

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

Mar 27, 2024 • 41min
Episode 72: CPR-induced consciousness with Jack Howard
Find us on Patreon here! Buy your merch here! We discuss the phenomenon of CPR-induced consciousness (i.e. patients demonstrating awakeness during resuscitation) with Jack Howard, Intensive Care Paramedic at Ambulance Victoria in the northern suburbs of Melbourne, Australia, and first author on a recent literature review and Delphi-derived expert guideline on CPRIC management. Takeaway lessons … Continue reading "Episode 72: CPR-induced consciousness with Jack Howard"

Mar 20, 2024 • 19min
TIRBO 57: Volume vs pressure control
Should you use volume or pressure control ventilation? Find us on Patreon here! Buy your merch here!

Mar 13, 2024 • 47min
Lightning rounds 38: Working in APP leadership, with Jason Wieland
We talk about working in critical care APP leadership positions, with Jason Wieland, PA, Lead Pulmonary & Critical Care APP at WakeMed Health System in Raleigh, NC. Find us on Patreon here! Buy your merch here!

Mar 6, 2024 • 14min
TIRBO 56: Transfixing vessels
You poked through the deep wall of a vessel. Now what? Find us on Patreon here! Buy your merch here!

10 snips
Feb 28, 2024 • 55min
Episode 71: Transplant medications with Olivia Philippart
Transplant clinical pharmacist Olivia Philippart discusses managing infections in transplant patients, timing of transplant medication effects, adjusting medications for severe infections, pharmacokinetics in critically ill patients, drug administration nuances, and considerations for steroid use in transplant patients.

7 snips
Feb 21, 2024 • 13min
TIRBO 55: Bowel regimens
Dive into the world of bowel health in the ICU as Brandon shares vital insights. Learn why patients struggle with constipation due to factors like immobility and opioids. He reveals his shift away from routine docusate and senna, advocating for polyethylene glycol as a go-to solution. Explore when to escalate dosage and the practicalities of administration. Discover alternatives like naloxegol and lactulose, and the importance of supportive measures. Conclude with tips to distinguish between ileus and constipation, ensuring patients get the best care.

6 snips
Feb 14, 2024 • 9min
Lightning rounds 37: Weaning the deliriosedated patient (SCCM roundup)
Experts in critical care and patient sedation discuss strategies for rescuing deliriosedated patients at SCCM’s Critical Care Congress. Topics include weaning off sedation, patient positioning, pharmacological management, involving family members, and addressing underlying causes of confusion to aid in patient recovery.

Feb 7, 2024 • 9min
TIRBO 54: Documenting POCUS studies
How to document your ultrasound findings. Find us on Patreon here! Buy your merch here!

Jan 31, 2024 • 58min
Episode 70: Airway evaluation for non-anesthesiologists, with Jed Wolpaw
In this fascinating discussion, Dr. Jed Wolpaw, an anesthesiologist and intensivist from Johns Hopkins, dives into the critical aspects of airway management for non-anesthesiologists. He talks about evaluating patients before intubation, highlighting tools like the Malampati scoring system and the importance of medical history. The conversation covers tailored intubation techniques, the role of video laryngoscopy, and the complexities of managing critically ill patients. Preparation and understanding patient backgrounds are key to ensuring successful airway management.

Jan 24, 2024 • 12min
TIRBO 53: Who needs an arterial line?
Arterial lines are resuscitative tools.