Now showing items 26-45 of 86

    • Guy, Jeffrey S. (Vanderbilt University. Medical Center, 2007-06-28)
      Early surgical excision is likely to be the most significant individual variable to improve the outcome of a patient (adult or child) with a critical burn. Nevertheless, many nonburn physicians still want to apply to 1970 ...
    • Guy, Jeffrey S. (Vanderbilt University. Medical Center, 2011-08-03)
      A brief description on what to consider when confronted with a patient with an air leak from the ET tube or a patient that self-extubates.
    • Guy, Jeffrey S. (Vanderbilt University. Medical Center, 2009-01-28)
      Following the recent crash of the US Airways in the Hudson River, it is an appropriate time to discuss the clinical manifestations and treatment of hypothermia.
    • Guy, Jeffrey S. (Vanderbilt University. Medical Center, 2008-05-18)
      A limb-threatening complication that might be overlooked by the inexperienced provider.
    • Guy, Jeffrey S. (Vanderbilt University. Medical Center, 2008-04-24)
      There is a large emphasis on intensive control of blood glucose in the ICU, but how accurate are the monitors we use to follow glucose? This episode reviews someof the limitations of deploying an instrument designed for ...
    • Guy, Jeffrey S. (Vanderbilt University. Medical Center, 2007-05-17)
      All surgical residents know that glutamine is the amino acid known as the fuel for the gut. But what is all the fuss about? The episode will look at the data on glutamine. Does glutamine improve outcomes, and if so and ...
    • Guy, Jeffrey S. (Vanderbilt University. Medical Center, 2008-05-04)
      In this week's Journal of the American Medical Association a meta-analysis was published that concluded that use of hemoglobin based blood substitutes result in an increased morbidity and mortality. Included in the same ...
    • Guy, Jeffrey S. (Vanderbilt University. Medical Center, 2010-01-18)
      A brief summary of what are hemoglobin based oxygen carriers (HBOC) and where are they in development.
    • Guy, Jeffrey S. (Vanderbilt University. Medical Center, 2007-10-27)
      Large numbers of patients in ICUs are on heparin and what is this complication of heparin induced thrombocytopenia? Direct download: HIT.mp3
    • Guy, Jeffrey S. (Vanderbilt University. Medical Center, 2008-08-13)
      A potentially life-threatening electrolyte problem that commonly finds its way into the ICU as well as on exams.
    • Guy, Jeffrey S. (Vanderbilt University. Medical Center, 2009-01-12)
      Hyperkalemia is a very common and potentially dangerous electrolyte disorder that commonly occurs in ICU patients.
    • Guy, Jeffrey S. (Vanderbilt University. Medical Center, 2009-02-12)
      Evaluation and treatment of elevated serum sodium is presented.
    • Guy, Jeffrey S. (Vanderbilt University. Medical Center, 2009-02-07)
      Hyponatremia or a low serum sodium is a common electrolyte problem that is dangerous if ignored or treated improperly.
    • Guy, Jeffrey S. (Vanderbilt University. Medical Center, 2009-02-15)
      Understanding the root cause of hypoxia will allow for more appropriate treatment.
    • Guy, Jeffrey S. (Vanderbilt University. Medical Center, 2007-05-28)
      Intraosseous vascular access was was developed for use in adult trauma patients over 80 years ago. Only recently has this technique regained popularity for rapid and safe access to the vascular space in patients in extremis.
    • Guy, Jeffrey S. (Vanderbilt University. Medical Center, 2009-05-03)
      An introduction to the basic science in fluids used to treat hypovolemia.
    • Guy, Jeffrey S. (Vanderbilt University. Medical Center, 2011-11-12)
      This podcast is a description of how lactate is produced and metabolized. I will discuss the role of lactate in the diagnosis and management of shock. This podcast will focus on Type A lactic acidosis.
    • Guy, Jeffrey S. (Vanderbilt University. Medical Center, 2011-11-19)
      The types of lactic acidosis that are not familiar. They can be caused by medications, underlying disease, or inborn errors of metabolism.
    • Guy, Jeffrey S. (Vanderbilt University. Medical Center, 2007-05-14)
      Lightning injuries are rare, but when you do treat a patient they can have facinating presentations. This lecture follows a patient we treated at Vanderbilt. The patient present to a local ED with stroke like symptoms ...
    • Guy, Jeffrey S. (Vanderbilt University. Medical Center, 2008-11-16)
      Tight glucose control has been widely introduced into critical care. This meta-analysis, recently published in JAMA, critically evaluates the effects of these trials in reduction of sepsis as well as mortality. The results ...