The Internet Book of Critical Care Podcast

In this episode, we cover that bread and butter presentation, chronic obstructive pulmonary disease. Clinical Features Respiratory support Pharmacotherapy Approach to ventilation and extubation

In this episode we update therapeutics: Kaletra is back. Before/after for Steroids. Anakinra is here. We also delve into coagulopathy and super spreaders.

In this Episode: We update new understandings from NYC, Lung pathology (AFOP), Cowboys Vs Ivory Towers, Remdesivir and COVID-19 Phenotypes. Stay Healthy!

In this update: The Fall of Remdesivir? HCQ no so bueno? Fluid status Learning from Tobin, Gattinoni, and our patients physiology Steroids!?!?

In our 3rd installment of correcting things we've said that were wrong 🤓, here we cover COVID-19 coagulopathy, respiratory pathophysiology, immune modulation and APRV.

In this episode, we right some wrongs. As we said in the beginning, given the fast pace we were bound to be wrong, and will be again. 1) New paradigm for COVID-19 patients 2) Procalcitonin: not as good as we thought 3) Malignant atelectasis and the crashing hypoxemia 4)SARS-COV-2 & DIC 5) Awake Proning / CPAP / Vent Splitting / Extubation 6) Ethical dilemmas

In this episode, we update you on: Transmission HFNC/CPAP Steroids? The fall of Kaletra Come take a listen. Know that we are all in this together.

There is a lot of attention to this growing global health concern. Come listen for what will be a continuing update for all thing clinically pertaining to COVID-19. Pathogenesis Transmission/PPE Respiratory support ARDS management Steroids? Antivirals

In this episode, we cover a core component of any resuscitationists tool kit: vasoactive agents. We've got your vasopressors, your inodilators, your inopressors, you oral cheat code and some hail merry approaches. Come listen for all things pressure and flow.

In this episode, we cover one of those cardinal causes of vasodilatory shock; anaphylaxis. Come listen to solidify your clinical diagnosis, and domination of all things epinephrine.

In this episode we cover that rapidly progressive, big stakes entity that is Status epilepticus - the unrelenting seizure. Definition, Big Benzoes and where to go after that first line. Come listen for all things Keppra, Propofol and Ketamine.

In this episode we cover the last common electrolyte derangement you'll face in the ICU; hypocalcemia. From tetany to hypotension, we've got you covered for an approach to recognition and treatment.

In this episode we cover that rather bothersome component of your AGMA... toxic alcohols. Who is high risk, when and how to screen, and of course a tight approach to treatment. Don't forget... always call your local friendly toxicologist.

In this episode, we cover that daily discussion point... can this line, possibly, be infected? Come refresh yourself on diagnosis, microbiology and treatment.

In this hallmark episode (we just hit 500k in downloads!), we cover an approach to dominating the diuresis. We cover all the major points: -Loop diuretics and how not to screw them up -Using thiazides to maximize ongoing diuresis -When to add spironolactone -How not to always just cheat and start the CRRT machine

Welcome to 2020, everyone! In this fresh new podcast we cover all things severe hypothyroidism; AKA Myxedema Coma. Diagnosis. Treatment. Whats the deal with T4 vs T3. Who gets the roids. Come listen to it all!

Happy Holidays everyone! In this episode we cover the general support of those patients that are working hard to breathe. Come listen about NIPPV (BiPAP and High Flow Nasal Cannula).

In this episode, we cover that rapidly progressive, easy to miss, relatively better survived leukemia: acute promyelocytic leukemia. Come read about pathophysiology, and then listen to the summary that covers when to suspect clinical APL, the use of ATRA, and that scary hyperfibrinolysis (DIC but worse). Just to leave you with more, we cover Differentiation syndrome (aka retinoic acid syndrome).

In this episode, we cover all things ICU level hyponatremia. From a mild inconvenience to a refractory seizing patient, we've got you covered for diagnosis, treatment and risk stratification.

In this episode we cover that low serum potassium, aka Hypokalemia. From the minor repletion to the immediate resuscitation of a patient with VF arrest secondary to severe hypokalemia, we have you covered. So read the post, then come take a listen to review all things hypo K!

In this episode we cover the definition and concrete way how to identify and correctly diagnose brain death. This is something we need to get right, so grab a coffee and come take a listen.

In this episode we cover both accidental and non-accidental hypothermia. Come listen for a good review on: Clinical Clues Passive and Active re-warming Modification of standard ACLS approach Complications of hypothermia and much much more... PS: Many apologies to cardiac anesthesiologists and perfusionists: core after-drop is a thing, but we don't want to cloud the issue of priorities in rewarming.

In this episode, we cover the 2019 version of a TCA overdose: Bupropion. AKA: Wellbutrin / Illbutrin (Shoutout to Tox & The Hound). Read the post then get an audio summary of the clinical diagnosis, risk stratification, Activated charcoal, whole-bowel irrigation and finally all things VA-ECMO for the extreme toxicities.

In this episode, we cover that sneaky presentation of acalculus cholecystitis. When that ALP/GGT start climbing, or your chronically critically ill patient gets septic again, you need to know about this!

In this episode, we cover that pesky Carbon monoxide. From minor exposure to critically ill, we have you covered for: -Diagnosis -Testing -Hyperoxia -Hyperbaric -Bleeding Edge Therapies

Just when you thought your post MI patient has made it through the woods... they start to crump! In this episode we cover the Ddx and approach to post myocardial infarction complications. Come listen to review all the greatest hits. -Rupturing things -Pericarditis -Access issues -Arrythmias

In this episode we cover that rare but fun element to your cyanosed patient Ddx. When your hemoglobin gets oxidized to Fe3+, badness can ensure. Enjoy this quick refresher.

In this episode, we cover one check box on your bilateral airspace opacification differential diagnosis. Come take a listen for Diffuse alveolar hemorrhage and pulmonary vasculitis in the ICU. -Imaging findings -Bronch? -What labs to order (you can't just write "vasculitis work up")

We know you all have been waiting for it! Here is one of the foundational chapters for the IBCC. All things asthma. We've got everything from physiology, to bleeding edge sedation approaches. Come take a (longer) listen to solidify everything you read in the post: -Presentation / patient phenotypes -Initial management -Escalation to salvage treatments -Vent Management & ECMO

In this episode, we further explore the acid-base-palooza with Metabolic Alkalosis. We give you 10 things to treat said event with, however, sometimes its best to let sleeping dragons lie. Josh even snuck in some acid infusion!

In this episode we have a quick little refresher on Non-Anion-Gap Metabolic Acidosis for you! Enjoy!!!

Continuing on with metabolic-palooza: Here is the core approach to Anion-Gap Metabolic Acidosis. We've got the KULT, we've got the labs/treatment and everything in between.

In this episode, we cover the foundations to every day clinical medicine in the ICU: Acid base. As our patients are either often too sick to regulate their own homeostasis, or what we are doing to them prevents their lungs or kidneys from doing so, we give you the approach to recognizing Acid Base disorders. Step 1: Calculate the Anion Gap Step 2: Look at the Bicarbonate level Step 3: Compare the change in Anion Gap to the Change in Bicarbonate

In this episode we explore the controversies in how to classify the hemodynamic effects of pulmonary embolisms. We also cover: -Risk Stratification -Thrombolysis -Anticoagulation -Novel therapies -The crashing & hypoxemic PE patient

In this episode, we cover all the big hits for anticoagulant management in your bleeding patients. -Warfarin -DOAC -Anti platelets -Heparin and LMWH -And More!

In this episode, we cover all things you need to know cold when your patient's cells are bursting all over the place. -Life threatening Hyperkalemia - Purine Nucleotide Management -Rasburicase -Dialysis

In this episode, we take a break from controversial subjects and cover all thing magnesium related for critical care. Come take a listen for diagnosis, identification, and treatment of low and high levels of magnesium.

Here it is, a total beast of a podcast. We cover one specific approach to patients in septic shock. We highlight all the must-know aspects: -patient identification and risk stratification -fluids -vasopressors/inotropes -The Metabolic Resuscitation Protocol We even re-leak the CITRIS-ALI trial for you... its going to be an epic Doozy. So make sure you have a proper 60+min to really take it all in.

In this episode we cover the simultaneous approach of sorting out the airway from hell, and treating both the histamine and bradykinin induced angioedema. We even snuck some novel use of TXA into the post!

In this episode, we follow-up on the very "heated" debate that this post sparked on the interwebs. Come listen to all things ICU level-hyperthermia. We've got the ice baths. The cold fluids. The dry air. We cover it all!

In this episode we go over a general approach to your patient with Massive Hemoptysis. When lungs have blood in them = badness. We give you a targeted approach to stay cool, find the bleed, and stop it in the most efficient manner possible. Come listen for discussions around securing airway, protecting the good lung, CT first, and definitive management.

In this episode, we cover the last half of phenobarbital week! This is a long one, but we cover the Farkas manifesto on by phenobarb is superior to standard approaches to alcohol withdrawal management. -Dosing -Indications/Contraindication -Adjuvant therapies & more

In this episode, we will cover all those pesky things that can make your patient sick from the RUQ: namely the biliary tract! Ascending cholangitis, Cholecystitis and all the important pearly for imaging, antibiotics and source control options.

If your nursing colleagues can smell it, and you can't, fear not! We've got you covered for all things C. Diff on an ICU-level. Also, the audio quality is particularly bad on this episode, we apologize. Just the realities of recording on the road!

In this episode, we cover the always vexing crystalloid vs colloid debate. Farkas also brings it to the next level with a new paradigm for using large volume resuscitations to treat your patient's acid-base disturbances. Come take a listen for all things alkalinizing, acidifying and maintaining.

In this episode, we've got you covered for all things hypercalcemia. Erase those memory banks that are filled with hyper-hydration and forced diuresis and come fill them back up with appropriate fluid resuscitation, the 1-2-punch for those osteoclasts and all the rest of the pearls for hypercalcemia.

Pull those ankle socks up, and get ready for some ankle-clonus-good-times. In this episode, we cover one of those "hot and bothered" presentations of Serotonin Toxicity. Come listen to a summary of the chapter that includes, definition, clinical presentation, treatment and clinical pearls.

In this episode, we cover an often overlooked infectious cause of that ICU level patient presenting with all kinds of badness: come listen for a sound education on all things babesiosis, anaplasmosis & ehrlichiosis, and rocky mountain spotted fever (RMSF).

Either its a glaringly obvious diagnosis (because your patient is bright yellow and wont wake up) or its apart of a complex presentation, hepatic encephalopathy is one presentation you need to have down! Come listen to consolidate your knowledge around nitrogen reduction, shunts (the good, the bad, the ugly) and all things HE!

In this episode, we help you take a more nuanced approach to those patients with "coca-cola urine." When that CK is a climbing and you don't know what to do, remember these pearls!