In this episode, I discuss one of the most important practical skills for medical students during the surgery clerkship: how to pre-round efficiently and deliver a concise, clinically useful patient presentation on rounds. Topics include: what surgeons actually care about during rounds how to identify important overnight events recognizing trends in vital signs and physiology organizing a 60–90 second presentation common mistakes medical students make how residents and attendings think different...
May 11, 2026•14 min
Throughout the pandemic, there has been considerable discussion about the possibility of running our of ventilators. One potential solution that was brought forward was putting multiple patients on a single ventilator. This is a lot harder than merely attaching a plastic splitter on a ventilator. In this episode, we explain safety and physiological considerations. Also, we briefly discuss specific patient care issues and ventilator settings if your circumstance requires you to adopt this approac...
Apr 23, 2020•16 min
This week we have a brief conversation about prone mechanical ventilation for ARDS. Does it provide a benefit? When should we use it, and why does it work? I hope this is helpful as prone ventilation has been reported to provide benefit to patients with ARDS secondary to Coronavirus (COVID-19) infection.
Apr 12, 2020•20 min
Today we discuss the approach to oxygenating and mechanically ventilating a patient suffering from ARDS. We will cover elements relevant and essential in the management of COVID patients and all others with ARDS.
Apr 05, 2020•33 min
I'm back. I plan on providing you with some useful information when caring for patients infected with COVID-19 (Coronavirus). In this episode, I will provide you an overview of the current evidence and best practices with some explanation and commentary from the recent Surviving Sepsis COVID-19 guidance.
Mar 29, 2020•49 min
This episode provide some basic description of colloids as will as some myths.
Jul 09, 2012•18 min
A physiological explanation why random cortisol levels are NOT helpful in evaluating adrenal function
Mar 12, 2012•17 min
In this episode we talk about the results of the CRASH-2 trial published in Lancet. This trial showed that the EARLY use of Tranexamic acid may improve survivial, but delayed use may be associated with an increased mortality.
Feb 20, 2012•20 min
If you are using ultrasound to evaluate IVC diamter in children, what is considered a normal IVC diameter? You can determine the IVC/Ao ratio or correct the IVC diamter based on the child's body surface area.
Feb 09, 2012•16 min
This is a condition that mimics acute coronary syndrome (ACS) that may be caused by acute emotional or physical stress. Patient's may appear to have profound cardiogenic shock, but these patients have a very high survivial rate with little more than supportive care.
Jan 31, 2012•13 min
This episode discusses the pathophysiology, presentation, and treatment of NTSI.
Dec 06, 2011•26 min
This episode will discuss the physiology behind various CO output monitors such as pulmonary artery catheters, PICCO, pulse wave form analysis, and LiDCO.
Nov 26, 2011•31 min
Now these are the types of lactic acidosis that most people are not familiar. They can be caused by medications, underlying disease, or inborn errors of metabolism.
Nov 19, 2011•17 min
This podcast is a description of how lactate is produced and metabolized. I will discuss the role of lactate in the diagnosis and management of shock. This podcast will focus on Type A lactic acidosis.
Nov 12, 2011•22 min
A brief description on what to consider when confronted with a patient with an air leak from the ET tube or a patient that self-extubates.
Aug 03, 2011•24 min
A description of the risk factors, diagnosis, and treatment of PE.
Jul 28, 2011•33 min
Smoke Inhalation injuries can be deadly. This episode explains why smoke can be so deadly, and how to care for those patients with suspected smoke inhalation injuries.
Jul 06, 2011•31 min
Propofol Related Infusion Syndrome is a potentially fatal complication of propofol. If you use this common ICU drug you need this information.
Jun 05, 2011•24 min
Wedge or PAOP is perhaps the most quoted and poorly understood variable generated by a Swan-Ganz.
Dec 12, 2010•26 min
The most helpful number for me on a Swan is the SvO2. This is a brief description of how I use this variable in evaluating critically ill and injured patients.
Dec 05, 2010•19 min
Therapeutic hypothermia after cardiac arrest is part of ACLS and is used by several EMS agencies around the US. Despite good data and improved patient outcomes, many providers fail to used this modality. This podcast will focus on a presentation of the data, methods of cooling, and potential complications.
Oct 21, 2010•34 min
This is the third in the series on severe pancreatitis and necrotizing pancreatitis. This episode reviews the indications for surgery, morbidity and mortality of surgery, and what are the surgical options.
Jul 23, 2010•26 min
A brief discussion of the considerations of ICU care of the patient with severe pancreatitis, fluid resuscitation, respiratory, renal, and nutrition.
Jun 02, 2010•18 min
This is an initial presentation of the causes and diagnosis of acute pancreatitis.
May 25, 2010•26 min
All the recent emphasis on venous catheter infections has been on central lines. Those peripheral IVs are also dangerous.
Feb 25, 2010•14 min
Acute Colonic Pseudoobstruction (ACPO) is commonly called Ogilvies Syndrome. ACPO presents massive dilation in critically ill patients, and might result in invasive procedures to avoid ischemia or perforation of the colon.
Feb 15, 2010•32 min
A brief summary of what are hemoglobin based oxygen carriers (HBOC) and where are they in development.
Jan 18, 2010•24 min
Discussion of what is the difference between a CVC infection and a catheter-related blood stream infection. They are treated differently so it is important to know the difference.
Sep 24, 2009•19 min
A discussion on nosocomial infections and VAP.
Sep 17, 2009•34 min
What horrible things can happen with central lines once they have been inserted.
Aug 04, 2009•34 min
