Critical Care Scenarios

FEBRUARY 19, 2025

We learn about the Vortex approach to airway management, as well as airway algorithms and mental models in general, with Vortex creator and anesthesiologist Dr. Nicholas Chrimes, anaesthetist and cofounder of the Safe Airway Society. Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here! References We learn about the Vortex approach to airway management, as well as airway algorithms and mental models in general, with Vortex creator and anesthesiologist Dr.

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Critical Care Scenarios

FEBRUARY 5, 2025

We discuss the basics of evaluation for tracheostomy placement, periprocedural care, and post-procedure complications with Vinciya Pandian, PhD, ACNP, FCCM, tracheostomy nurse practitioner and researcher. Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here! We discuss the basics of evaluation for tracheostomy placement, periprocedural care, and post-procedure complications with Vinciya Pandian, PhD, ACNP, FCCM, tracheostomy nurse practitioner and researcher.

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Critical Care Scenarios

JANUARY 29, 2025

Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here! Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here!

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100

Critical Care Scenarios

JANUARY 22, 2025

We discuss assessment, monitoring, medical stabilization, and when to consider transplant of the patient with acute liver failure. We are joined by Dr. Sergio Navarrete, anesthesiologist and intensivist with fellowship training in transplant anesthesia. Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here! Takeaway lessons References We discuss assessment, monitoring, medical stabilization, and when to consider transplant of the patient with acute liver failure.

OR 141

OR 141

Critical Care Scenarios

JANUARY 8, 2025

We talk about the nitty-gritty details of a well-run cardiac arrest, with Scott Weingart of Emcrit (@emcrit), ED intensivist. Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here! Takeaway lessons Resources We talk about the nitty-gritty details of a well-run cardiac arrest, with Scott Weingart of Emcrit ( @emcrit ), ED intensivist.

Epinephrine 214

Epinephrine Defibrillator Coronary ED 214

Critical Care Scenarios

DECEMBER 25, 2024

We talk about the phenomenon of airway closure during mechanical ventilation, with Thomas Piraino, RRT, FCSRT, FAARC, adjunct lecturer for the Department of Anesthesia at McMaster University, editor ofThe Centre of Excellence in Mechanical Ventilation Blog, and a member of the editorial board ofRespiratory Care. Learn more at the Intensive Care Academy!

OR 167

OR 167

Critical Care Scenarios

DECEMBER 11, 2024

Our approach to common problems and troubleshooting: Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here! Our approach to common problems and troubleshooting: * Difficulty feeding guidewires * No flash on arterial lines * Pneumothorax during subclavian lines * Difficulty inserting ET tubes during hyperangulated laryngoscopy * No response to vasopressors * High gastric residuals during tube feeds Learn more at the Intensive Care Academy!

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Critical Care Scenarios

NOVEMBER 27, 2024

We chat about the post-op transition of care from the OR to the ICU, including questions to ask, workflows, and pitfalls. Check out the Intensive Care Academy here! Bryan’s textbook: Concepts in Surgical Critical Care Find us on Patreon here! Buy your merch here! We chat about the post-op transition of care from the OR to the ICU, including questions to ask, workflows, and pitfalls.

ICU 117

ICU Critical Care OR 117

Critical Care Scenarios

NOVEMBER 13, 2024

We talk about diagnosis, treatment, and subsequent care of the patient with bacterial meningitis, with Emory neurointensivist Casey Albin, MD (@caseyalbin). Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here! Takeaway lessons Resources We talk about diagnosis, treatment, and subsequent care of the patient with bacterial meningitis, with Emory neurointensivist Casey Albin, MD ( @caseyalbin ).

OR 169

OR 169

Critical Care Scenarios

OCTOBER 30, 2024

We chat with Nick Ghionni, pulm/crit attending at MedStar Baltimore Hospital, about identifying and combating cognitive biases in our clinical decision-making. Check out the Intensive Care Academy here! Find us on Patreon here! Buy your merch here! We chat with Nick Ghionni, pulm/crit attending at MedStar Baltimore Hospital, about identifying and combating cognitive biases in our clinical decision-making.

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Critical Care Scenarios

OCTOBER 16, 2024

We discuss the practical barriers to implementing the A-F ICU liberation bundle, with Kali Dayton, ACNP-BC (@HomeIcu), host of the Walking Home from the ICU podcast, and consultant to ICUs working on these issues. Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here! We discuss the practical barriers to implementing the A-F ICU liberation bundle, with Kali Dayton, ACNP-BC ( @HomeIcu ), host of the Walking Home from the ICU podcast, and consultant to ICUs working

ICU 208

ICU 208

Critical Care Scenarios

OCTOBER 2, 2024

We chat with Noelia Bischoff, recently off orientation in the medical ICU at Johns Hopkins as a nurse practitioner, about the transition from her role as a bedside ICU nurse. Check out the Intensive Care Academy here! Find us on Patreon here! Buy your merch here! We chat with Noelia Bischoff, recently off orientation in the medical ICU at Johns Hopkins as a nurse practitioner, about the transition from her role as a bedside ICU nurse.

ICU 124

ICU 124

Critical Care Scenarios

SEPTEMBER 18, 2024

We discuss transfusion reactions, risks, and management, including infection, consent, TRALI, TACO, and hemolytic reactions—with Dr. Joe Chaffin (@bloodbankguy), the “Blood Bank Guy” and transfusion medicine specialist. Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here! Takeaway lessons We discuss transfusion reactions, risks, and management, including infection, consent, TRALI, TACO, and hemolytic reactions—with Dr.

OR 152

OR 152

Critical Care Scenarios

SEPTEMBER 4, 2024

Experts in critical care share their approach to post-intubation sedation. Contributors: Check out the Intensive Care Academy here! Find us on Patreon here! Buy your merch here! Experts in critical care share their approach to post-intubation sedation. Contributors: * Jason Wieland * Casey Albin * Jace Mullen * Kali Dayton * Nick Ghionni * Emily Fridenmaker Check out the Intensive Care Academy here!

Critical Care 136

Critical Care 136

Critical Care Scenarios

AUGUST 21, 2024

We talk the nitty-gritty of assessing the right heart using echocardiography, with our friend Matt Siuba (@msiuba), intensivist at the Cleveland Clinic and master of zentensivism. Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here! Takeaway lessons We talk the nitty-gritty of assessing the right heart using echocardiography, with our friend Matt Siuba ( @msiuba ), intensivist at the Cleveland Clinic and master of zentensivism.

OR 169

OR 169

Critical Care Scenarios

AUGUST 7, 2024

We explore the fascinating world of artificial intelligence and its role in medicine, with Nawar Shara (@NawarShara), PhD, Chief of Research Data Science at Medstar Health Research Institute and cofounding director of the AI Collab between Medstar and Georgetown. Check out the Intensive Care Academy here! Find us on Patreon here! Buy your merch here!

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Critical Care Scenarios

JULY 31, 2024

We share our grand new project, the Intensive Care Academy, an online, video-based, subscriber-only educational platform. Check it out at icu101.com! We share our grand new project, the Intensive Care Academy, an online, video-based, subscriber-only educational platform. Check it out at icu101.com !

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Critical Care Scenarios

JULY 24, 2024

We discuss the practicalities of using airway pressure release ventilation (APRV) with Dr. Rory Spiegel (@EMnerd_), emergency physician and intensivist at MedStar Washington Hospital Center (and EMNerd at Emcrit). Find us on Patreon here! Buy your merch here! Takeaway lessons We discuss the practicalities of using airway pressure release ventilation (APRV) with Dr.

OR 141

OR 141

Critical Care Scenarios

JULY 10, 2024

We learn about the training, role, and benefits of hospital chaplains, with Christine V. Davies, MDiv, MSW, Director of Chaplaincy at Robert Wood Johnson University Hospital. Find us on Patreon here! Buy your merch here! We learn about the training, role, and benefits of hospital chaplains, with Christine V. Davies, MDiv, MSW, Director of Chaplaincy at Robert Wood Johnson University Hospital.

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Critical Care Scenarios

DECEMBER 9, 2019

Getting to know the podcast, your hosts, and why we’re all here in this digital classroom. Getting to know the podcast, your hosts, and why we’re all here in this digital classroom.

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Critical Care Scenarios

DECEMBER 9, 2019

A troubling case of a painful finger. Resources References Stevens DL, Bryant AE. Necrotizing Soft-Tissue Infections. N Engl J Med. 2017 Dec 7;377(23):2253-2265. Bechar J, Sepehripour S, Hardwicke J, Filobbos G. Laboratory risk indicator for necrotising fasciitis (LRINEC) score for the assessment of early necrotising fasciitis: a systematic review of the literature.

ALS 100

ALS 100

Critical Care Scenarios

JANUARY 1, 2020

A tricky case of refractory heart failure. Case files Resources References Champion S, Belcour D, Vandroux D, et al. Stress (Tako-tsubo) cardiomyopathy in critically-ill patients. Eur Heart J. 2015;4(2):189-96. Chockalingam A. Stress cardiomyopathy of the critically ill: Spectrum of secondary, global, probable and subclinical forms. Indian Heart J. 2018;70(1):177-84.

ALS 130

ALS Coronary 130

Critical Care Scenarios

FEBRUARY 1, 2020

What stops do you make along the garden path of hypoxic respiratory failure? Resources References An ARDS review: Fan E, Brodie D, Slutsky A. Acute Respiratory Distress: Syndrome Advances in Diagnosis and Treatment. JAMA. 2018;319(7):698-710 Lung protective ventilation (The original ARDSnet ARMA trial): Acute Respiratory Distress Syndrome Network, Brower RG, Matthay MA, et al.

ALS 100

ALS Critical Care 100

Critical Care Scenarios

MARCH 1, 2020

Intensivist and passionate slayer of venous congestion Philippe Rola (@thinkingcc) shows us how to deresuscitate the septic patient, with guidance from his handy ultrasound. Takeaway lessons Fluid overload is harmful and should be actively reduced, even in a patient in active shock; it will not harm them. The VEXUS exam is a good method for … Continue reading "Episode 4: Venous congestion with Philippe Rola" Intensivist and passionate slayer of venous congestion Philippe Rola ( @thinkingcc ) sho

ALS 100

ALS OR 100

Critical Care Scenarios

MARCH 13, 2020

A fast-tracked update: what we know about the active pandemic of the novel coronavirus (SARS-CoV-2) and its resulting respiratory syndrome, COVID-19. Takeaway lessons Treat like viral pneumonia/ARDS. High PEEP. Prone early. Keep fluid balance dry. Probably avoid CPAP/BiPAP except perhaps for very short trials. Unclear role for HFNC. Watch out for myocarditis-type picture with cardiogenic … Continue reading "Special episode: COVID-19 brief" A fast-tracked update: what we know about the active pan

ALS 100

ALS 100

Critical Care Scenarios

MARCH 29, 2020

Cardiothoracic critical care PA Brendan Riordan (@concernecus) shows us his initial approach to the patient in cardiogenic shock, including initiating mechanical support, managing ECMO (plus Impella), and eventual weaning and discontinuation of support. Some pearls Anticoagulation on VA ECMO can be titrated to bleeding risk, with a balance between bleeding and circuit longevity—the latter being … Continue reading "Episode 5: Cardiogenic shock and ECMO with Brendan Riordan" Cardiothoracic critica

Critical Care 100

Critical Care Life Support ALS OR 100

Critical Care Scenarios

APRIL 27, 2020

Neurologist and neurointensivist Gracia Mui shows us the workup, initial management, and escalation of care for a case of refractory status epilepticus. Takeaway lessons First-time unprovoked seizures usually need no further workup except screening for an underlying trigger, such as a tox screen, basic chemistries, and imaging as appropriate. Initial seizure therapy: wait around 5 … Continue reading "Episode 6: Status epilepticus with Gracia Mui" Neurologist and neurointensivist Gracia Mui shows

ALS 100

ALS OR ED 100

Critical Care Scenarios

JUNE 26, 2024

We discuss the field of rehabilitation psychology, and how it can help patients with persistent critical illness, with Dr. Megan Hosey (@DrMeganHoseyPhD), clinical psychologist and assistant professor at Johns Hopkins School of Medicine, where she practices in the medical ICU. Find us on Patreon here! Buy your merch here! Takeaway lessons Resources We discuss the field of rehabilitation psychology, and how it can help patients with persistent critical illness, with Dr.

ICU 169

ICU OR 169

Critical Care Scenarios

JUNE 12, 2024

We explore the profession of respiratory therapy in the US, including their role and training and how to optimize our clinical relationships, with Keith Lamb (@kdlamb1), RRT, RRT-ACCS, FAARC, FCCM. Keith is an RT at the University of Virginia in Charlottesville, working clinically in neuro/surgical/trauma critical care, who has been active in research and has … Continue reading "Lightning rounds 41: Respiratory therapy with Keith Lamb" We explore the profession of respiratory therapy in the US,

Critical Care 124

Critical Care 124

Critical Care Scenarios

JUNE 5, 2024

Responsible self-directed learning occurs in a zone between comfort and novelty. Find us on Patreon here! Buy your merch here! Responsible self-directed learning occurs in a zone between comfort and novelty. Find us on Patreon here! Buy your merch here!

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124

Critical Care Scenarios

MAY 29, 2024

We discuss the principles and application of automatic tube compensation (ATC) on modern ventilators, with its creator Ben Fabry. Dr. Fabry is a professor and chair of biophysics at University of Erlangen-Nuremberg, originally trained as an electrical engineer, who originally developed ATC as part of his PhD program. Find us on Patreon here! Buy your … Continue reading "Episode 75: Automatic tube compensation, with Ben Fabry" We discuss the principles and application of automatic tube compensati

OR 161

OR 161

Critical Care Scenarios

MAY 22, 2024

Brandon summarizes his recent publication describing best practices for performing POCUS. Read the paper open access at POCUS Journal. Find us on Patreon here! Buy your merch here! Brandon summarizes his recent publication describing best practices for performing POCUS. Read the paper open access at POCUS Journal. Find us on Patreon here! Buy your merch here!

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124

Critical Care Scenarios

MAY 10, 2024

Our collaboration with Sarah Lorenzini of the Rapid Response RN podcast, discussing a case and general principles for diagnosing and managing obstructive shock. Check out the other episodes on shock in the Nurses’ Podcrawl 2024! Find us on Patreon here! Buy your merch here! Our collaboration with Sarah Lorenzini of the Rapid Response RN podcast, discussing a case and general principles for diagnosing and managing obstructive shock.

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124

Critical Care Scenarios

MAY 8, 2024

We chat about pulmonary/critical care medicine fellowship with recent graduate Nicholas Ghionni (@pulmtoilet), a first-year attending at the MedStar Baltimore Hospital system. He completed PCCM fellowship at MedStar Washington Hospital Center where he also served as chief fellow. Find us on Patreon here! Buy your merch here! We chat about pulmonary/critical care medicine fellowship with recent graduate Nicholas Ghionni ( @pulmtoilet ), a first-year attending at the MedStar Baltimore Hospital sys

Critical Care 141

Critical Care 141

Critical Care Scenarios

MAY 1, 2024

The difference between people and institutions. Find us on Patreon here! Buy your merch here! The difference between people and institutions. Find us on Patreon here! Buy your merch here!

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117

Critical Care Scenarios

APRIL 24, 2024

We discuss the role of point-of-care ultrasound in evaluating the patient with kidney injury and assessing volume status, with Abhilash Koratala (@nephroP), nephrologist, Director of Clinical Imaging for Nephrology at the Medical College of Wisconsin, and champion of nephrology-focused ultrasound. Find us on Patreon here! Buy your merch here! Takeaway lessons References Episode 4 with … Continue reading "Episode 73: POCUS for nephrology, with Abhilash Koratala" We discuss the role of point-of-ca

OR 285

OR 285

Critical Care Scenarios

APRIL 17, 2024

The nuts and bolts of how we produce the show. Find us on Patreon here! Buy your merch here! The nuts and bolts of how we produce the show. Find us on Patreon here! Buy your merch here!

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