No algorithm will ever save a human being, but what it will do if it is a good one is tell the humans who to focus their efforts on.Read More
This episode is all about DIAGNOSIS.
Does a piece of subjective or objective data have value ruling IN or ruling OUT a condition? How valuable is it? What tools can we use to determine this?Read More
We invited Dr. Robert Baughman, the world's leading expert on sarcoidosis from the University of Cincinnati onto the show to discuss some advanced topics in sarcoidosis management.Read More
This episode is all about HARM:
Does a particular exposure to a particular variable cause harm in a given patient population?Read More
We brought in Chad Case, MD: our System ICU Director and Chief of Critical Care at our hospital system to talk controversies in sepsis management. Is EGDT dead? If so, what do we teach non-intensivists that staff 70% of ICUs nation-wide? Does dobutamine belong in the trash along with CVP, ScvO2, passive leg raise, PA caths & POCUS? Is there anything we CAN do nowadays??Read More
This episode is all about therapy.
Therapy foregrounds seek to answer: Does a given intervention have a meaningful effect on patient outcomes?Read More
Listen as we critically appraise the MACMAN Trial (JAMA 2017;317(5):483-493. doi:10.1001/jama.2016.20603).
This trial is an RCT looking at VL vs DL for routine orotracheal intubation in the intensive care unit.
This is part of our Journal Club Series - if you haven't listened to episode 1, hit pause and go listen to that first!Read More
Today begins our first episode in our Journal Club Series.
In this episode, we'll be introducing the concepts of critical appraisal & EBM and discussing how in the world we're supposed to stay up to date in medicine.Read More
We work in a multi-hospital system made up of multiple secondary community hospitals and one large quarternary facility downtown. Our community hospitals have a strong ICU team who routinely admit and manage patients with severe ARDS. They are capable of paralytics and proning but do not have access to ECMO. The questions we often struggle with are: who needs to transfer for ECMO? when do they need to transfer? how do we know who will end up being too sick to transfer? at what point should we make the phone call to the big house?
We sat down with our ICU director and our local ECMO guru to answer these questions. Tune in!Read More