EMCrit Blog and Podcast

EMCrit Wee - Pre- PRECARE - Prehospital ECPR with Nat & Bri from Sydney HEMS [#FOAMed for now] emcrit.org/qhop

EMCrit Explosion Wee - F/u with the 2026 ACEP Sedation Guidelines Authors -- A follow-up episode on the @ACEP sedation guidelines. [#FOAMed for Now] emcrit.org/emcrit/wee-...

EMCrit 435 – Procedural Sedation Part VI: I break down the new ACEP unscheduled procedural sedation guidelines, call out the absurd pretense surrounding 'deep sedation', and lay out where emergency sedation needs to go in 2026. emcrit.org/435

EMCrit 434: Temporary Hemodialysis Catheters Delays Are to the Patient's Detriment! We cover catheter sizing, site selection, the two jumps of dilation microskills, pre-dilation vascular confirmation, and so much more! emcrit.org/434

EMCrit RACC Lit Review - September 2026 - Ditch the X-ray for NG tube placement with end-tidal CO2? -Why you need to get tourniquets off ASAP, -Partial REBOA -Cold-stored platelets & more emcrit.org/9e20

EMCrit 433 - HALO Procedural Philosophy Is a skilled doctor in a broken system doomed to fail? I break down institutional vs operator-level competence based on a paper from Colonetti et al. and map out the 12 high-acuity, low-occurrence skills every resuscitationist must master. emcrit.org/433

CV-EMCrit Wee - Q&A 1 @TrinaAugustinMD and I tackle listener Cardiovascular Crit Care questions... [#FOAMed for now] emcrit.org/n31p

EMCrit 432-Members' Airway Cases and Q&A I take on your member airway questions! We break down awake intubation for hypoxemia, dealing with petrified "airway concrete," the CHOP killers, avoiding the RSI death spiral in cardiogenic shock, managing extreme metabolic acidosis and more! emcrit.org/432

EMCrit 431 is our first OB-EMCrit ep - Life-Threatening Post-Partum Hemorrhage (PPH) with Dr. Cho Espinoza We break down how to handle catastrophic OB bleeding when you are the only resuscitationist in the room. From uterotonics to REBOA, this is pure resuscitation. [#FOAMed for now] emcrit.org/431

EMCrit 430 - Questions and Answers (Members Q&A Episode 004) with @SaraCrager I sat down with Dr. Sarah Crager to discuss bedside shock management, shifting gears in resuscitation, LR in lactic acidosis, and so much more... emcrit.org/430

EMCrit RACC-Lit Review for July 2026 This month: • Does prehospital whole blood actually improve outcomes? • Can DSD damage your defibrillator? • Go big or go home for adenosine & SVT? and so much more... emcrit.org/cpyu

EMCrit 429 - RUSH 2.0 - The I-RUSH and CRUSH Exams Finally dropping the RUSH Exam 2.0 on this week's EMCrit Podcast! We're moving past just the crashing patient to bring you the Interface-Informed RUSH. Get ready to standardize your hemodynamic assessments at the bedside. [#FOAMed] emcrit.org/429

EMCrit Wee - A Second Opinion on HBO for CO Following up on the Juurlink episode, toxicologist Chris Tomaszewski drops a masterclass on why HBO sn’t about clearing blood—it’s about halting a brutal inflammatory cascade in the brain and heart before it's too late. [#FOAMed for now] emcrit.org/bp2e

EMCrit 428 - A Few Things 🔹 ARISE Fluids: Does the 30 mL/kg sepsis mandate finally crumble? 🔹 BIHCA & SODABIC 🔹 Traumatic Tamponade: Can a 12Fr catheter prevent a thoracotomy in austere settings? 🔹 DKA Guidelines: Why the ADA has it completely backward when it comes to the anion gap. emcrit.org/428

1:1 Nursing 009 - Q&A Episode 2 We cover a range of topics in Resus and Acute Critical Care Nursing. [#FOAMed for now] emcrit.org/1to1-009

EMCrit Wee - Phil and Rory on the 4 Interface Model for Shock Physiology. We dive deeper in part 2 of the Shock Physiology Series. [#FOAMed for Now] (@emnerd_ @thinkingcc) emcrit.org/4Int

EMCrit 427 - Advancing Concepts in Shock Physiology. As an intro to a 3-part series, I go over two papers discussing new ways to assess and understand shock hemodynamics. (@emnerd, @thinkingcc, @saracrager) [#MembersOnly] emcrit.org/427

EMCrit Wee - Dr. Glaucomflecken [@DGlaucomflecken] on the amazing Eugene EM Physicians triumph over corporate medicine [#FOAMed for a bit] emcrit.org/glaucomflecken

EMCrit 426 - Dave Carr - Tips & Tricks from his career in Emergency Medicine @davidcarr333 [#FOAMed for a bit] emcrit.org/426

EMCrit Wee - Compassion in Medicine - Compassionomics with Stephen Trzeciak. In less than 60 seconds you can dramatically change your patient's and your own experience in medicine! [#FOAMed for a bit] emcrit.org/compassiono...

EMCrit Wee - How I F*&ked Up at Incrementum 2026 In which I debrief my failure clinically and from a psychological perspective. #Incrementum2026 emcrit.org/awake-frackup

Airway Triage Debate: Today, a debate with an anesthesiologist [@airwaymxacademy] on the use of his airway triage app and whether it is applicable to resus airways... emcrit.org/425

EMCrit Wee - 2026 PE Update F/u with @pulmcrit & Justin Morgenstern [#FOAMed for just a bit] emcrit.org/k173

AHA PE Guidelines 2026 are here, so are STRATIFY and HI-PEITHO. I have new takeaways, updated risk stratification, treatment recs, and much more... emcrit.org/424

COHb of 32% — should you dive this patient? The answer is more complicated than your tox textbook lets on. New EMCrit with Dave Juurlink unpacking why it is not the slam dunk you were taught. [#FOAMed for a bit] emcrit.org/423

EMCrit Wee - You Don't Understand Dizziness and Vertigo - But You Need To!!! -Why the Sudbury Risk Score is fairly useless -Why STANDING is pretty good, but could be improved -What you should use instead [#FOAMed for a bit] emcrit.org/dizzy

EMCrit RACC-Lit Review - April 2026 All of the Resus and Acute Critical Care Goodness! emcrit.org/c72a

EMCrit 422 - SSC 2026 Guidelines: The good, the Bad, and the UGLY - a discussion with lead author, Hallie Prescott A fantastic interview on how the SSC guideline sausage was made and the areas I found contentious [#FOAMed for now] emcrit.org/422

EMCrit 1:1 Nursing 008 – The Stroke Show. We're back from break with our standard fare of crucial info for Resus and Acute Critical Care Nursing. [#FOAMed for now] emcrit.org/1to1-008

EMCrit 421 - A Friendly Debate on the Role of ED Pharmacists - I want their minds, not their hands! with @MeganARech #EMPharmacy #EMRX Listen and then tell us what you think! emcrit.org/421

EMCrit Wee - An Airway Discussion with Jonathan St George of the Protected Airway Collaborative Informal chat on the DAS guidelines and a bunch of other airway stuff. emcrit.org/y6ud

EMCrit 420 - #CVEMCrit - Nuanced Presentations of Dynamic Left Ventricular Outflow Tract Obstruction (LVOTO): When It’s a “Two-Ventricle” Problem — and So Much More @TrinaAugustinMD Have you diagnosed dLVOTO in the past 3 months? If not, then you missed it! [#FOAMed for now] emcrit.org/420

EMCrit 419 – Questions and Answers (Members Q&A Episode 003) Finishing up the stack of questions from the past few months!! Some good stuff in here. emcrit.org/419

EMCrit 418 - Questions and Answers (Members Q&A Episode 002) I answered 1 hour worth of questions--when I recover, I will do the rest! emcrit.org/418

EMCrit Wee - ECGs in Acute Pulmonary Embolism - Death Threats in Little Squiggly Lines. I bring @PendellM on the show to discuss the ECG in acute PE emcrit.org/ecg-pe

EMCrit 417 - The Antibiotics Show - Community Edition with David Talan. Choices of ABX for Sepsis and Septic Shock [#FOAMed for now] emcrit.org/417

CV-EMCrit Wee - Electrical Storm: Surviving the Storm Part II - Storm on VA-ECMO This one is really of particular interest to CV intensivists, though of course, everyone is welcome. [#FOAMed] @TrinaAugustinMD emcrit.org/storm-va

EMCrit 416 - JanuAIRWAY - State of the Airway 2026 -Difficult Airway Assessment -PreOx -Med Choices -eFONA Let's reestablish our intubation foundations by using the new DAS guidelines as a guide to discussion... emcrit.org/416

EMCrit 415 - Medetomidine Overdose and Withdrawal with @JMPerroneMD Makes you yearn for the days of nice clean pure heroin Many of these pts wind up critically ill. If it hasn't hit your area yet, it will! [#FOAMed for now] emcrit.org/415

EMCrit Wee - Opioid Crisis Part 2 - The Opioid Chain of Survival and Nitazene Opioid Adulteration with Arne Skulberg [#FOAMed for now] emcrit.org/axbt

EMCrit RACC-Lit Review - December 2025, A double episode to finish out the year with all of the papers you need to know... emcrit.org/kmid

EMCrit 1:1 Nursing 007 - Resus Nurse Efficiency. How to manage sick patients while taking care of not-sick ones as well. 1:1 is an ideal, but let's talk reality... [#FOAMed for now] emcrit.org/1to1-007

EMCrit 414 - HyperCRITical - @PulmCrit on BICARICU-2 and EVERDAC. -Should we be treating acidosis with BICARB? -Are a-lines dead?

EMCrit Wee - The RSI Trial - Etomidate vs. Ketamine for RSI Induction in the critically ill. These results are practice changing for many resuscitationists! I know it will change my practice. Listen to this interview with lead authors: @JonathanCaseyMD and @brian_driver [#FOAMed for now!]

EMCrit Wee - EVERDAC RCT on Arterial Line Placement in the Medically Critically Ill--Let's hear from the lead author, Gregoire Muller. I love having arterial lines on my crashing patients, but is there any evidence that it makes a difference on outcomes?? [#FOAMed for now] emcrit.org/everdac

EMCrit 413 - Translating Recent Sepsis Papers to the Bedside with @PulmCrit (Farkas) - Confounding Effects of Vasopressin - Perfusion Index? - Echo-Pressor-Echo & so much more... [#FOAMed for now] emcrit.org/413

EMCrit Wee - A Discussion of Opioid Adulterants with a Harm Reduction Specialist [#FOAMed for now] @courtd0urt emcrit.org/bpnj

EMCrit 412 - 2025 AHA ACLS Guidelines with Shel Cheskes We go over some of the more controversial or interesting guideline recs. Rants on DSED, epi, anti-dysrhythmics and more... emcrit.org/412