Episode 26: ICU sedation, mobility, and delirium with Dale Needham

Episode 36: Preventing and managing complications: Back in the arena with one of our favorites, Matt Siuba (@msiuba), Cleveland Clinic intensivist and Mr. Zentensivism, to discuss complications in critical care and how to prevent and manage them. Today we focus on atrial fibrillation with RVR and bleed... by Critical Care Scenarios

63 min listen

Episode 27: Wilderness medicine with Ross Hofmeyr: Management of an alpine medicine scene including discussion of HAPE (High Altitude Pulmonary Edema), HACE (High Altitude Cerebral Edema), and suspension syndrome, with Dr. Ross Hofmeyr (@rosshofmeyr), anesthesiologist in the Department of Anaesthesia a... by Critical Care Scenarios

69 min listen

Episode 23: COVID-19 pneumonia with Nicole King: Best practices in care of the critically ill patient with COVID-19 pneumonia are not known at this time. However, practical lessons from the ground are filtering in from those who have seen many of these patients, and Dr. by Critical Care Scenarios

56 min listen

Episode 18: Oncologic emergencies with Leon Chen: A look at oncology-related emergencies in the ICU, with Leon Chen (@CCMNP), NYC nurse practitioner specializing in oncology critical care. Takeaway lessons Extremely elevated leukocyte count should always raise suspicion for a “liquid tumor” such as le... by Critical Care Scenarios

43 min listen

Special episode: Surviving COVID-19 with Eve Leckie: The COVID-19 pandemic will hopefully wind down this year. What happens next with these patients? A powerful discussion with Eve Leckie (@browofjustice), RN, CCRN, formerly of the CVCC at Dartmouth-Hitchcock and now disabled after contracting COVID. by Critical Care Scenarios

55 min listen

Episode 25: Rhabdomyolysis: Initial workup, fluid management, renal replacement, and other subtleties of caring for the critically ill patient with rhabdomyolysis. Takeaway lessons Rhabdomyolysis is defined by elevated levels of creatinine kinase and/or myoglobin in the serum sec... by Critical Care Scenarios

33 min listen

Episode 38: GI bleeding with Elliot Tapper: Back with returning guest Dr. Elliot Tapper (@ebtapper), gastroenterologist, transplant hepatologist, and director of the cirrhosis program at the University of Michigan in Ann Arbor, to talk about critical GI bleeding. by Critical Care Scenarios

50 min listen

Episode 37: Airway management for COVID-19: Back again with Dr. Ross Hofmeyr (@rosshofmeyr), anesthesiologist in the Department of Anaesthesia and Perioperative Medicine at the University of Cape Town, to discuss an expert’s perspective on airway management in the COVID-19 patient. by Critical Care Scenarios

58 min listen

Episode 22: Aneurysmal subarachnoid hemorrhage with Thomas Lawson: Initial approach, supportive care, risk stratification, and management of the troublesome complications for ruptured subarachnoid aneurysm, with Thomas Lawson (@TomLawsonNP), nurse practitioner in the neurocritical care unit at OSU Wexner Medical Cente... by Critical Care Scenarios

46 min listen

Episode 26: ICU sedation, mobility, and delirium with Dale Needham: How to manage the intubated critically ill patient while keeping them awake, non-delirious, and mobile, with Dr. Dale Needham, FCPA, MD, PhD. Dr. Needham is a Professor of Pulmonary and Critical Care Medicine as well as Physical Medicine and Rehabilita... by Critical Care Scenarios

45 min listen

Episode 33: Ischemic stroke with Thomas Lawson: Evaluation of ischemic stroke, decisions for tPA and thrombectomy, supportive critical care, and monitoring for cerebral edema—with returning guest Thomas Lawson (@TomLawsonNP), nurse practitioner in the neurocritical care unit at OSU Wexner Medical Ce... by Critical Care Scenarios

43 min listen

Episode 24: Rural retrieval medicine with Minh Le Cong: Scene management, logistics, and stabilization of a blunt trauma patient in the Australian outback with Dr. Minh Le Cong (@ketaminh), rural GP and retrieval physician for the Royal Flying Doctor Service and host of the PHARM podcast. by Critical Care Scenarios

63 min listen

Episode 35: When to operate in trauma with Dennis Kim: Looking at trauma from the perspective of a surgeon, with a focus on the perennial dilemma of when a patient needs surgery. Our guest is trauma surgeon Dr. Dennis Kim (@traumaicurounds), associate professor of Clinical Surgery at UCLA and medical direc... by Critical Care Scenarios

63 min listen

Episode 19: Emergency medicine with Seth Trueger: A few rapid-fire cases from the emergency department, with Dr. Seth Trueger (@mdaware), emergency physician at Northwestern University and digital media editor for JAMA Network Open. [Sorry for the shotty audio quality in this one!–eds. by Critical Care Scenarios

41 min listen

Episode 28: Diuresis, deescalation, and liberation with Matt Siuba: How to take the well-resuscitated critically ill patient, get fluid out of them, deescalate their antibiotics, wean their sedation, reduce vent support, extubate, and get them out of the ICU—with Dr. Matt Siuba (Twitter: @msiuba), by Critical Care Scenarios

66 min listen

Lightning rounds #5: Career development for critical care APPs: Conceiving, planning, and building your career as a critical care PA or NP. Determining if this field is for you, finding your first job, pinpointing your interests or “niche” during your early career, nurturing your growth during the mid-career period... by Critical Care Scenarios

68 min listen

TIRBO #6: The many varieties of subclavian line: Reviewing the different approaches to placing central venous catheters in the subclavian vein. by Critical Care Scenarios

16 min listen

Episode 30: Diabetic ketoacidosis: Diagnosing and treating DKA, including fluid management, lab studies, insulin management, managing acid-base abnormalities, transitioning off your drips, and all the rest. Takeaway lessons Calculate your anion gap and perhaps your strong ion difference... by Critical Care Scenarios

46 min listen

Episode 29: Lightning rounds #2: A vascular access roundtable, discussing our practices surrounding arterial lines, central lines, PICC lines and midlines, and PA catheters. When do we place them? When can they come out? What sites do we like? When (and how) do we use ultrasound? by Critical Care Scenarios

38 min listen

Episode 32: Lightning rounds #3: Following up from the last lightning rounds on vascular procedures, we look at non-vascular bedside procedures in the ICU: paracentesis, thoracentesis (including chest tubes), lumbar punctures, and bronchoscopy. How do we tap, what are our tricks, by Critical Care Scenarios

46 min listen

Episode 21: Trauma resuscitation with Scott Weingart: A patient with multiple abdominal gunshot wounds, resuscitated before and after damage control surgery by the legendary Scott Weingart (@emcrit): emergency physician, surgical intensivist by way of Shock Trauma in Baltimore, by Critical Care Scenarios

40 min listen

TIRBO #1: Toughness: The first episode of Brandon’s intermittent solo rants, in this case discussing toughness, stress tolerance, and flexibility in clinical medicine. by Critical Care Scenarios

20 min listen

Episode 31: Practical mobility, awakening, and delirium prevention with Kali Dayton: The art of taking a critically ill, heavily sedated, floridly delirious patient on aggressive vent support and pulling them out of the loop of sedation, immobility, and delirium. With Kali Dayton, ACNP-BC (@HomeIcu), by Critical Care Scenarios

61 min listen

Lightning rounds #10: Physical examination in the ICU: Bryan and Brandon talk about the physical exam: how we apply it in the ICU, its utility and changing role in the setting of modern diagnostic modalities, and its best and most practical use-cases. References McNamara LC, Kanjee Z. by Critical Care Scenarios

53 min listen

Episode 46: Neurologic catastrophe and brain death with Casey Albin: We review a case of massive intraparenchymal hemorrhage progressing to brain death, including the process of brain death testing and declaration, with Dr. Casey Albin (@CaseyAlbin), neurologist and neurointensivist, by Critical Care Scenarios

70 min listen

Episode 41: Preventing and managing complications (part 2) with Matt Siuba: Part two of our discussion with fan favorite Matt Siuba (@msiuba), Cleveland Clinic intensivist, on complications in critical care and how to prevent and manage them. Today we focus on respiratory failure after extubation, by Critical Care Scenarios

56 min listen

Episode 20: Post-CABG emergencies with Kris Ramilo and Brendan Riordan: Looking at the workflow of a fresh post-op open heart surgery patient, as well as what to do when it devolves into cardiac tamponade, with (returning) guest Brendan Riordan, cardiothoracic ICU PA (@concernecus) at the University of Washington, by Critical Care Scenarios

55 min listen

Lightning rounds #6: Point of care ultrasound: We chat about focused, clinician-performed point-of-care ultrasound (POCUS) in the ICU. How do you learn it? What are our favorite applications? What are some of the particulars and caveats surrounding credentialing, documentation, and billing? by Critical Care Scenarios

40 min listen

Episode 34: Lightning rounds #4: Wrapping up our series on procedures with a talk about airway management. Who should manage airways in the ICU? What’s the role of intensivists, APPs, anesthesia, etc? What’s the “correct” balance of expertise, distribution of labor, and training? by Critical Care Scenarios

63 min listen

Episode 39: ECMO for COVID-19 with Kim Boswell: An overview of VV ECMO with a focus on COVID-19, with Dr. Kimberly A. Boswell (EM and CCM) of the University of Maryland, perhaps the busiest center in the country for COVID-related ECMO. We discuss evaluating for candidacy, induction, maintenance, by Critical Care Scenarios

58 min listen

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Episode 26: ICU sedation, mobility, and delirium with Dale Needham

Episode 26: ICU sedation, mobility, and delirium with Dale Needham

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