Dr. Anand Swaminathan, an emergency physician specializing in resuscitation, shares his expertise on tackling refractory shock. He emphasizes the importance of a 'cognitive pause' to reassess treatment when patients don't respond to vasopressors. The discussion delves into potential hidden causes like acidosis, hypothyroidism, and occult bleeding that can hinder effective care. Through a systematic approach, Dr. Swaminathan advocates for thorough evaluations, transforming how healthcare providers address these complex cases.

In a thought-provoking discussion, Dr. Anand Swaminathan, an Assistant Professor of Emergency Medicine, dives into the controversial use of Tamiflu for influenza treatment. He shares insights from a systematic review that questions the drug's efficacy and reveals its side effects, including gastrointestinal issues. The podcast also examines historical safety concerns and emphasizes the need for a shift in clinical practices regarding Tamiflu's routine use, urging practitioners to reconsider treatment strategies for flu patients. It's a must-listen for those navigating influenza care!