Episodes
There are few things in medicine Nick & Cyrus enjoy talking about more than PE! Join the guys from Critical Care Time as they tackle this massive topic via a two part epic that’ll prove to be the best saga since The Lord of The Rings! In part one they talk about diagnosis, clinical decision support tools and demystify the pathophysiology behind pulmonary emboli. Check it out, and be sure to catch the second half in two weeks! We promise you’ll get your money’s worth!
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Published 01/15/24
Hemoptysis can be a scary thing to encounter in medicine and massive hemoptysis - i.e. life threatening hemoptysis - is a serious emergency that often requires cognitive agility and technical prowess. Join Nick & Cyrus as they talk with Dr. Whittney Warren - an intensivist and interventional pulmonologist - who walks us through her pragmatic approach to life-threatening hemoptysis. What medications can we use to stabilize these patients? How would we go about intubating such a patient?...
Published 01/01/24
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Published 12/04/23
Every time we admit or care for a critically ill patient, we must consider their risk for deep venous thrombosis, or DVT. Many of our patients are at higher risk for DVT than the general population, but anticoagulants are not wholly benign drugs. What do we do? How do we decide who to treat medically, who to treat with mechanical compressive devices and identify patients who may NOT need anything? When do risks outweigh benefits? What agent is best?
Join Nick and Cyrus as they interview...
Published 11/20/23
Airway management in the critically ill can be one of the most challenging, stressful and rewarding elements of critical care medicine. While the anatomically challenging airway is often the first place our minds go when discussing difficult airways, the physiologically difficult airway is both more common and often requires more savvy to overcome. Join Cyrus & Nick as they take a pragmatic, case-based approach to this topic with the hopes of equipping you with the tools you need to...
Published 11/06/23
Whether you work in the ICU, on the medicine wards or in the prehospital setting, you've got to be familiar with the unsung hero of the thorax - the pleura! On this episode of Critical Care Time, Cyrus & Nick extol the virtues of this humble structure, cover a little comparative physiology and spend the latter half of their chat discussing all things pneumothorax. Sit back, relax and enjoy this episode packed with pulmonary and critical care pearls that will take your breath away!
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Published 10/23/23
Running a code is a stressful proposition. The code team leader is responsible for conducting an orchestra in a most austere environment, with the goal of guiding the team towards success - defined hopefully by a successful resuscitation. The code team leader needs to have the presence of mind to lead, but also needs to know how to delegate responsibilities and quickly cultivate a shared mental-model between the various team members. Join Nick and Cyrus as they try to demystify some of the...
Published 10/09/23
The intersection between patient care and the legal system can be a tricky one to navigate. Our duty as members of the healthcare team - irrespective of a patient’s social history - is to provide the best care we can, while protecting a patient’s privacy. Unfortunately, this can sometimes be easier said than done, and traveling such choppy waters can be challenging! Join Nick & Cyrus as they host Drs. Erin DeMartino & Matthew Griffith of Scopes and Shields for a case-based discussion...
Published 09/25/23
On this episode of Critical Care Time, Cyrus and Nick go beyond the basics of vasopressor management. This thing is jam-packed with high-yield pearls, where we discuss important topics such as how to titrate vasopressors, what can be done when vasopressors seem to be failing and how to wean patients from vasopressors in order to successfully get them out of the ICU and ultimately home. Sit back, relax, and enjoy this hour long master-class on Vasopressors - Beyond the Basics!
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Published 09/11/23
On this episode of Critical Care Time, Cyrus and Nick explore the basic in’s and out’s of vasopressors, providing a framework for understanding them and recommendations for the who, what, when, where and why as it pertains to their use! If you are new to the ICU or work anywhere that vasopressors may be used to treat your patients, this is the episode for you! Whether you are ordering them, titrating them or looking out for complications associated with their use, Nick & Cyrus have got...
Published 08/28/23
They say that when you hear hoofbeats, you should look for horses. This age-old medical adage makes sense in many circumstances, but what do you do when the paradigm is flawed? What if what we generally accept as a common entity, is actually rare? What about the reverse? In this first episode of Zorses & Hebras, Nick & Cyrus will discuss some of these very entities in the context of critical illness, shed some light on them, and explain why focusing on the Horses & Zebras model...
Published 08/14/23
Delirium is a common but serious complication of critical illness. Nick and Cyrus discuss this important topic with Dr. Wes Ely, MD. They cover prevention, diagnosis, and treatment of delirium; Dr. Ely's award-winning book "Every Deep Drawn Breath", and how his life story led him to become a world expert in brain dysfunction in the ICU.
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Published 07/31/23
Join Nick & Cyrus as they take on their first journal club episode! This week the duo provides their take on the NEJM paper from van Baarle and colleagues entitled Platelet Transfusion before CVC Placement in Patients with Thrombocytopenia. They also provide some of their tips and tricks for safe central line placement. Give it a listen and let us know what you think!
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Published 07/19/23
We've already discussed how to identify shock, or how to assess a patient whom you are worried may be in shock... but what's next? Listen as Nick & Cyrus discuss the Pump, Pipe & Tank framework for determining the type of shock your patient is suffering from. In this episode we discuss the pathophysiology of the different types of shock, the tools you can use to help differentiate one type of shock from another, and scratch the surface on some initial treatment considerations.
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Published 07/05/23
In critical care medicine - it's not just a priority, but it's critical that you know how to identify, assess and stratify shock. Join Nick & Cyrus in Part 1 of a 2-part, deep-dive into undifferentiated shock. On this episode we discuss how we define and assess a patient in shock; laying down the foundation for our shock framework.
Go to https://criticalcaretime.com for more information
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Published 07/03/23
Cyrus Askin & Nick Mark are two intensivists with a passion for education and a penchant for taking care of the sickest patients in the hospital. Join the two of them as they embark on a journey through the world of critical medicine - leaving no stone unturned.
In this episode, Nick & Cyrus share a little about themselves and a lot about what Critical Care Time is... and isn't!"
Go to https://criticalcaretime.com for more information
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Published 07/03/23
Critical Care Time is the podcast for everyone who cares for the critically Ill. Whether you work in an ICU, a Med-Surg unit, an ED, a PACU or the back of an ambulance - Dr. Cyrus Askin & Dr. Nick Mark provide practical insights and useful tips to enhance your skillset. They are triple board-certified intensivists who love patient care and teaching.
Journey with them through deep dives into physiology and practical pearls, leaving no stone unturned in the world of critical care medicine....
Published 07/03/23