Oct 26, 2026 · 18 min · 10 segments
Recorded at ACEP26 Scientific Assembly in Chicago, Dr. Ryan Stanton talks with Dr. Matthew Roginski, an emergency physician and intensivist at Dartmouth Hitchcock Medical Center, about the underused…
Ryan StantonHost
Yeah, it really is that temporizing measures to buy the time to address the actual process that's taking place.
A lot of times it is just about giving a little time for the body to kind of come back around and whatever the final diagnosis is of getting that fixed.
How much of this, with your recommendation, because I'm sure there's very few people who are diving into the methylene blue angiotensin to the hydroxycobalamin B12 kind of approach.
Especially for community physicians, which are many of our listeners here, how would you think about that consideration of implementing this into the resuscitation toolkit within your hospital?
Yeah, I think this is really trying to form a coalition in who do you call and getting someone that can be, hey, I've done X, Y, and Z. I think the patient has septic decompensated shock.
Is it bacteremia? What have you? And then trying to partner with, is it an intensivist in your institution? Is it a critical care pharmacist or pharmacist in your institution? Or where are you referring to? Because if your normal pattern is, you know, steps one, two, three, helicopter to, you know, ICU 45 minutes away, how do you kind of come up with a pathway with those providers in your referral region to come to like, what is my pathway of decompensated shock? Because I think no one wants to be alone at three o'clock when no one's answering the phone to figure this out on their own.
Yeah, it really is that temporizing measures to buy the time to address the actual process that's taking place.
A lot of times it is just about giving a little time for the body to kind of come back around and whatever the final diagnosis is of getting that fixed.
How much of this, with your recommendation, because I'm sure there's very few people who are diving into the methylene blue angiotensin to the hydroxycobalamin B12 kind of approach.
Especially for community physicians, which are many of our listeners here, how would you think about that consideration of implementing this into the resuscitation toolkit within your hospital?
Yeah, I think this is really trying to form a coalition in who do you call and getting someone that can be, hey, I've done X, Y, and Z. I think the patient has septic decompensated shock.
Is it bacteremia? What have you? And then trying to partner with, is it an intensivist in your institution? Is it a critical care pharmacist or pharmacist in your institution? Or where are you referring to? Because if your normal pattern is, you know, steps one, two, three, helicopter to, you know, ICU 45 minutes away, how do you kind of come up with a pathway with those providers in your referral region to come to like, what is my pathway of decompensated shock? Because I think no one wants to be alone at three o'clock when no one's answering the phone to figure this out on their own.
The rest of this transcript — segmented and speaker-labeled, so you land on the exact moment something was said
Search every transcript — by keyword, by phrase, or by meaning, across every show Radar indexes
Trends — what is surging across podcasts, measured against its own baseline
Alerts — when a name you follow appears in a newly indexed episode
No account is needed to search Radar.
