Critical Care Time

Episodes

• 77. Zorses & Hebras 2 01.06.2026 36m

  Ask and you shall receive! This week Nick & Cyrus bring back Zorses & Hebras from Season 1 - this time focusing on allergy and allergy-related concepts. Give it a listen and let us know what you think! Huge thanks to Integration Health for sponsoring this episode! Hosted on Acast. See acast.com/privacy for more information.
• 76. ICU Sustainability with Drs Stephanie Maximos and Hari Shankar 18.05.2026 1h 16m

  This week on Critical Care Time we take a slight departure from our usual content and turn an eye towards sustainability in the ICU. What low-hanging fruit exists in your ICU in the fight against medical waste? Why reach for a nebulizer when HFAs are so much more convenient? We had a great chat with Dr. Stephanie Maximos and Dr. Hari Shankar where we unpack this emerging concept and discuss options to take great care of your patients AND be mindful of waste and excess in your ICU! Listen, learn and let us know what you think!! Hosted on Acast. See acast.com/privacy for more information.
• 75. Airway Pressure Release Ventilation Controversies with Dr Rory Spiegel and DR Max Hockstein 04.05.2026 1h 31m

  On this week’s episode, Cyrus and Nick host a spirited discussion with Drs. Rory Spiegel and Max Hockstein where we debate the merits of Airway Pressure Release Ventilation (APRV). What's the rationale for this? When is it appropriate? IS it appropriate… or is it witchcraft? Is it physiologically foolish or a perfectly logical option for hypoxemic respiratory failure? Good for all comer, good for a subset or does it belong with the vials of succinylcholine and DL blades? We may not have all the answers but on this episode we do our best to explore this ventilator mode and help you decide whether the juice is worth the squeeze! Check us out and let us know YOUR feelings while leaving us a review! Hosted on Acast. See acast.com/privacy for more information.
• 74. Lung Transplantation with Dr Lara Jones and Dr Jason Gauthier 20.04.2026 1h 30m

  In this episode of Critical Care Time, we tackle one of the most complex and high-stakes corners of critical care: the lung transplant patient in the ICU. From evaluating candidates at the edge of respiratory failure to managing the crashing post-transplant patient, we break down the practical bedside decisions that matter most — including bridge strategies, hemodynamics, immunosuppression, infection, rejection, and the complications that can rapidly spiral if you miss them. Whether you work in a transplant center or occasionally inherit these patients in a general ICU, this episode is built to give you a sharper framework, clearer priorities, and more confidence when the stakes are highest. As is often the case, a heavy lift like this needs some back up and we are grateful to have Dr. Lara Jones, a transplant pulmonologist and her colleague, Dr. Jason Gauthier, a thoracic surgeon on to help us with this one!Thank you to Integration Health for sponsoring this episode. Integration Health is committed to supporting ECMO programs through high-fidelity training, start-up support and dynamic staffing assistance when you need it the most! Check them out at www.Integration.Health! Hosted on Acast. See acast.com/privacy for more information.
• 73. Diabetic Ketoacidosis 06.04.2026 1h 29m

  On this week's episode of Critical Care Time, Cyrus & Nick go all-in on DKA and spend a little time talking about alcoholic and starvation ketosis too! In this jam-packed, clinically robust episode, the guys discuss the importance and pathophysiology of DKA before discussing all things treatment. After listening to this - and perusing the show notes - you'll be a DKA master! Check it out and let us know what you think. Special thanks to Integration Health and The Difficult Airway Course: Critical Care for supporting the production of this episode! Hosted on Acast. See acast.com/privacy for more information.
• 72. ICU Toxicology with Dr. Adam Mora 23.03.2026 1h 53m

  On this week, Cyrus & Nick are joined again by intensivist extraordinaire, Dr. Adam Mora, for a long overdue episode on ICU Toxicology! Together, the three of us embark on a case-based journey covering some of the more common ICU toxidromes as well as some of the more unusual, but can't-miss diagnoses. This is a bit of a longer one but it's super high-yield and very practical for anyone who is studying for their boards and/or participating in the care of the critically ill! Thanks to our tag-team of sponsors for this episode: The Difficult Airway Course: Critical Care and our newest sponsor, Integration Health!Integration Health Website: https://bit.ly/IHxCCTLinkedIn: https://www.linkedin.com/company/integration-health/Instagram: https://www.instagram.com/integrationhealth_eclsThe Difficult Airway Course: Critical CareX (Twitter): @theairwaysiteInstagram: @theairwaysiteFacebook: @TheDAC.EMSLinkedIn: Airway Management Education Center (AMEC) Hosted on Acast. See acast.com/privacy for more information.
• 71. LIVE! From CHEST 2025: Cases in Cardiogenic Shock 09.03.2026 49m

  We've been teasing this one for a while and now it's finally ready! This week we've released our first LIVE podcast from Chest 2025 where we cover cases in cardiogenic shock with our amazing panel of incredible clinicians. Nick & Cyrus moderate a discussion using a choose-your-own-adventure format, leveraging the expertise of our panelists in an hour long, fun-filled and practical discussion where we put some of our earlier CCT content to practice in some real world cases. Check out the YouTube channel or the website if you want to follow along with the slides. Please let us know how you like this!! Hosted on Acast. See acast.com/privacy for more information.
• 70. Right Heart Failure with Dr Matt Siuba 23.02.2026 1h 39m

  Buckle up because on this week's episode of Critical Care Time we are treated to a master class on Right Heart Failure with world-class educator Dr. Matt Siuba. We are taking a deep dive on diagnosis, management and of course, sharing our love for the PAC! Make sure you clear your schedule and take notes for this one because as far as we are concerned, this is required listening for anyone who cares for the critically ill! Hosted on Acast. See acast.com/privacy for more information.
• 69. Mechanical Circulatory Support Master Class with Dr. Bindu Akkanti 09.02.2026 1h 45m

  Folks this right here is a JAM PACKED episode of CCT goodness for you guys to enjoy! In this show for the ages we take a deep dive into the world of Mechanical Circulatory Support (MCS) and Cardiopulmonary Critical Care with one of the best in the biz, Dr. Bindu Akkanti! We will go through several fictional patients illustrating use cases, pitfalls and pearls of tools such as the balloon pump, ECMO and the microaxial flow devices used in ICUs all over the globe to help care for the sickest of the sick. If these tools ring a bell or if you are just interested in how we optimize care for these types of patients, give us a listen and let us know what you think! Hosted on Acast. See acast.com/privacy for more information.
• 68. Sleep for ICU Clinicians: Functioning Better on Night Shifts 02.02.2026 1h 7m

  On this week’s BONUS episode of Critical Care Time, Cyrus & Nick flip the coin on sleep and discuss the importance of sleep for those of us that have to work nights. We also discuss how to find ways to still get rest even when your whole world is flipped upside down! Be prepared to keep taking excellent care of your patients using some of the tricks we review here. Give it a listen - or a watch and let us know what you think! Hosted on Acast. See acast.com/privacy for more information.
• 67. Sleeping in the ICU: Why is it critical and how do we help our patients get more of it? 26.01.2026 1h 18m

  On this episode of Critical Care Time we delve into the fascinating world of sleep with a focus on the importance of sleep in our ICU patients and how we can promote good quality sleep in the sickest patients in the hospital. Try not to sleep through this one as we provide some valuable insights and high quality pearls to get you geared up and ready to be a champion for sleep in your ICU! As always, listen and let us know what you think. Special thanks to The Difficult Airway Course: Critical Care, for sponsoring this episode! Hosted on Acast. See acast.com/privacy for more information.
• 66. Rheumatology Emergencies with Dr. Marcela Ferrada 12.01.2026 1h 31m

  On this episode of Critical Care Time, we tackle the enigma - shrouded in mystery and caped in uncertainty - know as rheumatologic emergencies in the critically ill patient! We sit down with Dr. Marcela Ferrada - a QUADRUPLE boarded intensivist/rheumatologist/ID specialist and internist - who guides us through her approach to rheumatologic emergencies in the sickest of the sick. As we often do, we approach this via a pragmatic, cased-based journey for your listening pleasure. Please check it out, learn all you can, and as always - let us know your thoughts and leave a review!Special thanks to returning sponsor, Seastar Medical for supporting us with this production!  Hosted on Acast. See acast.com/privacy for more information.
• 65. Journal Club: The RSI Trial 29.12.2025 29m

  This Critical Care Time bonus is our ode to RSI... that is the RSI Trial! In this episode, we'll unpack all the important elements of the recently released RSI Trial by the Pragmatic Critical Care Research Group exploring whether there is a signal favoring etomidate vs ketamine for tracheal intubation of critically ill adults. Does one drug reign supreme? Is this practice changing, practice affirming or perhaps the devil's in the details? Listen, learn and let us know YOUR thoughts! Hosted on Acast. See acast.com/privacy for more information.
• 64. Journal Club: End of 2025 Roundup 15.12.2025 1h 20m

  This week we drop a journal club extravaganza! Should we do away with the A-Line? Is Bicarb a sure-fire way to treat metabolic acidosis in the setting of AKI? What about selective decontamination and all that capillary refill business!? We tackle all these topics through thoughtful journal discussion, provide our $0.02 and a little witty repartee, of course! Check it out and let us know what you think! Hosted on Acast. See acast.com/privacy for more information.
• 63. Leading in the ICU… and Beyond! 01.12.2025 1h 12m

  The importance of leadership in the hospital setting is critically important yet often overlooked. It’s even more important to have sound leaders and adhere to well-founded leadership practices when taking care of the critically ill. Join us as we sit down with Dr. Josh Hartzell - internist, infectious disease physician, author, veteran and physician-leader - as we discuss Leading in the ICU and Beyond!As always, please leave us feedback and let us know what you think!  Hosted on Acast. See acast.com/privacy for more information.
• 62. Burnout & Moral Injury 17.11.2025 1h 20m

  For those who work in an ICU - or with any patients for that matter -the concepts of burnout and moral injury are no stranger. In order to mitigate the effects of these forces, it’s important to understand them. Join Nick and Cyrus, as they sit down with an incredible guest, Dr. Venktesh Ramnath, with the hopes of doing just that. On this episode we step away from the pressors and central lines and focus on the contributors to burn out and moral injury in the medical field while developing some strategies to combat them. Listen, watch, learn and let us know what you think! Hosted on Acast. See acast.com/privacy for more information.
• 61. Vents 101 03.11.2025 1h 40m

  Join Cyrus & Nick as the FINALLY tackle mechanical ventilation. In this episode - first of many we suspect - we lay the foundations for mechanical ventilation. If you stick with us through this one you'll come away with a great introduction to vents to include why we use them, what we adjust, and about a number of the primary vent modes you'll likely seen in your ICU. We've got something for everyone with this episode so please give it a listen and let us know what you think! Hosted on Acast. See acast.com/privacy for more information.
• Reboot - Hypoxemia Masterclass 20.10.2025 1h 7m

  Join Nick and Cyrus as they teach a master class on hypoxemia for everyone and anyone who is ICU adjacent! We discuss why oxygen is so crucial, share some very interesting animal physiology and - perhaps most importantly- discuss the 6 causes of hypoxemia you MUST know… and what you can do about them! Take a listen, let us know what you think, and leave us a review! Hosted on Acast. See acast.com/privacy for more information.
• 60. Journal Club: Should We Save The Right IJ? 06.10.2025 31m

  This week on Critical Care Time, Nick & Cyrus discuss the recent article in the Journal of Critical Care titled “Impact of initial jugular vein insertion site selection for central venous catheter placement on hemodialysis catheter complications.” Is this bunk or is this practice changing? Did they select the right population for this study or is the question they asked and answered... maybe not such a great question? We'll cover all this and more during this week's episode! Please take a listen, react, reach out & as always - don't forget to leave a review! Hosted on Acast. See acast.com/privacy for more information.
• 59. Airway Controversies with Dr. Jarrod Mosier, MD 22.09.2025 1h 40m

  Join us this week on Critical Care Time as we take on Airway Controversies with Dr. Jarrod Mosier - course director for The Difficult Airway Course: Critical Care! We talk induction agents, pre-oxygenation and cover so much more in this episode!If you love this - consider attending the upcoming Difficult Airway Course at the Manchester Grand Hyatt in sunny San Diego, California from November 14th to the 16th and use our Discount Code CCTIME25 at checkout and save $250! Hosted on Acast. See acast.com/privacy for more information.