Critical Care Scenarios

Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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Aug 9, 2023 • 11min

TIRBO #41: Tissue compression and elasticity during procedures

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.
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Aug 2, 2023 • 1h 12min

Lightning rounds #29: Making APP and physician collaboration work, with Matt Siuba

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.
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7 snips
Jul 26, 2023 • 16min

TIRBO #40: Ventilating the breathing patient

The dilemma of lung-protective ventilation in patients with strong spontaneous breathing.
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Jul 19, 2023 • 53min

Episode 63: Understanding dialysis, with Paul Adams

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
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6 snips
Jul 12, 2023 • 16min

TIRBO #39: 5 rules for clinical excellence

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
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Jul 5, 2023 • 49min

Lightning rounds #28: Online learning with Callie Tennyson

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.
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Jun 28, 2023 • 14min

TIRBO #38: Why you should follow up

The value of performing chart checks to see how your patients are doing after your care.
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9 snips
Jun 21, 2023 • 1h 14min

Episode 62: Running a cardiac arrest

Bryan puts Brandon through the paces, discussing the nuts and bolts of managing a code. Find us on Patreon here! Buy your merch here! Takeaway lessons
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Jun 14, 2023 • 15min

TIRBO #37: Remote brains

The importance of using an app to keep notes and establish a second, more reliable medical memory.
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Jun 7, 2023 • 57min

Lightning rounds #27: Burnout and career satisfaction

We chat about why people get burned out in medicine, how to weigh the pros and cons of our work, and the right perspective on job satisfaction.

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