ICU Rounds

Эпизоды

• Starting Surgery Rotation: How to Pre-Round and Present on Rounds 11.05.2026 14мин

  In this episode, I discuss one of the most important practical skills for medical students during the surgery clerkship: how to pre-round efficiently and deliver a concise, clinically useful patient presentation on rounds. Topics include: what surgeons actually care about during rounds how to identify important overnight events recognizing trends in vital signs and physiology organizing a 60–90 second presentation common mistakes medical students make how residents and attendings think differently about patients This episode focuses on helping students move beyond simply reporting data and begin developing the clinical reasoning and prioritization skills that define effective surgical thinking.
• Splitting a Ventilator: Multipatient Ventilation for COVID? 23.04.2020 16мин

  Throughout the pandemic, there has been considerable discussion about the possibility of running our of ventilators. One potential solution that was brought forward was putting multiple patients on a single ventilator. This is a lot harder than merely attaching a plastic splitter on a ventilator. In this episode, we explain safety and physiological considerations. Also, we briefly discuss specific patient care issues and ventilator settings if your circumstance requires you to adopt this approach.
• Prone Ventilation for ARDS (COVID-19) 12.04.2020 19мин

  This week we have a brief conversation about prone mechanical ventilation for ARDS. Does it provide a benefit? When should we use it, and why does it work? I hope this is helpful as prone ventilation has been reported to provide benefit to patients with ARDS secondary to Coronavirus (COVID-19) infection.
• ARDS and Mechanical Ventilation / COVID-19 Care 05.04.2020 33мин

  Today we discuss the approach to oxygenating and mechanically ventilating a patient suffering from ARDS. We will cover elements relevant and essential in the management of COVID patients and all others with ARDS.
• ICU Care of Coronavirus (COVID-19) 29.03.2020 48мин

  I'm back. I plan on providing you with some useful information when caring for patients infected with COVID-19 (Coronavirus). In this episode, I will provide you an overview of the current evidence and best practices with some explanation and commentary from the recent Surviving Sepsis COVID-19 guidance.
• Colloids: Details and Myths 09.07.2012 18мин

  This episode provide some basic description of colloids as will as some myths.  
• Random Serum Cortisol Levels are misleading 12.03.2012 17мин

  A physiological explanation why random cortisol levels are NOT helpful in evaluating adrenal function
• EARLY use of Tranexamic Acid may improve survival from bleeding in trauma 20.02.2012 19мин

  In this episode we talk about the results of the CRASH-2 trial published in Lancet.  This trial showed that the EARLY use of Tranexamic acid may improve survivial, but delayed use may be associated with an increased mortality.  
• Pediatric IVC diameter determination with ultrasound 09.02.2012 15мин

  If you are using ultrasound to evaluate IVC diamter in children, what is considered a normal IVC diameter?   You can determine the IVC/Ao ratio or correct the IVC diamter based on the child's body surface area.  
• Takotsubo Cardiomyopathy 31.01.2012 12мин

  This is a condition that mimics acute coronary syndrome (ACS) that may be caused by acute emotional or physical stress.  Patient's may appear to have profound cardiogenic shock, but these patients have a very high survivial rate with little more than supportive care.  
• Necrotizing Soft Tissue Infection (NTSI) 06.12.2011 26мин

  This episode discusses the pathophysiology, presentation, and treatment of NTSI.
• Different Cardiac Output Monitors & Physiology 26.11.2011 31мин

  This episode will discuss the physiology behind various CO output monitors such as pulmonary artery catheters, PICCO, pulse wave form analysis, and LiDCO.  
• Lactic Acidosis - Type B 19.11.2011 16мин

  Now these are the types of lactic acidosis that most people are not familiar.  They can be caused by medications, underlying disease, or inborn errors of metabolism.   
• Lactate Acidosis - Type A 12.11.2011 22мин

  This podcast is a description of how lactate is produced and metabolized.  I will discuss the role of lactate in the diagnosis and management of shock.  This podcast will focus on Type A lactic acidosis.
• Endotracheal tube cuff leaks and self-extubations 03.08.2011 24мин

  A brief description on what to consider when confronted with a patient with an air leak from the ET tube or a patient that self-extubates.
• Pulmonary Embolus 28.07.2011 33мин

  A description of the risk factors, diagnosis, and treatment of PE.
• Smoke Inhalation Injury 06.07.2011 30мин

  Smoke Inhalation injuries can be deadly.  This episode explains why smoke can be so deadly, and how to care for those patients with suspected smoke inhalation injuries.
• Propofol Related Infusion Syndrome 05.06.2011 24мин

  Propofol Related Infusion Syndrome is a potentially fatal complication of propofol.  If you use this common ICU drug you need this information.
• Wedge: Everyone elses favorite Swan number 12.12.2010 25мин

  Wedge or PAOP is perhaps the most quoted and poorly understood variable generated by a Swan-Ganz.
• SVO2 My favorite Swan Number 05.12.2010 18мин

  The most helpful number for me on a Swan is the SvO2.   This is a brief description of how I use this variable in evaluating critically ill and injured patients.