Critical Care Time

86. The Other Side of The Bed: Surviving The ICU & Beyond

REBOOT Inotropes

Inotropes serve as essential tools for modulating cardiac contractility in critically ill patients, functioning through distinct adrenergic and non-adrenergic pathways. These agents—including dobutamine, epinephrine, milrinone, and calcium—differ significantly in their effects on chronotropy, systemic vascular resistan...

85. Brain Death with Dr Sean Marinelli

84. Acid Base Made Easy with Dr Sara Crager

Acid-base interpretation in critical care requires moving beyond outdated Henderson-Hasselbalch equations toward a functional, bedside-oriented mental model. Dr. Sara Crager introduces the "State, Process, Story" framework, which prioritizes clinical utility over complex mathematics. By focusing on the strong ion diffe...

83. Back to Basics: Pulse Oximetry

82. Stroke & Neurocritical Care with Dr Casey Albin

Neurocritical care management centers on maintaining intracranial pressure (ICP) balance, as described by the Monro-Kellie doctrine, to prevent herniation and secondary brain injury. Guest Dr. Casey Albin, a neurointensivist, highlights that optimal care involves adjusting head position, ensuring venous return, and uti...

REBOOT ARDS: Unpacking Acute Respiratory Distress Syndrome from Pathophysiology to Treatment Approaches

81. Advanced Airway Management & Awake Intubation with Dr. Jarrod Mosier

Managing the physiologically difficult airway requires prioritizing patient stability over the convenience of standard rapid sequence intubation. These airways are defined by cardiopulmonary complexities—such as severe hypoxemia, hypotension, or metabolic acidosis—that render patients intolerant to the apnea induced by...

REBOOT The Physiologically Difficult Airway

The physiologically difficult airway presents significant risks in critical care, primarily due to dynamic changes in patient stability during induction and transition to positive pressure ventilation. Key physiologic derangements—including hypotension from vasodilation, worsening acidosis and hypoxemia during apnea, i...

80. Back to Basics: Arterial Lines

Arterial lines provide essential real-time, beat-to-beat blood pressure monitoring and facilitate frequent blood gas sampling in critically ill patients. While radial access remains the standard first-line approach due to its safety and ease of compression, clinicians should utilize ultrasound guidance to improve succe...

79. CCT-EOY-Mailbag #3

78. V-Tach Master Class with Dr. Sara Crager

Ventricular tachycardia (VT) management in critical care requires distinguishing between patients with structural heart disease and those where the heart is a secondary bystander. In structural cases, such as ischemic cardiomyopathy, re-entry circuits around infarct scars often trigger malignant arrhythmias, necessitat...

77. Zorses & Hebras 2

76. ICU Sustainability with Drs Stephanie Maximos and Hari Shankar

75. Airway Pressure Release Ventilation Controversies with Dr Rory Spiegel and DR Max Hockstein

74. Lung Transplantation with Dr Lara Jones and Dr Jason Gauthier

Lung transplantation presents unique clinical challenges due to the organ's constant exposure to environmental pathogens and its high immunogenicity, resulting in a median survival of approximately seven years. Managing these patients requires a multidisciplinary approach, particularly when critical illness necessitate...

73. Diabetic Ketoacidosis

This podcast episode centers on diabetic ketoacidosis (DKA), its causes, and proper management in clinical settings. The hosts emphasize that DKA management requires identifying and addressing the underlying cause, not just treating symptoms. They introduce a mnemonic, the "five I's" (infection, ischemia, inflammation,...

72. ICU Toxicology with Dr. Adam Mora

Toxicology management in the intensive care unit requires rapid pattern recognition and precise physical examination to guide life-saving interventions. Clinical diagnosis centers on identifying classic toxidromes, such as opioid-induced respiratory depression, serotonin syndrome, lithium toxicity, and toxic alcohol in...

71. LIVE! From CHEST 2025: Cases in Cardiogenic Shock

70. The People’s Ventricle with Dr Matt Siuba

This podcast explores the critical role and often-overlooked nature of the right ventricle (RV) in critical care. Dr. Matt Siuba, a medical intensivist and pulmonary vascular disease expert, joins the hosts to discuss why the RV is "the people's ventricle," drawing parallels to marginalized figures in history due to it...