Critical Care Scenarios

Lightning rounds 71: The story of HFOV, with Brian Cuthbertson

Dr. Brian Cuthbertson, anesthesiologist and intensivist and lead author of the OSCAR trial, shares with us the fascinating history of high frequency oscillatory ventilati

Lightning rounds 70: Jumping ship for private industry, with Theresa Human

Theresa Human, former academic clinical pharmacist in neurocritical care and now medical liaison for a large pharmaceutical company, chats about late-career transitions a

Lightning rounds 69: Does PRVC suck? with Nick Ghionni

We step into the ring with Nick Ghionni, pulm/crit attending at MedStar Baltimore Hospital, who tries to convince us that the pressure-targeted, volume-titrated vent mode

Lightning rounds 68: Setting PEEP in the obese with Olivia Serigano

EM intensivist Olivia Serigano tells us about their recent publication in Anaesthesia Critical Care & Pain Medicine evaluating the use of two rules (BMI/3 or PEEP 10 in e

Episode 103: Basic intracranial hemorrhage

We review the basic care and workflow of caring for bread-and-butter intraparenchymal hemorrhage. Learn more at the Intensive Care Academy! Takeaway pearls

Episode 102: Tox files #1 with Andrew Sheen and Jerry Snow

We hear a mystery tox case from Jerry Snow, director of the toxicology fellowship at Banner University Medical Center in Phoenix, and one of his med tox fellows Andrew Sh

Lightning rounds 67: IV fluids

We give our general take on IV fluids: when to use them, what to use, when to stop, how to bolus and when to use maintenance fluids, and more. Learn more at the Intensive

Lightning rounds 66: ED vs ICU with Namita Jayaprakash

We discuss the interface between ED and ICU and why we have trouble understanding each other, with Dr. Namita Jayaprakash, dual-trained EM and critical care physician, an

Lightning rounds 65: Global health with Kwame Boateng

We learn about how to contribute to underserved communities abroad, with Kwame Akuamoh-Boateng, DNP, ACNP-BC, FCCM. Learn more at the Intensive Care Academy! References

Episode 101: Acalculous cholecystitis with Dennis Kim

Dennis Kim, trauma surgeon and surgical intensivist of the Trauma ICU Rounds podcast, weighs in on the diagnosis and management of acalculous cholecystitis. Learn more at

Episode 100: Autoimmune encephalitis testing with Tammy Smith

Tammy Smith, assistant professor of neurology at the University of Utah within the division of Neuroimmunology and Autoimmune Neurology, and a clinical consultant at ARUP

Lightning rounds 64: The new Surviving Sepsis guidelines with Hallie Prescott

Hallie Prescott, pulm/crit physician and co-chair of the recent Surviving Sepsis guideline writing committee, gives some insight into the new document, including a few in

Lightning rounds 63: How to be right, with Scott Weingart

Scott Weingart, ED intensivist and seminal educator from the EMCrit podcast, shares his thoughts on how we should be finding truth nowadays: how to read journals, choose

Episode 99: RV failure in the MICU

We chat about managing a complex MICU patient with RV failure in the setting of renal failure and sepsis, with Amos Dodi, nocturnal intensivist at Einstein/Montefiore and

Lightning rounds 61: Credentialing and privileging, with Christopher Newman

We dive into the confusing rabbit hole of medical staffing, credentialing, and privileging, particularly for the critical care APP, with Chris Newman, pediatric critical

Lightning rounds 60: The nuances of insulin, with Melissa Nestor

We chat with Melissa Nestor, clinical pharmacist in neurocritical care, about tho subtleties of glucose and insulin management in the ICU. Learn more at the Intensive Car

Episode 98: Running rapid responses

We discuss the practicalities of running a rapid response, including crowd management, coordinating with primary services, working outside the ICU, and rapidly obtaining

Lightning rounds 59: The nuances of nebulizers, with Keith Lamb

We explore the practical intricacies of nebulized medications, including timing, dosing, types of devices, and more, with Keith Lamb (@kdlamb1), RRT, RRT-ACCS, FAARC, FCC

Episode 97: Managing ICP crisis

We explore the practical basics of managing an elevated ICP with impending herniation, including EVD troubleshooting, hyperosmolar therapies, and the role of craniectomy.

Episode 96: Understanding ammonia, with Prem Kandiah

With Dr. Prem Kandiah, neurointensivist, transplant intensivist, and ammonia enthusiast, we explore the physiology of hyperammonemia, the nuances of its measurement and i