Critical Care Time

Critical Care Time Podcast
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36 snips
Mar 25, 2024 • 1h 38min

20. AKI & CRRT with Dr Kevin Chung

Dr. Kevin Chung discusses AKI and CRRT, demystifying the elements of continuous renal replacement therapy. They explore collaborative management of AKI and CRRT by nephrologists and intensivists, managing contrast-induced nephropathy, understanding CRRT and dialysis modalities, optimal timing for intervention in critical care cases, logistics and anticoagulation in CRRT, and evolving critical care technologies and therapies.
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12 snips
Mar 15, 2024 • 1h 16min

19. Metabolic Acidosis w/ NephMadness

Explore metabolic acidosis in critically ill patients with a focus on acid/base derangements, working up, and treating in the ICU. Learn about the similarities between Spanx and sodium bicarb, and gain insights on diagnosing and managing metabolic acidosis, including bicarbonate measurements, urine potassium significance, and renal replacement therapy modalities.
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Feb 26, 2024 • 33min

18. Journal Club - DL VS VL: The Device Trial

Discussing the DEVICE Trial comparing direct to video laryngoscopy, exploring success rates, implications for intubation, and clinical impact. Comparing VL and DL for emergency intubations, highlighting first-pass success rates and operator experience. Advocating for widespread adoption of VL in critical care.
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7 snips
Feb 12, 2024 • 1h 9min

17. Hyponatremia in Critical Illness with Dr Joel Topf

Dr. Joel Topf, a master nephrologist, discusses hyponatremia in critical illness, including diagnosis and management. They also dive into the complexities of osmotic demyelination syndrome and the importance of considering the interplay between potassium and sodium levels. The podcast emphasizes the need for a logical and systematic approach to managing critically ill patients with hyponatremia.
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18 snips
Jan 29, 2024 • 1h 11min

16. Pulmonary Embolism Part II

In this podcast, the hosts discuss the pillars of PE management, including the use of lytics in non-massive PEs, airway management, and hemodynamics. They also highlight the importance of categorizing shock in PE and the need for personally assessing the patient. The results of a thrombolysis study and bleeding risks are discussed, along with different management options for PE patients. The seriousness of a clot in transit and the use of surgical embolectomy are explored, along with the use of ECMO as a treatment option. The podcast ends with acknowledgments and disclaimers.
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22 snips
Jan 15, 2024 • 42min

15. Pulmonary Embolism Part 1

In this podcast, the hosts discuss the diagnosis, clinical decision support tools, and pathophysiology of pulmonary embolism. They delve into the nomenclature and classification approaches used by different organizations, highlight the typical manifestations and imaging findings of PE, and explore various methods to assess the right ventricle. The benefits of CT angiography and the use of peripheral blood samples in assessing PE are also discussed. The hosts express gratitude towards sponsors and mention it's a two-part episode.
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11 snips
Jan 1, 2024 • 50min

14. Massive Hemoptysis

Learn about the pragmatic approach to life-threatening hemoptysis. Dr. Whittney Warren discusses medications, intubation, and bronchoscopic tools. Explore the field of interventional pulmonary medicine and the immediate results it can achieve. Understand the definition of massive hemoptysis based on its life-threatening nature. Discover treatment options for stabilized bleeding including heparin nib, bronchoscope airway clearance, and cryo probes. Explore the effectiveness of cold saline, epinephrine, and tranexamic acid in managing bleeding. The hosts express gratitude, seek engagement, and thank the sponsor.
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Dec 4, 2023 • 34min

13. ICU Rounds: Focusing on the Patient

In this podcast, doctors discuss the evolution of ICU rounds towards collaborative approaches, emphasizing efficient patient summaries and multidisciplinary discussions. They explore the impact of involving families in rounds and highlight the importance of teamwork and end-of-life discussions. The discussion also touches on enhancing efficiency, patient-centered care, and the call for engagement and feedback.
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23 snips
Nov 20, 2023 • 55min

12. DVT Prophylaxis In The Critically Ill

Delving into DVT prophylaxis in critically ill patients, the podcast covers risks, medications like Fonda and heparin, challenges with warfarin therapy, and optimizing dosing with options like Lovanox and Heparin. Exploring procedures, anticoagulation timing, and personalized approaches for trauma and stroke cases. Highlighting chemoprophylactic agents, SCDs, and managing DVT prophylaxis in special cases like HIT and TTPHUS patients.
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10 snips
Nov 6, 2023 • 1h 29min

11. The Physiologically Difficult Airway

This episode of the podcast explores the physiologically difficult airway in critical care, discussing the differences between intubating in the OR vs. critically ill patients, comparing video laryngoscopy and direct laryngoscopy, the use of bicarbonate in acidosis, maximizing alveolar oxygen, the use of ketamine in traumatic brain injury, and the debate on rockuronium vs. succinylcholine for paralysis during intubation. The hosts also discuss specific physiological considerations in challenging cases.

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