An educational podcast presenting practical critical care scenarios. By Brandon Oto, PA-C and Bryan Boling, ACNP. New episodes weekly.
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We chat about the post-op transition of care from the OR to the ICU, including questions to ask, workflows, and pitfalls. Check out the Intensive Care Academy here! Bryan’s textbook: Concepts in Surgical Critical Care Find us on Patreon here! Buy your merch here!Por Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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We talk about diagnosis, treatment, and subsequent care of the patient with bacterial meningitis, with Emory neurointensivist Casey Albin, MD (@caseyalbin). Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here! Takeaway lessons ResourcesPor Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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We chat with Nick Ghionni, pulm/crit attending at MedStar Baltimore Hospital, about identifying and combating cognitive biases in our clinical decision-making. Check out the Intensive Care Academy here! Find us on Patreon here! Buy your merch here!Por Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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We discuss the practical barriers to implementing the A-F ICU liberation bundle, with Kali Dayton, ACNP-BC (@daytonicu), host of the Walking Home from the ICU podcast, and consultant to ICUs working on these issues. Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here!…
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We chat with Noelia Bischoff, recently off orientation in the medical ICU at Johns Hopkins as a nurse practitioner, about the transition from her role as a bedside ICU nurse. Check out the Intensive Care Academy here! Find us on Patreon here! Buy your merch here!Por Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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We discuss transfusion reactions, risks, and management, including infection, consent, TRALI, TACO, and hemolytic reactions—with Dr. Joe Chaffin (@bloodbankguy), the “Blood Bank Guy” and transfusion medicine specialist. Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here! Takeaway lessons…
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Experts in critical care share their approach to post-intubation sedation. Contributors: Check out the Intensive Care Academy here! Find us on Patreon here! Buy your merch here!Por Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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We talk the nitty-gritty of assessing the right heart using echocardiography, with our friend Matt Siuba (@msiuba), intensivist at the Cleveland Clinic and master of zentensivism. Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here! Takeaway lessonsPor Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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We explore the fascinating world of artificial intelligence and its role in medicine, with Nawar Shara (@NawarShara), PhD, Chief of Research Data Science at Medstar Health Research Institute and cofounding director of the AI Collab between Medstar and Georgetown. Check out the Intensive Care Academy here! Find us on Patreon here! Buy your merch her…
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We share our grand new project, the Intensive Care Academy, an online, video-based, subscriber-only educational platform. Check it out at icu101.com!Por Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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Episode 77: Mastering APRV with Rory Spiegel
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We discuss the practicalities of using airway pressure release ventilation (APRV) with Dr. Rory Spiegel (@EMnerd_), emergency physician and intensivist at MedStar Washington Hospital Center (and EMNerd at Emcrit). Find us on Patreon here! Buy your merch here! Takeaway lessonsPor Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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We learn about the training, role, and benefits of hospital chaplains, with Christine V. Davies, MDiv, MSW, Director of Chaplaincy at Robert Wood Johnson University Hospital. Find us on Patreon here! Buy your merch here!Por Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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We discuss the field of rehabilitation psychology, and how it can help patients with persistent critical illness, with Dr. Megan Hosey (@DrMeganHoseyPhD), clinical psychologist and assistant professor at Johns Hopkins School of Medicine, where she practices in the medical ICU. Find us on Patreon here! Buy your merch here! Takeaway lessons Resources…
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We explore the profession of respiratory therapy in the US, including their role and training and how to optimize our clinical relationships, with Keith Lamb (@kdlamb1), RRT, RRT-ACCS, FAARC, FCCM. Keith is an RT at the University of Virginia in Charlottesville, working clinically in neuro/surgical/trauma critical care, who has been active in resea…
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Responsible self-directed learning occurs in a zone between comfort and novelty. Find us on Patreon here! Buy your merch here!Por Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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We discuss the principles and application of automatic tube compensation (ATC) on modern ventilators, with its creator Ben Fabry. Dr. Fabry is a professor and chair of biophysics at University of Erlangen-Nuremberg, originally trained as an electrical engineer, who originally developed ATC as part of his PhD program. Find us on Patreon here! Buy yo…
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Brandon summarizes his recent publication describing best practices for performing POCUS. Read the paper open access at POCUS Journal. Find us on Patreon here! Buy your merch here!Por Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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Our collaboration with Sarah Lorenzini of the Rapid Response RN podcast, discussing a case and general principles for diagnosing and managing obstructive shock. Check out the other episodes on shock in the Nurses’ Podcrawl 2024! Find us on Patreon here! Buy your merch here!Por Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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We chat about pulmonary/critical care medicine fellowship with recent graduate Nicholas Ghionni (@pulmtoilet), a first-year attending at the MedStar Baltimore Hospital system. He completed PCCM fellowship at MedStar Washington Hospital Center where he also served as chief fellow. Find us on Patreon here! Buy your merch here!…
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The difference between people and institutions. Find us on Patreon here! Buy your merch here!Por Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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We discuss the role of point-of-care ultrasound in evaluating the patient with kidney injury and assessing volume status, with Abhilash Koratala (@nephroP), nephrologist, Director of Clinical Imaging for Nephrology at the Medical College of Wisconsin, and champion of nephrology-focused ultrasound. Find us on Patreon here! Buy your merch here! Takea…
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The nuts and bolts of how we produce the show. Find us on Patreon here! Buy your merch here!Por Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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We explore critical care transport medicine from both a clinical and career perspective, including helicopters (HEMS), fixed wing jet, and ground ambulance transports, with Jace Mullen, flight paramedic and airway educator out of Denver. Find us on Patreon here! Buy your merch here!Por Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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When do patients deaths bother us?Por Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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Find us on Patreon here! Buy your merch here! We discuss the phenomenon of CPR-induced consciousness (i.e. patients demonstrating awakeness during resuscitation) with Jack Howard, Intensive Care Paramedic at Ambulance Victoria in the northern suburbs of Melbourne, Australia, and first author on a recent literature review and Delphi-derived expert g…
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Should you use volume or pressure control ventilation? Find us on Patreon here! Buy your merch here!Por Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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We talk about working in critical care APP leadership positions, with Jason Wieland, PA, Lead Pulmonary & Critical Care APP at WakeMed Health System in Raleigh, NC. Find us on Patreon here! Buy your merch here!Por Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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You poked through the deep wall of a vessel. Now what? Find us on Patreon here! Buy your merch here!Por Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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We discuss the medications typically used after organ transplant, their impact on critical illness, and how to manage them when these patients show up sick—with Olivia Philippart, transplant clinical pharmacist specializing in liver and kidney transplant at University of Kentucky HealthCare. Find us on Patreon here! Buy your merch here! Takeaway le…
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How I make patients poop. Find us on Patreon here! Buy your merch here!Por Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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A roundup of opinions from attendees at SCCM’s 2024 Critical Care Congress in Phoenix on strategies for rescuing the patient stuck in a loop of deep sedation and agitation. Thanks to Pat Posa, Martha Roberts, Juliana Barr, Kelly Drumright, and Ben Lassow for their input. ResourcesPor Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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How to document your ultrasound findings. Find us on Patreon here! Buy your merch here!Por Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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We discuss assessing patients prior to intubation or other airway management, including both elective and emergent circumstances, with Dr. Jed Wolpaw, anesthesiologist and intensivist from Johns Hopkins, anesthesiology residency program director, and host of the ACCRAC podcast. Find us on Patreon here! Buy your merch here! Takeaway lessons Referenc…
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Arterial lines are resuscitative tools.Por Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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Bedside nurses and providers (physicians, PAs, NPs) tend to see the world differently, much of it driven by their training and the systems they work within. We chat about reconciling this and how to best function as a team.Por Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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In general, medical decisions that avoid error are better than those that optimize care.Por Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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We discuss head and neck surgery with Dr. Alexandra Kejner, otolaryngologist at the Medical University of South Carolina specializing in transoral robotic surgery, reconstructive surgery including microvascular free tissue transfer, salivary neoplasms, and sialoendoscopic procedures. Find us on Patreon here! Buy your merch here! Takeaway lessons Re…
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The core disorders of critical care are mostly syndromes, not diseases. What should this mean to us?Por Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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Discussing the new 2023 AAN/AAP/CNS/SCCM Pediatric and Adult Brain Death/Death by Neurologic Criteria Consensus Practice Guideline, with the joint first authors: Dr. Ariane Lewis, neurointensivist, professor of neurology and neurosurgery at NYU Langone, director of neurocritical care, and chair of the Langone ethics committee, and Dr. Matthew Kirsc…
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If you produce academic work, use the research to produce multiple products. Once is a waste.Por Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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We learn about liver transplant with Dr. Meera Gupta, transplant surgeon at the University of Kentucky Healthcare Transplant Center, and surgical director of the Kidney and Pancreas Transplant Program. We discuss eligibility, triage, the peri-operative course, and important post-op complications. Find us on Patreon here! Buy your merch here! Takeaw…
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Explaining the ultimate expression of prognosis: Morbidity = (Severity x Duration)/ReversibilityPor Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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When should you…Por Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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Which site should you select for your central line placement? A discussion of some considerations.Por Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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We learn about pancreaticoduodenectomy (the Whipple) with Michael Cavnar (@DrMikeCavnar), surgical oncologist at University of Kentucky, with a fellowship in Complex General Surgical Oncology from Sloan Kettering. He specializes in GI surgical oncology (liver, pancreas, stomach, etc), with ongoing research in GI stromal tumors and hepatic artery in…
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A review of the physiological and practical reasons to position patients with ARDS in the prone position.Por Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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We chat with Janelle Bludorn (@JanelleRBlu), former emergency medicine PA, Assistant Professor and Academic Coordinator at the Duke PA program, about transitioning from clinical work into teaching and academia. Find us on Patreon here! Buy your merch here! ResourcesPor Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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The value of being curious about practice differences, not judgmental.Por Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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We explore aortic dissection with Travis Hughes, vascular surgery fellow from the University of Kentucky, including classification, medical management, and nuances of the surgical perspective. Find us on Patreon here! Buy your merch here! Takeaway lessonsPor Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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What are the ways that patients fail breathing trials, and what can they tell us about how to optimize them for next time?Por Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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