Critical Care Time

50. Fever in the ICU

49. ARDS Imitators with Drs. Warren & Blagev

In this episode of Critical Care Time, Drs. Nick Mark and Cyrus Askin, along with pulmonologists Dr. Denitza Blagev and Dr. Whittney Warren, delve into ARDS mimics, pulmonary diseases that resemble Acute Respiratory Distress Syndrome but require distinct treatments. They discuss diagnostic frameworks, emphasizing the i...

48. Interventional Pulmonary In The ICU with Dr. Joshua Boster, MD

In this episode of Critical Care Time, co-hosts Dr. Cyrus Askin and Dr. Nick Mark are joined by Dr. Joshua Boster, an interventional pulmonary fellow, to discuss the role and skills of an interventional pulmonologist in the ICU setting. Dr. Boster shares his journey into pulmonary and critical care medicine, defines in...

47. Extubation: Tube Be or Not Tube Be

In this episode of Critical Care Time, co-hosts Dr. Nick Mark and Dr. Cyrus Askin discuss extubation, or the process of removing endotracheal tubes from critically ill patients. They highlight the importance of prioritizing extubation to minimize risks such as delirium, infection, and loss of muscle mass, and advocate ...

46. From Chaos to Clarity: Effective Communication in the ICU

45. Obstetric Emergencies with Dr. Stephanie Levine and Dr. Adam Mora

44. Critical Partners: The Vital Roles of NPs and PAs in Critical Care

43. ICU Mobility with Kali Dayton, DNP

42. Extracorporeal Membrane Oxygenation

This podcast episode provides an introduction to Extracorporeal Membrane Oxygenation (ECMO), differentiating between Veno-Venous (VV) and Veno-Arterial (VA) ECMO. The discussion covers practical considerations such as patient selection, cannulation strategies, and the importance of multidisciplinary teams in ECMO manag...

41. Cardiogenic Shock

In this episode of Critical Care Time, co-hosts Dr. Cyrus Askin and Dr. Nick Mark delve into cardiogenic shock, a critical condition with high mortality rates. They discuss the definition, staging using the SCAI criteria (A-E), and the importance of early recognition and multidisciplinary teams. The episode covers hemo...

REBOOT 2. Undifferentiated Shock Part 2

The podcast episode focuses on a framework for understanding and treating undifferentiated shock, breaking it down into "pump, pipes, and tank" problems. The hosts explain that pump problems relate to the heart, either intrinsically (cardiogenic) or extrinsically (obstructive), affecting cardiac output. Pipe problems r...

REBOOT 1. Undifferentiated Shock Part 1

This podcast episode introduces the concept of undifferentiated shock, emphasizing that it is a clinical diagnosis—a failure of adequate oxygen delivery to meet consumption—rather than a condition defined by specific vital signs or lab values. The discussion highlights the importance of recognizing shock early through ...

40. CCT Goes to the Moon with Dr Shawna Pandya

39. Beneath the Drape with Drs. Alin Gragossian & Paul Wischmeyer

38. Palliative Care in Critical Illness: Intentional & Compassionate Palliation with Dr. Anand Iyer

This podcast explores integrating palliative care into critical illness treatment, challenging common misconceptions that limit its application to end-of-life scenarios. Dr. Anand Iyer, a pulmonary and critical care physician, shares his journey into palliative care, highlighting a transformative patient encounter that...

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

In this episode of Critical Care Time, co-hosts Dr. Nick Mark and Dr. Cyrus Askin delve into Acute Respiratory Distress Syndrome (ARDS), defining it as acute diffuse lung inflammation leading to poor oxygenation and reduced compliance. They explore the pathogenesis, pathology, and clinical criteria for diagnosing ARDS,...

36. Inotropes

The podcast explores inotropes, medications that alter the force of cardiac contractions, detailing their mechanisms, types, and clinical applications. It differentiates between positive inotropic and chronotropic effects, emphasizing the importance of preload and afterload in cardiac output. The hosts discuss catechol...

REBOOTED - 7. Vasopressors - Part 2

Refractory septic shock requires a systematic approach beyond initial resuscitation, focusing on hemodynamic optimization and identifying underlying triggers. When norepinephrine fails to maintain blood pressure, adding vasopressin at moderate doses and incorporating corticosteroids—specifically hydrocortisone combined...

REBOOT - 6. Vasopressors - Part 1

Vasopressors serve as critical tools for increasing vascular tone and systemic vascular resistance in patients experiencing shock. Effective management requires a nuanced understanding of adrenergic receptor activity, where norepinephrine acts as a balanced first-line agent for undifferentiated shock due to its combine...

35. Pulmonary Embolism Masterclass with Dr. Rich Channick

In this episode of Critical Care Time, Dr. Nick Mark and Dr. Cyrus Askin interview Dr. Rich Channick, an expert in pulmonary embolism (PE) management, to discuss interventions for treating pulmonary emboli when anticoagulation alone is insufficient. They delve into challenging questions such as when to use half-dose or...