Neuromuscular diseases are common and include chronic autoimmune disorders such as myasthenia gravis, acute demyelinating disorders like Guillain Barre, paraneoplastic disorders, and toxidromes such as botulism. The presentation of many neuromuscular diseases can be subtle: diffuse weakness, subtle swallowing difficulty, or double vision. Many patients do not present until its nearly too late, and timely diagnosis can lead to rapid stabilization of airway, autonomics, and other potentially lethal complications and expedited treatment of the underlying cause.
Diagnosing critical neuromuscular disease – physical exam findings, ancillary tests
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‘Everything’ at the End of Life
Phoebe Adams, , 2017, The Talks DASsmacc, critical care, Dying, End of life, 0
The meaning of ‘everything’ from the perspective of the patient, their family, their doctor and their health economist. We...
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Helping Without Harming
Phoebe Adams, , 2017, The Talks DASsmacc, communication in critical care, Debriefing, feedback, interprofessional education, negotiation, performance gaps, 0
You’ve been resuscitating the patient for hours and finally caught up with volume. You come back on your next...
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Prehospital Care: The Future is Now
Phoebe Adams, , 2017, The Talks DASsmacc, future, medtech, prehospital, Resuscitation, Trauma, 0
Trauma is an epidemic. It is globally the biggest killer in young people.This talk will outline the current deficits...
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Neuroimaging Nibble Subtle SAH
Phoebe Adams, , 2017, The Talks DASsmacc, Uncategorized, CT, Subtle Subarachnoid haemorrhage, 0
Neuro Imaging Nibble: Subtle Subarachnoid haemorrhage on CT by Jordan Bonomo
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Voices in my Head
Phoebe Adams, , 2017, The Talks DASsmacc, Failure, medicine, mindfulness, performance, Resuscitation, Self-compassion, 0
We are all imperfect, this is the human condition. Pursuing a career in resuscitation means that some of our...
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The Problem with Physiology
Phoebe Adams, , 2017, The Talks DASsmacc, hemodynamics, outcomes, Physiology, 0
Critical care clinicians can change physiology with a number of tools. They can repeatedly, often and mercilessly change physiological...
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Four Tragic Dog Deaths: Lessons in Program Design and Development
Phoebe Adams, , The Talks DASsmacc, Administration, emergency medicine, innovation, medical education, Point-of-care Ultrasound, Program Design, Research, 0
Academic programs are built on four main pillars: clinical excellence, research, education, and administration. These apply whether you build...
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Diagnosing Meningitis – CSF lactate, procalcitonin and fungitell, when to pull the trigger on steroids/abx?
Phoebe Adams, , 2017, The Talks DASsmacc, antibiotics, bacteria, brain, CSF, CT, emergency department, fungitell, lactate, LP, Meningitis, Neuro EM, procalcitonin, steroids, 0
The golden hour of meningitis involves rapid identification, workup, and treatment. In most cases, the diagnosis of meningitis is...