The Internet Book of Critical Care Podcast

Exploring the diagnosis and irreversibility of brain death, focusing on clinical signs, reflex responses, and standardized apnea test procedures. The discussion includes the importance of transparent communication, specialized team involvement for organ donation talks, critical care management, neuro hormonal deficits, and pitfalls in accurate assessment of brain dead patients.

In this episode we cover both accidental and non-accidental hypothermia. Come listen for a good review on: Clinical Clues Passive and Active re-warming Modification of standard ACLS approach Complications of hypothermia and much much more... PS: Many apologies to cardiac anesthesiologists and perfusionists: core after-drop is a thing, but we don't want to cloud the issue of priorities in rewarming.

In this episode, we cover the 2019 version of a TCA overdose: Bupropion. AKA: Wellbutrin / Illbutrin (Shoutout to Tox & The Hound). Read the post then get an audio summary of the clinical diagnosis, risk stratification, Activated charcoal, whole-bowel irrigation and finally all things VA-ECMO for the extreme toxicities.

Dive into the sneaky world of acalculus cholecystitis, a critical condition lurking in severely ill patients. Discover the key risk factors and signs that all healthcare providers should recognize. Learn about the diagnostic power of ultrasound versus traditional lab tests. Explore tailored antibiotic strategies for calculus cholecystitis, especially when bacteria aren’t present. Finally, uncover essential management strategies, including drainage and surgery, to tackle this life-threatening issue in critical care.

This podcast covers topics related to carbon monoxide poisoning, including diagnosis, testing, hyperoxia, hyperbaric therapy, and bleeding edge therapies. It discusses the symptoms and presentations of carbon monoxide poisoning, the challenges in diagnosing it, and the controversy surrounding hyperbaric therapy. The podcast also explores future treatment modalities such as isocapnic hyperventilation and mentions a commercial device called Clear Mate.

This podcast discusses various complications that can arise in post MI patients, including bleeding complications, pericarditis, re-infarction, mitral valve cordal rupture, and ventricular septal defect rupture. It provides insights on the management of these complications, including the challenges, diagnostic tests, and treatment options.

This episode explores methemoglobinemia, a condition where hemoglobin is oxidized, causing severe symptoms such as seizures and arrhythmia. It discusses the diagnostic approach, methods of measuring methemoglobin levels, and treatment options including the use of methylene blue. It also covers the treatment of dapsone-induced methemoglobinemia and potential complications.

Exploring the presentation and treatment of vasculitides associated with respiratory failure. Discussing diagnostic tests and lab workups, CT chest and bronchoscopy. Controversy over using Plexivics as treatment. Coagulation management and potential complications.

The podcast explores various topics related to asthma management, including initial assessment and diagnosis, treatment options, non-invasive ventilation, importance of steroids, managing auto peep, respiratory acidosis, ketamine for pain management and bronchodilation, challenges of using anesthesia circuit in ICU, and considerations for using ECMO.

The podcast explores metabolic alkalosis and its complications, including cardiac arrhythmia. It discusses the causes and investigations of metabolic alkalosis, emphasizing the importance of urine chloride and potassium levels. The role of the RAS system in metabolic alkalosis and treatment options are also explored, including volume and electrolyte replacement, diuretics, and ventilation changes.