EMCrit Podcast - Critical Care and Resuscitation


ESICM Webinar Mentioned

* ESICM Seminar on COVID Ventilation

Read this to See the Thoughts of Actual Smart People

* in ICM

M. Ramzy's Infographic on the Article

Subtypes of COVID


Silent Hypoxemia (can cause iatrogenic injury when patients are intubated in this phase)

Indolent- Fine then Not (Intubated or Not-Inflammatory Markers)



Cytokine Storm

Hemophagocytic Lymphohistiocytosis (HLH) Overlap / DIC



Loss of hypoxic vasoconstriction

Micro-thrombotic disease


Avoidance of Intubation

Tachypnea, hypoxemia, do not seem to be indication

Mental status, Increased Dyspnea, PaCO2 rising


Progression of Therapies




Hi Flo with Surg Mask

CPAP—must monitor for excessive WOB


Non-Intubated Proning

ask them to move


Run them Dry

but not too dry--must replace external and insensible losses or else badness ensues


How to not kill patients with Intubation

EMCrit Airway Page


How to Ventilate

High FiO2 Strategy—Normal Compliance Patients

8 ml/kg, high fiO2

keep checking Driving Press and Plat

Avoid the PEEP Tables

Driving Pressure <=15





Low Compliance Patients

6 ml/kg

Conventional Low Vt PEEP Table

Driving Pressure > 15


works for either subtype

if experienced, should be dominant mode of ventilation


Other Meds

* Heparin

* Steroids


Here is the Video Version

Audio Version Here:







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