Reposted by tgr MD
just added a new section on RIC lines (rapid infusion catheters) to the IBCC
a RIC line basically involves up-sizing an 18-20G PIV to a 13G PIV using a Seldinger technique
we just got these, so I'd love to hear folks' opinions on them & any pearls/pitfalls #EMIMCC
emcrit.org/ibcc/mtp/#ra...
a RIC line basically involves up-sizing an 18-20G PIV to a 13G PIV using a Seldinger technique
we just got these, so I'd love to hear folks' opinions on them & any pearls/pitfalls #EMIMCC
emcrit.org/ibcc/mtp/#ra...
September 14, 2025 at 1:45 PM
just added a new section on RIC lines (rapid infusion catheters) to the IBCC
a RIC line basically involves up-sizing an 18-20G PIV to a 13G PIV using a Seldinger technique
we just got these, so I'd love to hear folks' opinions on them & any pearls/pitfalls #EMIMCC
emcrit.org/ibcc/mtp/#ra...
a RIC line basically involves up-sizing an 18-20G PIV to a 13G PIV using a Seldinger technique
we just got these, so I'd love to hear folks' opinions on them & any pearls/pitfalls #EMIMCC
emcrit.org/ibcc/mtp/#ra...
RIC lines have higher infusion rates (~1200 mL/min), fewer complications and are faster to insert than CVC lines (28 s vs 52 s) — why are we not using them more in rapid infusion resuscitation?
#emimcc
#emimcc
41 The Need for Speed - Rapid Infusion Catheters versus Central Venous Catheters for Large Volume Infusions: A Preliminary Study and Literature Review
There are many options to choose from when considering the type of catheter through
which to infuse fluids into our patient’s circulatory system. These options range
from standard peripheral intraveno...
www.annemergmed.com
September 10, 2025 at 10:52 AM
RIC lines have higher infusion rates (~1200 mL/min), fewer complications and are faster to insert than CVC lines (28 s vs 52 s) — why are we not using them more in rapid infusion resuscitation?
#emimcc
#emimcc
It is critical to understand the physiology behind intraop hypotension:
1. Narrow PP: low stroke volume (preload↓, contractility↓ or afterload↑)
2. Low DBP with preserved PP: fast arterial run-off (SVR↓, HR↓ or aortic compliance↓)
3. Both low SBP + DBP: combined low SV + fast run-off
1. Narrow PP: low stroke volume (preload↓, contractility↓ or afterload↑)
2. Low DBP with preserved PP: fast arterial run-off (SVR↓, HR↓ or aortic compliance↓)
3. Both low SBP + DBP: combined low SV + fast run-off
September 10, 2025 at 10:45 AM
It is critical to understand the physiology behind intraop hypotension:
1. Narrow PP: low stroke volume (preload↓, contractility↓ or afterload↑)
2. Low DBP with preserved PP: fast arterial run-off (SVR↓, HR↓ or aortic compliance↓)
3. Both low SBP + DBP: combined low SV + fast run-off
1. Narrow PP: low stroke volume (preload↓, contractility↓ or afterload↑)
2. Low DBP with preserved PP: fast arterial run-off (SVR↓, HR↓ or aortic compliance↓)
3. Both low SBP + DBP: combined low SV + fast run-off
Reposted by tgr MD
The serum creatinine level is a concentration, amount per volume.
If you quickly expand plasma volume by 20%, the Cr will decrease by ~20%, saying nothing of GFR.
Same goes for ALT, WBC, CRP, and other values that we trend and sometimes overinterpret small fluctuations of.
If you quickly expand plasma volume by 20%, the Cr will decrease by ~20%, saying nothing of GFR.
Same goes for ALT, WBC, CRP, and other values that we trend and sometimes overinterpret small fluctuations of.
September 7, 2025 at 3:46 PM
The serum creatinine level is a concentration, amount per volume.
If you quickly expand plasma volume by 20%, the Cr will decrease by ~20%, saying nothing of GFR.
Same goes for ALT, WBC, CRP, and other values that we trend and sometimes overinterpret small fluctuations of.
If you quickly expand plasma volume by 20%, the Cr will decrease by ~20%, saying nothing of GFR.
Same goes for ALT, WBC, CRP, and other values that we trend and sometimes overinterpret small fluctuations of.
Great video from Dr Peter Johns detailing the syndromic vs diagnosis based approaches to vertigo in the ED #emimcc
youtu.be/e9Qcuzi3m6Q?...
youtu.be/e9Qcuzi3m6Q?...
Syndromic vs diagnosis based approach to dizziness/vertigo: Which is better?
YouTube video by Peter Johns
youtu.be
February 28, 2025 at 7:48 AM
Great video from Dr Peter Johns detailing the syndromic vs diagnosis based approaches to vertigo in the ED #emimcc
youtu.be/e9Qcuzi3m6Q?...
youtu.be/e9Qcuzi3m6Q?...
Reposted by tgr MD
Want to improve your Basic Bag-Valve-Mask Ventilation skills? Here's a VERY short course I made that's free and will only take 5-10 minutes.
tinyurl.com/BMVCourse
tinyurl.com/BMVCourse
November 23, 2024 at 9:07 PM
Want to improve your Basic Bag-Valve-Mask Ventilation skills? Here's a VERY short course I made that's free and will only take 5-10 minutes.
tinyurl.com/BMVCourse
tinyurl.com/BMVCourse
Great video on the parasternal left ventricle adjacent approach for pericardiocentesis #emimcc
Our new video just dropped! Periocardiocentesis under real-time, in-plane ultrasound guidance. Safer, quicker, more convenient. It's boss-level Seldinger-technique, not for the feint of heart, but attainable in the right setting, with the righ plan and right backup.
youtu.be/61FPmtw5RAM
youtu.be/61FPmtw5RAM
Ultrasound-Guided Pericardiocentesis
YouTube video by InterAnest
youtu.be
November 23, 2024 at 12:45 PM
Great video on the parasternal left ventricle adjacent approach for pericardiocentesis #emimcc
Created a table for interpreting metabolic acid-base disorders inspired by the legend @pulmcrit.bsky.social #acid-base #foamed
Reference: emcrit.org/ibcc/agma
Reference: emcrit.org/ibcc/agma
November 20, 2024 at 1:26 PM
Created a table for interpreting metabolic acid-base disorders inspired by the legend @pulmcrit.bsky.social #acid-base #foamed
Reference: emcrit.org/ibcc/agma
Reference: emcrit.org/ibcc/agma