Critical Care Scenarios

Discussion on factors and best practices for selecting a line site for central line placement in critical care scenarios. Pros and cons of using an Internal Jugular (IJ) line, considerations for dialysis access, risks and complications associated with line placement, and importance of integrating procedural knowledge with clinical context for patient safety.

Surgical oncologist Michael Cavnar discusses the Whipple procedure for pancreatic cancer, including its advancements and complications. The podcast also covers differential diagnosis for tachycardic patients, management of post-operative bleeding, and the evolution of the Whipple procedure.

Critical care scenarios are discussed in this episode, focusing on the reasons for prone positioning of patients with ARDS. Topics include physiological benefits, lung compliance, even force distribution, lung injury nuances, and debates on proning patients for oxygenation versus protection on ECMO.

Former emergency medicine PA, Janelle Bludorn, discusses transitioning to academia. Topics include challenges of moving from clinical work to teaching, balancing clinical and academic responsibilities, the value of formal training for educators, and strategies for navigating a career transition in the medical field.

Explore the importance of being curious and open-minded in the medical field, emphasizing the benefits of curiosity in approaching situations and maintaining strong relationships

Travis Hughes, vascular surgery fellow from the University of Kentucky, discusses aortic dissection, advancements in treatment, managing impulse and blood pressure, medications, patient monitoring, blood pressure and heart rate control, use of anti-platelet medications, and long-term complications in aortic dissection repairs.

Exploring the significance of spontaneous breathing trials in critical care, analyzing failure criteria such as rapid shallow breathing index, discussing different phenotypes of failure like rapid shallow breathing and hypoventilation, and optimizing patient ventilation by empowering them to control their breathing on mechanical ventilation.

Leon Chen, an Adult/Gerontology Acute Care Nurse Practitioner, talks about creating a POCUS system, including the training process and credentialing. He discusses challenges and development, billing and documentation, and implementing a new ultrasound training program.

A brief discussion of the stuff in your pockets as you practice medicine.

Urologist Ashley Winter discusses the importance of decompressing the urinary system in septic patients with obstructive UTI. The podcast explores options for decompression procedures, patient deterioration after urinary tract decompression, discomfort and considerations with ureteral stents, and coordination of outpatient stent changes and complications of ureteral stent removal.