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!

Boost your clinical communication skills with the "James Bond Moment" strategy. Learn how to give concise, effective oral case presentations in the ICU.

Pulmcast breaks down the ARDSnet protocol and ventilator management strategies for ICU and emergency medicine providers. Learn how to apply low tidal volume ventilation, interpret driving pressure, and optimize oxygenation in critically ill patients. And most importantly we discover - What happened to Phil?!?!

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...

Warning: NON MEDICAL EPISODE! Admittedly this show is a little inside-jokey, so we apologize for that.

BUT - we still think there is much to be learned from our accomplishments & shortcomings, so we are sharing them with you!

In this episode we talk about human factors & airway management

This show was inspired by a grand rounds lecture on the current state of lung transplant medicine given by Dr. Randall Young. His

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.