

Critical Care Scenarios
Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
An educational podcast presenting practical critical care scenarios. By Brandon Oto, PA-C and Bryan Boling, ACNP. New episodes weekly.
Episodes
Mentioned books

8 snips
Jun 5, 2024 • 17min
TIRBO 62: The sweet spot for learning
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.

7 snips
May 29, 2024 • 57min
Episode 75: Automatic tube compensation, with Ben Fabry
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.

May 22, 2024 • 23min
TIRBO 61: How to use POCUS (our expert consensus)
Discover the latest best practices for point-of-care ultrasound (POCUS) in this thought-provoking discussion. Hear about the creation of a cross-disciplinary consensus aimed at unifying POCUS guidelines across various specialties. The guest explains the Delphi process behind the expert panel's decision-making. Key topics include ethical considerations for educational scans, patient consent, and the importance of proper documentation. Tune in for insights on maintaining probe integrity and safeguarding patient data.

May 10, 2024 • 50min
Episode 74: Obstructive shock, with Sarah Lorenzini (Nurses’ Podcrawl 2024)
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.

May 8, 2024 • 39min
Lightning rounds 40: Critical care medicine fellowships with Nicholas Ghionni
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!

May 1, 2024 • 13min
TIRBO 60: They don’t care about you
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.

Apr 24, 2024 • 54min
Episode 73: POCUS for nephrology, with Abhilash Koratala
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"

Apr 17, 2024 • 21min
TIRBO 59: How we make the podcast
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.

Apr 10, 2024 • 52min
Lightning rounds 39: Understanding flight medicine with Jace Mullen
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.

Apr 3, 2024 • 13min
TIRBO 58: Difficult cases
When do patients deaths bother us?