How do I listen? You have two options: listen through our website by clicking the links 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" and hit subscribe.
ANDROID: Many applications are available, a few which are listed to the right.
Click here to see our ongoing series on specific topics.
Respiratory symptoms within ONE WEEK of clinical insult
Respiratory Failure not fully explained by cardiac failure or volume overload. An objective assessment to rule out hydrostatic pulmonary edema is required.
A moderate to severe impairement of oxygenation is present
Mild ARDS: PF 200-300
Moderate ARDS: PF 100-200
Severe ARDS: PF < 100
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.