Critical Care Scenarios

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.

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.