Understand the core types of shock—distributive, cardiogenic, obstructive, and hypovolemic. Learn real-world resuscitation strategies for ICU and ED providers.

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.

In the past, advanced macrolide monotherapy (azithromycin and clarithromycin) was recommended for outpatient treatment of CAP and COPD AE with acute bronchitis. I'm starting to question if this is consistent with best practice.

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!

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?!?!