The Internet Book of Critical Care Podcast

This podcast discusses an approach to patients with Massive Hemoptysis, focusing on securing the airway, protecting the good lung, and CT scan as the first step. It also covers causes and management of massive hemoptysis, imaging modalities, intubation challenges, the role of bronchoscopy in diagnosis, and treatment options.

Exploring the efficacy of phenobarbital over benzodiazepines in alcohol withdrawal treatment, focusing on dosing, indications, and adjuvant therapies. Detailed discussions on managing withdrawal symptoms, assessment scales, and phenobarbital level checking. Comparison of using IV-diazepam and ketamine for initial behavioral control in agitated patients. Highlighting treatment strategies with dexmetatomidine, IV haloperidol, and anticonvulsants for alcohol withdrawal management.

This episode covers the importance of accurate diagnosis and imaging for community-acquired biliary sepsis and cholecystitis, discusses bacterial pathogens and antibiotic coverage, emphasizes the use of Piptaso and de-escalation in treatment, and explores the risks and considerations of performing ERCP for patients with biliary sepsis.

In this episode, the hosts discuss various aspects of Clostridium difficile (C-diff) infection, including prevention, lab tests, risk factors, and potential therapies. They emphasize the importance of hand hygiene, precautions, and isolating patients with C-diff. They also explore the use of tigecycline, bezlotoxin map, and microbiota transplantation as potential treatments in the ICU.

This podcast explores the crystalloid vs colloid debate and introduces a new paradigm for using large volume resuscitations to treat acid-base disturbances. It discusses the rationale behind switching from normal saline to balanced crystalloids, explores the composition of commonly used crystalloids, and highlights the concept of pH guided resuscitation. Additionally, it delves into the uses, misconceptions, and considerations of bicarbonate therapy in treating acid-base disorders.

This podcast covers all things hypercalcemia, including symptoms and causes. It explores measuring calcium levels, differentiating between causes, and recommended labs and tests. Treatment options and management strategies are also discussed, including pH guided resuscitation, specific fluids, and treatment options like calcitonin and bisphosphonates. Refractory hypercalcemia is touched upon as well.

This podcast discusses the causes and treatment of serotonin syndrome, including medication interactions and overdose. It explores the clinical presentation, diagnostic criteria, and differential diagnosis of serotonin syndrome. The speakers also talk about various agents used to treat serotonin syndrome and the effectiveness of cooling methods for managing hyperthermia. The criteria for diagnosing serotonin syndrome and the approach to sedation are also discussed.

Explore the urgent world of tick-borne illnesses affecting ICU patients. Dive into the differences between babesiosis, anaplasmosis, and RMSF, and learn about their unique clinical implications. Discover how changing climates impact tick distributions and disease occurrences. The hosts dissect symptoms, from flu-like presentations to severe complications like ARDS and multiorgan failure. They also tackle diagnostics and treatment strategies, emphasizing the vital role of early intervention and the challenges of co-infections.

Explore the complexities of hepatic encephalopathy, including nitrogen reduction, the role of shunts, and diagnostic challenges. Learn about differentiating hepatic encephalopathy from alcohol withdrawal and the use of lactulose in treatment. Discover the importance of avoiding sedating medications and implementing nutritional support. Explore the challenges of maintaining gut access in patients with hepatic encephalopathy and alternative treatment options.

This podcast discusses the causes, diagnosis, and management of rhabdomyolysis, including the correlation between CK levels and renal failure risk. It explores the challenges in diagnosing the condition and emphasizes the need for evidence-based treatments. The importance of fluid management, including fluid resuscitation and indications for dialysis, is also highlighted.