ICU Ed and Todd-Cast - podcast cover

ICU Ed and Todd-Cast

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!

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Episodes

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 mout...

May 23, 202332 min0

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/ A...

May 09, 202342 min

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 Medicine 2) "Osmotic Demyelination Syndrome in Patients Hospitalized with Hyponatremia" published by MacMillan e...

Apr 25, 202341 min

New/Old: NUTRIREA 3 and 1

Send us a Text Message (please include your email so we can respond!) Episode 8! In this episode we discuss NUTRIREA 3 or "Low versus standard calorie and protein feeding in ventilated adults with shock: a randomised, controlled, multicentre, open-label, parallel-group trial" by Reigner et al published Lancet Respiratory Medicine 2023. The "old" article is NUTRIREA 1 or "Effect of not monitoring residual gastric volume on risk of ventilator-associated pneumonia in adults receiving mechanical ven...

Apr 11, 202342 min

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 ...

Mar 29, 202345 minSeason 1Ep. 7

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 (steroi...

Mar 14, 202344 minSeason 1Ep. 6

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/ I...

Mar 01, 202340 minSeason 1Ep. 5

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 episod...

Feb 14, 202341 minSeason 1Ep. 4

BONUS: Early Mobili(s)ation from SCCM

Send us a Text Message (please include your email so we can respond!) BONUS Episode Time! Right after we started the podcast where one of the episodes was the TEAM trial for early mobilization, SCCM happened and there was yet another early mobilization trial. Since we just had an early mobility discussion we decided to drop our thoughts on this, how it relates to TEAM, and a related meta-analysis in bonus episode! Today we talk about 1) "Effect of early mobilisation on long-term cognitive impair...

Feb 07, 202333 min0

New/New: CLOVERS and EXTUB-OBESE

Send us a Text Message (please include your email so we can respond!) Episode 3! In this episode switch it up and review 2 NEW articles that published with SCCM 2023 1)"Early Restrictive or Liberal Fluid Management for Sepsis-Induced Hypotension" or CLOVERS by the PETAL Network published NEJM 2023 and 2) "Effect of Non-Invasive Ventilation After Extubation in Critically Ill Patients with Obesity in France" by De Jong et al published Lancet Respiratory medicine 2023. If you enjoy the show be sure...

Jan 31, 202344 minSeason 1Ep. 3

New/Old: Early Mobilization and Albumin

Send us a Text Message (please include your email so we can respond!) Episode 2! In this episode we again go to a new and old article 1)"Early Active Mobilization during Mechanical Ventilation in the ICU" by the ANZICS group published NEJM 2022 and 2) "Albumin Replacement in Patients with Severe Sepsis or Septic Shock" by Caironi et al published NEJM 2014. 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...

Jan 22, 202340 minSeason 1Ep. 2

New/Old: Defib Strategies and SOAPII

Send us a Text Message (please include your email so we can respond!) Episode 1! In this episode we talk about what we're all about and dive right into our first two articles 1)"Defibrillation Strategies for Refractory Ventricular Fibrillation" by Cheskes et al published NEJM 2022 and 2) Comparison of Dopamine and Norepinephrine in the Treatment of Shock by De Backer et al published NEJM 2010. If you enjoy the show be sure to like and subscribe, leave that 5 star review! Be sure to follow us on ...

Jan 22, 202333 minSeason 1Ep. 1
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