We've reached a milestone, 100 episodes! In this podcast, we cover ICU level thiamine deficiency, not just your white-whale of Wernicke encephalopathy. Come take a listen for dosing, clinical features and complications.
In this episode, we cover the approach to the not-so-rare cause of ICU level pancreatitis: hypertriglyceridemia. Come take a listen for nuances around insulin management, and second thoughts around using heparin and plasmapheresis.
In this episode we simplify the approach to covering your invasive fungal infections in critically unwell patients. Yeast vs Mold vs Endemic Mycoses Azoles vs Echinocandins vs Amphotericin
Its the rare occasion you go one complete day without treating Nausea and vomiting in the ICU. In this episode, we cover the ddx you can't miss, and the multiple receptors to target in your patients.
In this episode, we cover the essentials of analgesia for your critically ill patients. Spoiler alert, multimodal approaches are the way to go. If your MAR only has opiates on it, there may be a problem. Come listen for a new twist on the ladder approach, all things ketamine / precedes and lidocaine... with much much more.
In this episode we cover the widely use, but poorly supported inhaled pulmonary vasodilators: -Oxygen -Nitroglycerin / Nitric Oxide -Epoprostenol -Milrinone
In this episode, we cover the more sinister twin of DKA... HONK aka HHS (Hyperosmolar Hyperglycemic State). Come listen to how not to blow up your patients brain in the tug-of-war between glucose and sodium.
In this episode we cover Guillain - Barre Syndrome. Everything from presentation, to why you should stop checking negative inspiratory pressure and just stick with FVC. Read the post then come take a listen.
In this episode we cover one of the most fatal and moribund conditions we see regularly, Intracranial hemorrhage. Etiology, diagnosis and treatment (of course we spend time on BP goals).
In this episode we cover Catastrophic Antiphospholipid Syndrome. A very rare and often missed diagnosis. Come take a listen to brush up on high risk patient population, clinical diagnosis, labs, steroids / anticoagulation and more treatment options.
In this episode we talk about fever... fever in the ICU... ICU acquired fever. It is not all VTE or VAPS, Chole or CLABSI. We cover a thoughtful approach to not just sending pan culture, and adding piptazo-vanco.
In this episode, we cover the sasquatch of ICU derived fever: catheter associated urinary track infection. Farkas is on the fence whether it is clinically relevent: Come listen for those pearls: IDSA diagnostic criteria. Treatment coverage. Purple bag syndrome, and more!
In this episode we cover a major cause of mortality for our sickle cell patients: Acute Chest Syndrome. This is a very serious entity you must keep a low clinical threshold for working up and treating. Diagnosis Pain Control, Volume Resuscitation Antimicrobials Exchange transfusions and more
In this episode, we cover the rare but life threatening Epiglottitis. Highlights: Presentation not as you learned in medical school Vast majority do not need intubation, but for those that due it can be catastrophic Nasolaryngoscopy, Steroids, broad spectrum antibiotics and early airway plans are the way to go
In this episode, we cover ICU level Pneumocystic Jirovicii Pneumonia (previously known as Pneumocystic Carinii Pneumonia). Suggested approach: HIV +(ve) vs HIV -(ve) Invasive vs Non invasive diagnostic strategy Treatment w. Septra vs other line therapies
In this episode, we cover the lesser of evil stridor aetiologies: Vocal cord dysfunction, a.k.a paradoxical vocal cord motion, a.k.a Paradoxical Vocal Fold Movement. Read the post, then listen to review approach, diagnostic modalities (fibre-optic visualization, CT scan to rule out other entities) and treatment.
In this episode we cover that not so friendly-Fingi: Aspergillus Come get acquinted with the two forms: angioinvasive (think neutropenia) vs bronchoinvasive (the not so immunosuppressed). Don't forget to add this to your Ddx for nosocomial post-influenza & COVID-19....
In this episode we cover the often overlooked entity that is re-feeding syndrome. High Risk populations Signs & Symptoms Insulin mediated edema, and more
In this episode, we cover the presentation, clinical signs / symptoms and workup of takotsubo cardiomyopathy. Come take a listen so you'll never miss that octopus-trap of a clinical confounder, with juicy pearls around LVOT obstruction.
In this episode we cover the work horses we use daily in critical care patients: anticoagulants: Unfractionated heparin (UFH), LMWH, fondaparinux, argatroban, and bivalirudin. We also cover BID dosing of LMWH prophylaxis and the essential section here is on heparin resistance. Enjoy!
In this episode, we cover that bread and butter presentation, chronic obstructive pulmonary disease. Clinical Features Respiratory support Pharmacotherapy Approach to ventilation and extubation
In this episode we update therapeutics: Kaletra is back. Before/after for Steroids. Anakinra is here. We also delve into coagulopathy and super spreaders.
In this Episode: We update new understandings from NYC, Lung pathology (AFOP), Cowboys Vs Ivory Towers, Remdesivir and COVID-19 Phenotypes. Stay Healthy!
In this update: The Fall of Remdesivir? HCQ no so bueno? Fluid status Learning from Tobin, Gattinoni, and our patients physiology Steroids!?!?
In our 3rd installment of correcting things we've said that were wrong 🤓, here we cover COVID-19 coagulopathy, respiratory pathophysiology, immune modulation and APRV.
In this episode, we right some wrongs. As we said in the beginning, given the fast pace we were bound to be wrong, and will be again. 1) New paradigm for COVID-19 patients 2) Procalcitonin: not as good as we thought 3) Malignant atelectasis and the crashing hypoxemia 4)SARS-COV-2 & DIC 5) Awake Proning / CPAP / Vent Splitting / Extubation 6) Ethical dilemmas
In this episode, we update you on: Transmission HFNC/CPAP Steroids? The fall of Kaletra Come take a listen. Know that we are all in this together.
There is a lot of attention to this growing global health concern. Come listen for what will be a continuing update for all thing clinically pertaining to COVID-19. Pathogenesis Transmission/PPE Respiratory support ARDS management Steroids? Antivirals
In this episode, we cover a core component of any resuscitationists tool kit: vasoactive agents. We've got your vasopressors, your inodilators, your inopressors, you oral cheat code and some hail merry approaches. Come listen for all things pressure and flow.
In this episode, we cover one of those cardinal causes of vasodilatory shock; anaphylaxis. Come listen to solidify your clinical diagnosis, and domination of all things epinephrine.
