the ICUedu.org subpage with the video lecture and a downloadable link to the key lecture visuals:
https://www.icuedu.org/approachacidbase

ICUedu Vasoplegia Pocket Intensivist Card

Additional content and educational resources at ICUedu.org

Additional content and educational resources at ICUedu.org

Like the Trauma Survey... but for sepsis!
Additional content and educational resources at ICUedu.org