Critical Care Scenarios

We chat with Noelia Bischoff, recently off orientation in the medical ICU at Johns Hopkins as a nurse practitioner, about the transition from her role as a bedside ICU nurse. Check out the Intensive Care Academy here! Find us on Patreon here! Buy your merch here!

Joe Chaffin, a transfusion medicine specialist known as the 'Blood Bank Guy', dives into the complexities of transfusion reactions. He discusses the significant knowledge gap among clinicians, stressing informed consent and the urgent need for proper management of reactions like TRALI and TACO. The conversation highlights how to navigate the challenging diagnostic landscape in critical care, the importance of reporting reactions, and ensuring safety in transfusion practices. Chaffin empowers healthcare professionals to improve blood handling and increase donor awareness.

Nick Ione, known as Poem Toilet on X and TikTok, shares his expertise in critical care, focusing on post-intubation sedation. He discusses the complexities of sedation practices, the importance of timely interventions, and how these can vary based on patient needs. The conversation highlights the role of mobility in reducing anxiety and the innovative use of medications like midazolam and ketamine. Ione also emphasizes effective communication within healthcare teams and the influence of cultural factors on sedation strategies.

Matt Siuba, an intensivist at the Cleveland Clinic and a master of zentensivism, dives deep into the critical assessment of the right heart using echocardiography. He discusses the dynamics of the right ventricle and its interplay with the left ventricle, especially during patient shock. Listeners will learn about innovative non-invasive techniques to evaluate right heart function and the significance of pulmonary artery dynamics in cases of pulmonary hypertension. Siuba emphasizes the need for systematic assessments to enhance patient management in critical care.

We explore the fascinating world of artificial intelligence and its role in medicine, with Nawar Shara (@NawarShara), PhD, Chief of Research Data Science at Medstar Health Research Institute and cofounding director of the AI Collab between Medstar and Georgetown. Check out the Intensive Care Academy here! Find us on Patreon here! Buy your merch here!

We share our grand new project, the Intensive Care Academy, an online, video-based, subscriber-only educational platform. Check it out at icu101.com!

Rory Spiegel, an emergency physician and intensivist at MedStar Washington Hospital Center, dives deep into the world of Airway Pressure Release Ventilation (APRV). He discusses the practicalities of APRV through a case study of a patient with respiratory distress, highlighting its advantages over conventional methods. Listeners learn about crucial settings, spontaneous breathing's role, and how to tailor ventilation to individual needs. Spiegel also addresses the implications of lung injuries and hypotension, advocating for APRV's benefits in critical care scenarios.

We learn about the training, role, and benefits of hospital chaplains, with Christine V. Davies, MDiv, MSW, Director of Chaplaincy at Robert Wood Johnson University Hospital. Find us on Patreon here! Buy your merch here!

We discuss the field of rehabilitation psychology, and how it can help patients with persistent critical illness, with Dr. Megan Hosey (@DrMeganHoseyPhD), clinical psychologist and assistant professor at Johns Hopkins School of Medicine, where she practices in the medical ICU. Find us on Patreon here! Buy your merch here! Takeaway lessons Resources

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"