Andrew put these skills to good use as an Emergency Medicine resident at The University of Washington jumping on every chance to make his mark on the International Health community. This is a must listen lecture, in fact, put this into your listening rotation and on repeat once a month! After finishing a fellowship in Critical Care Medicine at Walter Reed Army Medical Center, Dr. Chung was assigned to the US Army Institute of Surgical Research (USAISR) where he has served in the capacity of Medical Director of the Burn Intensive Care Unit, Task Area Manager of Clinical Trials in Burns and Trauma, and the Director of Research for the USAISR. Dr. Tisherman is a Professor of Surgery and Director of the Division of Critical Care and Trauma Education here at the University of Maryland. In this talk, Dr. Brower will explain how to calculate the driving pressure, how it correlates with the stress index, and how you may be able to prevent VILI with just some simple bedside adjustments. However, don’t let the ACGME status fool you, he has been around the world working with some remarkable people along the way. Today we welcome Jennie Y. Chawla: Vasopressors- Time to target new receptors? One of the talks addressed optimizing a patient prior to ECPR activation. Dr. Ziai’s lecture will cover “ICP, CCP in ICH and IVH.”, Dr. Marie Baldisseri, Professor of Critical Care Medicine at the University of Pittsburgh. Is pPlat < 30 out? Allison: Volume responsiveness in the ICU, the Lebowski way! Today he gives a preface for his revolutionary EPR-CAT trail. Today he is gracious enough to spend 60 minutes with us, and not a second can be missed if you EVER expect to take care of a patient with a head bleed on AC!! Today we are fortunate to have Dr. Joseph R. Shiber, an Associate Professor in the Departments of Emergency Medicine and Surgical Critical Care at the University of Florida College of Medicine. He is also one of the worlds foremost experts on using hypothermia in the resuscitation of trauma patients. The title of his talk is “Angiotensin II for vasodilatory shock in the era of COVID-19”. Today we are happy to welcome Dr. Donald Slack, A second year Pulmonary-Critical Care fellow here at the University of Maryland. This talk cannot be missed no matter which ICU you find yourself in! ECMO may often be referred to as ECLS (extracorporeal life support) or heart/lung bypass. The objective of this lecture is to outline best mechanicalventilator practices after the decision has already been made to put a patientwith ARDS on ECMO. [SR] Maryland CC project features a fantastic look at coma and brain death. Lewis Rubinson, MD, PhD, Professor of Medicine, Program in Trauma, R Adams Cowley Shock Trauma Center at the University of Maryland SOM and Vice President & Deputy Chief Clinical Officer at UMMC, presents the weekly multi-departmental critical care fellows’ lecture on “Status Asthmaticus.” , Edward Pickering, MD, Assistant Professor of Medicine, Division of Pulmonary & Critical Care Medicine at University of Maryland SOM and Director, Interventional Pulmonology at Baltimore VAMC, presents the weekly multi-departmental critical care fellows’ lecture on “Evaluation and Management of Hemoptysis: From a Trickle to Projectile.”, Mojdeh S. Heavner, PharmD, BCPS, BCCCP, Assistant Professor, Critical Care, Department of Pharmacy Practice and Science at the U of Maryland School of Pharmacy and Jason J. Heavner, M.D., Chair, Department of Critical Care Medicine, University of Maryland Baltimore Washington Medical Center, present the weekly multi-departmental critical care fellows’ lecture on “Advances in Protocol-Driven Management of Alcohol Withdrawal Syndrome in the ICU.”, Dr. David Hager, MD, PHD, Assistant Professor, Division of Pulmonary and Critical Care at the Johns Hopkins University School of Medicine presents on “Vitamin C in Sepsis: Rationale for the VICTAS Trial.”. ECMO Use in COVID-19 respiratory failure. Today he focuses on his true passion: how to assist family members care for their loved ones both in the ICU and in the post-ICU setting. COVID-19, COVID-19 Diagnosis / March 28, 2020 Biomarkers and Scoring Systems View Post. Today we welcome a local legend: H. Neal Reynolds, MD. Today we welcome Giora Netzer M.D., M.S.C.E., Associate Professor of Medicine here at the University of Maryland Medical Center. Core Content, Renal/Endocrine/Metabolic / June 22, 2016, Lane-Fall: After the ICU: post-intensive care syndrome, Core Content, Infectious Disease / May 22, 2016, Core Content, Epidemiology / April 28, 2016, Spiegel: Science vs. truth, an approach to journal analysis, Cardiovascular, Core Content / April 24, 2016, Airway Management, Core Content / April 12, 2016, Tisherman: Preventing surgical airway disasters. Co-opting the available data for ARDS in general has led other societies to generate guidelines for the use of ECMO in COVID-19. ... Chris is an Intensivist and ECMO specialist at the ... #FOAMed Medical Education Resources by LITFL is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License. Dr. Kritek is a Professor in the Division of Pulmonary and Critical Care Medicine and Associate Medical Director of Critical Care at the University of Washington Medical Center. Archives Archives. Welcome back to MCCP! Today we are happy to welcome Dr. Donald Slack, A second year Pulmonary-Critical Care fellow here at the University of Maryland. Happy Thanksgiving! Dr. Ramani, associate professor of medicine at the division of cardiology presents the pulmonary core curriculum lecture with the topic being pulmonary hypertension. Today she was kind enough to cross the USA and grace us with a fantastic, interactive, and highly educational talk on the ways we should and should not treat ARDS. Dr. Allison is a previous graduate of the Emergency Medicine/Internal Medicine/Critical Care fellowship here at the University of Maryland Medical Center where he molded his training and career to the speciality use of ultrasound and echocardiography in the intensive care unit. She has perfected the art of transitioning care between physicians, and today she will delve into the complicated topic of transitioning patients from their ICU bed all the way to their trip home with family. This course is tailored to both give beginners some foundation on ECMO and also introduce some novel … This is a lecture I assure you cannot be watched just once…, http://media.blubrry.com/marylandccproject/p/content.blubrry.com/marylandccproject/Woods_HIV_in_the_ICU_AUDIO.mp3Podcast: Play in new window | DownloadSubscribe: Apple Podcasts | Android | RSS, http://media.blubrry.com/marylandccproject/p/content.blubrry.com/marylandccproject/Shiber_TBI_Updates_Audio.mp3Podcast: Play in new window | DownloadSubscribe: Apple Podcasts | Android | RSS, Today we would like to welcome Dr. Megan Anders, Assistant Professor of Anesthesiology at the University of Maryland and QA/QI guru! I assure you, this is one the better uses of 30 minutes you will find all year! Dr. Morris’ lecture will cover “Brain Death.”. Today we welcome back one of our favorite graduates of the EM/IM/CCM residency/fellowship here at University of Maryland, Michael C. Scott, MD. Today she is here to talk about Hemophagocytic Lymphohistiocytosis (HLH), a topic that has puzzled internists, intensivists, and hematologists alike. Dr. Galvagno has an extremely impressive resume, including a Ph.D. from The Johns Hopkins Bloomberg University School of Public Health as well as over 60 peer reviewed publications coupled with years of clinical expertise in airway and ventilator management. He just recently has stepped down as the Chief Quality Officer to focus more on the teaching aspects of his career as he continues to lead the Intermountain Advanced Training Program. In his tenure at Karolinska he started the world’s first ECMO center in 1986, has perfected the use of awake ECMO support, and has assisted in creating one of the three biggest ECMO centers in the world! James O’Connor, M.D., FACS, FCCP, Professor of Surgery, Department of Surgery at the University of Maryland SOM; Chief, Thoracic and Vascular Trauma at the R Adams Cowley Shock Trauma Center/UMMC; and Executive Medical Director at Shock Trauma Associates, P.A., presents the weekly multi-departmental critical care fellows’ lecture on “Thoracic Complications of Trauma: Empyema, Hemothorax, Bronchopleural Fistula.”, Justin Richards, MD, Assistant Professor and Fellowship & Education Director, Division of Trauma Anesthesiology at the University of Maryland SOM, presents the weekly multi-departmental critical care fellows’ lecture on “Plasma Based Resuscitation: Should we pamper our critically ill patients?”. Dr. Robert Reed, MD, Associate Professor of Medicine at the University of Maryland, presents a timely topic on steroids use in ARDS and COVID-19 related respiratory failure. Listen to Slack- Refractory Status Asthmaticus: Drips & Gases & ECMO, Oh My! Today we are excited to welcome back one of the smartest fellows we have ever graduated, Michael Allison, MD. Albeit relatively rare, they carry a high morbidity and mortality, and knowledge regarding their management is important to facilitate healing and limit negative outcomes. ECMO than after placing the patient on ECMO “Ultra-protective” ventilation was common during ECMO with driving pressure < 15 cm H2O When patients were on ECMO, for the first 7… View Post Palmer: Long run ECMO, The Stockholm experience Maryland CC Project — Fungal Invasion of the ICU: A catastrophe waiting to happen (2014) Critical Care. Dr. Carl B. Shanholtz, Professor of Medicine and author to over 100 peer reviewed journal articles discusses this highly debated topic. Additionally, his academic prowess has yielded invitations to speak at many prestigious locations around the world. 193 EpisodesProduced by Maryland CC ProjectWebsite. Dr. Tisherman’s lecture will cover “Hemorrhagic Shock.”, Dr. Nicholas Morris, Assistant Professor of Neurology at the University of Maryland. He has taken this unique niche and dominated the field of volume assessment in the critically ill patient. “Nephrology and Toxicology Challenges in COVID-19: AKI, Addiction, and Accidental Poisonings”, Dr. Sarah B. Murthi, MD, Associate Professor of Surgery at the University of Maryland School of Medicine and director of the the critical care ultrasound program presents the weekly multi disciplinary critical care lecture. Dr. Carolyn Calfee, Professor of Medicine and Anesthesia at the University of California, San Francisco, presents on molecular phenotyping of ARDS and the implications for precision medicine. Today we will go through everything from the newest studies of tPA use in intracranial hemorrhage to the use of diabetic medications to improve outcomes in CVA patients. Today we are very excited to host Dr. Lakhmir S. Chawla, nephrologist, intensivist, and international expert on the management of shock. These models are referred to as the Rothman Index and the pediatric Rothman Index, both of which are revolutionizing the way we care for critically ill patients. Please enjoy complimentary access to a sepsis curriculum created by two esteemed faculty members here at the University of Maryland Medical School: Jeffrey P. Gonzales, PharmD, FCCM, BCPS, BCCCP and Nirav G. Shah, MD, FCCP. Today we are immensely honored to welcome Timothy G. Buchman, PhD, MD, FACS, FCCP, MCCM, Professor of Surgery and Anesthesiology, Emory University School of Medicine. Share. Today he is breaking down a problem plaguing ICUs around the country: the massive influx of pre-transplant liver failure patients. Dr. Michael Winters is the medical director of the Department of Emergency Medicine at the University of Maryland and a brilliant speaker on critical care and emergency medicine topics. …resuscitation (ECPR) – placing the refractory cardiac arrest patient onto VA-ECMO in order to allow restoration of circulation and management of the inciting event. COVID-19 Nutrition. I recommend everyone, no matter your practice, take 60 minutes to appreciate the depth of knowledge passed along in this lecture. Black Americans have 2x the infant mortality compared to the rest of …. Search. This is a rare occasion, for a brief period we were able to lure Brent C. James, M.D., M.Stat. This afternoon we were fortunate to pull Michael G. Allison, MD from the ICU at St Agnes Hospital, Baltimore, MD back over to UMMC where he was gracious to donate an hour of his his brilliance. Today we welcome the brilliant mind of Larry D. Weiss M.D., J.D. Summary by Dr. Basel Acute Respiratory Distress Syndrome Histopathology Definition: Diffuse alveolar damage (DAD) In reality, it likely more heterogeneous than that. Since his arrival to Baltimore, Mike has demonstrated a wide knowledge of modern academic literature and has continued to challenge the status quo in medicine! He also takes on command of medical student emergency ultrasound education for the medical school. This course is tailored to both give beginners some foundation on ECMO and also introduce some novel concepts to those in the audience that consider themselves experts. lymphs, macs ‣ Specific for each pathogen using antibodies and specialized killer cells • Neutropenic …. Dr. Kashif Munir, associate professor and medical director of the University of Maryland Center for Diabetes and Endocrinology, presents on thyroid emergencies. Summary written by Dr. Scott Sullivan Today it is my pleasure to welcome Dr. Michael Massey. Organized process for identifying critical and dangerous events by clinical observations, triggering notifications, and response by predetermined organized team to resolve the crisis Crisis determined by time frame and needs out of …, Summary by Erik Manninen, MD Breathing is exercise: *Spontaneous breathing can have such high metabolic demand that gut ischemia can even be precipitated. Over the past number of years, he has been working closely with Dr. Nathan Shapiro …. This is a topic that is truly cutting-edge in the modern ICU, so I assure you this will be a skill you will be expected to master! This is a talk that you CANNOT miss if you ever plan to encounter COPD or CHF in your patient population. Today we are fortunate to have Dr. Tisherman speak on what he know’s best: the cursed surgical abdomen. Ventilation Strategies in ECMO The ideal settings for mechanical ventilation for patients with ARDS who require ECMO is not known. The speakers today have been practicing ECMO for numerous years and what you are going to hear is information garnered from hundreds of ECMO cases. Enzo del Brocco presents the weekly critical care lecture at the University of Maryland. Dr. Daniel Herr Associate Professor of Medicine and Surgery and Chief of Surgical Critical at the University of Maryland presents on “Pain, Agitation, and Delirium in the ICU”. Dr. Paul Saleeb, Assistant Professor of Medicine, from the Division of Infectious Diseases presents on tuberculous infections focusing on pulmonary manifestations. Law: Hemophagocytic Lymphohistiocytosis, a critical care conundrum! We will teach you the skills and break down the logistics to allow resuscitationists to initiate ECMO in … This talk is vital not only to the intensivist, but to everyone in the United States. This is a Core Curriculum lecture presented by Dr. Jonathan Chow, Assistant Professor of Anesthesiology at the University of Maryland. Papali: Adult sepsis in a resource-constrained world, Wood: The Quality-Cost Interface of Healthcare Reform, Core Content, Infectious Disease / January 26, 2016, Woods: Care of the Critically Ill HIV patient, Core Content, Neurology / January 23, 2016, Shiber: Updates in Traumatic Brain Injury. Today we are excited to present a Pulmonary Grand Rounds presentation from Daniel S. Chertow, M.D., M.P.H. The Alfred Hospital recently completed an ECMO course. Verhoef: Healthcare reform in 2017, What does it mean for the intensivist? Categories. Today we welcome back Larry Weiss, M.D., J.D., Clinical Professor of Emergency Medicine at the University of Maryland and overall expert in the field of medico-legal issues. Now we have get genius gracing the halls of UMMC where she acts as the Director of Allogenic Transplantation and Cell Therapy Laboratories…. The ED ECMO crew discuss updated thoughts on PEA and using a different approach to diagnosis and treatment. A Right Thing Measured Poorly: An Epidemiologist’s View of Patient-Family Engagement in the ICU Alison E. Turnbull, DVM, MPH, PhD *Summary written by Avnee Kumar, MD Clinical Pearls Patient and Family Engagement in the ICU – how do know if it works? The lecture will focus on Airway Management. Although the laws and statutes are focused on the state he practices medicine, Maryland, the overall concepts are secure. Today with have the distinct pleasure to welcome a mentor of mine and a true expert in the field of critical care, Kevin K Chung, MD, FCCM, FACP, Colonel, Army. Dr. James has earned too many accolades to list all in one place, briefly he joined Intermountain Healthcare in 1986 as the Director of Medical Research and Continuing Medical Education and quickly crafted Intermountain into a juggernaut of medical informatics pushing them to the pinnacles of quality health care. Over his brief academic career Dr. Adhikari has been incredibly prolific in academic production, publishing over 180 peer-reviewed journal articles and accepting speaking engagements from around the globe. Dr. Chawla has recently taken a sabbatical from his position as Professor of Critical Care Medicine, George Washington U to become the Chief Medical Officer of La Jolla Pharmaceuticals. Dr. Hsu is the acting Emergency Department Ultrasound Director at one of the UMMC satellite centers her in Baltimore, Mercy Medical Center. In fact over the last several years he has published numerous papers on the immunology of lung disease, focusing on T cell use, macrophage response, and the changes to inflammation that occur with aging. Slack- Refractory Status Asthmaticus: Drips & Gases & ECMO, Oh My! Dr. Belinda Rivera-Lebron, Associate Professor of Medicine, Director of the PERT Team, and Director of the CTEPH program and Dr. Caitilin Toma, Assistant Professor of Medicine and Interventional Cardiologist on the PERT at the University of Pittsburgh present on Pulmonary Embolism and discuss the current PE literature and management guidelines. COVID-19 Treatments. If all that wasn’t enough, in addition to his numerous teaching awards, he was also elected to the prestigious University of Pittsburgh School of Medicine Academy of Master Educators. Tisherman- Hypothermia, coming to trauma bay near you! http://media.blubrry.com/marylandccproject/p/content.blubrry.com/marylandccproject/Acid-Base_Abdelhady_9-17-15_AUDIO.mp3Podcast: Play in new window | DownloadSubscribe: Apple Podcasts | Android | RSS, http://media.blubrry.com/marylandccproject/p/content.blubrry.com/marylandccproject/McCarthy-Audio_Choosing_Wisely.mp3Podcast: Play in new window | DownloadSubscribe: Apple Podcasts | Android | RSS. Erik Osborn, MD, COL, MC USA, Director Adult Extracorporeal Service, Cardiovascular Intensive Care Unit at Inova Fairfax Hospital, presents the weekly multi-departmental critical care fellows’ lecture on “ECMO and the Brain”. Dr. Parikh is an Assistant Professor of Neurology at the University of Maryland Medical Center where he primarily works in the Neurocritical ICU and Neurotrauma ICU. The lecture topic is timely, it is titled “Investigational Therapeutics for the Treatment of SARS CoV-2”, Dr. Emerson Wickwire is Associate Professor of Psychiatry and Medicine at the University of Maryland School of Medicine, and Director of the Insomnia Program at the University of Maryland Midtown Medical Center presents pulmonary grand rounds. Today Dr. Shah takes us back to the basics of ventilator use. However, today Dr. Wood explains the real issue plaguing our society. Over the last several years she has compiled all current research on the treatment of acute ischemic stroke and was gracious enough to share a summary of this information over the next 50 minutes. Sammy Zakaria, M.D., M.P.H., Associate Professor of Medicine at the Johns Hopkins University School of Medicine, Assistant Director of the Johns Hopkins Bayview Cardiac Intensive Care Unit presents on ventricular arrhythmias in the ICU. ‎This site & podcast was created by the University of Maryland Critical Care Fellows to share the amazing education we are receiving as well as a way to create a discussion about both cutting edge and core critical care topics. neutrophils, monos, etc ‣ First line of defense against microbes that get into places they don’t belong • Adaptive, i.e. Don’t miss this opportunity to experience her brilliance! Dr. Allison is a native New Yorker, training at SUNY Downstate College of Medicine before completing a rigorous EM/IM/CCM training program here at the University of Maryland. See this incredible lecture from the Maryland CC Project Keep up with the EDECMO Project If you have comments on this textbook page, they are best placed on one of the blog posts or on the Questions about the ECMO Text Page written by Scott Sullivan, MD Today it is my pleasure to introduce Dr. Mukta Srivastava. So before you reach for that EpiPen or start the ketamine drip, you should take 45 minutes and learn about why those ideas may not be as helpful as you think. Dr. Lewin recently published one of the recent landmark articles in the field of Neurocritical care: “Guideline for Reversal of Antithrombotics in Intracranial Hemorrhage”. Core Content, Nutrition, Other / April 20, 2017, Core Content, Pharm/Toxicology / April 20, 2017, Heavner: Pharmacokinetic & pharmacodynamic changes in critically ill patients, Core Content, Rehabilitation and Long Term Care / March 26, 2017. Lewin- Reversal agents in ICH, What you need to know! Today we have Dr. Samuel Tisherman, the current Director of the Center for Critical Care and Trauma Education here at the UMMC. COVID-19 Nutrition Stacy Pelekhaty, MS, RD, LDN, CNSC. The title of today’s talk is “From Altar to Hospital to Academics: Ethics in Delivering Critical Care in Resource Limited Settings.”. King: Poisonings treated (and caused) by the ICU! The Maryland CC Project offers a great review in “ECLS gone wrong ... #FOAMed Medical Education Resources by LITFL is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License. Dr. Henry Masur, Senior Investigator and Chief of the Critical Care Medicine Department at the National Institutes of Health. ), Buchman- The next generation of critical care, Metkus: Should we examine our ICU patients? Today we welcome back Samuel M. Galvagno, DO, PhD, Associate Professor of Anesthesiology & Chief, Division of Critical Care Medicine, University of Maryland School Of Medicine. [SO] Looking to make yourself more ECMO than EC-NO? presents the multidisciplinary Critical Care Curriculum. In addition, Dr. Palmér has been invited to give over 200 international lectures on the topic of ECMO. ‎EDECMO.org is a non-commercial source to discover the life-saving potential of resuscitative extra-corporeal membrane oxygenation (ecmo) and extra-corporeal life support (ecls). His topic is timely, and is titled “Sleep self-care and resilience for health professionals during COVID-19”, This Critical Care Grand Rounds’ lecture is presented by Dr. Michael Shashaty, Assistant Professor of Medicine at the Hospital of the University of Pennsylvania. Today we have a talk that Dr. Robert Reed gave at a 2015 Maryland Pulmonary Medicine Conference. [SO] I have attending many lectures on the topic and have even performed lung US research, but this lecture is the best presentation I have ever seen on the topic. The FOAM community spontaneously emerged from the collection of constantly evolving, collaborative and interactive open access medical education resources being distributed on the web … So obviously with this phenomenal educational pedigree, Dr. Tisherman is the perfect individual to lead a discussion on the one topic we only get one shot to master: Emergency and Surgical Airways! I guess you could say, he lives and breaths ED ultrasound! The speakers today have been practicing ECMO for numerous years and what you are going to hear is information garnered from hundreds of ECMO cases. Thyroid Thyroid Storm Stimulated by stressful stimuli (such as being critically ill) Presents with delirium, tachycardia, vomiting/diarrhea, fever, dehydration (much like many other illnesses in ICU) High mortality …, Effect of Racial Disparities in the ICU Summary written by Dr. Mustafa Abdulmahdi Black Americans compared to white Increased mortality rates Earlier onset of illness Greater severity of illness Faster disease progression Notes This disparity begins at birth! Today he will be doing his best to concentrate his brilliance into a 45 minute presentation. You cannot find a more knowledgable and dedicated educator, so I hope you take advantage of this fantastic lecture! Diagnosis / March 28, 2020 Biomarkers and Scoring maryland cc project ecmo View Post shock the... A local legend: H. Neal Reynolds, MD would be the right time to Post the recent Baltimore Fall! Ecmo is not just effecting the doctors here in Baltimore, Karen G. Hirsch, MD PhD! 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