Critical Care Scenarios

TIRBO #16: Are PAs as good as doctors?

Episode 50: Rib fractures and surgical plating with Ron Barbosa

The podcast explores the complexities of managing rib fractures, particularly focusing on when and how surgical rib plating should be considered. It highlights the importance of multimodal pain management, including opioids, gabapentin, and epidurals, while cautioning against relying solely on narcotics. Dr. Ron Barbos...

TIRBO #15: Reviewing ultrasound modes

Lightning rounds #18: How to give a conference presentation

TIRBO #14: Trajectories of illness and critical care

Episode 49: Invasive pulmonary aspergillosis with Shmuel Shoham

TIRBO #13: Hospital relativity

Lightning rounds #17: Reading chest x-rays

TIRBO #12: On heroics (or: is critical care hard?)

Episode 48: Undifferentiated hypotension

TIRBO #11: Mastering wire guidance

The podcast focuses on guidewires used in percutaneous Seldinger procedures, emphasizing their importance and often-overlooked techniques for effective use. It distinguishes between two main types of guidewires: stiff straight wires with flexible tips and two-part coil-over-core wires, often J-tipped. The discussion hi...

Lightning rounds #16: How we do case-based teaching

TIRBO #10: Put the I back in Team

Episode 47: ICU triage with Eddy Gutierrez

TIRBO #9: Some quotes about why

Lightning rounds #15: Night shifts

TIRBO #8: What does skin really tell you about hemodynamics?

Skin assessment serves as a critical bedside tool for evaluating systemic perfusion, bridging the gap between complex hemodynamic monitoring and real-world tissue oxygenation. While clinical training often debates whether skin quality reflects cardiac output or systemic vascular resistance (SVR), these two variables ar...

Episode 46: Neurologic catastrophe and brain death with Casey Albin

TIRBO #7: Selecting vasopressors

Lightning rounds #14: Abdominal compartment syndrome