Core IM | Internal Medicine Podcast

Can the MINT trial change how we treat anemia in acute MI? The largest trial of its kind compared liberal vs. restrictive transfusion strategies in patients with myocardial infarction.

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Timestamp:

• 01:29 History of Transfusion Guidelines/Studies
• 06:49 Pathophysiology of Anemia in heart disease
• 10:04 Transfusion in MI Studies
• 13:45 MINT Trial
• 22:20 Takeaways/Discussion

Transcript and Show Notes

Tags: Tags: CoreIM, IMCore, cardiology, internal medicine, myocardial infarction, anemia, transfusion, physician assistant, nurse practitioner, pharmacist, clinical trials, MINT trial, transfusion strategies, restrictive vs. liberal transfusion, heart attack

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Strategies to address moral distress and moral injury — hear from the experts on their work on the topic!

Timestamps:

(01:07) | Strategies for Addressing Moral Distress

(09:25) | Strategies for Address Moral Injury

(20:52) | Conclusion

Transcript and Show notes

Tags: IMCore, CorelM, Burnout, Moral Distress, Moral Injury, Moral Residue, Medical Humanities, medical ethics

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What is moral residue vs. moral injury vs moral distress? How do these concepts impact us as clinicians?

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Timestamps:

(04:59) | Definitions

(6:50) | Moral Distress

(09:01) | Moral Residue

(09:01) | Moral Residue

(11:34) | Moral Injury

(13:32) | Causes of Moral Distress and Moral Injury

(18:18) | Consequences

Transcript and Show notes

Tags: IMCore, CorelM, Burnout, Moral Distress, Moral Injury, Moral Residue, medical humanities, humanism

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Listen to 3 cardiorenal cases that highlight that “without flow it really doesn't matter what you're doing with the diuretic!”

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Timestamps:

(01:53) | Case 1: Diuretic Resistance from Ascites and Intra-abdominal Hypertension

(09:57) | Case 2: Diuretic Resistance from Low Cardiac Output

(26:34) | Case 3: Diuretic Resistance from Inadequate Renal Perfusion Pressure

Transcript and Show notes

Cardiorenal Considerations: 5 Pearls Segment

Tags:

IMCore, CoreIM, Diuretics, Cardiorenal, Medical Education, nephrology, cardiology, CCU, ICU, critical care

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Signouts! How can we do them better? Hear these memorable stories & ask yourself these FIVE questions when getting your handoff ready for the covering team.

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Timestamps:

(2:44) What makes this patient different from others with similar symptoms or diagnosis?

(7:28) Does your covering team have the tools to follow up on tasks and information they need for success? 

(16:06) Is the handoff updated? 

(18:26) What information about goals of care and prognosis should be communicated to the night team, especially for critically ill patients? 

(22:41) What are we still uncertain about? 

(25:30) Closing thoughts 

Show notes & transcripts

Tags:

IMCore, CoreIM, Contingency Planning, Handoffs, Medical Education, Nocturnists. Signouts, hospitalist

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