The Internet Book of Critical Care Podcast

Adam Thomas & Josh Farkas
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5 snips
May 9, 2019 • 21min

IBCC Episode 36 - All things Phosphate

Explore the correlation between high and low phosphatemia. Causes and symptoms of hypophosphatemia, checking phosphate levels in the ICU, and cautions when treating phosphate-related conditions. Understanding the relationship between phosphate and calcium and the occurrence of electrolyte disorders.
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May 2, 2019 • 16min

IBCC Episode 35 - Contrast Induced Nephropathy

Join critical care physician Josh Farkas as he unpacks the myth of contrast-induced nephropathy. He traces its origins, revealing that many conclusions were drawn from weak evidence and small creatinine fluctuations. Farkas highlights studies showing no true link between contrast use and kidney injury, emphasizing the importance of administering necessary scans. Bringing attention to other nephrotoxins often overlooked, he provides practical advice for clinicians on avoiding unnecessary precautions. A refreshing take on a misunderstood topic!
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14 snips
Apr 25, 2019 • 27min

IBCC Episode 34 - Endocarditis

This podcast covers the clinical presentation, imaging, and empiric therapy of endocarditis. It also discusses the significance of point-of-care echo and urinalysis in diagnosis, as well as the complications and controversies surrounding the disease.
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10 snips
Apr 19, 2019 • 18min

IBCC Episode 33 - VF/VT Storm

In this episode we cover the finer points of the high stakes resuscitation of VF / VT "Storm." Come get a solid approach to identification, resuscitation and nuanced management.
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22 snips
Apr 11, 2019 • 23min

IBCC Episode 32 - Metformin Toxicity

The podcast explores the direct, indirect, and obscured role of metformin in critical care patients. Topics discussed include the clinical presentation, evaluation, diagnosis, and management of metformin toxicity. They also delve into the challenges of choosing the appropriate fluid for volume resuscitation, indications for dialysis, and the mechanisms and use of methylene blue for shock treatment.
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Apr 4, 2019 • 27min

IBCC Episode 31 - Penicillin Allergy

Explore the pathophysiology of penicillin allergies and the impact on antimicrobial selection. Understand the molecular basis of penicillin allergy and different types of drug reactions. Learn about penicillin skin testing, graded challenge, desensitization, and low allergenicity drugs. Discover the approach to treating patients with penicillin allergy and the importance of accurate antibiotic prescribing for improved patient care.
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16 snips
Mar 30, 2019 • 23min

IBCC Episode 30 - Pre-Eclampsia

This podcast covers everything you need to know about pre-eclampsia including diagnosis, risk factors, clinical presentation, labs, and treatment. Topics discussed include the use of magnesium, managing HELLP syndrome, delivery considerations, and approaching pre-eclampsia with newer IV anti-hypertensives.
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16 snips
Mar 23, 2019 • 31min

IBCC Episode 29 - Hypertensive Emergency

The podcast discusses the diagnosis and treatment of hypertensive emergencies, including the use of different categories of medications. It highlights the lack of evidence on blood pressure targets and the importance of managing new-onset seizures in PRES patients.
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10 snips
Mar 14, 2019 • 19min

IBCC Episode 28 - Abdominal Compartment Syndrome

The podcast discusses the diagnosis and treatment of abdominal compartment syndrome, including risk factors, manifestations, and treatment options. It explores the relationship between abdominal compartment syndrome and intracranial pressure, and discusses different techniques for decompressing the abdomen. The importance of primary prevention and alternative therapies for managing abdominal compartment syndrome is also highlighted.
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Mar 7, 2019 • 32min

IBCC Episode 27 - Myasthenia Gravis Crisis

Exploring the identification and management of myasthenia gravis crisis, including diagnosis, respiratory function assessment, respiratory support and intubation, and treatment options. Highlights the importance of early intervention and avoids certain medications in patients with myasthenia gravis.

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