Critical Care Scenarios
Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
Show overview
Critical Care Scenarios has been publishing since 2019, and across the 7 years since has built a catalogue of 234 episodes. That works out to roughly 140 hours of audio in total. Releases follow a fortnightly cadence.
Episodes typically run thirty-five to sixty minutes — most land between 19 min and 56 min — with run-times ranging widely across the catalogue. None of the episodes are flagged explicit by the publisher. It is catalogued as a EN-US-language Health & Fitness show.
The show is actively publishing — the most recent episode landed yesterday, with 11 episodes already out so far this year. The busiest year was 2023, with 51 episodes published. Published by Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM.
From the publisher
An educational podcast presenting practical critical care scenarios. By Brandon Oto, PA-C and Bryan Boling, ACNP. New episodes weekly.
Latest Episodes
View all 234 episodesLightning rounds 65: Global health with Kwame Boateng
Episode 101: Acalculous cholecystitis with Dennis Kim
Episode 100: Autoimmune encephalitis testing with Tammy Smith
Lightning rounds 64: The new Surviving Sepsis guidelines with Hallie Prescott
Hallie Prescott, pulm/crit physician and co-chair of the recent Surviving Sepsis guideline writing committee, gives some insight into the new document, including a few interesting additions and some points of controversy. For more thoughts, especially from an EM perspective, Scott Weingart also interviewed Hallie over at EMcrit. Learn more at the Intensive Care Academy! Takeaway … <a href="https://icuscenarios.com/lightning-rounds-64-the-new-surviving-sepsis-guidelines-with-hallie-prescott/" class="more-link">Continue reading<span class="screen-reader-text"> "Lightning rounds 64: The new Surviving Sepsis guidelines with Hallie Prescott"</span></a>
Lightning rounds 63: How to be right, with Scott Weingart
Scott Weingart, ED intensivist and seminal educator from the EMCrit podcast, shares his thoughts on how we should be finding truth nowadays: how to read journals, choose experts, use AI, and resolve disagreement. Learn more at the Intensive Care Academy! Takeaway pearls
Episode 99: RV failure in the MICU
We chat about managing a complex MICU patient with RV failure in the setting of renal failure and sepsis, with Amos Dodi, nocturnal intensivist at Einstein/Montefiore and author of a recent narrative review on the RV. Learn more at the Intensive Care Academy! CHEST’s Procedural Skills for the Critical Care Clinician, April 23-24 2026 References … <a href="https://icuscenarios.com/episode-98-rv-failure-in-the-micu/" class="more-link">Continue reading<span class="screen-reader-text"> "Episode 99: RV failure in the MICU"</span></a>
Lightning rounds 61: Credentialing and privileging, with Christopher Newman
We dive into the confusing rabbit hole of medical staffing, credentialing, and privileging, particularly for the critical care APP, with Chris Newman, pediatric critical care PA and Vice Chair for Clinical Performance at the University of Colorado. Check out the REVIVE conference here! Check out the CHEST Procedural Skills for the Critical Care Clinician course … <a href="https://icuscenarios.com/lightning-rounds-61-credentialing-and-privileging-with-christopher-newman/" class="more-link">Continue reading<span class="screen-reader-text"> "Lightning rounds 61: Credentialing and privileging, with Christopher Newman"</span></a>
Lightning rounds 60: The nuances of insulin, with Melissa Nestor
We chat with Melissa Nestor, clinical pharmacist in neurocritical care, about tho subtleties of glucose and insulin management in the ICU. Learn more at the Intensive Care Academy!
Episode 98: Running rapid responses
We discuss the practicalities of running a rapid response, including crowd management, coordinating with primary services, working outside the ICU, and rapidly obtaining and synthesizing diagnostic data. Learn more at the Intensive Care Academy!
Lightning rounds 59: The nuances of nebulizers, with Keith Lamb
We explore the practical intricacies of nebulized medications, including timing, dosing, types of devices, and more, with Keith Lamb (@kdlamb1), RRT, RRT-ACCS, FAARC, FCCM. Learn more at the Intensive Care Academy!
Episode 97: Managing ICP crisis
We explore the practical basics of managing an elevated ICP with impending herniation, including EVD troubleshooting, hyperosmolar therapies, and the role of craniectomy. Learn more at the Intensive Care Academy! References
Episode 96: Understanding ammonia, with Prem Kandiah
With Dr. Prem Kandiah, neurointensivist, transplant intensivist, and ammonia enthusiast, we explore the physiology of hyperammonemia, the nuances of its measurement and interpretation, and unpack some less-recognized causes, including infection by urease-producing organisms and malnutrition/gastric bypass. Learn more at the Intensive Care Academy! References and resources Acute Liver Failure Overall management of ALF CRRT in … <a href="https://icuscenarios.com/episode-96-understanding-ammonia-with-prem-kandiah/" class="more-link">Continue reading<span class="screen-reader-text"> "Episode 96: Understanding ammonia, with Prem Kandiah"</span></a>
Academy bites: Do you want to feel special?
Learn more at the Intensive Care Academy!
Lightning rounds 58: Steroids for septic shock with David Janz
We dive into the common dilemma of when to give stress-dose corticosteroids in septic shock, with Dr. David Janz, pulm/crit intensivist with a Masters of Science in Clinical Investigation, former director of the Clinical Research Unit for the critical care section at LSU, founding member of the Pragmatic Critical Care Research Group, and associate Chief … <a href="https://icuscenarios.com/lightning-rounds-58-steroids-for-septic-shock-with-david-janz/" class="more-link">Continue reading<span class="screen-reader-text"> "Lightning rounds 58: Steroids for septic shock with David Janz"</span></a>
Lightning rounds 57: Burn critical care with Clint Leonard
We explore the fascinating intricacies and unique features of the burned critically ill patient, with Clint Leonard, NP in the burn ICU at Vanderbilt and ABLS instructor. Learn more at the Intensive Care Academy! Want to work at the University of Kentucky? UK’s Anesthesia Critical Care department is hosting a hiring webinar on November 20, … <a href="https://icuscenarios.com/lightning-rounds-57-burn-critical-care-with-clint-leonard/" class="more-link">Continue reading<span class="screen-reader-text"> "Lightning rounds 57: Burn critical care with Clint Leonard"</span></a>
Episode 95: Spontaneous breathing trials with Martin Tobin
We discuss the evidence and practicalities of spontaneous breathing trials and ventilator weaning with Martin Tobin, pulmonologist and intensivist, author of seven textbooks including “Principles and Practice of Mechanical Ventilation,” researcher, and pioneer of the entire concept of SBT as well as the RSBI (or “Tobin index”). Learn more at the Intensive Care Academy! References … <a href="https://icuscenarios.com/episode-95-spontaneous-breathing-trials-with-martin-tobin/" class="more-link">Continue reading<span class="screen-reader-text"> "Episode 95: Spontaneous breathing trials with Martin Tobin"</span></a>
Episode 94: Mastering seizure pharmacology with Tom Bleck
We explore the vagaries and nitty-gritty of drugs for seizure termination, including benzos and ASMs, with the great Tom Bleck, MD MCCM FNCS, neurointensivist, professor, and founding member of the Neurocritical Care Society. Check out the REVIVE conference here! Learn more at the Intensive Care Academy! More reading Takeaway lessons
Episode 93: Fluid in sepsis and the FloPatch, with Jon-Emile Kenny
We dive into fluid resuscitation in sepsis, with Dr. Jon-Emile Kenny, pulmonary and critical care physician, author of the physiology textbook Heart-lung.org, and inventor of the FloPatch device. Disclosures: Dr. Kenny appears here as both a clinician as well as a representative of his company and product, and should be presumed to retain a degree … <a href="https://icuscenarios.com/episode-93-fluid-in-sepsis-and-the-flopatch-with-jon-emile-kenny/" class="more-link">Continue reading<span class="screen-reader-text"> "Episode 93: Fluid in sepsis and the FloPatch, with Jon-Emile Kenny"</span></a>
Episode 92: PRIS and propylene glycol toxicity, with Jerry Snow
We discuss propofol infusion syndrome (PRIS) and propylene glycol toxicity from lorazepam infusions, with medical toxicologist Dr. Jerry Snow, director of the toxicology fellowship at Banner University Medical Center in Phoenix. Learn more at the Intensive Care Academy! Takeaway lessons
Episode 91: A simulated goals of care conversation
Brandon and Bryan mock up a goals of care discussion for a critically ill patient, and reflect on the right and wrong ways to execute this complex procedure. Learn more at the Intensive Care Academy! Resources Center to Advance Palliative Care The Conversation Project