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 want to get hired off rotations?? We have some advice for you.

For our first pulmcast little we review how to prepare and manage the room for intubation prior to an credentialed airway manager arriving.

Learn how to apply the PAD Guidelines and A–F Bundle to improve ICU care, reduce ventilator days, and cut mortality. Practical tips from Pulmcast.

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!