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EMCrit Wee - Phil and Rory on the 4 Interface Model for Shock Physiology

EMCrit FOAM Feed

Scott D. Weingart, MD FCCM

Medicine, Science, Health & Fitness

4.82K Ratings

🗓️ 17 June 2026

⏱️ 49 minutes

🧾️ Download transcript

Summary

Transcript

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0:00.0

Hey folks, Scott Weingard here, and this is the M-Crit.

0:03.3

Wee. So today on the Wee, this is part two of our physiology of shock, our hemodynamic physiology

0:12.1

discussion. Part one, which was members only, I gave an introduction to two papers, the four

0:17.5

interface model by Phil Rola, various other authors, including Rory Spiegel,

0:22.6

those two are our guests today. I went over Sarah Crager's paper on shock physiology, and that

0:28.5

will provide a fantastic introduction to the episode you're about to hear. Now, if you are not a

0:33.5

member, then the easy answer is become a member and go listen to that episode. But if you're not willing to do that right now, then you need to read the paper. And I link that in the notes for this episode. Read the four interface model paper. And because without one of those two things, either the previous episode or reading the paper, this is going to be a little bit confusing. I think you'd still get a bunch out of it, but it would be so much better if you just quickly peruse the paper or listen

0:58.0

to the episode or the smartest move do both. Because what we're going to hear is two of the

1:02.3

authors from that paper discussing some nuances and some hidden points. And I think you're really

1:07.3

going to love it. Now, Phil asked me to pitch the conference

1:11.1

that goes along with that paper

1:12.8

and this entire new idea set

1:15.7

for dealing with physiology at the bedside.

1:17.8

And it's the hospitalist and resuscitationist conference

1:20.3

in September, 26, Montreal.

1:23.2

It is the who's who of people doing the cutting edge work

1:26.4

in clinical physiology for critical care and emergency medicine and hospitals, obviously. So take a look. It's linked in the notes for this episode, and you could see all the great stuff. I'll be there. That's the only reason I'm pitching this is I will be there. And I'll be talking about the physiology of pre-oxination, you know, the thing I obsess over.

1:44.9

So I think you'll really love the conference.

1:46.8

Go check it out.

1:48.1

On the MCRIT front, still selling tickets for RANATE, though not many left.

1:52.1

If you want to come to reanimate, buy tickets now.

1:54.2

And we are coming close to selling out the unburnable course, which is our anti-burnout

...

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