Critical Care Scenarios

We explore the profession of respiratory therapy in the US, including their role and training and how to optimize our clinical relationships, with Keith Lamb (@kdlamb1), RRT, RRT-ACCS, FAARC, FCCM. Keith is an RT at the University of Virginia in Charlottesville, working clinically in neuro/surgical/trauma critical care, who has been active in research and has … Continue reading "Lightning rounds 41: Respiratory therapy with Keith Lamb"

Exploring the balance between familiarity and pushing boundaries in clinical practice, stepping out of comfort zone for growth. Emphasizing the significance of thorough preparation and knowledge acquisition before medical procedures. Stressing active learning and structured preparation for safe experiences.

Ben Fabry, a biophysics professor, discusses automatic tube compensation in modern ventilators. They cover ATC's role in reducing patient breathing effort, comparing it to CPAP, and addressing airway resistance. The podcast explores pressure-controlled ventilation, calculating tracheal pressure, and optimizing tube compensation for patients on breathing trials. They also touch on negative airway pressure risks, using ATC in pressure-targeted modes, and challenges in implementing ATC across different ventilator devices.

Brandon summarizes his recent publication describing best practices for performing POCUS. Read the paper open access at POCUS Journal. Find us on Patreon here! Buy your merch here!

Sarah Lorenzini from Rapid Response RN podcast joins Critical Care Scenarios to discuss obstructive shock, highlighting causes like tension pneumothorax and treatments such as IV thrombolytics. The podcast covers managing deteriorating patients, optimizing PE response teams, and diagnosing tension pneumothorax with prompt interventions.

We chat about pulmonary/critical care medicine fellowship with recent graduate Nicholas Ghionni (@pulmtoilet), a first-year attending at the MedStar Baltimore Hospital system. He completed PCCM fellowship at MedStar Washington Hospital Center where he also served as chief fellow. Find us on Patreon here! Buy your merch here!

Exploring the importance of distinguishing between people and institutions in the workplace, and the significance of personal relationships over perceived loyalty from employers. Navigating complexities of workplace relationships and acknowledging boundaries within professional settings.

We discuss the role of point-of-care ultrasound in evaluating the patient with kidney injury and assessing volume status, with Abhilash Koratala (@nephroP), nephrologist, Director of Clinical Imaging for Nephrology at the Medical College of Wisconsin, and champion of nephrology-focused ultrasound. Find us on Patreon here! Buy your merch here! Takeaway lessons References Episode 4 with … Continue reading "Episode 73: POCUS for nephrology, with Abhilash Koratala"

The podcast delves into the production process, exploring microphones like Blue Snowball and Blue Yeti, editing tools such as Logic and Off-fonic, and audio production techniques for optimal sound quality. It also discusses podcast production setup, hosting services, and sound treatment in the recording space.

Jace Mullen, a skilled flight paramedic and airway educator from Denver, shares his extensive experience in flight medicine. He discusses the unique challenges and training paths for aspiring flight medics, emphasizing the collaboration necessary during patient transfers. The conversation highlights the critical protocols for emergency transport and the roles of various medical personnel in flight crews. Jace also delves into the decision-making complexities faced in air vs. ground transport, stressing the importance of safety and communication in high-stakes environments.