Critical Care Scenarios

TIRBO #26: RadioPEEP discordance

Episode 55: Undifferentiated encephalopathy and autoimmune encephalitis, with Casey Albin

In this episode of Critical Care Scenarios, Brandon Odo and Brian Bowling are joined by Dr. Casey Albin, a neurointensivist, to discuss a challenging neuro ICU case. The case involves a 49-year-old male with diabetes, hypertension, and a smoking history who was found unresponsive at home. The team discusses the initial...

TIRBO #25: Two things NOT to hear

Lightning rounds #23: How we do end-of-life care

The podcast addresses end-of-life care in critical care settings, focusing on how intensivists navigate patient prognosis and goals of care. The speakers explore the responsibilities of critical care specialists versus palliative care teams, particularly in surgical and neuro ICUs. They emphasize the importance of earl...

TIRBO #24: Two things people need to hear

Episode 54: The critically ill patient with pulmonary hypertension, with Ray Foley

In this episode of Critical Care Scenarios, Brandon Odo and Brian Bulling host Dr. Raymond Foley to discuss the complexities of managing a patient with pulmonary hypertension in the ICU. The conversation centers around a case of a 71-year-old female with a history of breast cancer, CTEF, COPD, HFPEF, and diabetes, who ...

TIRBO #23: Cultivating clinical calm

Lightning rounds #22: Our drugs of choice

In this episode of Critical Care Scenarios, Brandon Odo and Brian Bowling discuss their go-to drug choices for common clinical scenarios encountered in the ICU. They emphasize that many drug decisions are based on habit, training, and local institutional culture rather than strict evidence-based guidelines, acknowledgi...

TIRBO #22: Understanding “weak” trainees

Episode 53: Documentation and coding with Robert Oubre

TIRBO #21: Locating, securing, and dressing lines

Lightning rounds #21: CME, merch, Patreon, and other podcast updates

TIRBO #20: Understanding the needle

Mastering ultrasound-guided vascular access relies on the precise, dynamic coordination of the needle tip and the ultrasound beam. Because ultrasound imaging is a two-dimensional plane, operators must continuously manipulate the probe to track the needle's tip, rather than its shaft, to ensure accurate vessel entry. Ef...

Episode 52: Pleural effusions in the ICU with Emily Fridenmaker

This episode of Critical Care Scenarios features hosts Brandon Odo and Brian Bowling, along with guest Dr. Emily Fridenmaker, discussing the diagnosis and management of pleural effusions in critically ill ICU patients. The conversation covers differentiating between transudative and exudative effusions, the role of ult...

TIRBO #19: Guidewire safety

Lightning rounds #20: Being efficient

TIRBO #18: Mastering dilation

The podcast addresses the nuances of dilation during the Seldinger technique, a critical step in bedside procedures. It emphasizes the importance of ergonomics, advocating for holding the dilator close to the skin in an overhand position and applying firm, steady, patient pressure rather than jerky motions. Dilation oc...

Episode 51: Resuscitating and deresuscitating with hypertonic saline, with Sean Barnett

TIRBO #17: Being cool is a privilege

Lightning rounds #19: How to write a journal article