EMCrit Podcast

This discussion unveils the intricacies of decompensated hypothyroidism, known as myxedema, especially in elderly women. It highlights distinctive symptoms like bradycardia and hypothermia while differentiating it from thyroid storm. The complexities of diagnosing myxedema are tackled, emphasizing atypical presentations. Listeners also learn about crucial lab testing and management strategies, including the appropriate use of levothyroxine and T3. Additionally, the podcast delves into associated pericardial effusions and the importance of handling them effectively to prevent serious complications.

Dennis Kim, trauma surgeon, discusses resus thoracotomy in trauma cases - emphasizing the importance of experienced hands, incision techniques, innovative approaches like riboa, managing great vessel trauma, medication use for resuscitation, and teamwork in resuscitative decision-making.