In this post I link to blog posts from some of the internet’s greatest medical eduators. Yesterday, I reviewed Emergency Medicine Cases episode on vasopressor failure by Dr. Swaminathan,* Links To EMC’s EM Quick Hits 29 On Vasopressor Failure With Additional Resources. Posted on June 24, 2021 by Tom Wade MD. [Note to readers: I recommend going to the EMC link below. I only post excerpts on my studies into my blogbecause doing so helps me remember.]
*Helman, A. Swaminathan, A. Long, B. Gottlieb, M. Reid, S. Rosenberg, H. Cheskes, L. Morgenstern, J. EM Quick Hits 29 – Vasopressor Failure, Asplenic Considerations, Bronchiolitis Update, ICD Electrical Storm, Night Shift Tips. Emergency Medicine Cases. June, 2021. https://emergencymedicinecases.com/em-quick-hits-june-2021/. Accessed 6/24/2021.
Below is the Infographic on the causes of vasopressor failure from EM Quick Hits 29:
Occult causes of non-response to vasopressors
- Primary therapy for hypotension is to treat the underlying cause, while initiation of vasopressors is a temporary adjunctive therapy
- Despite substantial vasopressor doses, some patients may not respond appropriately with improvements in hemodynamic parameters; failure to respond should lead to a cognitive pause and consideration of the occult causes of non-response to vasopressors.
Occult causes of non-response to vasopressors (source: REBEL EM)
So today I have reviewed some great resources on vasopressors and shock from Drs. Weingart and Farkas and from other medical educators, i.e. CoreEM.
Note to myself: Each of the resources below are incredible medical education resources. Review them often.
So here are links to the resources I reviewed.
YouTube video, Push-Dose Pressors [Epinephrine and Phenylephrine], March 14, 2019 from CORE EM. This brief video shows you how to prepare syringes of the two medicines.
EMCrit Podcast 6 – Push-Dose Pressors
July 10, 2009 by Scott Weingart, MD FCCM
EMCrit Podcast 205 – Push-Dose Pressors Update
August 7, 2017 by Scott Weingart, MD FCCM
Podcast 87 – Mind of the Resuscitationist: Stop Points
November 26, 2012 by Scott Weingart, MD FCCM
February 20, 2020 by Josh Farkas from The Internet Book Of Critical Care
February 7, 2017 by Josh Farkas from The Internet Book Of Critical Care
IBCC chapter & cast – Toxic Shock Syndrome
November 16, 2020 by Josh Farkas from The Internet Book Of Critical Care
May 29, 2021 by Josh Farkas from The Internet Book Of Critical Care
PulmCrit- Do phenylephrine and epinephrine require central access?
September 7, 2016 by Josh Farkas