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40. CCT Goes to the Moon with Dr Shawna Pandya
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On this end-of-year episode, Nick & Cyrus boldly go where no Critical Care Podcasters have gone before - into space! Join us, as we adventure into the great beyond with astronaut extraordinaire, Dr. Shawna Pandya - the first female Canadian commercial astronaut, who also happens to be a rural emergency medicine physician among SO many other things. We spend an hour with her discussing space physiology, medical applications of space tech, chatting about ICU corollaries, her experiences training for her upcoming mission, and exploring the challenges facing space exploration in 2025 and beyond. Hop aboard and and enjoy this exciting content and let us know what you think. This super accessible episode is loads of fun for ICU junkies and space-nerds alike so kick back, give it a listen, and as always, let us know what you think!
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61. Vents 101
01:40:20|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!
Reboot - Hypoxemia Masterclass
01:07:51|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!
60. Journal Club: Should We Save The Right IJ?
31:20|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!
59. Airway Controversies with Dr. Jarrod Mosier, MD
01:40:53|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!
58. Cases in Congestion with Dr Ross Prager
32:55|On this mini-sode, Cyrus & Nick are once again joined by Dr. Prager as they follow up on last week's episode with some cases & practical pearls to really hammer home some of the points previously discussed. Here we look at practical uses for the volume assessment tools discussed in our prior show, along with some commentary on when such assessments may or may not be warranted. This is a great, practical, rubber-meets-the-road episode for folks looking for a quick review/refresher. Listen and let us know what you think!
57. Venous Congestion, Volume Tolerance and Bedside Assessments
01:19:58|What is the microcirculation? How are terms like volume-status and fluid-responsiveness misleading? Join us as we sit down with Dr. Ross Prager to unpack and de-mystify the concepts of congestion and volume tolerance along with our survey of the tools of the trade as it relates to these terms. On this Critical Care Time episode we really get into the weeds on this stuff and even get theoretical at some points so it's NOT for the faint of heart! However, if you listen to us for the deep dives into physiology and if you want to level-up your ICU patient care, this is the episode for you! Listen, leave us some feedback and drop us a review!
56. Tales from the ICU: BRASH Syndrome
49:34|This week, Nick & Cyrus try something a little different with Tales from the ICU. Here, we explore clinical reasoning in the ICU in the context of a mystery case! Don't worry, we'll reveal the diagnosis and go through all the pitfalls, pearls and pathophysiology! This way, you get to play along for a while AND learn some cool medicine. As this is a new episode format, PLEASE leave us feedback and let us know if you like it or if we should send this one to the crypt!
55. Cirrhosis & Variceal Bleeds
01:33:01|On this week's episode of Critical Care Time, Dr. David Dulaney rounds out GI bleeds in the ICU by taking on cirrhosis & variceal bleeds! During this show we discuss the unique challenge associated with managing a patient with cirrhosis - specifically focusing on the coagulopathy of advanced liver disease. We then delve into the nuances associated with managing a variceal bleed, both in terms of the unique critical care elements but also the challenges faced by the endoscopist when trying to saves these patients in extremis. Tune in, leave us a review and most importantly - leave us some feedback!
54. Non-Variceal GI Bleeds
01:53:13|Join us on this week's episode of Critical Care Time as we embrace blood-and-guts with Dr. David T. Dulaney, gastroenterologist-extraordinaire! Nick & Cyrus host David for a pearl-laden discussion on non-variceal GI bleeds where we talk guidelines, expert opinion and so much more. Who needs a scope? When do you scope them? Why is stabilizing your patient SO important before GI comes in to save the day? How can we work together effectively with our colleagues in GI to ensure the best outcomes for our patient? We tackle a ton of content on this episode so you'll definitely want to tune in... and maybe even take some notes! Make sure to leave us feedback and let us know what you think! Oh... and spoiler alert: cirrhosis and variceal bleeds is on deck for our next installment so keep your eyes peeled for that one too!