Central Line Insertion Complications
A discussion of the potential problems encountered while inserting central venous catheters.
Jul 16, 2009•32 min
ICU Rounds
A podcast dedicated to the teaching of critical care. The focus audience is physicians, residents, medical students, nurses, therapists, and paramedics. These are topics that arise while on teaching rounds in the Burn ICU at Vanderbilt Medical Center. A broad scope of critical care and prehospital topics are presented as well as recent journal articles and medical news.
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Episodes
Pulmonary Physiology and General Anesthesia
This episode discusses the effects and risks of anesthesia on patients with pulmonary disease as well as the effects of anesthesia on pulmonary physiology.
Jun 21, 2009•30 min
Caustic Ingestions
Ingestion of caustic materials can be fatal and difficult to evaluate. These patients are often referred to our burn center.
May 13, 2009•39 min
IV Fluids (Part 1)
An introduction to the basic science in fluids used to treat hypovolemia.
May 03, 2009•37 min
Arterial Blood Gases
This episode is a discussion about how to approach an arterial blood gas result.
Apr 26, 2009•37 min
Pulse Oximetery
Discussion of the technology of the pulse oximeter
Mar 30, 2009•30 min
Discussion on Fluids: The last Cotton lecture
This is an interview that I did on www.medtalknetwork.com with Dr. Brian Cotton. Dr. Cotton recently left Vanderbilt to take a new position at UT Houston. He is an excellent teacher and his opinions on fluids resuscitation are cutting edge.
Mar 05, 2009•25 min
Refeeding Syndrome
When and how can providing a starving patient nutrition be potentially deadly.
Feb 21, 2009•27 min
Hypoxia: physiological causes
Understanding the root cause of hypoxia will allow for more appropriate treatment.
Feb 15, 2009•24 min
Hypernatremia
Evaluation and treatment of elevated serum sodium is presented.
Feb 12, 2009•16 min
Hyponatremia: common but dangerous
Hyponatremia or a low serum sodium is a common electrolyte problem that is dangerous if ignored or treated improperly.
Feb 07, 2009•24 min
Prehospital/Battlefield Tourniquet Use
Review of a recent publication from Annals of Surgery
Feb 01, 2009•14 min
Environmental Hypothermia
Following the recent crash of the US Airways in the Hudson River, it is an appropriate time to discuss the clinical manifestations and treatment of hypothermia.
Jan 28, 2009•29 min
Peak Inspiratory Pressure: Physiological Determinants
Peak inspiratory pressure (PIP) the center of a great deal of discussion of ventilator management. Knowing the factors that increase or decrease PIP are important to those managing critically ill patient. This podcast is steeped in physiology and perhaps more difficult than my typical podcasts. PIP= [Tv/ (Compliance Lung & Thorax)] + (Resistance of airway + flow )
Jan 19, 2009•27 min
Hyperkalemia
Hyperkalemia is a very common and potentially dangerous electrolyte disorder that commonly occurs in ICU patients.
Jan 12, 2009•29 min
Some Swan Stuff
A brief discussion regarding some of the commonly used values obtained from a pulmonary artery catheter.
Dec 29, 2008•25 min
Therapeutic Hypothermia following Cardiac Arrest
Therapeutic Hypothermia following cardiac arrest has been demonstrated to improve outcomes. Starting Jan 1, 2009 Ney York City EMS will dorect patients to those hospitals able to delivery such care.
Dec 22, 2008•19 min
Radiation Injury / Nuclear MCI
The US government last week released a report that the threat of a nuclear device used in an act of terrorism is high in the next couple of years. In this episode we discuss the some concepts of the medical care required to those exposed to radiation as well as blast injuries. I hope this is information that none of you will ever need.
Dec 12, 2008•29 min
Cardiovascular Risk Reduction for Surgery
This episode explores what is needed to make surgery safer for the patient with cardiovascular disease.
Nov 20, 2008•30 min
Meta-analysis of Glucose Control
Tight glucose control has been widely introduced into critical care. This meta-analysis, recently published in JAMA, critically evaluates the effects of these trials in reduction of sepsis as well as mortality. The results might surprise you.
Nov 17, 2008•22 min
Myocardial Infarction: PCI and medications
This is the second installment of this topic. In this episode we talk about the role of angioplasty and role of various medications in the treatment of the patient having an MI.
Oct 20, 2008•26 min
Disaster Management
It is Sunday 8.31.08 and for hurricane Gustav is bearing down on the city of New Orleans. This podcast will discuss the basic elements of disaster planning and management. (This was reposted due to some technical problems with the server.)
Oct 19, 2008•39 min
Traumatic Rhabdomyolyisis / Crush Syndrome
Crush syndrome is a common cause of death following earth quakes, mine and building collapses. Traumatic rhabdomyolysis may also be seen following electrical injury or severe trauma. (This is a reposting due to some previous technical problems with the server.)
Oct 19, 2008•27 min
Myocardial Infarction: Diagnosis and Thrombolytics
Myocardial Infaction (Part 1): This episode will discuss the diagnosis of MI, STEMI, and non-STEMI. We then discuss the indications and types of thrombolytic agents.
Sep 09, 2008•28 min
PAIN: a four letter word
The management of pain is a key element of the care of all patients-- ICU or not. Often providers have little understanding of the concepts and medications of pain management. This episode serves as an introduction.
Aug 21, 2008•40 min
Hypercalcemia
A potentiallylife-threatening electrolyte problem that commonly finds its way into the ICU as well as on exams.
Aug 14, 2008•21 min
Patient-Ventilator Interactions and ventilator discontinuation
Getting patients comfortable on the ventilator is not an easy task. This podcasts focuses on methods to make patients synchronize with the ventilator as well as a discussion of spontaneous breathing and awake trials
Aug 07, 2008•20 min
Ventilator Update: avoiding shear trauma
In regards to ventilator care, all the focus has been on low tidal volume and level of peak inspiratory pressure. What level of PEEP shoud we be using to avoid shear trauma and ventilatory induced lung injury.
Aug 03, 2008•20 min
Abdominal Compartment Syndrome
A discussion of the physiology and presentation of abdominal compartment syndrome.
Jun 07, 2008•33 min
Extremity Compartment Syndrome
A limb-threatening complication that might be overlooked by the inexperienced provider.
May 19, 2008•29 min
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