TIRBO #36: Liberty or death
A brief overview and call to arms around the key concepts of ICU liberation.
May 31, 2023•27 min
Critical Care Scenarios
An educational podcast presenting practical critical care scenarios. By Brandon Oto, PA-C and Bryan Boling, ACNP. New episodes weekly.
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Episodes
Episode 61: ECPR with Scott Weingart
We chat with Scott Weingart of Emcrit about the use of crash VA ECMO for the cardiac arrest patient. Check out the REANIMATE course here! Listen to the ED ECMO podcast on ECPR here Find us on Patreon here! Buy your merch here! Takeaway lessons
May 24, 2023•59 min
TIRBO #35: Vent double-triggering
Understanding the causes of doubled vent breaths, including premature/short cycling and reverse triggering, plus a basic approach to managing them.
May 17, 2023•12 min
Lightning rounds #27: Our favorite FOAM
Bryan and Brandon share their favorite podcasts, blogs, social media, and other online channels for medical education. Podcasts Blogs/websites Twitter accounts So, with Twitter, we could post all day and still leave a bunch of people out. Here are a few…the best way to find good Twitter followers is to start with these and see … Continue reading "Lightning rounds #27: Our favorite FOAM"
May 10, 2023•37 min
TIRBO #34: What makes it a central line?
Reflections on the definition of a central line, whether it’s arbitrary, and the clinical implications of making the distinction.
May 03, 2023•11 min
Episode 59: Takotsubo cardiomyopathy with Vincent Sorrell
We look at stress (Takotsubo) cardiomyopathy in the setting of critical illness, with Dr. Vincent Sorrell. Dr. Sorrell is a cardiologist at the University of Kentucky, where he helped develop the Advanced Cardiovascular Imaging Program, and is current Acting Chief of both the Division of Cardiovascular Medicine and the Gill Heart and Vascular Institute. Find … Continue reading "Episode 59: Takotsubo cardiomyopathy with Vincent Sorrell"...
Apr 26, 2023•48 min
TIRBO #33: Positioning patients in bed
When scooching a patient in the bed can make a difference.
Apr 19, 2023•16 min
TIRBO #32: Approaching bacteremia
What does bacteremia mean to you? A brief overview of how this affects the picture of an infected patient.
Apr 05, 2023•14 min
Episode 58: Toxic alcohols with Jerry Snow
We look at evaluating the patient with encephalopathy and unexplained anion gap, including the workup and treatment of toxic alcohol poisoning, with guest Dr. Jerry Snow (@ToxicSnowEM), medical toxicologist and director of the toxicology fellowship at Banner University Medical Center in Phoenix. Find us on Patreon here! Buy your merch here! Click here to claim … Continue reading "Episode 58: Toxic alcohols with Jerry Snow"...
Mar 29, 2023•1 hr 6 min
TIRBO #31: Giving better lectures
Some basic tactics for keeping attention in your live talks, presentations, and lectures. Find us on Patreon here! Buy your merch here!
Mar 22, 2023•18 min
Lightning rounds #26: How we follow the medical literature
We discuss our approach to keeping up with research, learn about new studies, interpret them, and some general thoughts on how to apply new literature to our practice. Find us on Patreon here! Buy your merch here!
Mar 15, 2023•50 min
TIRBO #30: Experience is lying to you
When the lessons of memory, clinical experience, and time may be more deceptive than instructive. Find us on Patreon here! Buy your merch here!
Mar 08, 2023•13 min
Episode 57: Hyponatremia with Paul Adams
We tackle the knotty dilemma of diagnosing and treating hyponatremia, with Dr. Paul Adams, a dual-trained nephrologist and intensivist at the University of Kentucky. Find us on Patreon here! Buy your merch here! Takeaway lessons Resources
Mar 01, 2023•59 min
TIRBO #29: Understanding blood transfusion
A review of the basics of blood donation, storage, typing, screening, matching, and transfusion. Transfusion medicine series at Critical Concepts Find us on Patreon here! Buy your merch here!
Feb 22, 2023•22 min
Lightning rounds #25: FailureFest! (Why we’re bad and so are you)
A candid discussion of our flaws, mistakes, weaknesses, and errors, and a look at why it’s important to reflect on these things in medicine, acknowledge them, and try to improve. Find us on Patreon here! Buy your merch here!
Feb 15, 2023
TIRBO #28: How I set PEEP
A review of the methods of PEEP setting, including stress index, PV loops, esophageal manometry, and PEEP tables, and finally my preferred method of driving pressure trials. Find us on Patreon here! Buy your merch here!
Feb 08, 2023•33 min
Episode 56: Resuscitation psychology with Dan Dworkis
Discussing the psychology of emergency response, team dynamics, and debriefing with Dan Dworkis, MD, PhD, FACEP. He’s the Chief Medical Officer at the Mission Critical Team Institute, a board-certified emergency physician, and an assistant professor of emergency medicine at the Keck School of Medicine of USC where he works at LAC+USC. He performed his emergency … Continue reading "Episode 56: Resuscitation psychology with Dan Dworkis"...
Feb 01, 2023•1 hr 14 min
TIRBO #27: The halo effect
An important cognitive bias in medicine, and how the COVID pandemic has shown us that generalizing the assumption of competence is a treacherous pitfall. Find us on Patreon here! Buy your merch here!
Jan 25, 2023•19 min
Lightning rounds #24: Getting into leadership roles
After our recent episodes on publishing papers and giving talks, we close off with a review of leadership and academic rank: sitting on committees, educational roles, faculty appointments, and more. Find us on Patreon here! Buy your merch here!
Jan 18, 2023•54 min
TIRBO #26: RadioPEEP discordance
On today’s TIRBO: A sinister pitfall that may lead you to injuring lungs and worsening outcomes. Find us on Patreon here! Buy your merch here!
Jan 11, 2023•16 min
Episode 55: Undifferentiated encephalopathy and autoimmune encephalitis, with Casey Albin
How to evaluate the patient with unexplained encephalopathy, and a practical approach to diagnosing autoimmune encephalitis with an emphasis on anti-NMDA receptor encephalitis—with Dr. Casey Albin (@CaseyAlbin), neurologist and neurointensivist, assistant professor of Neurology and Neurosurgery at Emory, and part of the NeuroEmcrit team. Claim your CME credit here! Find us on Patreon here! Buy … Continue reading "Episode 55: Undifferentiated encephalopathy and autoimmune encephalitis, with Casey...
Jan 04, 2023•1 hr 2 min
TIRBO #25: Two things NOT to hear
On today’s TIRBO: A couple common lines I’d rather stop hearing people say in the ICU.
Dec 28, 2022•10 min
Lightning rounds #23: How we do end-of-life care
A general discussion about how we recognize patients are dying, how we steer into discussions regarding goals of care, and the many biases and errors we often bring to the table. Two-part blog post at Critical Concepts on palliative care ICU admissions, including a detailed script for the conversation. Three-part blog post at Critical Concepts … Continue reading "Lightning rounds #23: How we do end-of-life care"...
Dec 21, 2022•52 min
TIRBO #24: Two things people need to hear
On today’s TIRBO, a couple things worth saying when a patient is struck down with unexpected critical illness: it’s going to take time, and it wasn’t anyone’s fault. Find us on Patreon here! Buy your merch here!
Dec 14, 2022•13 min
Episode 54: The critically ill patient with pulmonary hypertension, with Ray Foley
We look at the patient with known pulmonary hypertension admitted for new issues like sepsis and pneumonia, and how they differ from our usual bread and butter, with help from Dr. Raymond Foley, director of the medical ICU and the pulmonary/critical care fellowship at UConn Health, as well as director of their pulmonary vascular disease … Continue reading "Episode 54: The critically ill patient with pulmonary hypertension, with Ray Foley"...
Dec 07, 2022•46 min
TIRBO #23: Cultivating clinical calm
Much is made of “staying cool” during emergencies, but what does this really mean? What is calm, what role does it play in a clinical environment, when is it appropriate, and how do we learn it? This and more on today’s TIRBO. Find us on Patreon here! Buy your merch here!
Nov 30, 2022•20 min
Lightning rounds #22: Our drugs of choice
Bryan and Brandon go through their default, go-to drugs for common clinical indications in the ICU: stress ulcer prophylaxis, empiric antibiotics, hypertension, and more.
Nov 23, 2022•58 min
TIRBO #22: Understanding “weak” trainees
You have a trainee, orientee, intern/resident/fellow, student, or other learner who just seems slower than the rest. What should that mean to you? A perspective on this week’s TIRBO.
Nov 16, 2022•18 min
Episode 53: Documentation and coding with Robert Oubre
An exploration of clinical documentation and billing/coding with Dr. Robert Oubre (@Dr_Oubre), full-time hospitalist and CDI Medical Director for a community hospital in southern Louisiana. Takeaway lessons References
Nov 09, 2022•1 hr 10 min
TIRBO #21: Locating, securing, and dressing lines
How to locate, secure, and dress your lines so they’ll stay put and stay clean.
Nov 02, 2022•19 min
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