Episode 4️⃣ of CCT: Delirium with Dr
@WesElyMD
Delirium is common in people w/ critical illness but it isn’t benign.
🧠What is
#delirium
?
💊What causes it?
😴How can we prevent & treat it? (
#A2Fbundle
)
📖& much more
🎧
📽️
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NEW Critical Care Time episode about pleural physiology & pneumothorax (PTX)!
-what do the pleura do (bonus: why 🦬 &🐘 pleura are special)
-types of PTX (spontaneous, etc)
-how to use POCUS to diagnose PTX
-treatment: observation, N2 washout, small & large bore chest tubes
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🚨NEW EPISODE of Critical Care Time about how to RUN A CODE:
- what to do on in the first 10/60/120 seconds (ABCDE, ABCD-EMU)
- how to “narrate & lead” a code
- performing procedures during codes
- family presence during CPR
- identifying ROSC
- determining futility
- & more
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🚨NEW EPISODE of Critical Care Time all about VASOPRESSORS!
There’s so much great content that it’s gonna be a two-parter:
PART 1 covers the basics:
- when to start vasopressors
- which pressors to use
- pressors via PIV vs central line
- push dose pressors
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S1E1: Undifferentiated Shock: Part 1
Understanding SHOCK is foundational in critical care medicine. In this episode we discuss:
😱defining shock
🅾️O2 delivery: VO2 & DO2
👩⚕️a clinical diagnosis
➗shock index
🧪lactic acid: pros & cons
🔗
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⁉️Should you transfuse platelets before central line placement in people w/ thrombocytopenia?
🚨Check out the latest episode of Critical Care Time - a journal club where
@nickmmark
@Askins_Razor
discuss the recent NEJM RCT
🎧
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🚀Excited to announce the launch of Critical Care Time: The podcast for everyone who cares for the critically ill.
🆕First episode drops July (next week), just in time for the new interns!
🎙️Hosted by
@nickmmark
&
@Askins_Razor
.
Watch them explain what the show is all about👇
New
#NephMadness
themed episode of Critical Care Time all about metabolic acidosis! 🧪
We cover lots of great stuff:
- work up of acidosis (infographic)
- anion, osmolar, & urine anion gaps explained
- mythbusting lactic acid vs lactated ringers
- & much more
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🆕 Episode of Critical Care Time: Pulmonary Embolism part 1
🫀physiology of the RV “death spiral”
🫁hypoxemia in PE explained
🩻 subtle clues for diagnosis
🔮risk prognostication
🗒️Read
🎧Listen
📽️Watch
Part 2 of our episode on Undifferentiated Shock just dropped!
Learn:
- 4 categories of shock (obstructive, cardiogenic, distributive, hypovolemic)
- how physical exam & POCUS can help you identify the cause
New Critical Care Time about DVT prophylaxis in the ICU, with guest
@Rendoncology
.
-Who needs DVT PPx?
-How to choose: UFH, LMWH, Fonda, etc?
-Does mechanical PPx work?
-Special cases: trauma, thrombocytopenia, etc
-& more
🎧
📖
New Episode: Hyponatremia in Critical Illness w/ guest Joel Topf
@kidney_boy
🧠what is the risk of ODS?
📈how fast is too fast to correct?
🧂effect of hypoK on hypoNa
🗜️ddAVP + 3% saline
& more!
🎧
📼
📄
🆕 Episode of CCT about Bronchoscopy Emergencies w/ guests the
@PulmPEEPs
!
We cover the 6 times a bronchoscope can save you:
1️⃣Difficult airways
2️⃣Tracheostomy problems
3️⃣Foreign body aspiration
4️⃣Can’t ventilate mucous plugs
5️⃣Hemoptysis
6️⃣Makimg “bronch only” diagnoses
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Sometimes a negative (fluid balance) is a big positive!
🆕 episode of Critical Care Time about DIURETICS & why/how to achieve a NEGATIVE FLUID BALANCE.
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New Episode on Resuscitative TEE with Dr Ross Prager
@ross_prager
.
We cover:
-WHAT is resus-TEE? (
#POCUS
that can acquire images even in challenging circumstances)
-WHEN is resus-TEE useful? (shock, trauma, cardiac arrest)
-HOW to learn/master TEE in the ICU? (practice!)
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What is SHOCK & how can you recognize it? CCT is here to help!
Episode 1 of Critical Care Time on Undifferentiated Shock is now live!
Download, listen, & subscribe:
Apple
Google
Spotify
TODAY is a good day to catch up on CRITICAL CARE TIME: the show for everyone who cares for the critically ill.
Episodes so far:
1,2 Undifferentiated Shock
3 Platelets before CVC?
4 ICU Delirium
5 Horses & Zebras in the ICU
6,7 Vasopressors
Episode of Critical Care Time
@CritCareTime
on nutrition in the ICU with
@Paul_Wischmeyer
.
We cover a LOT & debunk many myths:
-it’s OK to start TF while on pressors
-it’s OK to feed while prone or on neuromuscular blockers
-TPN & early TF do NOT increase infection risk!
1/
We cover a lot of important topics (summarized in this
@OnePagerICU
) with a series of cases, including:
- privacy rights
- avoiding bias
- restraints
- testing
- surrogate decision makers
- compassionate release
2/
In this episode,
@nickmmark
&
@Askins_Razor
introduce some new animals to this old adage: zorses & hebras & talk ICU examples where the perceived frequency might surprise you:
-cefepime encephalopathy
-Wernicke’s
-dexemetomidine fevers
-contrast induced nephropathy
& more
2/
So exciting to see our delirium infographic being used used in a real ICU.
For more, check out episode 4️⃣ on Delirium with guest expert
@WesElyMD
:
Download all our infographics (free & open source for reuse) at our website:
We cover a lot:
- 5 strategies to avoid putting too much fluid in
- Stepwise approach to diuretics including choosing Furosemide vs Bumetanide, when is a drip better than a bolus, & when to add a 2nd/3rd diuretic
- plus we go deep into CVP! When/how/why is it useful
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You’ve heard “when you hear hoofbeats think horses not zebras”?
But this only works when we know what’s common (🐎) & what’s rare (🦓); what about diseases that we think are rare but are actually common & vice versa?
🆕episode of CCT tackles this!
🔗
1/
Today is the busiest travel day of the year!
A perfect day to catch up on Critical Care Time, including:
- Undifferentiated Shock
- ICU Delirium
- Vasopressors
- Running a Cardiac Arrest
- The Physiologically Difficult Airway
Several new
@CritCareTime
episodes in the works; We recorded 4 episodes in just the last week!
Lots of detailed show notes & infographics too!
Get excited for some great content on:
🫁Pulmonary embolism
🩸Massive hemoptysis
🧂Hyponatremia controversies w/
@kidney_boy
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Should Video laryngoscopy be standard of care for ICUs & EDs intubations?
Nick & Cyrus discuss the recent
#DEVICETrial
. You don’t want to miss the latest episode of Critical Care Time!
Apple
Spotify
Notes
Happy New Year! We’ve got a brand new episode of Critical Care Time about Massive Hemoptysis.
We chat with an interventional pulmonologist about approach, bronchial blockers, & more!
Apple
Spotify
Notes
Now is a great time to get caught up on the first 13 episodes!
We’ve added detailed notes, links to all the references & RCTs, and - of course - lots of infographics.
We’re 1/2 way through season 1. Let us know what your favorite episode is so far!
2/2
Folks -
We’ve fixed that weird annoying background sound in our latest episode. So sorry about that!
Be sure to listen to the version called “fixed audio issue” in your favorite podcast app.
And now back to
#NephMadness
!
You can listen & subscribe to CCT on your favorite podcast app:
Apple
Google
Spotify
If you like the show, please leave us some comments & a ⭐️⭐️⭐️⭐️⭐️ review!
3/
🆕 Episode of
@CritCareTime
where
@nickmmark
&
@Askins_Razor
go deep into the physiology of HYPOXIA & HYPOXEMIA! Lots of useful facts for everyone who cares for the critically ill!
Listen
🍎
✳️
Read
📑
📄Check out the show-notes, a graphical summary & lots more details on the CCT website!
💻
🎁Bonus: Nick & Cyrus share 6 pearls for better & safer central line placement!
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NEW episode of Critical Care Time about thrombocytopenia in the ICU with returning guest
@Rendoncology
.
We cover:
-approach to low platelets & transfusion thresholds
-some causes never to miss including HIT & MAHAs
- two super useful mnemonics:
🪙DIMESS
🔬DIC/DAT/SMEAR
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NEW episode of Critical Care Time about caring for critically ill people in the criminal justice system.
We are joined by experts, Drs Demartino & Griffith, from
@Scopes_Shields
to discuss how to provide safe, respectful, & ethical care to people in law enforcement custody.
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Special BREAKING NEWS episode of Critical Care Time discussing a practice changing RCT of NIPPV prior to intubation, just published
@NEJM
& presented this morning at
#CCR24
@CritCareReviews
.
We sat down with the 1st author & have the inside scoop on the
#PREOXITrial
!
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🚨New Critical Care Time episode drops tomorrow: guest Dr
@WesElyMD
discusses Delirium!
🎧Subscribe & listen:
Apple
Google
Spotify
📩Visit our website & subscribe to our mailing list
🆕 Episode of Critical Care Time: Pulmonary Embolism part 1
🫀physiology of the RV “death spiral”
🫁hypoxemia in PE explained
🩻 subtle clues for diagnosis
🔮risk prognostication
🗒️Read
🎧Listen
📽️Watch
Get excited for part 2 of our episode on pulmonary embolism focused on management:
💉thrombolysis (full vs 1/2 vs 1/4 dose)
🏥 catheter directed therapies
👩⚕️ thrombectomy & ECMO
📄READ:
📼WATCH:
🎧LISTEN:
Undifferentiated Shock part 2
Figure out the etiology of shock using a PUMP, PIPES, TANK approach. In this episode we cover:
〰️ pulse & skin exam
🩻 imaging
🫀POCUS
& more
Get excited for a new episode of Critical Care Time where
@nickmmark
&
@Askins_Razor
talk fluid management & diuretics!
Promo: why your patients probably don’t need maintenance IV fluids!
🚨Get Excited! New episode of Critical Care Time drops TOMORROW (& every other Monday)!
🎧Subscribe & never miss an episode:
Apple
Google
Spotify
💌sign up for the CCT mailing list:
New episode of Critical Care Time about the 3 Wishes Project with guest Dr
@thanh_neville
.
We talk about how personalized acts of kindness can benefit patients & families at end of life.
🎧
📖
🎥
🎧Listen on your favorite app:
Apple
Google
Spotify
YouTube
👩💻Download notes & graphics:
🗣️And let us know: can you think of any ICU zorses or hebras?
3/
You asked, we answered!
Get excited for a MAILBAG episode. We dive in and (try to) answer YOUR questions about airways, art lines, codes, pressors, pneumothoraxes, paraproteins, & much more!
SPOILER ALERT: our listeners are super smart and ask some great questions!
As always, there are many ways to enjoy the episode:
🎧 LISTEN:
Apple:
Spotify:
🎞️ WATCH:
YouTube:
📄 READ:
If you enjoy please Subscribe ✅, Like 👍, & leave us a 5⭐️ review!
2/
CCT Fans,
We need your help!
Can you fill out this short Twitter survey so we can learn a bit more about our listeners & what you like?
(7 questions; should take 90 seconds)
#1
- what is your training?
📨We’re putting together a mailbag episode for the end of season 1.
🙋♀️❓Reply to this thread with any burning critical care questions.
@Askins_Razor
&
@nickmmark
will (try to) answer in an upcoming episode!
🚨🚨🚨
@CritCareTime
fans - be sure to keep an eye on your feeds TOMORROW (6/13) for a SPECIAL BONUS release episode…
…I wonder what we will be talking about!? 🫁😮💨