ICU Rounds (general)
also available for free download on iTunes. (http://itunes.apple.com/us/podcast/icu-rounds/id254707344)

In this episode we talk about the results of the CRASH-2 trial published in Lancet.  This trial showed that the EARLY use of Tranexamic acid may improve survivial, but delayed use may be associated with an increased mortality.  

Direct download: POD_ICR_CRASH2.mp3
Category:general -- posted at: 12:00am EST

If you are using ultrasound to evaluate IVC diamter in children, what is considered a normal IVC diameter?   You can determine the IVC/Ao ratio or correct the IVC diamter based on the child's body surface area.  

Direct download: POD_ICR_PedsIVC.mp3
Category:general -- posted at: 12:40pm EST

This is a condition that mimics acute coronary syndrome (ACS) that may be caused by acute emotional or physical stress.  Patient's may appear to have profound cardiogenic shock, but these patients have a very high survivial rate with little more than supportive care.  

Direct download: POD_ICR_takotsubo.mp3
Category:general -- posted at: 2:05pm EST

This episode will discuss the physiology behind various CO output monitors such as pulmonary artery catheters, PICCO, pulse wave form analysis, and LiDCO.  

Direct download: POD_ICR_COMonitors.mp3
Category:general -- posted at: 12:00am EST

Wedge or PAOP is perhaps the most quoted and poorly understood variable generated by a Swan-Ganz.

Direct download: POD_ICR_PAOP.mp3
Category:general -- posted at: 4:29pm EST

The most helpful number for me on a Swan is the SvO2.   This is a brief description of how I use this variable in evaluating critically ill and injured patients.  

Direct download: POD_ICR_SVO2.mp3
Category:general -- posted at: 12:57pm EST

Therapeutic hypothermia after cardiac arrest is part of ACLS and is used by several EMS agencies around the US.  Despite good data and improved patient outcomes, many providers fail to used this modality.  This podcast will focus on a presentation of the data, methods of cooling, and potential complications.

Direct download: POD_ICR_TxHypotherm.mp3
Category:general -- posted at: 1:49pm EST

This is the third in the series on severe pancreatitis and necrotizing pancreatitis.  This episode reviews the indications for surgery, morbidity and mortality of surgery, and what are the surgical options.  

Direct download: POD_ICR_Panc3.mp3
Category:general -- posted at: 8:53pm EST

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.
Direct download: cold.mp3
Category:general -- posted at: 3:48pm EST