ICU Ed and Todd-Cast

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!

The hosts discuss weight lifting for kidney protection after cardiac surgery and cycling for mechanically ventilated adults. They explore the benefits of amino acids and lower body strength, as well as a conference for critical care nurse practitioners and physician assistants in Nashville.

The hosts discuss the CCR24 conference, stress ulcer prophylaxis in ventilated patients, conflicting data in critical care, comparison of pre-oxygenation methods, sedation options, ivermectin use for COVID-19, steroids for pneumonia, and upcoming presentations on various treatment options in critical care.

Kevin Gibbs, presenter of the PREOXI trial, talks about challenges in airway management, variability in medical practices, and the importance of pre-oxygenation techniques. The podcast explores the debate over the trial acronym, compares pre-oxygenation methods, and discusses the findings of the Intube study. It delves into the benefits of pre-procedural non-invasive ventilation and the implementation challenges in emergency tracheal intubations.

In this podcast, they discuss steroids in septic shock from community acquired pneumonia, the challenges of intubation timing, and driving pressure in critical care. They analyze the Approach trial, share insights on subgroup analysis, and debate the benefits of steroid administration. The hosts also joke about a triathlon, announce upcoming conferences, and highlight the importance of evaluating secondary analyses.

ATS conference insights include discussions on asthma content, post-ICU recovery, breathing exercises for survivors, intubation in newborns, and personalized treatment effects. Light-hearted banter about scenarios and sponsorship opportunities adds a fun touch to the podcast.