Critical Care Scenarios

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.

From the Critical Concepts blog, thoughts on our personal biases and lack of humility when contemplating end-of-life decision making.

Exploring job retention and conflict resolution in the workplace, the podcast highlights the impact of diverse skills in healthcare professions. It also discusses the importance of choosing battles wisely in relationships, being prepared as an intern, and balancing competence with interpersonal skills in professional settings.

Discussion on the impact of locus of control on patient outcomes in critical care, and the need for mental flexibility in healthcare.

Neurologist Aarti Sarwal discusses the practice of point-of-care ultrasound of the brain, including optic nerve sheath measurement, transcranial doppler, midline shift assessment, and more in the neuro ICU. Topics include assessing intracranial pressure, cerebral edema, cerebral perfusion, and the benefits of point of care ultrasound for neurologic applications.