September 2009

EMCrit Podcast 11 – Delirium Tremens

by emcrit

The management of severe ETOH withdrawal and Delirium Tremens: 1. Consider alternative diagnoses Here is my DT protocol 2. Start treatment with diazepam 3. If you reach 200 mg, switch to phenobarb or intubate and give propofol 4. Your goal is to get your patient sleepy, but arousable with a HR<120 Find Dr. Lewis Goldfrank’s [...]

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Podcast 10 – Cardiogenic Shock

by emcrit

Mohamed, a listener from Sudan, emailed asking about the treatment of acute pulmonary edema in patients with low blood pressure. This is in distinction to SCAPE patients (see podcast 1). If the patients have pulmonary edema and low BP from a cardiac cause, then they are in cardiogenic shock. First, consider the etiology: Rate-related Valve [...]

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