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Critical Care Scenarios

Latest episodes

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Apr 2, 2025 • 44min

Lightning rounds 51: Hemodynamic interfaces with Philippe Rola

Philippe Rola, intensivist, master of the VEXUS scan, and founder of the Hospitalist and Resuscitationist conference, shares his recent model of four hemodynamic interfaces to describe the entire circulatory system. Register for the H&R conference (May 22-23 2025) here with the discount code provided in the show. (No, we’re not sponsored, just a cool event.) … Continue reading "Lightning rounds 51: Hemodynamic interfaces with Philippe Rola"
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Mar 19, 2025 • 14min

Episode 88: ICU Liberation SCCM Congress 2025

A roundup from members of the SCCM’s ICU Liberation committee, recorded at SCCM Congress 2025. Included:
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Mar 5, 2025 • 1h 4min

Lightning rounds 50: Mastering PA catheter placement with Matt Siuba

Matt Siuba, an intensivist renowned for his expertise in right heart catheterization, shares his insights on the intricate art of placing pulmonary artery catheters. He highlights common pitfalls and essential techniques, offering practical tips to boost confidence for novice practitioners. The discussion covers the importance of proper positioning, communication within the medical team, and the role of ultrasound in ensuring accuracy. Listeners will gain valuable strategies for overcoming challenges in critical care settings.
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Feb 19, 2025 • 1h 7min

Lightning rounds 49: The Vortex approach with Nicholas Chrimes

In this discussion, Dr. Nicholas Chrimes, a consultant anesthesiologist and co-founder of the Safe Airway Society, delves into the innovative Vortex approach to airway management. He emphasizes the need for flexibility and strategic decision-making in critical situations, moving away from rigid algorithms. The concept of 'priming for neck rescue' is explored, along with the importance of clear communication during emergencies. Dr. Chrimes also highlights the value of visual tools for better decision-making and the significance of teamwork in effectively navigating challenging airway scenarios.
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9 snips
Feb 5, 2025 • 46min

Episode 85: Tracheostomy basics with Vinciya Pandian

Vinciya Pandian, an Associate Dean at Penn State and a seasoned tracheostomy nurse practitioner, shares her wealth of knowledge. She discusses the critical factors in evaluating tracheostomy candidates, including medical history and physical assessments. Pandian highlights the importance of pre-procedural communication with patients and families to ensure informed consent. The conversation dives into various techniques for tracheostomy placement and the management of potential complications, offering listeners invaluable insights into best practices in critical care.
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Jan 29, 2025 • 16min

Academy bites: You were here when we were not

Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here!
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Jan 22, 2025 • 57min

Episode 84: Acute liver failure with Sergio Navarrete

Join Dr. Sergio Navarrete, an expert in transplant anesthesia, as he navigates the complex world of acute liver failure management. He dives into the critical assessment of liver function, highlighting the balance of supportive care and the importance of hemodynamic optimization. Discover the evolving role of N-acetylcysteine and the challenges of cerebral edema linked to ammonia levels. Dr. Navarrete emphasizes the intricacies of coagulopathy and the vital considerations for timely liver transplantation, showcasing his depth of knowledge in this high-stakes field.
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Jan 8, 2025 • 1h 10min

Episode 83: Cardiac arrest with Scott Weingart

We talk about the nitty-gritty details of a well-run cardiac arrest, with Scott Weingart of Emcrit (@emcrit), ED intensivist. Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here! Takeaway lessons Resources
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Dec 25, 2024 • 1h 14min

Lightning rounds 48: Complete airway closure with Thomas Piraino

In this discussion, Thomas Piraino, a respiratory therapist and expert in airway management, delves into the nuances of airway closure during mechanical ventilation. He highlights the challenges posed by this phenomenon in critical care, especially in conditions like ARDS. Topics like the significance of optimizing PEEP levels, the intricacies of volume-controlled ventilation, and the analysis of ventilator waveforms are covered. Thomas also emphasizes the importance of using collaborative approaches for effective airway management and improving patient outcomes.
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Dec 11, 2024 • 56min

Episode 82: When it goes wrong

Our approach to common problems and troubleshooting: Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here!

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