The Internet Book Of Critical Care Podcast

In this episode we have a quick little refresher on Non-Anion-Gap Metabolic Acidosis for you! Enjoy!!!

Continuing on with metabolic-palooza: Here is the core approach to Anion-Gap Metabolic Acidosis. We've got the KULT, we've got the labs/treatment and everything in between.  

In this episode, we cover the foundations to every day clinical medicine in the ICU: Acid base. As our patients are either often too sick to regulate their own homeostasis, or what we are doing to them prevents their lungs or kidneys from doing so, we give you the approach to recognizing Acid Base disorders. Step 1: Calculate the Anion Gap Step 2: Look at the Bicarbonate level Step 3: Compare the change in Anion Gap to the Change in Bicarbonate

In this episode we explore the controversies in how to classify the hemodynamic effects of pulmonary embolisms. We also cover: -Risk Stratification -Thrombolysis -Anticoagulation -Novel therapies -The crashing & hypoxemic PE patient

In this episode, we cover all the big hits for anticoagulant management in your bleeding patients. -Warfarin -DOAC -Anti platelets  -Heparin and LMWH -And More!

In this episode, we cover all things you need to know cold when your patient's cells are bursting all over the place.  -Life threatening Hyperkalemia - Purine Nucleotide Management -Rasburicase -Dialysis

In this episode, we take a break from controversial subjects and cover all thing magnesium related for critical care.   Come take a listen for diagnosis, identification, and treatment of low and high levels of magnesium.

Here it is, a total beast of a podcast. We cover one specific approach to patients in septic shock. We highlight all the must-know aspects: -patient identification and risk stratification -fluids -vasopressors/inotropes -The Metabolic Resuscitation Protocol   We even re-leak the CITRIS-ALI trial for you... its going to be an epic Doozy. So make sure you have a proper 60+min to really take it all in.

In this episode we cover the simultaneous approach of sorting out the airway from hell, and treating both the histamine and bradykinin induced angioedema. We even snuck some novel use of TXA into the post!

In this episode, we follow-up on the very "heated" debate that this post sparked on the interwebs. Come listen to all things ICU level-hyperthermia. We've got the ice baths. The cold fluids. The dry air. We cover it all!

In this episode we go over a general approach to your patient with Massive Hemoptysis. When lungs have blood in them = badness. We give you a targeted approach to stay cool, find the bleed, and stop it in the most efficient manner possible. Come listen for discussions around securing airway, protecting the good lung, CT first, and definitive management.

In this episode, we cover the last half of phenobarbital week! This is a long one, but we cover the Farkas manifesto on by phenobarb is superior to standard approaches to alcohol withdrawal management. -Dosing -Indications/Contraindication -Adjuvant therapies & more

In this episode, we will cover all those pesky things that can make your patient sick from the RUQ: namely the biliary tract! Ascending cholangitis, Cholecystitis and all the important pearly for imaging, antibiotics and source control options.

If your nursing colleagues can smell it, and you can't, fear not! We've got you covered for all things C. Diff on an ICU-level. Also, the audio quality is particularly bad on this episode, we apologize. Just the realities of recording on the road! 

In this episode, we cover the always vexing crystalloid vs colloid debate. Farkas also brings it to the next level with a new paradigm for using large volume resuscitations to treat your patient's acid-base disturbances. Come take a listen for all things alkalinizing, acidifying and maintaining.

In this episode, we've got you covered for all things hypercalcemia. Erase those memory banks that are filled with hyper-hydration and forced diuresis and come fill them back up with appropriate fluid resuscitation, the 1-2-punch for those osteoclasts and all the rest of the pearls for hypercalcemia.

Pull those ankle socks up, and get ready for some ankle-clonus-good-times. In this episode, we cover one of those "hot and bothered" presentations of Serotonin Toxicity. Come listen to a summary of the chapter that includes, definition, clinical presentation, treatment and clinical pearls.

In this episode, we cover an often overlooked infectious cause of that ICU level patient presenting with all kinds of badness: come listen for a sound education on all things babesiosis, anaplasmosis & ehrlichiosis, and rocky mountain spotted fever (RMSF).

Either its a glaringly obvious diagnosis (because your patient is bright yellow and wont wake up) or its apart of a complex presentation, hepatic encephalopathy is one presentation you need to have down!   Come listen to consolidate your knowledge around nitrogen reduction, shunts (the good, the bad, the ugly) and all things HE!

In this episode, we help you take a more nuanced approach to those patients with "coca-cola urine." When that CK is a climbing and you don't know what to do, remember these pearls!