Critical Care Scenarios

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.

Exploring the implications of tissue compression during medical procedures, the importance of minimal pressure for accurate depth assessment, and challenges posed by squishy and elastic skin. Techniques for accessing deep vessels, risks of movement after catheter placement, and considerations to be made.

We chat with friend of the podcast Matt Siuba (@msiuba), Mr. Zentensivist, to share our distinct perspectives on the relationship between APPs (PAs or NPs) and the intensivists we work alongside.

The dilemma of lung-protective ventilation in patients with strong spontaneous breathing.

We dive into when to initiate renal replacement therapy, the modalities, settings, and physics involved, troubleshooting problems, and more, with Dr. Paul Adams, a dual-trained nephrologist and intensivist at the University of Kentucky. Find us on Patreon here! Buy your merch here! Takeaway lessons

5 things you pretty much must be doing if you want to be excellent at critical care. See also on the blog: The ten laws of critical care Practicing medicine like an adult

We chat with Callie Tennyson, DNP, ACNP-BC, AACC, CHSE, assistant professor from the Duke University School of Nursing, about the use of the internet and social media for medical education: trends, challenges, and principles for doing it right.