The Internet Book Of Critical Care Podcast

In this episode we talk about fever... fever in the ICU... ICU acquired fever. It is not all VTE or VAPS, Chole or CLABSI. We cover a thoughtful approach to not just sending pan culture, and adding piptazo-vanco.

In this episode, we cover the sasquatch of ICU derived fever: catheter associated urinary track infection. Farkas is on the fence whether it is clinically relevent: Come listen for those pearls: IDSA diagnostic criteria. Treatment coverage. Purple bag syndrome, and more!

In this episode we cover a major cause of mortality for our sickle cell patients: Acute Chest Syndrome. This is a very serious entity you must keep a low clinical threshold for working up and treating. Diagnosis Pain Control, Volume Resuscitation Antimicrobials Exchange transfusions and more

In this episode, we cover the rare but life threatening Epiglottitis.  Highlights: Presentation not as you learned in medical school Vast majority do not need intubation, but for those that due it can be catastrophic Nasolaryngoscopy, Steroids, broad spectrum antibiotics and early airway plans are the way to go

In this episode, we cover ICU level Pneumocystic Jirovicii Pneumonia (previously known as Pneumocystic Carinii Pneumonia). Suggested approach: HIV +(ve) vs HIV -(ve) Invasive vs Non invasive diagnostic strategy Treatment w. Septra vs other line therapies

In this episode, we cover the lesser of evil stridor aetiologies: Vocal cord dysfunction, a.k.a paradoxical vocal cord motion, a.k.a Paradoxical Vocal Fold Movement. Read the post, then listen to review approach, diagnostic modalities (fibre-optic visualization, CT scan to rule out other entities) and treatment.

In this episode we cover that not so friendly-Fingi: Aspergillus Come get acquinted with the two forms: angioinvasive (think neutropenia) vs bronchoinvasive (the not so immunosuppressed). Don't forget to add this to your Ddx for nosocomial post-influenza & COVID-19.  

In this episode we cover the often overlooked entity that is re-feeding syndrome. High Risk populations Signs & Symptoms Insulin mediated edema, and more

In this episode, we cover the presentation, clinical signs / symptoms and workup of takotsubo cardiomyopathy. Come take a listen so you'll never miss that octopus-trap of a clinical confounder, with juicy pearls around LVOT obstruction.

In this episode we cover the work horses we use daily in critical care patients: anticoagulants: Unfractionated heparin (UFH), LMWH, fondaparinux, argatroban, and bivalirudin. We also cover BID dosing of LMWH prophylaxis and the essential section here is on heparin resistance. Enjoy!

In this episode, we cover that bread and butter presentation, chronic obstructive pulmonary disease. Clinical Features Respiratory support Pharmacotherapy Approach to ventilation and extubation

In this episode we update therapeutics: Kaletra is back. Before/after for Steroids. Anakinra is here. We also delve into coagulopathy and super spreaders.

In this Episode: We update new understandings from NYC, Lung pathology (AFOP), Cowboys Vs Ivory Towers, Remdesivir and COVID-19 Phenotypes.   Stay Healthy!

In this update: The Fall of Remdesivir? HCQ no so bueno? Fluid status Learning from Tobin, Gattinoni, and our patients physiology Steroids!?!?

In our 3rd installment of correcting things we've said that were wrong

In this episode, we right some wrongs. As we said in the beginning, given the fast pace we were bound to be wrong, and will be again. 1) New paradigm for COVID-19 patients 2) Procalcitonin: not as good as we thought 3) Malignant atelectasis and the crashing hypoxemia 4)SARS-COV-2 & DIC 5) Awake Proning / CPAP / Vent Splitting / Extubation 6) Ethical dilemmas

In this episode, we update you on: Transmission HFNC/CPAP Steroids? The fall of Kaletra Come take a listen. Know that we are all in this together.

There is a lot of attention to this growing global health concern. Come listen for what will be a continuing update for all thing clinically pertaining to COVID-19. Pathogenesis Transmission/PPE Respiratory support ARDS management Steroids? Antivirals

In this episode, we cover a core component of any resuscitationists tool kit: vasoactive agents. We've got your vasopressors, your inodilators, your inopressors, you oral cheat code and some hail merry approaches. Come listen for all things pressure and flow.

In this episode, we cover one of those cardinal causes of vasodilatory shock; anaphylaxis. Come listen to solidify your clinical diagnosis, and domination of all things epinephrine.