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This episode covers Chapter 8 of Rosen's Emergency Medicine. Episode Overview: Describe 6 therapeutic interventions for the post-arrest brain List 5 techniques for initiating therapeutic hypothermia List 4 mechanisms of therapeutic hypothermia in improving neurological outcome Wisecracks: What components make up cerebral blood flow and CPP? (shownotes only) Essential Evidence: Target Temperature Management at 33 C vs 36 C after Cardiac Arrest (Nielsen et al., 2013)

This episode covers Chapter 7 of Rosen's Emergency Medicine. Episode Overview: Describe the 3 categories of blood antigens Who is the universal donor and why? Define massive transfusion List 5 physiologic complications of massive transfusion What are the indications for the administration of: pRBCs /  FFP / Platelets** / Cryoprecipitate List 6 complications of blood transfusions and their management Wisecracks: What are the components of octaplex? When is it indicated? What is FEIBA? List the three types of plasma that are available from the blood bank? What are the absolute and off-label uses for recombinant factor VII? Which products are most likely to result in sepsis? What is a hyperhemolytic crisis?

This episode covers Chapter 6 of Rosen's Emergency Medicine. Episode Overview: List, define and explain the 5 causes of shock What is the utility of lactate and base deficit in the management of shock? Define: SIRS, Sepsis, Severe Sepsis, and Septic Shock List 5 empirical criteria for the diagnosis of circulatory shock Describe Early Goal Directed Therapy Describe the management goals in cardiogenic shock Wisecracks: A stepwise approach to cardiogenic shock

This episode covers Chapter 5 of Rosen's Emergency Medicine. Episode Overview List 6 situations when pulse oximetry is not useful? List 10 situations when capnography is useful? Describe the ETCO2 curve? List four indications for invasive blood pressure monitoring?

This episode covers Chapter 4 of Rosen's Emergency Medicine. Episode Overview: What are the depths of procedural sedation (PSA)? Describe the continuum of procedural sedation? Describe the recommended personnel and monitoring during PSA? What are contraindications for PSA in the ED? What agents can be used for procedural sedation and analgesia? Describe ASA classification system? Describe appropriate discharge instructions for patients post-procedural sedation? List 8 complications / side effects of ketamine and how some can be treated? List 4 situations when ketamine may be contraindicated? List 4 side effects of propofol in procedural sedation?

This episode covers Chapter 3 of Rosen's Emergency Medicine. Episode Overview: Describe the steps in the afferent pain pathway? Differentiate between acute and chronic pain? List options for pain management at various steps in pain perception? Describe the different methods of assessing pain for all ages List 4 side effects of NSAIDS, what factors increase risk of GI bleeding? What is the mechanism of action of local anesthetics? What are the two classes? What is the toxic dose of lidocaine and bupivacaine?  What are expected toxicities?   How are they treated? List 6 techniques for reducing pain of injection of local anesthetic. List one topical anesthetic for intact skin, mucous membranes, and open skin What is the dose of sucrose in a neonate for anesthesia?

This episode covers Chapter 2 of Rosen's Emergency Medicine. Episode Overview: What are Indications and contraindications to NIPPV? Describe your initial BePAP or CPAP settings? What are good initial vent settings? How  do you troubleshoot the crashing patient on the ventilator?

This episode covers Chapter 1 of Rosen's Emergency Medicine. Episode Overview: How do you make the decision to intubate a patient? What are predictors of difficult bag valve mask ventilation? What are the predictors of difficult intubation? What are the predictors of difficult LMA insertion? What are the predictors of a difficult surgical airway? Differentiate non-depolarizing vs. depolarizing paralytic agents? What are the contraindications to succinylcholine?

In this first and very special episode of CRACKCast we interview the legend himself, Dr. Peter Rosen. A huge thank you Dr. Peter Rosen for making his time available for this. Portions of the interview will be showing up in later episodes. Remember: "study from fear"