the EMCrit Crew

We are EMCrit. We explore an obsession with Critical Care and Resuscitation. Editor in Chief: Scott Weingart

[the EMCrit Crew @emcrit]

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)
https://t.co/61MqrNynaW

[the EMCrit Crew @emcrit]

@ThinkingCC not u yet brother—this is the intro. u r on Monday’s wee.

[the EMCrit Crew @emcrit]

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]
https://t.co/ZKeduDfjCn

[the EMCrit Crew @emcrit]

EMCrit Wee - Dr. Glaucomflecken [@DGlaucomflecken] on the amazing Eugene EM Physicians triumph over corporate medicine
[#FOAMed for a bit]
https://t.co/1KIeUXZRGc

[the EMCrit Crew @emcrit]

EMCrit 426 - Dave Carr - Tips & Tricks from his career in Emergency Medicine
@davidcarr333
[#FOAMed for a bit]
https://t.co/7hceaxFP0r

[the EMCrit Crew @emcrit]

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]
https://t.co/JWpx3dUuFR

[the EMCrit Crew @emcrit]

EMCrit Wee -
How I F*&ked Up at Incrementum 2026

In which I debrief my failure clinically and from a psychological perspective.

#Incrementum2026

https://t.co/4KLbMh6WdF

[the EMCrit Crew @emcrit]

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...

https://t.co/TIcALTCc8X

[the EMCrit Crew @emcrit]

EMCrit Wee - 2026 PE Update F/u with @pulmcrit & Justin Morgenstern
[#FOAMed for just a bit]
https://t.co/evQeeU2Nlm

[the EMCrit Crew @emcrit]

@DrGermanov I said 16 mg over 6 in my discussion—may be even lower in future

[the EMCrit Crew @emcrit]

AHA PE Guidelines 2026 are here, so are STRATIFY and HI-PEITHO. I have new takeaways, updated risk stratification, treatment recs, and much more...
https://t.co/uKiVIXHJck

[the EMCrit Crew @emcrit]

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]
https://t.co/r9R3t99Ix8

[the EMCrit Crew @emcrit]

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]
https://t.co/2lqMkZvfNN

[the EMCrit Crew @emcrit]

EMCrit RACC-Lit Review - April 2026
All of the Resus and Acute Critical Care Goodness!
https://t.co/m65YaFRFVe

[the EMCrit Crew @emcrit]

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]
https://t.co/6fXnmRSzYI

[the EMCrit Crew @emcrit]

If the data in the paper is correct, it would be because acidosis leads to decreased insulin sensitivity and the argument would be that we need to normalize hyperchloremic acidosis to avoid patient slipping back into DKA.

If instead the contention is that anion gap misses plasma ketones, but serum bicarb would pick it up; that is specious. If you are documenting significant BHB with a normal anion gap then the issue is likely low albumin. A normal bicarb will be just as insensitive to this issue as a normal AG--they are measuring the same thing.

[the EMCrit Crew @emcrit]

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]
https://t.co/3C1gJUTnsV

[the EMCrit Crew @emcrit]

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!
https://t.co/ycm8F9UJ5P

[the EMCrit Crew @emcrit]

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.
https://t.co/IPwjrU8fk0

[the EMCrit Crew @emcrit]

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]
https://t.co/vP49R7Yj4U