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PedsCrit

Acid-Base Diagnosis & Clinical Approach with Dr. Bill Bortcosh--Part 1

Oct 28, 2024
Dr. Bill Bortcosh, a pediatric critical care expert and associate medical director of safety, shares insights into acid-base diagnosis in this engaging discussion. He emphasizes the importance of understanding acid-base status for acute care, illustrates this with a compelling case study, and explains the role of anion gap in diagnosis. Bortcosh also explores the emotional challenges in critical care and discusses his transition to pharmaceutical safety, shedding light on drug safety assessments and the complexities faced by healthcare providers.
34:05

Podcast summary created with Snipd AI

Quick takeaways

  • Dr. Bill Bortcosh emphasizes the critical evaluation of acid-base status in pediatric critical care to improve patient management and outcomes.
  • The podcast highlights the importance of understanding anion gap metabolic acidosis by using mnemonics like 'MUDPILES' to identify underlying causes effectively.

Deep dives

Career Transition and Physician Wellness

Dr. Bill Borkosch discusses his transition from a clinical intensivist role to an associate medical director of safety at a pharmaceutical company. This decision was driven by the need for a better work-life balance, allowing him to pursue academic interests like education and clinical research while still practicing clinically part-time. He emphasizes how managing clinical responsibilities alongside passions can lead to burnout, highlighting the importance of optimizing systems that empower physicians to maintain a healthy balance between patient care and personal well-being. His journey reflects the necessity for healthcare professionals to self-reflect on their career choices and wellness.

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