Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM · Health

Critical Care Scenarios

An educational podcast teaching practical critical care. By Brandon Oto, PA-C and Bryan Boling, ACNP. New episodes biweekly.

Episodes

The podcast explores the use of Extracorporeal Membrane Oxygenation (ECMO) in cardiac arrest patients, known as ECPR, focusing on patient selection, cannulation techniques, and post-arrest management. Guest Scott Weingart emphasizes the importance of strict inclusion criteria for new ECPR programs, highlighting factors...

TIRBO #35: Vent double-triggering

17 May 2023

12m

Lightning rounds #27: Our favorite FOAM

10 May 2023

37m

TIRBO #34: What makes it a central line?

03 May 2023

10m

Episode 59: Takotsubo cardiomyopathy with Vincent Sorrell

26 Apr 2023

48m

AI processed

Takotsubo cardiomyopathy, or stress cardiomyopathy, is explored with Dr. Vincent Sorrell, a cardiologist, to deepen understanding of the condition beyond the typical "broken heart syndrome." The discussion challenges the assumption of apical ballooning as the only presentation, highlighting atypical patterns seen in ne...

TIRBO #33: Positioning patients in bed

19 Apr 2023

15m

TIRBO #32: Approaching bacteremia

05 Apr 2023

14m

AI processed

Bacteremia represents the pathological presence of bacteria in the bloodstream, requiring a critical distinction between localized infections and intravascular sources. Localized infections, such as urinary tract or biliary infections, often produce low-grade, intermittent bacteremia that may not require specialized ma...

Episode 58: Toxic alcohols with Jerry Snow

29 Mar 2023

1h 5m

AI processed

Unexplained anion gap metabolic acidosis in critical care requires a systematic diagnostic approach to identify potential toxicological exposures. When common causes like ketoacidosis, lactic acidosis, and renal failure are excluded, toxic alcohols such as methanol and ethylene glycol become primary suspects. Dr. Jerry...