The Internet Book of Critical Care Podcast

In this episode we have a quick little refresher on Non-Anion-Gap Metabolic Acidosis for you! Enjoy!!!

Continuing on with metabolic-palooza: Here is the core approach to Anion-Gap Metabolic Acidosis. We've got the KULT, we've got the labs/treatment and everything in between.  

In this episode, we cover the foundations to every day clinical medicine in the ICU: Acid base. As our patients are either often too sick to regulate their own homeostasis, or what we are doing to them prevents their lungs or kidneys from doing so, we give you the approach to recognizing Acid Base disorders. Step 1: Calculate the Anion Gap Step 2: Look at the Bicarbonate level Step 3: Compare the change in Anion Gap to the Change in Bicarbonate

Exploring controversies in classifying pulmonary embolisms, risk assessment, thrombolysis, anticoagulation, novel therapies, and managing crashing & hypoxemic PE patients. Topics include warning signs, severity categories, individualized care, dosing strategies for thrombolytic therapy, and challenges in managing PE patients in critical care settings.

In this episode, we cover all the big hits for anticoagulant management in your bleeding patients. -Warfarin -DOAC -Anti platelets  -Heparin and LMWH -And More!

In this episode, the speakers discuss all things you need to know about tumor lysis syndrome including life-threatening hyperkalemia, purine nucleotide management, rasburicase, and dialysis. They highlight the importance of treating the underlying problem and monitoring calcium and phosphate levels. Risk factors, symptoms, and diagnosis of tumor lysis syndrome are explored, along with the difference between pseudohypocalcemia and hypercalcemia. The use of Respira case for tumor lysis syndrome management is discussed, including contraindications, potential risks, and dosing. The potential harm of using allopurinol in patients with tumor lysis syndrome is also highlighted, emphasizing the importance of dialysis and the indications for initiating it.

In this episode, we take a break from controversial subjects and cover all thing magnesium related for critical care.   Come take a listen for diagnosis, identification, and treatment of low and high levels of magnesium.

This podcast covers patient identification, risk stratification, fluids, and vasopressors in septic shock. It discusses the flaws of the Rivers trial and the slow adaptation of the Surviving Sepsis Campaign. The importance of bedside assessment, antibiotic selection, source control, and a patient-centered approach is emphasized. The risks and benefits of steroid use in septic shock, metabolic resuscitation with vitamin C, and optimal heart rate for patients are also discussed.

The podcast covers the challenges of diagnosing and managing angioedema, especially in relation to airway protection. It distinguishes between histamine-mediated and bradykinin-mediated angioedema, and discusses the differences in triggers, symptoms, and treatment responses. The speakers emphasize the importance of quickly identifying and treating angioedema, providing recommendations for different scenarios. They also delve into the mechanisms and management of bradykinin-induced angioedema, proposing tranexamic acid and C1 inhibitor concentrate as potential treatments. The chapter concludes with a discussion on the management of angioedema and airway swelling, emphasizing the need for individualized treatment and monitoring.

This podcast covers the diagnosis and management of hyperthermia in the ICU, including topics like the difference between fever and hyperthermia, diagnostic evaluation of hyperthermia, sedation and shivering suppression, indications for intubation, and management of heat stroke.