In our Sepsis Multicast Episode 5, we brought on Craig Patterson, MD. One of our intensivists who is passionate about this topic (among many) in an attempt to bring it all together. We take the lessons learned over the course of the last 4 episodes and try to distill it into cohesive message about how to deal with Sepsis in modern times.

In this episode we discuss new Sepsis CMS core measures, new Sepsis 3.0 definitions.

In this episode we discuss PROCESS/PROMISE/ARISE. The 3 new trials that shook up the sepsis in 2014. We followed that with some blood utilization discussion and review of the TRISS trial.

In Show #2/5 we will go in depth into the history of sepsis care including surviving sepsis campaign, Rivers landmark Early Goal Directed Therapy (EGDT) trial, and the Jones LACTATE clearance trial.

In Show #1/5 we will provide an introduction to the series, review some sepsis core content and discuss the debated "septic, normotensive, LA > 4" patient.

Do you cringe when you see a serum Sodium level <135? Does my patient have hyponatremia? Why is the hyponatremia algorithm so enormous?! Fear not friends, we've done our best to break down our approach to Hyponatremia.

To shock, or not to shock? Rate or rhythm control? Today, we'll help you figure that out.

Get our your cordis’ and coffee - today we get the full scope on GI Bleeds and Hemorrhagic Shock.

We dive deeper into the world of Procalcitonin and help explain what it’s all about, when you should order it and its clinical significance.

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.

Part II of our essential-to-know ARDS series. What do you do after you have placed the patient on ARDSnet, but they remain hypoxemic?

And most importantly - What happened to Phil?!

For Part I of to ARDSnet and Beyond, we delve into the basics of the deadly disease we call ARDS and being talking about how we manage it.

This is core content - you GOTTA know it: SHOCK

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?

This episode is all about HARM:

Does a particular exposure to a particular variable cause harm in a given patient population?

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!

Today begins our first episode in our Journal Club Series.

In this episode, we'll be introducing the concepts of critical appraisal & EBM and discussing how in the world we're supposed to stay up to date in medicine.

In a lot of our training we spend a lot of time learning how to get a history and physical - which is all important and good - IF that patient is stable enough for you to spend an hour thinking through it.

In this weeks pulmcast little, we go over a little problem with lots of consequences: hyperkalemia.

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

Because it's okay to be a stressball, and sometimes we need to get real about work, life and stress in medicine.

When it comes to our daily lives, we sometimes forget to invest in one the most important things that factor into our health, happiness and well being - sleep. In todays episode we interview sleep expert Dr. Michael Grandner to help us navigate this world.

Is competence your target? Or are you shooting for expertise?

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

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.

Although it may seem easy, it's not REALLY that easy - things can get a little more... hairy.

So you wanna get hired off rotations?