
The Internet Book of Critical Care Podcast
Brought to you by a partnership that transcends the 49th parallel. Join Adam Thomas and Josh Farkas in the podcast that accompanies The Internet Book of Critical Care.
The IBCC podcast will explore key points in each chapter. Initially the release of podcasts may lag a bit behind the chapters for logistic reasons. However, our goal is to eventually have a podcast for each chapter. Subsequently, the podcast will discuss updates to the IBCC based on new evidence.
Latest episodes

Jan 14, 2021 • 26min
IBCC Episode 109 - Lithium Toxicity
In this episode, we cover the spectrum of lithium toxicity, from the acute ingestion, to the patient with saturated brain tissue. Come take a listen to explore the nuances around volume repletion, when or should you reach for dialysis, what SILENT is or does it exist.

Dec 23, 2020 • 37min
IBCC Episode 108 - Toxic Shock Syndrome
In this episode we cover those super antigens that cause all the trouble with staph and strep infections. Come take a listen around pathophysiology, identification, antimicrobials and all things IVIG.

Dec 15, 2020 • 30min
IBCC Episode 107 - BRASH Syndrome
In this episode, we cover the OG-Farkas description of the age-old interplay between bradycardia / renal failure / AV nodal blocking agent / Shock / and Hyperkalemia. Don't just try and snipe one off at a time, carpet bomb them all at once.

Dec 11, 2020 • 32min
IBCC Episode 106 - Massive Transfusion Protocol
In this episode we cover the crucial approach to what drives hemorrhagic shock: lots of bleeding. Come take a listen for the nuances around an organized approach to 1:1:1 and may we be as bold to say... 1:1:1:1 (fibrinogen, YAY). All things hypocalcemia, hypothermia, acidosis and what lines to use.

Dec 4, 2020 • 20min
IBCC COVID-19 Update #7
We were actively trying to fill your life with non-covid things... but we just had to talk about these big new things. Come take a listen of aerosol transmission, why Remdesivir just doesn't work in the real world, why not to make the same mistake with the -mab du jour, and a few other tid bits.

Dec 1, 2020 • 27min
IBCC Episode 105 - Ventilator Associated Pneumonia
In this episode, we cover that daily issue: Is this a VAP? Come take listen to level up beyond leukocytosis, inflammation, consolidation, worsening oxygenation and positive cultures. Viva la Piptazo - Linezolid/Vanco diad.

21 snips
Nov 28, 2020 • 36min
IBCC Episode 104 - Hemophagocytic LymphoHistiocytosis (HLH)
In this episode, we cover another great white whale in critical care: Hemophagocytic LymphoHistiocytosis (HLH). When your macrophages turn into paceman and start chomping your own cells, you're in trouble. Com listen about genetic predisposition to unchecked immune response, and a conversation around immunomodulation.

Nov 16, 2020 • 31min
IBCC Episode 103 - Gastrointestinal hypomotility in critical care
In this episode we cover the big picture view of ileus, gastroparesis and colonic pseudo-obstruction. Come take a listen so summarize these issues you will encounter on the daily.

Oct 23, 2020 • 22min
IBCC Episode 102 - Cerebral Venous Thrombosis
In this episode, we cover the DVT of the Brain... Cerebral Venous Thrombosis. Lace up your shoes, start washing those dishes, do whatever you need to do while we remind you about presentation, workup and most of all, treatment. As 1% of all strokes and the most common cause of stroke in young patients, you'll want to know this one cold.

Oct 19, 2020 • 23min
IBCC Episode 101 - Stress Hyperglycemia in the ICU
Explore the overlooked topic of glycemic control in the ICU. Discuss the benefits, harms, and metabolic effects of stress-induced hyperglycemia. Learn about the relationship between autophagy, feeding in ICU, and glucose levels. Debate the optimal range for managing stress hyperglycemia. Discover the algorithm for insulin therapy and the need for auditing.
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