Critical Care Scenarios

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**Critical Care Scenarios**

An educational podcast teaching practical critical care. By Brandon Oto, PA-C and Bryan Boling, ACNP. New episodes biweekly.

Latest Episodes:

TIRBO #6: The many varieties of subclavian line Apr 03, 2022

Show notes

Reviewing the different approaches to placing central venous catheters in the subclavian vein.

Episode 45: Amniotic fluid embolism with Stephanie Martin Mar 27, 2022

Show notes

We discuss the clinical presentation and management of AFE with guests Dr. Stephanie Martin (Twitter: @OBCriticalCare, Instagram: @criticalcareob), medical director for Clinical Concepts in Obstetrics and a Maternal Fetal Medicine specialist in Scottsdale, Arizona with expertise in critical care obstetrics. She is also co-host of the Critical Care Obstetrics podcast. We’re also joined for a … Continue reading "Episode 45: Amniotic fluid embolism with Stephanie Martin"

Episode 44: Physical therapy with Heidi Engel Mar 20, 2022

Show notes

A look at rehabilitation and mobility in the critically ill, from the perspective of our skilled therapists—with Heidi Engel, PT, DPT of UC San Francisco, long-term provider of acute care therapy, researcher in ICU rehabilitation, and founding member of the SCCM’s ICU Liberation program. Takeaway lessons Tolerance of pressure support ventilation is often a good … Continue reading "Episode 44: Physical therapy with Heidi Engel"

TIRBO #5: Tracheoinnominate fistulas Mar 13, 2022

Show notes

A quick review of tracheoinnominate fistulas: how they happen, what they look like, and most importantly, what you’ll need to do.

Lightning rounds #13: What’s the deal with nurses? Mar 06, 2022

Show notes

Brandon and Bryan reflect on the qualities that define good and bad ICU nurses, the challenges they face, and how APPs and physicians can enable them to be their best.

TIRBO #4: Hope Feb 27, 2022

Show notes

Why an assumption in your training should be to call for assistance, but expect it will never arrive. Plan to manage problems yourself. Let help surprise you—otherwise hope becomes your plan.

Episode 43: Resuscitative TEE with Felipe Teran Feb 20, 2022

Show notes

The hows, whys, logistics, and applications of focused, bedside transesophageal echocardiography performed by critical care and EM providers, with Felipe Teran, assistant professor of emergency medicine at Weill Cornell and director of the Resuscitative TEE Project. Takeaway lessons As a rule, resuscitative TEE is performed in patients with a secured airway. TEE views are not … Continue reading "Episode 43: Resuscitative TEE with Felipe Teran"

TIRBO #3: Weaning vs Titration Feb 14, 2022

Show notes

When do interventions need to be “weaned”? Stop using this word when you don’t mean it! Titrate, target to effect, but only wean when there is a physiologic dependence.

Lightning rounds #12: Co-managing patients in a surgical ICU Feb 06, 2022

Show notes

Brandon and Bryan talk about the practicalities of communication, collaboration, and compromise in a surgical ICU, when the surgical and critical care teams are both involved, one is the “primary” team on paper, but everyone needs to be heard.

TIRBO #2: Procedural handedness Feb 02, 2022

Show notes

When should you place a line or perform other procedures using your left (or non-dominant) hand? Brandon reflects on a few situations.

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