I enjoyed the segment on push dose pressors, with the two titans of EM, Mattu and Weingart. I'd like to hear your thoughts on metaraminol along those lines. I understand from reading Scott's emcrit.org site that metaraminol isn't available in the US but widely used in Australia.
We use it a lot in the UK, in 0.5-1 mg pushes to titrate MAP upwards. Where does it fit into the phenylephrine, ephedrine, epinephrine debate. It'd be good to hear an Aussie perspective on this.
Hello Ladies and Gentlemen, Boys... and da Girls. (Sorry Mel, but I stole your line). I am totally on board with the push dose pressors. This is something I've incorporated to my practice for about 3 years now and I am very happy. Picking up that BP from the toilet makes me feel good and it also makes good logic for patient care.
We have a meeting with the Canadian Tech team in about a week. This is HIGH on the agenda. What features are most missing from the web version when used on an iphone/ipad in your opinion Larry?
I'm now a big fan of the push dose pressors. It's a nice temporizing measure while I'm obtaining central access for continuous drip pressors in the hypotensive septic patient who isn't responding to the buckets of fluid I'm throwing at them.
Sorry not to get back to you sooner, Mel. It may be that I simply don't know how to use my ipad well enough, but I currently don't have access to emrap through the ipad unless I've got wifi capability. I'm hopeful that with the new app I'll be able to download when wifi is available then be able to easily access it when offline. And will still be able to play individual segments in any order I please. Thanks.
Larry, with IPAD, you really can't download anything directly to IPAD and save. Not sure if you can do this with PC (probably) but, If you have a MAC then download to your itunes and sync IPAD with MAC when charging. You have to set up on your MAC what podcasts you want sync'ed to your IPAD but if you have the memory, you can do many. I have Dave Newman's, Rob Orman's, Scott Weingart's, Amal Mattu's and quite a few others downloaded this way. Hope I am not telling you something you already knew. I don't think it is something emrap can fix, it is just the way the ipad works. By the way, I had my Ipad for almost a year before I really appreciated how to use it. Now, a real value!!! let me know if you need more info.
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Dean B. - April 3, 2013 12:04 PM
Hi Mel
I enjoyed the segment on push dose pressors, with the two titans of EM, Mattu and Weingart. I'd like to hear your thoughts on metaraminol along those lines. I understand from reading Scott's emcrit.org site that metaraminol isn't available in the US but widely used in Australia.
We use it a lot in the UK, in 0.5-1 mg pushes to titrate MAP upwards. Where does it fit into the phenylephrine, ephedrine, epinephrine debate. It'd be good to hear an Aussie perspective on this.
Great show as always
Dean
Adan A. - April 10, 2013 8:32 PM
Hello Ladies and Gentlemen, Boys... and da Girls. (Sorry Mel, but I stole your line). I am totally on board with the push dose pressors. This is something I've incorporated to my practice for about 3 years now and I am very happy. Picking up that BP from the toilet makes me feel good and it also makes good logic for patient care.
Larry B. - April 15, 2013 7:32 AM
Any progress on the app for EM-RAP for I-pads?
Mel H. - April 15, 2013 7:59 AM
We have a meeting with the Canadian Tech team in about a week. This is HIGH on the agenda. What features are most missing from the web version when used on an iphone/ipad in your opinion Larry?
Dee B. - April 17, 2013 6:02 AM
I'm now a big fan of the push dose pressors. It's a nice temporizing measure while I'm obtaining central access for continuous drip pressors in the hypotensive septic patient who isn't responding to the buckets of fluid I'm throwing at them.
Jonathan W. - April 19, 2013 12:19 PM
The Arnold Schwarznegger movie cited in the epistaxis lectrure was "Total Recall" ( the original ).
Larry B. - April 29, 2013 2:20 AM
Sorry not to get back to you sooner, Mel. It may be that I simply don't know how to use my ipad well enough, but I currently don't have access to emrap through the ipad unless I've got wifi capability. I'm hopeful that with the new app I'll be able to download when wifi is available then be able to easily access it when offline. And will still be able to play individual segments in any order I please. Thanks.
Samuel B., MD - May 9, 2013 9:12 PM
You can download the written summary on the iPad and save it to reading list to be able to go back and read when wifi is not available.
Larry B. - May 19, 2013 1:44 AM
Thanks, Samuel. But with just the written summary I miss all of Mel's witicisms!
david h. - July 22, 2013 11:16 PM
soo good mel and all dlh
david h. - July 22, 2013 11:23 PM
high on your work
J. Abraham Lopez, M.D. - July 25, 2013 2:46 PM
Larry, with IPAD, you really can't download anything directly to IPAD and save. Not sure if you can do this with PC (probably) but, If you have a MAC then download to your itunes and sync IPAD with MAC when charging. You have to set up on your MAC what podcasts you want sync'ed to your IPAD but if you have the memory, you can do many. I have Dave Newman's, Rob Orman's, Scott Weingart's, Amal Mattu's and quite a few others downloaded this way. Hope I am not telling you something you already knew. I don't think it is something emrap can fix, it is just the way the ipad works. By the way, I had my Ipad for almost a year before I really appreciated how to use it. Now, a real value!!! let me know if you need more info.