How do I listen? You have two options: listen through our website by going to the show notes below or download it via your phone or tablet.
IPHONE: Go to the Podcasts app. You can get it from the App Store. Search "Pulmcast", find our logo and hit subscribe. You can also listen on Spotify.
ANDROID: Many applications are available, a few which are listed to the right.
Click here to see our ongoing series on specific topics.
For many years we’ve focused on mechanical ventilation, but one thing that is thought about less often is getting patients off that support. In this episode, we dive deep into SBTs and getting patients successfully off the vent.
How can we be better educators and change the world of education at the same time? Our Pulmcast team sat down with Dr. Rob Rogers enthusiast of all things medical education to pick his brain on a host of topics.
ACLS is well known to most providers, but the thing that is difficult, even to seasoned providers, is taking control of the room.
When it comes to our daily lives, we sometimes forget to invest in one the most important things that factor into our health, happiness and well being - sleep. In todays episode we interview sleep expert Dr. Michael Grandner to help us navigate this world.
In a lot of our training we spend a lot of time learning how to get a history and physical - which is all important and good - IF that patient is stable enough for you to spend an hour thinking through it.
In Part II we dive deeper into melatonin, hypnotics and other drugs used to help with sleep/wake as well as test Dr. Schmitt with different scenarios.
In Part 1 we go over sleep physiology, why night shift is so bad for you, sleep hygiene and environment as well as the use of caffeine.
Get our your cordis’ and coffee - today we get the full scope on GI Bleeds and Hemorrhagic Shock.
We dive deeper into the world of Procalcitonin and help explain what it’s all about, when you should order it and its clinical significance.
In this episode, we break down interpreting ABGs into five easy steps to help take your acid-base game to the next level.
Is competence your target? Or are you shooting for expertise?
Oh stress - we meet again. Four strategies to beat the stress of a complex clinical scenario, and just in time.
In this weeks pulmcast little, we go over a little problem with lots of consequences: hyperkalemia.
In this episode, we had the honor of interviewing Dr. Antonio Anzueto who helped develop the new 2017 GOLD Guidelines.
We’re back with more core content: you gotta know it. COPD may seem deceivingly simple at first, but the devil is in the details.
The way we do learning in medicine is all wrong. It turns out our puppy over here has a thing or two to teach us about learning - by playing fetch.
No frills, no fluff - let’s dive right in to the good stuff.
Although it may seem easy, it's not REALLY that easy - things can get a little more... hairy.
What side are you on?
A 34-year-old female with a history of moderate persistent asthma presents to the ED with shortness of breath. Albuterol nebs are no longer helping, and her lactic is rising. What do you do?
So you wanna get hired off rotations?
A profoundly lethal gas that can tear apart your cells piece by piece, leading to tissue damage and organ failure. A gas you're breathing in - right NOW.
Part II of our essential-to-know ARDS series. What do you do after you have placed the patient on ARDSnet, but they remain hypoxemic?
And most importantly - What happened to Phil?!
For Part I of to ARDSnet and Beyond, we delve into the basics of the deadly disease we call ARDS and being talking about how we manage it.
For our first pulmcast little we review how to prepare and manage the room for intubation prior to an credentialed airway manager arriving.
This is core content - you GOTTA know it: SHOCK
Today we discuss a paper from Lars Anderson: Association Between Tracheal Intubation During Adult In-Hospital Cardiac Arrest and Survival.
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.
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?
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.
This episode is all about HARM:
Does a particular exposure to a particular variable cause harm in a given patient population?
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??
This episode is all about therapy.
Therapy foregrounds seek to answer: Does a given intervention have a meaningful effect on patient outcomes?
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!
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.
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!
We snuck in on an interview between two powerhouses in Pulmonary & Critical Care Medicine - Dr. Amy Hajari Case and Dr. Randall Young. This is part II of a series inspired by a grand rounds lecture on the current state of lung transplant medicine given by Dr. Randall Young. His bio can be found here.
It's stupid o'clock in the morning. I'm wide awake and have been for two hours. Ironically I think tonight's insomnia is because I am on holiday and I am thinking through what I may not have finished or handed over thoroughly enough. I suppose this means I am stressed...
Welcome to the first of our Train the Trainer series: Bedside Education; back to our roots.
Warning: NON MEDICAL EPISODE! Admittedly, this show is a little inside-jokey, so we apologize for that.
In this episode we talk about human factors & airway management
Treating well selected patients with VTE at home without admission is something our group has discussed on and off for the last several years. Today we have a special guest on the show one of our intensivists Jermaine Jackson, MD.
In this episode, we discuss advanced care planning & end of life discussions with one of our intensivists, Craig Patterson, MD.
In our Sepsis Multicast Episode 5, we brought on Craig Patterson, MD. One of our intensivists who is passionate about this topic (among many) in an attempt to bring it all together. We take the lessons learned over the course of the last 4 episodes and try to distill it into cohesive message about how to deal with Sepsis in modern times.
In this episode we discuss new Sepsis CMS core measures, new Sepsis 3.0 definitions.
In this episode we discuss PROCESS/PROMISE/ARISE. The 3 new trials that shook up the sepsis in 2014. We followed that with some blood utilization discussion and review of the TRISS trial.
In Show #2/5 we will go in depth into the history of sepsis care including surviving sepsis campaign, Rivers landmark Early Goal Directed Therapy (EGDT) trial, and the Jones LACTATE clearance trial.
In Show #1/5 we will provide an introduction to the series, review some sepsis core content and discuss the debated "septic, normotensive, LA > 4" patient.