

ICU Ed and Todd-Cast
Eddie and Todd
Two critical care guys walk into a recording studio and breakdown intensive care trials both old and new! We'll also do deep dives on specific topics important to practicing intensive care medicine and have special guests talking about their area of expertise! This podcast is made for educational purposes. The content provided in this podcast, and in any linked materials, is not intended and should not be construed as medical advice and should not be used to diagnose or treat any medical condition. We try to stay away from opinions but all opinions represent our own and not of any entity we work for. Please keep this in mind as you enjoy the podcast!
Episodes
Mentioned books

Jun 16, 2023 • 54min
New: DEVICE with Matt Prekker
Send us a Text Message (please include your email so we can respond!)This is a little off schedule (and a little long!) but we were SO EXCITED to have the opportunity to sit down and talk with Matt Prekker, the lead author on the DEVICE trial evaluating video versus direct laryngoscopy for tracheal intubation which was published TODAY, June 2023, in the New England Journal of Medicine and presented TODAY at CCR Meeting 2023. DEVICE: https://www.nejm.org/doi/full/10.1056/NEJMoa2301601?query=featured_home(DOI: 10.1056/NEJMoa2301601)INTUBE: https://pubmed.ncbi.nlm.nih.gov/33755076/Please excuse any audio issues! First time recording remotely and we will address volume issues for next time.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!

Jun 6, 2023 • 35min
New: PACER
Send us a Text Message (please include your email so we can respond!)Episode 11/12 (depending on how you count the ATS episode)! This time we discuss "Platelet Transfusion before CVC Placement in Patients with Thrombocytopenia" published in NEJM May 2023. Apologies for the lack of old articles, with summer travel plans we've prepped for a couple but ran out of recording time. When things slow down a bit, we'll get back into our normal flow.PACER: https://pubmed.ncbi.nlm.nih.gov/37224197/If you enjoy the podcast please share on social media or by word of mouth! Thank you!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!

May 23, 2023 • 32min
ATS 2023: Goals of Care Discussions in Hospitalized Patients
Send us a Text Message (please include your email so we can respond!)ATS 2023! Unfortunately for us, there were more breaking pulmonary articles compared to critical care but we did get this great article by the late Dr. Curtis published in JAMA during the conference "Intervention to Promote Communication About Goals of Care for Hospitalized Patients With Serious Illness". Article: https://pubmed.ncbi.nlm.nih.gov/37210665/If you enjoy the podcast please share on social media or by word of mouth! Thank you!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!

May 9, 2023 • 42min
New: AID-ICU
Send us a Text Message (please include your email so we can respond!)Episode 10! In this episode we rambled a little bit and limited ourselves to just our new article which was "Haloperidol for the Treatment of Delirium in ICU Patients" published by Andersen-Ranberg et al in NEJM 2022. Of note, we go back and forth a little bit between "haloperidol" and the brand name "Haldol" but we hope it is similar enough it doesn't impede your listening!AID-ICU: https://pubmed.ncbi.nlm.nih.gov/36286254/AID-ICU Bayesian: https://pubmed.ncbi.nlm.nih.gov/36971791/MIND-USA: https://pubmed.ncbi.nlm.nih.gov/30346242/If you enjoy the podcast please share on social media or by word of mouth! Thank you!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!

Apr 25, 2023 • 41min
Obs/Obs: Fludrocortisone in Septic Shock and Osmotic Demyelination Syndrome
Send us a Text Message (please include your email so we can respond!)Episode 9! In this episode we step a little out of our comfort zone to talk about a couple of analyses which caught our interest recently: 1) "Comparative Effectiveness of Fludrocortisone and Hydrocortisone vs Hydrocortisone Alone Among Patients With Septic Shock" published by Bosch et al March 2023 in JAMA Internal Medicine2) "Osmotic Demyelination Syndrome in Patients Hospitalized with Hyponatremia" published by MacMillan et al March 2023 in NEJM EvidenceFludrocortisone: https://pubmed.ncbi.nlm.nih.gov/36972033/COIITSS: https://pubmed.ncbi.nlm.nih.gov/20103758/ODM: https://evidence.nejm.org/doi/full/10.1056/EVIDoa2200215ODM Editorial: https://evidence.nejm.org/doi/full/10.1056/EVIDe2300014If you enjoy the podcast please share on social media or by word of mouth! Thank you!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!

Apr 11, 2023 • 42min
New/Old: NUTRIREA 3 and 1
Delving into NUTRIREA 3 vs NUTRIREA 1, the hosts discuss calorie feeding in ventilated adults with shock and the importance of monitoring gastric volumes. They explore patient cohorts, nutritional interventions, and personalized nutrition strategies in critical care, highlighting debates on weaning criteria and traditional practices.

Mar 29, 2023 • 45min
New: CAPECOD (Steroids for CAP)
Send us a Text Message (please include your email so we can respond!)Episode 7! In this episode we discuss CAPECOD or "Hydrocortisone in Severe Community-Acquired Pneumonia" by Dequin et al published NEJM 2023. No second article because this was an important trial which has a lot of messy history that we review, including the ESCAPe trial published last year, before we start our discussion.We start with a listener question about 3SITES so if you want to skip ahead to the discussion on CAPECOD you can by skipping to the 8:45 time markCAPECOD: https://pubmed.ncbi.nlm.nih.gov/36942789/ESCAPe: https://pubmed.ncbi.nlm.nih.gov/35723686/CHEST Meta-analysis: https://pubmed.ncbi.nlm.nih.gov/36087797/Individual Patient Meta-analysis: https://pubmed.ncbi.nlm.nih.gov/29020323/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!

Mar 14, 2023 • 44min
New/Old: TELSTAR and DEXA-ARDS
Send us a Text Message (please include your email so we can respond!)Episode 6! In this episode we discuss 1) "Treating Rhythmic and Periodic EEG Patterns in Comatose Survivors of Cardiac Arrest" by Ruijter et al published NEJM 2022 and 2) "Dexamethasone treatment for the acute respiratory distress synrome" by Villar et al published Lancet Respiratory Medicine 2020. This episode is a little bit longer than normal because we also extended our conversation of steroids in ARDS to the LaSRS (steroids in late ARDS) and Meduri 2007 methylprednisolone in early ARDS studies!TELSTAR: https://pubmed.ncbi.nlm.nih.gov/35196426/DEXA-ARDS: https://pubmed.ncbi.nlm.nih.gov/32043986/Steroids in ARDS CHEST Point: https://pubmed.ncbi.nlm.nih.gov/33422200/and Counterpoint: https://pubmed.ncbi.nlm.nih.gov/33422201/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!

Mar 1, 2023 • 40min
New/Old: SBT Strategies and 3SITES
Send us a Text Message (please include your email so we can respond!)Episode 5! In this episode we again go to a new and old article 1) "Spontaneous-Breathing Trials with Pressure-Support Ventilation or a T-piece" by Thille et al published NEJM 2022 and 2) "Intravascular Complications of Central Venous Catheterization by Insertion Site" or "3SITES" by Parienti et al published NEJM 2015. SBT Strategies: https://pubmed.ncbi.nlm.nih.gov/36286317/3SITES: https://pubmed.ncbi.nlm.nih.gov/26398070/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!

Feb 14, 2023 • 41min
New: INCEPTION (eCPR) with Whitney Gannon
Send us a Text Message (please include your email so we can respond!)EPISODE 4! In this episode we are SUPER excited to welcome friend of the podcast Whitney Gannon who is our local ECMO expert to talk about the inspiration for her research in ECMO (ECMO liberation and anticoagulation practices in ECMO) AND the INCEPTION trial, or the Early Extracorporeal CPR for Refractory Out-of-Hospital Cardiac Arrest paper publish in NEJM January 2023 by Suverein et al. This is a little bit of a long episode so some time marks to help you navigate if needed. 14:50 - talking about jargon we HATE. 18:35 - start of discussion of the trial. 35:58 - tangent on drone delivered AEDIf 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!