What form of renal replacement therapy should clinicians use for patients in the intensive care unit (ICU)? New research has connected the renal replacement therapy choice with mortality end points and renal replacement therapy dependency in patients with acute kidney injury. In this podcast episode, experts discuss their research in this area. Ron Wald, MDCM, MHP, professor of medicine at the University of Toronto, discusses his article, “Initiation of Continuous Renal Replacement Therapy Versu...
Mar 21, 2025•27 min•Ep. 534
Host Diane C. McLaughlin, DNP, AGACNP-BC, CCRN, FCCM, welcomes Matthew Kirschen, MD, PhD, FAAN, FNCS, to discuss what critical care professionals need to know about determining brain death/death by neurologic criteria (BD/DNC). In October 2023, a revised consensus practice guideline for the determination of brain death in both children and adults was published in Neurology (Greer DM, et al. Neurology . 2023;101;1112-1132 ). The guideline integrated guidance for adults and children to provide a c...
Jan 09, 2025•30 min•Ep. 533
Host Elizabeth H. Mack, MD, MS, FCCM, welcomes Elizabeth Y. Killien, MD, MPH, to discuss pediatric acute respiratory distress syndrome (PARDS). Dr. Killien explains the findings from her retrospective study on PARDS severity, emphasizing how factors such as severe hypoxemia can impact health-related quality of life (HRQL) after discharge. ( Killien EY, et al. Pediatr Crit Care Med. 2024;25:816-827 ). Dr. Killien is an attending physician in the pediatric ICU and an assistant professor at Seattle...
Jan 03, 2025•25 min•Ep. 532
Host Ludwig Lin, MD, welcomes Raghavan Murugan, MD, MS, FRCP, FCCM, a professor and leading expert in critical care nephrology. They discuss the latest insights on fluid management strategies during continuous renal replacement therapy (CRRT), drawing from recent research and white papers. Dr. Murugan emphasizes the importance of updated education on CRRT fluid removal practices to enhance clinical outcomes and patient care in critical settings. This podcast is sponsored by Baxter Health.
Dec 26, 2024•28 min
Host Maureen A. Madden, DNP, RN, CPNC-AC, CCRN, FCCM, sits down with Christina L. Cifra, MD, MS, to discuss communication strategies for interfacility transfers to the pediatric intensive care unit (PICU). Dr. Cifra shares insights from her recent study on verbal handoffs during transfers, examining the challenges and vital elements of communication during these high-stakes situations (Thirnbeck CK, et al. Pediatr Crit Care Med. 2024;52:162-171). Dr. Cifra is an attending physician in the Divisi...
Dec 19, 2024•27 min
Patients with sepsis are regularly transferred to intensive care units, but there is a dearth of literature that describes the type of communication occurring between the receiving and referring clinicians after these transfers take place. The Society of Critical Care Medicine's (SCCM) Diagnostic Excellence Program sought to gain a better understanding of these communications through an in-depth survey. In this podcast, host Kyle B. Enfield, MD, discusses the survey results with grant principal ...
Dec 04, 2024•18 min
Retaining highly skilled advanced practice nurses and physician assistants in intensive care units is vital for maintaining excellent quality and safety in critical care. In the third episode of SCCM's podcast series on quality and safety in critical care, Diane C. McLaughlin, DNP, AGACNP-BC, CCRN, FCCM, is joined by Roy H. Constantine, MPH, PA-C, PhD, FCCM, and Jose Chavez, DNP, CNS, RN, CCRN, FCCM, to discuss best practices for retention and how retention impacts patient outcomes in critical c...
Oct 09, 2024•27 min
The importance of retaining seasoned physicians in the ICU is crucial for maintaining high standards of patient care. In the second episode of SCCM’s podcast series on quality and safety in critical care, Elizabeth H. Mack, MD, MS, FCCM, is joined by Alexander O. Sy, MBA, MD, MSL, FCCM, to discuss effective retention strategies, their direct impact on patient outcomes, and the broader effects on healthcare teams and organizational efficiency.
Oct 02, 2024•18 min
Host Samantha Gambles Farr, MSN, AG-ACNP, FNP-C, RNFA, is joined by Roman Melamed, MD, to discuss the comparative effectiveness of reduced-dose versus full-dose alteplase for acute pulmonary embolism, focusing on patient outcomes and complications. They will highlight study findings on significant improvements in hemodynamic and respiratory parameters in both groups, with a lower rate of hemorrhagic complications in the reduced-dose group (Melamed R, et al. Crit Care Med. 2024;52:729-742). Dr. M...
Sep 26, 2024•24 min
Host Marilyn N. Bulloch, PharmD, BCPS, FCCM, is joined by Catherine Beni, MD, PhD, to discuss a study aimed at determining outcomes of extracorporeal CPR (ECPR) in pediatric patients without congenital cardiac disease and identifying associations with in-hospital mortality of factors such as initial arrest rhythm and patient demographics (Beni CE, et al. Pediatr Crit Care Med. 2023 Nov;24:927-935). Catherine Beni, MD, PhD, is a resident physician in the department of surgery at the University of...
Sep 19, 2024•21 min
Host Maureen A. Madden, DNP, RN, CPNC-AC, CCRN, FCCM, is joined by Michael C. McCrory, MD, MS, FCCM, to discuss a multicenter retrospective study evaluating the impact of neighborhood, as categorized by the Child Opportunity Index, on pediatric intensive care unit (PICU) outcomes such as mortality, illness severity, and PICU length of stay. The study highlights the disparities in PICU admissions based on socioeconomic factors (McCrory MC, et al. Pediatr Crit Care Med. 2024 Apr;25:323-334). Micha...
Aug 14, 2024•28 min
Host Elizabeth H. Mack, MD, MS, FCCM, is joined by Samuel Snider, MD, and Michael Fong, MD, to discuss a retrospective cohort study that examined factors such as cardiac arrest, brain neoplasms, and EEG patterns to determine their association with status epilepticus and isolated seizures in critically ill patients, aiming to improve monitoring and treatment strategies for high-risk patients (Snider SB, et al. Crit Care Med. 2023 Aug;51:1001-1011). Samuel Snider, MD, is a board-certified neurolog...
Aug 07, 2024•20 min
Host Elizabeth H. Mack, MD, MS, FCCM, is joined by Luregn J. Schlapbach, MD, PhD, FCICM, to discuss the Pediatric Critical Care Medicine article, "Resuscitation With Early Adrenaline Infusion for Children With Septic Shock: A Randomized Pilot Trial" (Harley A, et al. Pediatr Crit Care Med. 2024 Feb;25:106-117). The study found that a fluid-sparing algorithm for children presenting with septic shock using early adrenaline is feasible. Dr. Schlapbach is a professor and chief of intensive care and ...
Jul 31, 2024•32 min
Host Kyle B. Enfield, MD, FCCM, is joined by Daisuke Kawakami, MD, to discuss the Critical Care Medicine article, “Evaluation of the Impact of ABCDEF Bundle Compliance Rates on Postintensive Care Syndrome: A Secondary Analysis Study.” (Kawakami D, et al. Crit Care Med. 2023 Dec;51:1685-1696). The study examines how compliance with the ICU Liberation Bundle (A-F) impacts post-intensive care syndrome and intensive care unit mortality rates Dr. Kawakami is a physician in the Department of Emergency...
Jul 24, 2024•24 min
Delve into the realm of implementation science and its significance in bridging the gap between research-based evidence and critical care practice. Host Marilyn N. Bulloch, PharmD, BCPS, FCCM, is joined by Anne E. Sales, PhD, RN, to discuss the complexity of implementation science, which involves understanding human behavior change within organizational constraints. They explore examples such as hypertension treatment to illustrate the challenges and opportunities of implementing evidence-based ...
Jul 18, 2024•31 min
Improving health literacy is vital for addressing disparities in healthcare access and quality. Join Host Kyle B. Enfield, MD, FSHEA, FCCM, and Jerome Adams, MD, MPH, FASA, as they discuss the urgent need for health equity initiatives and innovative solutions to systemic healthcare challenges. Learn why providing accessible information and empowering individuals to advocate for their health is key. Dr. Adams was the 20th U.S. Surgeon General when the COVID-19 pandemic began and had a front-row s...
Jul 10, 2024•33 min
The Society of Critical Care Medicine’s (SCCM) new global health project, Africa Infrastructure Relief and Support (AIRS), will ensure the availability of medical oxygen to patients in the Gambia, Liberia, and Sierra Leone, made possible by a $5.5 million grant from Direct Relief and in collaboration with the Johns Hopkins Global Alliance of Perioperative Professionals (GAPP) and the Institute of Global Perioperative Care (IGPC). Host Samantha Gambles Farr, MSN, AG-ACNP, FNP-C, CCRN, RNFA, is jo...
Jul 01, 2024•40 min
This episode of the Society of Critical Care Medicine Podcast offers insights on hemodynamics monitoring in critically ill patients. Kyle Enfield, MD, FCCM, is joined by Courtney Bennett, DO, FCC, FASE, to discuss foundational concepts in hemodynamic monitoring and shock management, stressing the importance of understanding data quality and ongoing debates in critical care. SCCM offers a hemodynamic monitoring skills precourse as part of its Critical Care Congress programming. Courtney Bennett, ...
Jun 26, 2024•18 min
While advanced monitoring technology can provide valuable information, the importance of clinical judgment and examination should not be minimized. Host Ludwig H. Lin, MD, is joined by Maurizio Cecconi, MD, to discuss the integration of clinical judgment with technology when assessing hemodynamic instability and shock. They emphasize the importance of fluid challenges tailored to individual patient characteristics, along with standardized approaches. Dr. Cecconi explores the role of big data and...
Jun 18, 2024•34 min
Host Maureen A. Madden, DNP, RN, CPNP-AC, CCRN, FCCM, is joined by Susanna Rudy, ACNP, DNP, to discuss her journey from developing ultrasound training programs to volunteering in conflict zones and pandemic hotspots. She also highlights the crucial role of advanced practice providers (APPs) in critical care. Dr. Rudy is an acute care family medicine and emergency medicine nurse practitioner at Vanderbilt University in Nashville, Tennessee, USA. Dr. Rudy believes in seizing opportunities for prof...
Jun 12, 2024•22 min
This is the fifth episode of SCCM's Current Concepts Series, in which authors unveil exclusive insights into the 2024 Current Concepts Course. Diane C. McLaughlin, DNP, AGACNP-BC, CCRN, FCCM, is joined by Paritosh Prasad, BA, BS, MBA, MD, to discuss the management of acute and acute-on-chronic liver failure.
Jun 05, 2024•28 min
This is the fourth episode of SCCM’s Current Concepts Series. Diane C. McLaughlin, DNP, AGACNP-BC, CCRN, FCCM, is joined by Kwame A. Akuamoah-Boateng, DNP, ACNP-BC, FCCM, and Collin Sprenker, PA-C, to discuss effective, culturally sensitive end-of-life care. Discover why this topic is a crucial current concept in critical care as the guests share insights and personal experiences in dealing with end-of-life care.
May 29, 2024•29 min
In the first of a series of podcast episodes focused on quality and patient safety, host Maureen A. Madden, DNP, RN, CPNC-AC, CCRN, FCCM, is joined by Anita J. Reddy, MD, MBA, FCCP, FCCM, and Jose Chavez, DNP, RN, ACCNS-AG, CCRN, FCCM. They discuss the links among patient safety, workforce retention, and how the COVID-19 pandemic shifted the landscape. They explore effective staff retention strategies that can impact patient care and enhance the resilience of healthcare organizations.
May 22, 2024•25 min
Unlock the key to captivating your audience with our Leadership, Empowerment, and Development (LEAD) Program. Have you ever left a presentation wondering if anyone was really paying attention? In this episode, Kyle Enfield, MD, FCCM is joined by Amanda R. Emke, MD, MHPE, to discuss the essential skills needed to create presentations that leave a lasting impression. From weaving compelling narratives to incorporating interactive elements, learn how to command the stage with confidence and ensure ...
Apr 23, 2024•20 min
As advanced practice provider (APP) postgraduate programs expand, what lessons have we learned as program directors? In this second episode of the APP Fellowship series, Diane C. McLaughlin, DNP, AGACNP-BC, CCRN, is joined by Melissa Ricker, DMSc, PA-C, and Sarah Peacock, DNP, APRN to discuss their experiences as program directors of APP fellowships in critical care. This episode will focus on the benefits and barriers of APP fellowship programs, focusing on the program director’s experience.
Apr 19, 2024•30 min
As advanced practice provider (APP) postgraduate programs expand, what can we learn from the graduates themselves? Diane C. McLaughlin, DNP, AGACNP-BC, CCRN, is joined by Dalton Gifford PA-C and Benjamin Lassow, PA-C to discuss their experiences as recent graduates of APP fellowships in critical care; focusing on the benefits and barriers of APP fellowship programs, and the learner’s experience.
Apr 17, 2024•24 min
Host Elizabeth H. Mack, MD, MS, FCCM, is joined by John Lin, MD, to discuss the transformative impact of the ICU Liberation Bundle (ABCDEF) on caring for critically ill children. This episode delves into the Pediatric Critical Care Medicine article, "Caring for Critically Ill Children With the ICU Liberation Bundle (ABCDEF): Results of the Pediatric Collaborative," exploring the implementation, outcomes, and the potential for enhancing pediatric ICU care (Pedtr Crit Care Med. August 2023; 24(8):...
Mar 27, 2024•23 min
Host Maureen A. Madden, DNP, RN, CPNP-AC, CCRN, FCCM, FAAN, is joined by Dr. Lakshmi Raman, MD, to explore critical insights into pediatric ECMO, addressing neurological complications and their potential mitigation strategies and other topics associate with the article "Early Changes in Arterial Partial Pressure of Carbon Dioxide and Blood Pressure After Starting Extracorporeal Membrane Oxygenation in Children: Extracorporeal Life Support Organization Database Study of Neurologic Complications" ...
Mar 26, 2024•35 min
Host Maureen A. Madden, DNP, RN, CPNP-AC, CCRN, FCCM, FAAN, is joined by William Sveen, MD, MA, to discuss the article "Adverse Events During Apnea Testing for the Determination of Death by Neurologic Criteria" (Sveen, W.N., et al. Pedtr Crit Care Med. 2023 May;24(5):399-405). Explore the prevalence of adverse events in pediatric apnea testing and gain insights from this single-center retrospective cohort study. Dr. Sveen is an Assistant Professor in Pediatric Critical Care Medicine at the Unive...
Mar 26, 2024•31 min
Host Kyle B. Enfield, MD, FSHEA, FCCM is joined by Danielle K. Maue, MD, to discuss improving outcomes for bronchiolitis patients through a high-flow nasal cannula protocol, as discussed in the Pediatric Critical Care Medicine article, "Improving Outcomes for Bronchiolitis Patients After Implementing a High-Flow Nasal Cannula Holiday and Standardizing Discharge Criteria in a PICU." (Maue DK, et al. Pedtr Crit Care Med. 2023 Mar;24:233-244). Together, they explore groundbreaking initiatives that ...
Mar 25, 2024•15 min
