ICU Ed and Todd-Cast

Discover the intriguing connection between fever and neurological injuries, and the challenges of managing temperature in stroke patients. Enjoy a light-hearted yet insightful examination of the INTREPID trial on fever prevention. The episode delves into patient comfort in ICUs and how it impacts recovery outcomes. Tune in for a critical look at the PROLABI trial, discussing ventilation strategies for severe brain injuries. Balancing humor with serious medical insights, the hosts dissect essential clinical trial designs and their implications.

Send us a Text Message (please include your email so we can respond!)We are (were) LIVE at ACNP Critical Care Bootcamp 2024! Thank you to the organizers of the conference for inviting us do a live show and thank you to everyone who came out to listen! We talk about the NONSEDA trial or "Nonsedation or Light Sedation in Critically Ill, Mechanically Ventilated Patients" by Olsen et al published in the New England Journal of Medicine February 2020NONSEDA (pubmed): https://pubmed.ncbi.nlm.nih.gov/32068366/NONSEDA (NEJM): https://www.nejm.org/doi/full/10.1056/NEJMoa1906759If you enjoy the show be sure to like and subscribe, leave that 5 star review! Be sure to follow us on the social @icucast for the associated figures, comments, and other content not available in the audio format! Email us at icuedandtoddcast@gmail.com with any questions or suggestions! Thank you Mike Gannon for the intro and exit music!

Send us a Text Message (please include your email so we can respond!)Episode 50! In this episode we talk about SBT frequency and "Frequency of Screening and Spontaneous Breathing Trial Techniques" by Burns et al from JAMA 2024 that was released with the ESICM conference. In our second segment, instead of another trial we talk a little bit about the IV fluid shortage happening in the United States.FAST (JAMA): https://jamanetwork.com/journals/jama/fullarticle/2824928FAST (pubmed): https://pubmed.ncbi.nlm.nih.gov/39382222/If you enjoy the show be sure to like and subscribe, leave that 5 star review! Be sure to follow us on the social @icucast for the associated figures, comments, and other content not available in the audio format! Email us at icuedandtoddcast@gmail.com with any questions or suggestions! Thank you Mike Gannon for the intro and exit music!

Send us a Text Message (please include your email so we can respond!)We are LIVE at CHEST2024! Thank you to the organizers of the conference for inviting us do a live show and thank you to everyone who came out to listen! We talk about a few articles that were recently published in CHEST - "Prophylactic Minocycline for Delirium in Critically Ill Patients: A Randomized Controlled Trial" published by Dal-Pizzol et al and then "Comparative Effectiveness of Amiodarone and Lidocaine for the Treatment of In-Hospital Cardiac Arrest" by Wagner et al.We then touch briefly on some articles being presented later at the conference which we might cover soon (stay tuned)!Minocycline for Delirium (pubmed): https://pubmed.ncbi.nlm.nih.gov/38043911/Minocycline for Delirium (CHEST): https://journal.chestnet.org/article/S0012-3692(23)05833-6/abstractAmio vs Lido (pubmed): https://pubmed.ncbi.nlm.nih.gov/36332663/Amio vs lido (CHEST): https://journal.chestnet.org/article/S0012-3692(22)04039-9/abstractIf you enjoy the show be sure to like and subscribe, leave that 5 star review! Be sure to follow us on the social @icucast for the associated figures, comments, and other content not available in the audio format! Email us at icuedandtoddcast@gmail.com with any questions or suggestions! Thank you Mike Gannon for the intro and exit music!

Send us a Text Message (please include your email so we can respond!)Episode 48! In this episode we talk about the long term effects of ICU visitation policies on families. Long Term Outcomes of Visitation (pubmed): https://pubmed.ncbi.nlm.nih.gov/39172240/Long Term Outcomes of Visitation (ICM): https://link.springer.com/article/10.1007/s00134-024-07577-3Outcomes of Visitation (pubmed): https://pubmed.ncbi.nlm.nih.gov/31310297/Outcomes of Visitation (JAMA): https://jamanetwork.com/journals/jama/fullarticle/2738289If you enjoy the show be sure to like and subscribe, leave that 5 star review! Be sure to follow us on the social @icucast for the associated figures, comments, and other content not available in the audio format! Email us at icuedandtoddcast@gmail.com with any questions or suggestions! Thank you Mike Gannon for the intro and exit music!

Explore the mind-bending concept of cognitive motor dissociation, revealing how unresponsive patients can still exhibit brain activity. Delve into the intricacies of neuroprognostication and the ethical dilemmas in critical care decisions. Discover the evolving guidelines surrounding death by neurologic criteria and the emotional challenges faced by families. Learn about the complexities of assessing brain death, the significance of respectful communication, and the vital assessments needed for neurological recovery.

Send us a Text Message (please include your email so we can respond!)Episode 46! In this episode we talk about thrombolytic windows in acute ischemic stroke from TIMELESS published by Albers et al published in the New England Journal of Medicine and then we talk about ANDROMEDA shock and serial lactates published by Hernandez et al!TIMELESS (pubmed): https://pubmed.ncbi.nlm.nih.gov/38329148/TIMELESS (NEJM): https://www.nejm.org/doi/10.1056/NEJMoa2310392ANDROMEDA-Shock (pubmed):https://pubmed.ncbi.nlm.nih.gov/30772908/ANDROMEDA-Shock (JAMA): https://jamanetwork.com/journals/jama/fullarticle/2724361If you enjoy the show be sure to like and subscribe, leave that 5 star review! Be sure to follow us on the social @icucast for the associated figures, comments, and other content not available in the audio format! Email us at icuedandtoddcast@gmail.com with any questions or suggestions! Thank you Mike Gannon for the intro and exit music!

Dive into the latest discussions on sepsis bundles and the '1-BED' trial, where the hosts dissect treatment guidelines with humor and insights. Explore the complexities of grading and the challenges in evaluating clinical trials. Hear about innovative early intervention strategies in emergency care, aiming to enhance sepsis management. Additionally, the new stress ulcer prophylaxis guidelines are broken down, emphasizing the importance of clinical judgment in critical care decisions. Expect relatable anecdotes mixed with serious healthcare topics!

Send us a Text Message (please include your email so we can respond!)We were honored to be joined by Joanna Stollings (and honestly we needed someone to keep us grounded) to talk about BLING3 or "Continuous vs Intermittent β-Lactam Antibiotic Infusions in Critically Ill Patients With Sepsis" published in JAMA by Dulhunty et al and also released with the CCR24 conference.pubmed: https://pubmed.ncbi.nlm.nih.gov/38864155/JAMA:  https://jamanetwork.com/journals/jama/fullarticle/2819971If you enjoy the show be sure to like and subscribe, leave that 5 star review! Be sure to follow us on the social @icucast for the associated figures, comments, and other content not available in the audio format! Email us at icuedandtoddcast@gmail.com with any questions or suggestions! Thank you Mike Gannon for the intro and exit music!

Send us a Text Message (please include your email so we can respond!)Episode 43! In this episode come close to finishing our dedicated discussion of the CCR24 trials talking about transfusion targets in TBI (HEMOTION) and dapagliflozin in critical illness (DEFENDER)!HEMOTION: https://www.nejm.org/doi/full/10.1056/NEJMoa2404360HEMOTION (pubmed): https://pubmed.ncbi.nlm.nih.gov/38869931/DEFENDER: https://jamanetwork.com/journals/jama/fullarticle/2820242DEFENDER (pubmed): https://pubmed.ncbi.nlm.nih.gov/38873723/Bootcamp Details:Vanderbilt University Medical Center is hosting its annual Critical Care ACNP/PA Bootcamp. This multi-specialty conference is designed for nurse practitioners and physician assistants working in critical care. The program, now in its thirteenth year, features a mix of lectures, roundtable discussions, expert Q&A sessions and networking opportunities aimed at both new and experienced providers. #CCBootcamp2024Dates: September 4-5, 2024 from 08:00 AM - 3:30 PM each dayTarget Audience: This course is designed for nurse practitioners and physician assistants working in critical care.Location: Loews Vanderbilt Hotel located at 2100 West End Ave, Nashville, TN Registration: https://www.eventbrite.com/e/vumc-critical-care-acnppa-bootcamp-2024-tickets-830345073467?utm-campaign=social&utm-content=attendeeshare&utm-medium=discovery&utm-term=listing&utm-source=cp&aff=ebdsshcopyurl More Info: https://www.vumc.org/advanced-practice-critical-careIf you enjoy the show be sure to like and subscribe, leave that 5 star review! Be sure to follow us on the social @icucast for the associated figures, comments, and other content not available in the audio format! Email us at icuedandtoddcast@gmail.com with any questions or suggestions! Thank you Mike Gannon for the intro and exit music!