Cardiopulmonary Resuscitation with Dr. Tarif Choudhury, Part 1
Dec 4, 2023
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Dr. Tarif Choudhury, a pediatric cardiac intensivist, discusses CPR and his expertise in simulation and team dynamics during a cardiac arrest. He offers valuable advice for aspiring intensivists and talks about work-life balance for healthcare professionals. The podcast also covers strategies for managing noise and chaos during critical situations, the concept of high quality CPR, and correcting suboptimal performance.
Organizing the room, assigning roles, and facilitating effective communication are crucial for successful resuscitation during CPR.
Maintaining a balance between positive pressure ventilation and circulation is key in pediatric CPR to optimize coronary perfusion.
Deep dives
Importance of CPR fundamentals
This podcast episode focuses on the fundamentals of CPR in pediatric ICU medicine. The speakers discuss the importance of structuring the room for successful resuscitation, maintaining adequate coronary perfusion pressure, and safely securing the airway.
Guest introductions
The episode features two guests: Dr. Tareef Chodry, a pediatric cardiac intensivist at Columbia University, and Gav Atfell, a cardiac critical care hospitalist. They share their expertise in simulation and pediatric cardiac care.
Approach to code situations
When arriving at a code, the speaker emphasizes the value of mental rehearsal, knowing the patient's condition, and anticipating the team's needs. They discuss organizing the room, assigning roles, and facilitating effective communication.
Considerations for ventilation and airway management
The podcast delves into the effects of positive pressure ventilation on coronary perfusion during CPR. It stresses the importance of striking a balance between positive pressure ventilation and maintaining circulation. The speakers highlight the need for deliberate ventilation techniques and consider different approaches based on the cause of arrest.
Dr. Tarif Choudhury is a pediatric cardiac intensivist at Columbia University College of Physicians and Surgeons. After finishing his residency in pediatrics at Cohen Children’s Medical Center, he completed his cardiology fellowship at Lurie Children’s Hospital in Chicago followed by a pediatric critical care fellowship at Morgan Stanley Children’s Hospital at Columbia University School of Medicine. His areas of interest are the impact of clinical simulation to improve team performance, clinical outcomes of PCICU patients and clinical outcomes of patients on mechanical circulatory support in the PCICU.
Dr. Gav Apfel is a CICU hospitalist at Columbia University College of Physicians and Surgeons. He completed his residency training at Columbia University College of Physicians and Surgeons and will be joining the Columbia University’s critical care fellowship program next year. He is interested in pursuing a career in cardiac intensive care.
Objectives By the end of this podcast series, listeners should be able to:
Strategize how to approach an arrest as the code leader
Recognize the key elements of high-quality CPR and how to optimize perfusion during an arrest
Recall airway management, oxygenation, and ventilation during CPR
Recall different approaches to physiological monitoring during an arrest to guide therapy
Recognize appropriate resuscitation drug administration and timing during CPR
Recall management with manual defibrillation for arrests with a shockable rhythm
Develop approach to determining code duration and when to discontinue CPR
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Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.comfor detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updates.
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