Critical Care Scenarios

Episode

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  Lightning rounds 68: Setting PEEP in the obese with Olivia Serigano 22.07.2026 39mnt

  EM intensivist Olivia Serigano tells us about their recent publication in Anaesthesia Critical Care & Pain Medicine evaluating the use of two rules (BMI/3 or PEEP 10 in everyone) for setting PEEP in obese patients on the ventilator. Learn more at the Intensive Care Academy! Takeaway pearls
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  Episode 103: Basic intracranial hemorrhage 08.07.2026 1j 1mnt

  We review the basic care and workflow of caring for bread-and-butter intraparenchymal hemorrhage. Learn more at the Intensive Care Academy! Takeaway pearls
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  Episode 102: Tox files #1 with Andrew Sheen and Jerry Snow 24.06.2026 52mnt

  We hear a mystery tox case from Jerry Snow, director of the toxicology fellowship at Banner University Medical Center in Phoenix, and one of his med tox fellows Andrew Sheen. Learn more at the Intensive Care Academy! Takeaway pearls References PATHOPHYSIOLOGY & CLASSIFICATION 1. Lalau JD, Kajbaf F, Protti A, et al. Metformin-associated lactic acidosis … Continue reading "Episode 102: Tox files #1 with Andrew Sheen and Jerry Snow"
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  Lightning rounds 67: IV fluids 11.06.2026 51mnt

  We give our general take on IV fluids: when to use them, what to use, when to stop, how to bolus and when to use maintenance fluids, and more. Learn more at the Intensive Care Academy!
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  Lightning rounds 66: ED vs ICU with Namita Jayaprakash 27.05.2026 41mnt

  We discuss the interface between ED and ICU and why we have trouble understanding each other, with Dr. Namita Jayaprakash, dual-trained EM and critical care physician, and medical director of her ED. Learn more at the Intensive Care Academy! References
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  Lightning rounds 65: Global health with Kwame Boateng 13.05.2026 47mnt

  We learn about how to contribute to underserved communities abroad, with Kwame Akuamoh-Boateng, DNP, ACNP-BC, FCCM. Learn more at the Intensive Care Academy! References
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  Episode 101: Acalculous cholecystitis with Dennis Kim 29.04.2026 44mnt

  Dennis Kim, trauma surgeon and surgical intensivist of the Trauma ICU Rounds podcast, weighs in on the diagnosis and management of acalculous cholecystitis. Learn more at the Intensive Care Academy! Takeaway pearls
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  Episode 100: Autoimmune encephalitis testing with Tammy Smith 15.04.2026 47mnt

  Tammy Smith, assistant professor of neurology at the University of Utah within the division of Neuroimmunology and Autoimmune Neurology, and a clinical consultant at ARUP Laboratories, gives us the inside scoop on testing for autoimmune encephalitis syndromes. Learn more at the Intensive Care Academy! CHEST’s Procedural Skills for the Critical Care Clinician, April 23-24 2026 … Continue reading "Episode 100: Autoimmune encephalitis testing with Tammy Smith"
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  Lightning rounds 64: The new Surviving Sepsis guidelines with Hallie Prescott 30.03.2026 54mnt

  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 … Continue reading "Lightning rounds 64: The new Surviving Sepsis guidelines with Hallie Prescott"
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  Lightning rounds 63: How to be right, with Scott Weingart 25.03.2026 54mnt

  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
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  Episode 99: RV failure in the MICU 11.03.2026 36mnt

  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 … Continue reading "Episode 99: RV failure in the MICU"
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  Lightning rounds 61: Credentialing and privileging, with Christopher Newman 25.02.2026 1j 4mnt

  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 … Continue reading "Lightning rounds 61: Credentialing and privileging, with Christopher Newman"
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  Lightning rounds 60: The nuances of insulin, with Melissa Nestor 11.02.2026 1j 2mnt

  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!
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  Episode 98: Running rapid responses 28.01.2026 59mnt

  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!
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  Lightning rounds 59: The nuances of nebulizers, with Keith Lamb 14.01.2026 34mnt

  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!
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  Episode 97: Managing ICP crisis 07.01.2026 1j 3mnt

  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
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  Episode 96: Understanding ammonia, with Prem Kandiah 24.12.2025 55mnt

  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 … Continue reading "Episode 96: Understanding ammonia, with Prem Kandiah"
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  Academy bites: Do you want to feel special? 10.12.2025 15mnt

  Learn more at the Intensive Care Academy!
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  Lightning rounds 58: Steroids for septic shock with David Janz 26.11.2025 54mnt

  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 … Continue reading "Lightning rounds 58: Steroids for septic shock with David Janz"
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  Lightning rounds 57: Burn critical care with Clint Leonard 12.11.2025 1j

  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, … Continue reading "Lightning rounds 57: Burn critical care with Clint Leonard"