Coffee w/ Crit: Common Ground

Get ready for an exciting debut episode of Coffee and Crit with Dr. Michael Coletta! We're talking about a case of a 66-year-old man with alcoholism, confusion, low blood sugar, and possible GI bleeding. Dr. Coletta guides us through the steps taken to help this patient, using fluids, medication to raise blood pressure, and a ventilator to help him breathe.
We'll also learn about the challenges of hypoglycemia in people with cirrhosis, and why it's so important to keep a close eye on patients and keep treating.
It's all about teamwork, quick thinking, and never giving up, because every move we make could be the one that saves a life.
Here's the link for the blakemore demo from EMRAP: • Placement of a Blakemo...
00:00 Welcome to Coffee & Crit
00:27 Introducing Dr. Mike Coletta
01:00 Diving into a Critical Case: The Altered Mental Status Patient
02:28 Assessment and Initial Management: Unraveling the Mystery
07:23 The Turn for the Worse: Hypotension and Bradycardia
09:16 Resuscitation and Diagnosis: A Race Against Time
10:48 Intubation and Shock Management: Navigating Complex Decisions
15:00 Revealing the Diagnosis: Hemorrhagic Shock
15:58 Navigating Hypoglycemia and Initial Treatment Steps
17:12 Advanced Resuscitation Techniques and Challenges
20:06 Diagnostic Processes and GI Bleed Management
26:10 Critical Reflections and Learning from the Case
28:59 Closing Thoughts and the Importance of Thoroughness
#criticalcare , #EmergencyMedicine, #DrMichaelColetta, #CoffeeAndCrit, #AlteredMentalStatus, #Hypoglycemia, #GastrointestinalBleeding, #SystematicResuscitation, #Fluids, #Pressors, #VentilatorySupport, #CirrhosisPatients, #ComprehensiveInvestigations, #ContinuousMonitoring, #ImprovedOutcomes

[@DavidHVillarreal]

Great discussion

[@d0h4]

Loved it. Excited for the next episodes.

[@shoreshidoshi]

This was really helpful, and I am looking forward to the next episode.

[@superpogs]

Alternative names:
Critical care coffee
Intensive coffee unit

[@sebastianlagar1063]

This coffee thing is great can’t wait for more episodes

[@yukaiang1770]

Thanks for the awesome case discussion! A quick question: Initially when the patient's BP and HR started crashing, was there a conscious decision not to use atropine? or was push-dose epi just a preference of yours?

[@J.and.B.Productions]

To my understanding atropine isn’t indicated in someone who is also hypotensive

[@positronisomer206]

Dr Coletta seems like a very well trained doctor…where did he learn his craft????

[@ManjitKaur-gr6jj]

Once the patient has been stabilized would you check an ammonia level considering his mental status and history of alcohol?