Episode Chapters
- January Introduction7:46C-Spine Clearance in the Obtunded10:51Zombie Month - Happy New Year!1:03LIN Sessions - THAM14:50Paper Chase 1 - A Better Valsalva6:04De-Escalating Agitation16:29Trauma Surgeons Gone Wild: When To Crack The Chest13:10Zombie Month - Zombie Insects2:40Trauma Surgeons Gone Wild: How To Crack The Chest27:44Paper Chase 2 - CT for Diaphragm Injury7:02Amiodarone Pulmonary Toxicity19:43Zombie Month - Is Your Cat Making You a Zombie?2:52Extensor Tendon Injury12:54Paper Chase 3 - HEART Gets Put To The Test5:41Pediatric Pearls - Pediatric Rheumatology20:34The UTI That Isn’tFree Chapter19:41Annals of Emergency Medicine - The Gas That Just Won’t Pass15:27Paper Chase 4 - Blood Clots and Cancer Screening6:23Cardiology Corner - Cardiogenic Shock19:41Zombies - Zombie Dancing4:47Paper Chase 5 - Pediatric Seizures and Brain Badness5:17Summary13:35EMRAP 2016 January Aussie Edition27:57EMRAP 2016 January Canadian Edition15:02EMRAP 2016 Janiver Résumé en Francais1h, 03mEMRAP 2016 Enero Resumen Español1h, 23m
Nurses Edition Commentary
Mizuho Spangler, DO
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EMRAP 2016 January Summary 874 KB - PDF
In the critically ill, severely acidotic patient, consider THAM.
Cracking The Chest Full episode audio for MD edition 254:13 min - 354 MB - M4AEMRAP 2016 January Aussie Edition Australian 27:57 min - 38 MB - MP3EMRAP 2016 January Canadian Edition Canadian 15:02 min - 21 MB - MP3EMRAP 2016 Janiver Résumé en Francais Français 63:14 min - 87 MB - MP3EMRAP 2016 Enero Resumen Español Español 83:06 min - 114 MB - MP3EMRAP 2016 January Board Review Answers 120 KB - PDFEMRAP 2016 January Board Review Questions 422 KB - PDFEMRAP 2016 January MP3 314 MB - ZIPEMRAP 2016 January Summary 874 KB - PDF
Alex K. - January 19, 2016 6:26 PM
In this section you note that you have to make sure the patient is ventilated in order to use bicarb, and you correctly mention separately you have to hyperventilate a patient. But, in the context of an arrest, it's important to remember that restrained respirations (8-10min) are indicated to minimize reductions in venous return/preload. These will not work well with attempts at using sodium bicarbonate (for this purpose). Though obviously the data are scarce, I think that if we follow the logic and physiology of THAM, it makes more sense for the intra-arrest patient.
Ben S., Dr - October 13, 2016 1:04 AM
Is anyone using THAM pre-RSI for the metabolic acidosis patient? Seems like on a simple level it could provide us an extra margin of safety