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    ICU Rounds

    A podcast dedicated to the teaching of critical care. The focus audience is physicians, residents, medical students, nurses, therapists, and paramedics. These are topics that arise while on teaching rounds in the Burn ICU at Vanderbilt Medical Center. A broad scope of critical care and prehospital topics are presented as well as recent journal articles and medical news.

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    Copyright: © Jeffrey S. Guy, MD, MSc

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    Latest Episodes:
    Hyponatremia: common but dangerous Feb 07, 2009
    Show notes

    Hyponatremia or a low serum sodium is a common electrolyte problem that is dangerous if ignored or treated improperly.


    Prehospital/Battlefield Tourniquet Use Feb 01, 2009
    Show notes

    Review of a recent publication from Annals of Surgery


    Environmental Hypothermia Jan 28, 2009
    Show notes

    Following the recent crash of the US Airways in the Hudson River, it is an appropriate time to discuss the clinical manifestations and treatment of hypothermia.


    Peak Inspiratory Pressure: Physiological Determinants Jan 19, 2009
    Show notes

    Peak inspiratory pressure (PIP) the center of a great deal of discussion of ventilator management. Knowing the factors that increase or decrease PIP are important to those managing critically ill patient. This podcast is steeped in physiology and perhaps more difficult than my typical podcasts. PIP= [Tv/ (Compliance Lung & Thorax)] + (Resistance of airway + flow )


    Hyperkalemia Jan 12, 2009
    Show notes

    Hyperkalemia is a very common and potentially dangerous electrolyte disorder that commonly occurs in ICU patients.


    Some Swan Stuff Dec 29, 2008
    Show notes

    A brief discussion regarding some of the commonly used values obtained from a pulmonary artery catheter.


    Therapeutic Hypothermia following Cardiac Arrest Dec 22, 2008
    Show notes

    Therapeutic Hypothermia following cardiac arrest has been demonstrated to improve outcomes. Starting Jan 1, 2009 Ney York City EMS will dorect patients to those hospitals able to delivery such care.


    Radiation Injury / Nuclear MCI Dec 12, 2008
    Show notes

    The US government last week released a report that the threat of a nuclear device used in an act of terrorism is high in the next couple of years. In this episode we discuss the some concepts of the medical care required to those exposed to radiation as well as blast injuries. I hope this is information that none of you will ever need.


    Cardiovascular Risk Reduction for Surgery Nov 20, 2008
    Show notes

    This episode explores what is needed to make surgery safer for the patient with cardiovascular disease.


    Meta-analysis of Glucose Control Nov 17, 2008
    Show notes

    Tight glucose control has been widely introduced into critical care. This meta-analysis, recently published in JAMA, critically evaluates the effects of these trials in reduction of sepsis as well as mortality. The results might surprise you.


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