Critical Care Time
Critical Care Time Podcast
Critical Care Time is the podcast for everyone who cares for the critically Ill. Whether you work in an ICU, a Med-Surg unit, an ED, a PACU or the back of an ambulance - Dr. Cyrus Askin & Dr. Nick Mark provide practical insights and useful tips to enhance your skillset. They are triple board-certified intensivists who love patient care and teaching. Journey with them through deep dives into physiology and practical pearls, leaving no stone unturned in the world of critical care medicine. Through their own insights, expert interviews and targeted reviews of the literature, Nick and Cyrus provide practical, relevant critical care pearls. If you bill for critical care time, you must make time for Critical Care Time! Hosted on Acast. See acast.com/privacy for more information.
Episodes
Mentioned books
17 snips
Oct 20, 2025 • 1h 8min
Reboot - Hypoxemia Masterclass
Dive into a master class on hypoxemia, where oxygen delivery is paramount. Discover the clinical distinction between hypoxemia and hypoxia, and the essential types of hypoxia that can arise. Fascinating lessons are drawn from Arctic icefish on effective oxygen strategies. The hosts explore six critical causes of hypoxemia, from altitude effects to various physiological mismatches. A practical bedside approach is outlined to tackle hypoxemia, emphasizing the importance of optimizing oxygen delivery in critical care settings.
20 snips
Oct 6, 2025 • 31min
60. Journal Club: Should We Save The Right IJ?
Hosts dive into a debate on whether the right internal jugular vein (IJ) should be preserved for future procedures. They review a critical study on hemodialysis catheter complications, revealing higher reinsertion rates associated with initial right IJ placements. Methodological flaws spark lively critique, addressing selection bias and infection risks linked to guidewire exchanges. The conversation also touches on anatomical advantages, practical experiences, and emphasizes the importance of safe, informed site selection for optimized patient care.
32 snips
Sep 22, 2025 • 1h 41min
59. Airway Controversies with Dr. Jarrod Mosier, MD
Dr. Jarrod Mosier, an emergency medicine-trained intensivist and ECMO director, dives into airway controversies and best practices. He discusses the importance of effective pre-oxygenation techniques, weighing the pros and cons of induction agents like etomidate and ketamine. The conversation touches on the advantages of video laryngoscopy and strategies for awake intubation. Mosier also makes a compelling case for supraglottic airways during cardiac arrest, explaining how these choices can significantly impact patient outcomes.
15 snips
Sep 15, 2025 • 33min
58. Cases in Congestion with Dr Ross Prager
Dr. Ross Prager, a seasoned physician, joins Cyrus and Nick to dissect the intricacies of volume assessment in critical care. They explore fascinating real-life cases that emphasize the careful monitoring of fluid management. The discussion critiques traditional IV fluid administration based on low blood pressure, highlighting the importance of microcirculation assessment. Dr. Prager and the hosts examine the delicate balance of fluid therapy in ICU settings, particularly in COVID patients, stressing individualized strategies for optimal patient outcomes.
57 snips
Sep 8, 2025 • 1h 20min
57. Venous Congestion, Volume Tolerance and Bedside Assessments
Dr. Ross Prager, an intensivist and ultrasound researcher, dives into the complexities of fluid management in critically ill patients. He debunks misleading concepts like volume status and fluid responsiveness, offering insights on assessing volume overload. The discussion highlights the importance of innovative methods like bedside ultrasound to optimize patient care, especially in cases like septic shock. Listeners gain a deeper understanding of hemodynamics and the critical role of accurate assessments in preventing fluid overload, ensuring better patient outcomes.
15 snips
Aug 25, 2025 • 50min
56. Tales from the ICU: BRASH Syndrome
Join the hosts as they delve into a gripping clinical mystery from the ICU! They analyze a case involving a 79-year-old woman with puzzling symptoms, emphasizing the importance of collaboration between emergency and critical care physicians. The discussion highlights the complexities of diagnosing BRASH syndrome and dives into its pathophysiology. Listeners will uncover the nuances of managing bradycardia and hyperkalemia in critically ill patients, all while learning through a captivating and interactive storytelling approach!
40 snips
Aug 11, 2025 • 1h 33min
55. Cirrhosis & Variceal Bleeds
Dr. David Dulaney, a Gastroenterologist and program director at a GI fellowship in San Antonio, shares insights into managing cirrhosis and variceal bleeds. He discusses the challenges of coagulopathy in advanced liver disease and the importance of nuanced treatments like TXA in variceal bleeding. Through clinical case studies, he emphasizes the need for multidisciplinary care and tailored approaches in critical situations. With a dash of humor, Dulaney navigates complex anesthesia considerations and highlights best practices for intubation and vascular access.
25 snips
Jul 28, 2025 • 1h 53min
54. Non-Variceal GI Bleeds
In this discussion, Dr. David T. Dulaney, a distinguished gastroenterologist and fellowship program director in San Antonio, delves into the intricacies of non-variceal GI bleeds. He explains the crucial role of patient stabilization before interventions, highlights the effectiveness of the Glasgow Blatchford score for assessment, and underscores the importance of teamwork among healthcare professionals during crises. The episode also explores unique challenges in managing elderly patients and emphasizes the value of timely interventions and personalized care strategies in achieving optimal outcomes.
44 snips
Jul 14, 2025 • 1h 14min
53. Lactate & Lactic Acidosis
Dive into the fascinating world of lactic acidosis! Understand the crucial role lactate plays in energy metabolism and the clinical implications of high levels in critical care. Learn about the distinctions between type A and type B lactic acidosis and their causes, including medication effects. Explore the importance of monitoring lactate levels and the complexities of diagnosing underlying issues. You'll gain valuable insights into managing this critical condition effectively!
6 snips
Jun 30, 2025 • 51min
52. Listener Mailbag #2
This episode dives into your burning questions and insights from the world of critical care. The hosts tackle the safety of awake intubation, balancing patient comfort with procedure risks. They explore the management of critical medication under high-stress conditions, stressing the need for careful drug handling. Listener feedback shines a light on the role of Advanced Practice Providers, along with antibiotic selection and community dynamics in healthcare. Plus, enjoy some fun anecdotes and myths about coffee along the way!
