An educational podcast teaching practical critical care. By Brandon Oto, PA-C and Bryan Boling, ACNP. New episodes biweekly.
The podcast episode centers on nebulizer treatments, particularly their use in the ICU. It addresses the common practice of ordering nebulized medications, often without a full understanding of their administration and efficacy. Respiratory therapist Keith Lamb offers insights on when to use nebulizers versus inhalers,...
The podcast episode centers on managing a patient with a high intracranial pressure (ICP) in a neurocritical care setting. It begins with troubleshooting the EVD, ensuring it's functioning correctly and not obstructed. The discussion covers interventions like adjusting sedation and analgesia, administering hyperosmolar...
In this episode of Critical Care Scenarios, Brandon Odo interviews Dr. Prem Kandiah, a neurointensivist, about hyperammonemia. They discuss the physiology of ammonia production and detoxification, its toxicity to the brain, and the clinical utility of measuring ammonia levels in different scenarios such as in cirrhotic...
The desire to be perceived as "special" acts as a fundamental driver of human behavior, often overriding practical considerations like financial stability or work-life balance. Many individuals gravitate toward high-prestige career paths—such as specialized surgery or flight medicine—not merely for the work itself, but...
The podcast episode centers on the use of steroids in the ICU, particularly for patients with septic shock. It addresses the debate around whether to stimulate or suppress the immune system in infected patients, noting the historical shift towards using steroids to decrease inflammation. The discussion highlights that ...
Burn critical care functions as a specialized subset of trauma medicine, requiring precise management of fluid resuscitation, wound excision, and long-term rehabilitation. Flame and scald injuries remain primary drivers for admission, triggering systemic inflammatory responses and hypermetabolism that necessitate aggre...
This episode of Critical Care Scenarios features a discussion on spontaneous breathing trials (SBT) with Dr. Martin Tobin, an expert in mechanical ventilation. The hosts, Brandon Odo and Brian Bolling, along with Dr. Tobin, delve into the purpose of SBTs, the optimal methods for conducting them, and common misconceptio...
In this episode of Critical Care Scenarios, hosts Brian Bolling and Brandon Odo interview Dr. Tom Bleck, a neurocritical care expert, about the management of seizures in emergency medicine and critical care. The discussion covers the initial treatment of seizures with benzodiazepines, including the choice of drug (lora...
The podcast explores fluid responsiveness in critical care, particularly in septic patients, challenging the common practice of liberal fluid administration. Dr. Jon-Emile Kenny, a pulmonary and critical care physician, introduces a "3S" framework—Safety, Indication, and Efficacy—for fluid administration, advocating fo...
Propofol Infusion Syndrome (PRIS) and propylene glycol toxicity represent rare but critical iatrogenic complications in intensive care settings. PRIS, linked to high-dose and prolonged propofol administration, stems from mitochondrial dysfunction, manifesting as a triad of elevated lactate, metabolic acidosis, and card...
In this episode of Critical Care Scenarios, Brandon and Bryan discuss the art and science of having difficult conversations with family members of critically ill patients, particularly regarding goals of care and end-of-life decisions. They emphasize the importance of clear communication, understanding the patient's va...
The American College of Chest Physicians (CHEST) has introduced a new certification for Advanced Practice Providers (APPs) in critical care to address the lack of standardized training and competency benchmarks in the field. This certification, developed by APPs for APPs, provides a unified method for validating clinic...
This episode of Critical Care Scenarios features hosts Brandon Odo and Brian Bowling, along with hepatologist Elliot Tapper, discussing a range of GI topics relevant to critical care. The conversation covers the management of constipation using a heart failure analogy, anti-emetics and the use of alcohol swabs for naus...
The podcast explores practical tips and common pitfalls in critical care echocardiography (ECHO). Dr. Michael Lanspa, in charge of the Critical Care Echo Lab at Intermountain Healthcare, shares insights on optimizing ECHO use, from basic assessments to more advanced techniques. A key recommendation involves saving ECHO...
Follow this podcast in Podwise
Sign in to get AI summaries, transcripts and mind maps for any episode, including new ones.
