Critical Care Scenarios

Sara J Hyland, PharmD, BCCCP, FCCP, is a researcher and clinical pharmacist specializing in perioperative and emergency medicine. She dives into the intricacies of neuromuscular blockade reversal in the ICU, particularly the use of sugammadex versus traditional agents. The conversation highlights the challenges of underutilization, the importance of rigorous monitoring for patient safety, and the risks associated with sugammadex, including rare complications. Hyland emphasizes the need for better protocols and collaborative practices to optimize patient outcomes.

In this conversation, Leeah Sloan, PA-C and co-chair of the Critical Care APP Steering Committee for CHEST, reveals exciting news about a new certification for Critical Care Advanced Practice Providers. She discusses the challenges of traditional training and the urgent need for standardized certification to enhance APP competency. Leeah also critiques the dangers of unstructured learning and the importance of collaborative approaches in critical care. This insightful talk shines a light on evolving inclusivity in the medical field.

Learn more at the Intensive Care Academy!

Learn more at the Intensive Care Academy!

Melissa Bridges, director of PA fellowships at Atrium Health and president of the Association of Post-graduate PA Programs (APPAP), chats with us (Bryan is president of APGAP, the Association of Post Graduate APRN programs) about PA/NP residencies/fellowships in critical care. Learn more at the Intensive Care Academy!

Andrew Schulman, medical musician, former ICU patient, and president of the Medical Musician Initiative, tells us how music can help the critically ill. Learn more at the Intensive Care Academy!

From constipation to hepatorenal syndrome. Fan favorite Elliot Tapper (@ebtapper, @ebtapper), gastroenterologist, transplant hepatologist, academic chief of hepatology, and director of the cirrhosis program at the University of Michigan, returns to answer a grab-bag of GI questions. Learn more at the Intensive Care Academy! Takeaway lessons

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In this discussion, Dr. Michael Lanspa, an intensivist and director of the Intermountain Critical Care Echocardiography Core Lab, dives into the world of point-of-care ultrasound. He highlights common pitfalls faced by practitioners and shares strategies to enhance ultrasound skills in critical care. Key topics include evaluating cardiac function with echocardiographic techniques and understanding the complexities of Doppler measurements. Dr. Lanspa also elaborates on the clinical relevance of measurements like S prime and TAPSE, emphasizing practical approaches to improving patient outcomes.

Justin Fraser, a leading expert in cerebrovascular and neuro-interventional surgery, delves into the revolutionary thrombectomy procedure for treating acute ischemic strokes. He shares insights on advancements in technology and patient transfer protocols that optimize outcomes. The discussion also highlights innovative treatments like tenecteplase, the evolution of multidisciplinary collaboration in neurointerventional surgery, and the ethical challenges faced in acute care. Fraser's expertise showcases how evolving practices are reshaping patient care in this critical field.