In this podcast episode, Dr. Rory Spiegel discusses the challenges of breathing, particularly in cases of wet, heavy lungs and increased dead space. The focus shifts to APRV (Airway Pressure Release Ventilation) as a mode of ventilation and its benefits in returning patients to Functional Residual Capacity (FRC). Dr. Spiegel emphasizes the importance of understanding FRC in the context of ARDS (Acute Respiratory Distress Syndrome) and dispels myths surrounding APRV. He delves into the physiological aspects, including the viscoelastic nature of the lung and the impact on dead space. The episode concludes by highlighting the practical goal of maintaining patients at FRC for improved outcomes, touching on aspects like heart function, sedation, and reduced barotrauma.

In this podcast episode, Dr. Dan Patino delves into the intricacies of awake intubation, a critical procedure in emergency medicine. He highlights the potential risks associated with paralyzing patients, emphasizing how it can worsen acidosis and increase the chances of Peri-Intubation Arrest. Dr. Patino contrasts the standard approach of Rapid Sequence Intubation (RSI) with the scenarios where awake intubation proves essential, shedding light on the characteristics of ideal candidates and the categories of difficult airways. The episode covers crucial steps in preparing for the procedure, including room setup, drying the mouth, and effective topicalization techniques. Dr. Patino provides valuable insights into the use of medications, such as ketamine, and outlines the procedural nuances for both oral and nasal intubation. Listeners gain a comprehensive understanding of awake intubation, its indications, and the meticulous approach required for optimal patient outcomes.  

In this podcast episode, Dr. Shaila Quazi, a seasoned medical professional, shares insights on pacemakers, aiming to simplify the assessment and treatment of patients with these devices. Drawing on her experience as a resident, she emphasizes the importance of reading EKGs or monitors to identify signs of pacemaker failure or the need for a pacemaker. Dr. Quazi breaks down key indicators, such as pauses, lack of response, and abnormal ventricular rates, offering a practical approach for healthcare providers. She delves into scenarios where external pacing might be necessary and discusses the steps involved in transvenous pacing, providing valuable guidance for emergencies. The episode highlights the significance of correlating symptoms, such as chest pain or shortness of breath, with EKG findings and outlines the steps for initiating appropriate interventions, including medications, external pacing, or transvenous pacing when needed.

In this episode, trauma expert Dr. Zaf Qasim engages in a candid and insightful discussion on trauma management with a focus on resuscitation strategies. The conversation covers various aspects, from challenging dogmas in trauma care to addressing specific scenarios like traumatic arrest. Zaf emphasizes the importance of tailoring interventions based on the unique physiology of traumatic arrest, distinguishing it from medical arrest. He delves into the sequence of procedures, advocating for a methodical approach that prioritizes addressing reversible issues. The debate extends to the use of vasopressors in trauma-induced hypotension, with a spotlight on vasopressin as a potential agent. The discussion also touches on crystalloid administration in the absence of immediate blood availability and the role of calcium in trauma resuscitation. Zaf provides insights into the evolving consensus on tranexamic acid (TXA) use, including dosing considerations, and sheds light on the integration of TXA into trauma protocols. The episode concludes with audience questions, exploring topics such as RSI in trauma, including considerations for induction doses, and the role of pericardiocentesis in trauma patients with effusion or tamponade. Overall, the episode offers a valuable blend of evidence-based practices and practical considerations for trauma resuscitation.

In this final installment of the "Airway Hotseat," Dr. Terren Trott guides us through the intricacies of video airway analysis. Discussing cases ranging from inhalation injuries to challenging cardiac arrest intubations, Trott emphasizes the critical decisions and preparations required in emergency scenarios. The importance of a double setup, considerations for patients with potentially burned airways, and the strategic use of tools like bougies for difficult airways are highlighted. The episode delves into specific cases, such as a swollen epiglottis, and debate on intubation techniques. Trott wraps up with insights on troubleshooting tube placement and emphasizes the value of lube in facilitating smoother procedures. This episode offers a comprehensive exploration of airway management complexities, providing valuable lessons for medical professionals and enthusiasts alike.   

In this podcast episode, Dr. Terren Trott conducts a video airway review with three doctors. They discuss the use of video laryngoscopy at the University of Kentucky, emphasizing the importance of recording intubation videos for later asynchronous review. The focus is on challenging airways, with participants analyzing three different cases. Swami shares his approach to managing a soiled airway, advocating for leading with a suction catheter before the laryngoscope. The discussion covers techniques for controlling the tongue, including finger placement and suction catheter use. External Laryngeal Manipulation is highlighted as a valuable tool, offering insights into its application and benefits. The episode concludes with the analysis of a challenging intubation case, addressing issues such as glottic exposure loss, the proximity of the camera, and the potential need for alternative airway approaches during critical situations. The doctors stress the importance of preparedness, a standardized approach, and the role of the bougie in managing difficult airways. The podcast encourages a proactive mindset in airway management and prompts listeners to consider optimizing their techniques for various scenarios.

In this episode, titled "Why You Suck at Vascular Access," the speaker, known as The Vascular Guy, shares insights on improving ultrasound-guided vascular access. Reflecting on personal experiences, he emphasizes the shift from blind procedures to using ultrasound, highlighting it as a game-changer for success rates. The episode covers practical tips, such as the "Gel Tower" technique for pediatric patients, needle entry angles, and the importance of visualizing the catheter in a long view. The host addresses challenges like valve obstruction, offering strategies like bending the needle for better maneuverability. The episode concludes by stressing the significance of understanding ultrasound technology and making informed equipment choices. Listeners are encouraged to enhance their ultrasound skills for more effective vascular access procedures.

In this gripping episode of "A Curious Case" with Dr. Swaminathan and Dr. Hedayati, the hosts delve into a real-life medical case involving a 35-year-old woman with severe postabortion hemorrhage. The patient's critical condition is vividly described, prompting a detailed discussion on managing such emergencies. They emphasized key aspects such as early recognition, vital signs monitoring, and the importance of a collaborative approach. They walk through the use of uterotonic medications, the initiation of a Massive Transfusion Protocol, and the challenges of dealing with limited resources. The episode provides valuable insights into the complexities of postabortion hemorrhage cases, offering practical tips for healthcare professionals faced with these challenging scenarios. 

In this episode of the podcast, Dr. Max Hockstein, an Emergency Physician and Intensivist, delves into the intricacies of End-Tidal Capnography. The discussion covers the terminology surrounding this topic, its significance in understanding Minute Ventilation and Cardiac Output, and the concept of VQ matching in the lungs. Dr. Hockstein explains the working principles of modern End-Tidal measurement, including Non-Dispersive Infrared Absorption, and distinguishes between sidestream and mainstream Capnometry. The episode explores the phases of a Time Capnogram and the utility of End-Tidal in various medical scenarios, from intubation confirmation to resuscitation and preload responsiveness. The episode offers valuable insights into this critical aspect of medical monitoring and leaves listeners eagerly anticipating act two.  

In this episode of End-Tidal Act 2, Dr.Max Hockstein delves into a series of intriguing medical cases by analyzing Capnograms. These waveforms offer a unique window into respiratory and cardiac conditions, presenting challenges such as ventilator dyssynchrony, low cardiac output, and the distinctive Curare Cleft. The discussion covers scenarios like Endotracheal Tube Dislodgement, the Pigtail phase indicating poor compliance, and the classic shark fin appearance denoting obstruction. Max explores counterintuitive insights into Emphysema and highlights the distinctive Capnogram of a Single Lung Transplant. The episode concludes with a fascinating exploration of Cardiogenic Oscillations, where a large heart's pulsations influence lung CO2 levels. The audience gains valuable insights into critical care scenarios, making this episode a must-listen for healthcare professionals and enthusiasts alike.