Surgery ICU Rounds: Recent submissions
Now showing items 41-60 of 86
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(Vanderbilt University. Medical Center, 2007-06-19)Not feeding an injured or ill patient is not that same as a normal individual who is fasting. A pound of weight loss in the stress patient is significantly different than a pound of weight loss in someone on a diet. A ...
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(Vanderbilt University. Medical Center, 2007-07-25)A common problem in the ill or injured patient is a metabolic acidosis. In this episode we will review the common etiology of a metabolic acidosis as well as some lesser known causes.
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(Vanderbilt University. Medical Center, 2007-06-07)Excessive fluid resuscitations lead to horrible complications such as abdominal compartment syndrome. This article takes a critical look and challanges many of our practices in fluid resuscitation of burn patients.
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(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 ...
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(Vanderbilt University. Medical Center, 2008-03-09)Prolonged QT is the most common reason why medications are restricted or removed from the US market. This episode will explain what it is and why you should look for it in your ICU patients.
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(Vanderbilt University. Medical Center, 2007-06-01)Renal replacement therapy (RRT) is rather a confusing topic. What do all those initials mean and why use one therapy over another? This podcast will explain the difference between intermittent and continous. What are ...
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(Vanderbilt University. Medical Center, 2008-10-18)Crush syndrome is a common cause of death following earth quakes, mine and building collapses. Traumatic rhabdomyolysis may also be seen following electrical injury or severe trauma.
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(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
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(Vanderbilt University. Medical Center, 2008-10-18)It is Sunday 8.31.08 and hurricane Gustav is bearing down on the city of New Orleans. This podcast will discuss the basic elements of disaster planning and management.
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(Vanderbilt University. Medical Center, 2007-06-14)When should a patient receive a transfuse of blood? What is an acceptable hemoglobin concentration in an ICU patient and should we use EPO? Summer is a time when the blood banks often have a single day's worth of blood. ...
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(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 ...
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(Vanderbilt University. Medical Center, 2007-09-24)A great deal is being presented and published on control of blood sugar in the ICU as well as the postoperative period. How much control is enough and what is the data?
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(Vanderbilt University. Medical Center, 2007-08-12)An introduction of the biology of thermal injuries and the initial care of the patient with thermal injuries in critical condition.
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(Vanderbilt University. Medical Center, 2007-10-14)The onset of cold weather will bring with it an increase in structure fires. The leading cause of deaths in fires is complications from the inhalation of smoke-- not burns. Learn why smoke is so deadly as well as what ...
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(Vanderbilt University. Medical Center, 2008-02-01)The results of the CORTICUS trial are discussed.
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(Vanderbilt University. Medical Center, 2008-04-16)Clostridium difficile colitis is a problematic complication of antibiotic therapy in hospitalized and critically ill patients. It is increasing in frequency and can be lethal.
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(Vanderbilt University. Medical Center, 2008-11-17)Fluid resuscitation done poorly can result in significant complications to the patient. This episode will present some of the newer considerations in fluid resuscitation in traumatic shock.
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(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 ...
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(Vanderbilt University. Medical Center, 2007-05-18)Virtually all patients on ventilators are on PEEP. PEEP has several interactions with various organ systems and some can result in profound complications. An understanding of PEEP and auto-PEEP are required before we can ...
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(Vanderbilt University. Medical Center, 2007-09-14)Why do we choose the antibiotics that we do? How long do we continue the course of therapy? Should we use some antibiotics together? These topics are covered in the episode.