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

We explore critical care transport medicine from both a clinical and career perspective, including helicopters (HEMS), fixed wing jet, and ground ambulance transports, with Jace Mullen, flight paramedic and airway educator out of Denver. Find us on Patreon here! Buy your merch here!

When do patients deaths bother us?

Find us on Patreon here! Buy your merch here! We discuss the phenomenon of CPR-induced consciousness (i.e. patients demonstrating awakeness during resuscitation) with Jack Howard, Intensive Care Paramedic at Ambulance Victoria in the northern suburbs of Melbourne, Australia, and first author on a recent literature review and Delphi-derived expert guideline on CPRIC management. Takeaway lessons * Data is light, but perhaps 1% of cardiac arrests have some form of...

Should you use volume or pressure control ventilation? Find us on Patreon here! Buy your merch here!

We talk about working in critical care APP leadership positions, with Jason Wieland, PA, Lead Pulmonary & Critical Care APP at WakeMed Health System in Raleigh, NC. Find us on Patreon here! Buy your merch here!

You poked through the deep wall of a vessel. Now what? Find us on Patreon here! Buy your merch here!

Photo by Tim Webb We discuss the medications typically used after organ transplant, their impact on critical illness, and how to manage them when these patients show up sick—with Olivia Philippart, transplant clinical pharmacist specializing in liver and kidney transplant at University of Kentucky HealthCare. Find us on Patreon here! Buy your merch here! Takeaway lessons * Most kidney transplants will end up on a calcineurin inhibitor like tacrolimus (or...

How I make patients poop. Find us on Patreon here! Buy your merch here!

A roundup of opinions from attendees at SCCM’s 2024 Critical Care Congress in Phoenix on strategies for rescuing the patient stuck in a loop of deep sedation and agitation. Thanks to Pat Posa, Martha Roberts, Juliana Barr, Kelly Drumright, and Ben Lassow for their input. Resources * ICU Liberation.org * ICU Delirium * ICU Rehab Network

How to document your ultrasound findings. Find us on Patreon here! Buy your merch here!

We discuss assessing patients prior to intubation or other airway management, including both elective and emergent circumstances, with Dr. Jed Wolpaw, anesthesiologist and intensivist from Johns Hopkins, anesthesiology residency program director, and host of the ACCRAC podcast. Find us on Patreon here! Buy your merch here! Takeaway lessons * Edentulous (toothless) patients are usually easier to intubate, but harder to mask ventilate. Heavy beards are harder to...

Arterial lines are resuscitative tools.

Bedside nurses and providers (physicians, PAs, NPs) tend to see the world differently, much of it driven by their training and the systems they work within. We chat about reconciling this and how to best function as a team.

In general, medical decisions that avoid error are better than those that optimize care.

We discuss head and neck surgery with Dr. Alexandra Kejner, otolaryngologist at the Medical University of South Carolina specializing in transoral robotic surgery, reconstructive surgery including microvascular free tissue transfer, salivary neoplasms, and sialoendoscopic procedures. Find us on Patreon here! Buy your merch here! Takeaway lessons * Robotics has enabled much less invasive approaches to many head and neck procedures. * Major airway procedures...

The core disorders of critical care are mostly syndromes, not diseases. What should this mean to us?

Discussing the new 2023 AAN/AAP/CNS/SCCM Pediatric and Adult Brain Death/Death by Neurologic Criteria Consensus Practice Guideline, with the joint first authors: Dr. Ariane Lewis, neurointensivist, professor of neurology and neurosurgery at NYU Langone, director of neurocritical care, and chair of the Langone ethics committee, and Dr. Matthew Kirschen, pediatric neurointensivist and associate director of pediatric neurocritical care at the Children’s Hospital of Philadelphia. Find us...

If you produce academic work, use the research to produce multiple products. Once is a waste.

We learn about liver transplant with Dr. Meera Gupta, transplant surgeon at the University of Kentucky Healthcare Transplant Center, and surgical director of the Kidney and Pancreas Transplant Program. We discuss eligibility, triage, the peri-operative course, and important post-op complications. Find us on Patreon here! Buy your merch here! Takeaway lessons * Liver transplant eligibility is based on need, not time on the list. The MELD score (MELD 3 now,...

Explaining the ultimate expression of prognosis: Morbidity = (Severity x Duration)/Reversibility

When should you… * Update family on clinical changes * Call a consult * Notify a nurse about new orders * Communicate with an attending

Which site should you select for your central line placement? A discussion of some considerations.

We learn about pancreaticoduodenectomy (the Whipple) with Michael Cavnar (@DrMikeCavnar), surgical oncologist at University of Kentucky, with a fellowship in Complex General Surgical Oncology from Sloan Kettering. He specializes in GI surgical oncology (liver, pancreas, stomach, etc), with ongoing research in GI stromal tumors and hepatic artery infusion pump chemotherapy. Find us on Patreon here! Buy your merch here! Takeaway lessons * The Whipple involves an...