Oh stress - we meet again. Four strategies to beat the stress of a complex clinical scenario, and just in time.

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.

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. 

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.

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??

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...