Critical Care Scenarios

Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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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"
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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.
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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.
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Apr 3, 2024 • 13min

TIRBO 58: Difficult cases

When do patients deaths bother us?
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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"
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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!
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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!
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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!
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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.
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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.

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