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 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??

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!

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...

In this episode we talk about human factors & airway management