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

Throughout the pandemic, there has been considerable discussion about the possibility of running our of ventilators. One potential solution that was brought forward was putting multiple patients on a single ventilator. This is a lot harder than merely attaching a plastic splitter on a ventilator. In this episode, we explain safety and physiological considerations. Also, we briefly discuss specific patient care issues and ventilator settings if your circumstance requires you to adopt this approach.

Direct download: ICR_VentSplit042220_1587605553.mp3
Category:general -- posted at: 9:46pm EDT

This week we have a brief conversation about prone mechanical ventilation for ARDS. Does it provide a benefit? When should we use it, and why does it work? I hope this is helpful as prone ventilation has been reported to provide benefit to patients with ARDS secondary to Coronavirus (COVID-19) infection.

Direct download: ICR_Prone_041220_1586724164.mp3
Category:general -- posted at: 4:52pm EDT

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 EDT

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 EDT

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 EDT

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 EDT

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 EDT

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 EDT

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 EDT

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 EDT

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 EDT