Shows
The Internet Book of Critical Care PodcastNeuroprognostication After Cardiac DeathIn this beast of a 53 minute podcast, we tackle the approach to prognosticating neurologic function of our patients after cardiac arrest. This is hard! As Dick Cheney taught us, there are lots of known and unknown-unknowns. Read through the chapter, then come listen to all things: nuances around confounders, using structural and functional tests. How imaging can lead us astray. Is there a troponin of the brain? Josh even admits to what he'd take to the proverbial desert island. 2022-04-0953 minThe Internet Book of Critical Care PodcastTamponadeIn this episode, we cover that terrible T... Tamponade. Sit back, and get your learn on while we go beyond Beck's triad, discussing all things pulses paradox, ultrasound assessment, pitfalls, stabilization, and Josh will even melt your mind with low pressure tamponade.2021-12-1548 minThe Internet Book of Critical Care PodcastHepatorenal SyndromeIt has been a hot minute, Josh blames Adam. Adam Blames existential crisis, wildfires and the Rona. Come listen to this comeback cast: Hepatorenal Syndrome. We talk all things systemic dilation with renal constriction. We talk newish classification, albumin, pressers and more. So leave your Map goal of 60 behind you, and enjoy these pearls.2021-08-1627 minThe Internet Book of Critical Care PodcastInvasive CandidiasisIn this episode, we cover that variable response to when the lab calls with a culture positive for candida. Lines, blood, Urine. Labs, Anti-fungals, imaging... we got it all. 2021-06-2923 minThe Internet Book of Critical Care PodcastAtrial FibrillationIn this episode, we aim to arm you with a basic approach to the rhythm that loves to make the monitors go ping: atrial fibrillation. The age old argument: rate vs rhythm control. What rate is acceptable? Who gets all of the drugs? Why do we love amiodorone? When do you dust off old sparky? Come join us for 42 minutes of Josh giggling and educating us all.2021-06-2143 minThe Internet Book of Critical Care PodcastValproic Acid ToxicityIn this episode we cover the obvious, and subtleties around Valproic Acid toxicities. We talk everything from cerebral edema, giving that L-Carnitine and when to spin that IHD machine. 2021-05-1028 minThe Internet Book of Critical Care PodcastCOVID-19 Update #8In this episode we summarize the new COVID Chapter (well not so new, but spot on predictions from Jan 26th). Steroids = Yes. Dose... 6mg and keep going up? Toci / Bari = maybe Cocktails / Plasma = Nope Come take a listen for all things anticoagulation, immune modulation and organ support.2021-03-1156 minThe Internet Book of Critical Care PodcastPurpura FulminansIn this episode we continue on the path of DIC: the scary sub-phenotype that is Purpura Fulminans. When your patient is necrosing everything, you need to act quickly before they start losing organs and digits. Come listen for identification, anticoagulation, protein C and all its goodness, when to give Vitamin K, and why to really be careful about Warfarin.2021-02-1925 minThe Internet Book of Critical Care PodcastDisseminated Intravascular CoagulationIn this episode, we cover disseminated intravascular coagulation. It sounds bad, because it is. Come listen and refresh your skills around supporting the bleed-bleedy versus the cloth-clotty, how to differentiate DIC and chronic liver failure and a few more juicy clinical pearls.2021-01-1835 minThe Internet Book of Critical Care PodcastLithium ToxicityIn this episode, we cover the spectrum of lithium toxicity, from the acute ingestion, to the patient with saturated brain tissue. Come take a listen to explore the nuances around volume repletion, when or should you reach for dialysis, what SILENT is or does it exist.2021-01-1425 minThe Internet Book of Critical Care PodcastToxic Shock SyndromeIn this episode we cover those super antigens that cause all the trouble with staph and strep infections. Come take a listen around pathophysiology, identification, antimicrobials and all things IVIG.2020-12-2337 minThe Internet Book of Critical Care PodcastBRASH SyndromeIn this episode, we cover the OG-Farkas description of the age-old interplay between bradycardia / renal failure / AV nodal blocking agent / Shock / and Hyperkalemia. Don't just try and snipe one off at a time, carpet bomb them all at once. 2020-12-1530 minThe Internet Book of Critical Care PodcastMassive Transfusion ProtocolIn this episode we cover the crucial approach to what drives hemorrhagic shock: lots of bleeding. Come take a listen for the nuances around an organized approach to 1:1:1 and may we be as bold to say... 1:1:1:1 (fibrinogen, YAY). All things hypocalcemia, hypothermia, acidosis and what lines to use. 2020-12-1132 minThe Internet Book of Critical Care PodcastCOVID-19 Update #7We were actively trying to fill your life with non-covid things... but we just had to talk about these big new things. Come take a listen of aerosol transmission, why Remdesivir just doesn't work in the real world, why not to make the same mistake with the -mab du jour, and a few other tid bits.2020-12-0420 minThe Internet Book of Critical Care PodcastVentilator Associated PneumoniaIn this episode, we cover that daily issue: Is this a VAP? Come take listen to level up beyond leukocytosis, inflammation, consolidation, worsening oxygenation and positive cultures. Viva la Piptazo - Linezolid/Vanco diad. 2020-12-0127 minThe Internet Book of Critical Care PodcastHemophagocytic LymphoHistiocytosis (HLH)In this episode, we cover another great white whale in critical care: Hemophagocytic LymphoHistiocytosis (HLH). When your macrophages turn into paceman and start chomping your own cells, you're in trouble. Com listen about genetic predisposition to unchecked immune response, and a conversation around immunomodulation.2020-11-2836 minThe Internet Book of Critical Care PodcastGastrointestinal hypomotility in critical careIn this episode we cover the big picture view of ileus, gastroparesis and colonic pseudo-obstruction. Come take a listen so summarize these issues you will encounter on the daily.2020-11-1630 minThe Internet Book of Critical Care PodcastCerebral Venous ThrombosisIn this episode, we cover the DVT of the Brain... Cerebral Venous Thrombosis. Lace up your shoes, start washing those dishes, do whatever you need to do while we remind you about presentation, workup and most of all, treatment. As 1% of all strokes and the most common cause of stroke in young patients, you'll want to know this one cold.2020-10-2322 minThe Internet Book of Critical Care PodcastStress Hyperglycemia in the ICUIn this episode we cover the often overlooked topic of glycemic control in the ICU. What blood sugar should we be targeting? Is that hyperglycaemia a stress response? Insulin resistance? Iatrogenic? All of the above. Come listen to our discussion, and Josh's attempt at clearing up a confused evidence base.2020-10-1922 minThe Internet Book of Critical Care PodcastWernicke encephalopathyWe've reached a milestone, 100 episodes! In this podcast, we cover ICU level thiamine deficiency, not just your white-whale of Wernicke encephalopathy. Come take a listen for dosing, clinical features and complications.2020-10-1620 minThe Internet Book of Critical Care PodcastHypertriglyceridemic PancreatitisIn this episode, we cover the approach to the not-so-rare cause of ICU level pancreatitis: hypertriglyceridemia. Come take a listen for nuances around insulin management, and second thoughts around using heparin and plasmapheresis.2020-10-1324 minThe Internet Book of Critical Care PodcastAntifungal AgentsIn this episode we simplify the approach to covering your invasive fungal infections in critically unwell patients. Yeast vs Mold vs Endemic Mycoses Azoles vs Echinocandins vs Amphotericin2020-09-1425 minThe Internet Book of Critical Care PodcastIBCC Episode 97 - Nausea & antiemeticsIts the rare occasion you go one complete day without treating Nausea and vomiting in the ICU. In this episode, we cover the ddx you can't miss, and the multiple receptors to target in your patients.2020-09-1228 minThe Internet Book of Critical Care PodcastAnalgesia for the critically ill patientIn this episode, we cover the essentials of analgesia for your critically ill patients. Spoiler alert, multimodal approaches are the way to go. If your MAR only has opiates on it, there may be a problem. Come listen for a new twist on the ladder approach, all things ketamine / precedes and lidocaine... with much much more.2020-08-2837 minThe Internet Book of Critical Care PodcastInhaled Pulmonary VasodilatorsIn this episode we cover the widely use, but poorly supported inhaled pulmonary vasodilators: -Oxygen -Nitroglycerin / Nitric Oxide -Epoprostenol -Milrinone2020-08-0831 minThe Internet Book of Critical Care PodcastHyperosmolar Hyperglycemic StateIn this episode, we cover the more sinister twin of DKA... HONK aka HHS (Hyperosmolar Hyperglycemic State). Come listen to how not to blow up your patients brain in the tug-of-war between glucose and sodium.2020-08-0623 minThe Internet Book of Critical Care PodcastGuillain-Barre SyndromeIn this episode we cover Guillain-Barre Syndrome. Everything from presentation, to why you should stop checking negative inspiratory pressure and just stick with FVC. Read the post then come take a listen.2020-07-2831 minThe Internet Book of Critical Care PodcastIntracranial hemorrhageIn this episode we cover one of the most fatal and moribund conditions we see regularly, Intracranial hemorrhage. Etiology, diagnosis and treatment (of course we spend time on BP goals).2020-07-2431 minThe Internet Book of Critical Care PodcastCatastrophic Antiphospholipid SyndromeIn this episode we cover Catastrophic Antiphospholipid Syndrome. A very rare and often missed diagnosis. Come take a listen to brush up on high risk patient population, clinical diagnosis, labs, steroids / anticoagulation and more treatment options.2020-07-2220 minThe Internet Book of Critical Care PodcastFeverIn 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.2020-07-1934 minThe Internet Book of Critical Care PodcastCAUTIIn 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!2020-07-1021 minThe Internet Book of Critical Care PodcastSickle Cell Acute Chest SyndromeIn 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 more2020-07-0840 minThe Internet Book of Critical Care PodcastEpiglottitisIn 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 go2020-07-0227 minThe Internet Book of Critical Care PodcastPJP PneumoniaIn 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 therapies2020-06-2928 minThe Internet Book of Critical Care PodcastVocal Cord DysfunctionIn 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.2020-06-2218 minThe Internet Book of Critical Care PodcastInvasive pulmonary aspergillosisIn 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. 2020-06-1525 minThe Internet Book of Critical Care PodcastRefeeding SyndromeIn this episode we cover the often overlooked entity that is re-feeding syndrome. High Risk populations Signs & Symptoms Insulin mediated edema, and more2020-06-0814 minThe Internet Book of Critical Care PodcastTakotsubo CardiomyopathyIn 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.2020-06-0130 minThe Internet Book of Critical Care PodcastUnfractionated heparin (UFH), LMWH, fondaparinux, argatroban, and bivalirudinIn 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!2020-05-2635 minThe Internet Book of Critical Care PodcastAcute Exacerbation of COPDIn this episode, we cover that bread and butter presentation, chronic obstructive pulmonary disease. Clinical Features Respiratory support Pharmacotherapy Approach to ventilation and extubation2020-05-1928 minThe Internet Book of Critical Care PodcastCOVID-19 Update #6In this episode we update therapeutics: Kaletra is back. Before/after for Steroids. Anakinra is here. We also delve into coagulopathy and super spreaders.2020-05-1720 minThe Internet Book of Critical Care PodcastUpdate #5In this Episode: We update new understandings from NYC, Lung pathology (AFOP), Cowboys Vs Ivory Towers, Remdesivir and COVID-19 Phenotypes. Stay Healthy!2020-05-0623 minThe Internet Book of Critical Care PodcastCOVID-19 Update #4In this update: The Fall of Remdesivir? HCQ no so bueno? Fluid status Learning from Tobin, Gattinoni, and our patients physiology Steroids!?!?2020-04-2125 minThe Internet Book of Critical Care PodcastCOVID-19 Update #3In our 3rd installment of correcting things we've said that were wrong 🤓, here we cover COVID-19 coagulopathy, respiratory pathophysiology, immune modulation and APRV.2020-04-1335 minThe Internet Book of Critical Care PodcastIBCC COVID-19 Update #2In 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 dilemmas2020-03-3023 minThe Internet Book of Critical Care PodcastIBCC COVID-19 Update # 1In 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.2020-03-2232 minThe Internet Book of Critical Care PodcastCOVID-19There 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? Antivirals2020-03-111h 09The Internet Book of Critical Care PodcastVasoactive AgentsIn 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.2020-02-2033 minThe Internet Book of Critical Care PodcastAnaphylaxisIn 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.2020-02-1732 minThe Internet Book of Critical Care PodcastStatus EpilepticusIn this episode we cover that rapidly progressive, big stakes entity that is Status epilepticus - the unrelenting seizure. Definition, Big Benzoes and where to go after that first line. Come listen for all things Keppra, Propofol and Ketamine.2020-02-1043 minThe Internet Book of Critical Care PodcastHypocalcemiaIn this episode we cover the last common electrolyte derangement you'll face in the ICU; hypocalcemia. From tetany to hypotension, we've got you covered for an approach to recognition and treatment.2020-01-3115 minThe Internet Book of Critical Care PodcastToxic AlcoholsIn this episode we cover that rather bothersome component of your AGMA... toxic alcohols. Who is high risk, when and how to screen, and of course a tight approach to treatment. Don't forget... always call your local friendly toxicologist.2020-01-2730 minThe Internet Book of Critical Care PodcastLine InfectionIn this episode, we cover that daily discussion point... can this line, possibly, be infected? Come refresh yourself on diagnosis, microbiology and treatment.2020-01-1426 minThe Internet Book of Critical Care PodcastDominating the DiuresisIn this hallmark episode (we just hit 500k in downloads!), we cover an approach to dominating the diuresis. We cover all the major points: -Loop diuretics and how not to screw them up -Using thiazides to maximize ongoing diuresis -When to add spironolactone -How not to always just cheat and start the CRRT machine2020-01-0947 minThe Internet Book of Critical Care PodcastMyxedema ComaWelcome to 2020, everyone! In this fresh new podcast we cover all things severe hypothyroidism; AKA Myxedema Coma. Diagnosis. Treatment. Whats the deal with T4 vs T3. Who gets the roids. Come listen to it all!2020-01-0222 minThe Internet Book of Critical Care PodcastNon-Invasive Respiratory SupportHappy Holidays everyone! In this episode we cover the general support of those patients that are working hard to breathe. Come listen about NIPPV (BiPAP and High Flow Nasal Cannula).2019-12-2837 minThe Internet Book of Critical Care PodcastAcute Promyelocytic LeukemiaIn this episode, we cover that rapidly progressive, easy to miss, relatively better survived leukemia: acute promyelocytic leukemia. Come read about pathophysiology, and then listen to the summary that covers when to suspect clinical APL, the use of ATRA, and that scary hyperfibrinolysis (DIC but worse). Just to leave you with more, we cover Differentiation syndrome (aka retinoic acid syndrome).2019-12-1917 minThe Internet Book of Critical Care PodcastHyponatremiaIn this episode, we cover all things ICU level hyponatremia. From a mild inconvenience to a refractory seizing patient, we've got you covered for diagnosis, treatment and risk stratification.2019-12-1235 minThe Internet Book of Critical Care PodcastHypokalemiaIn this episode we cover that low serum potassium, aka Hypokalemia. From the minor repletion to the immediate resuscitation of a patient with VF arrest secondary to severe hypokalemia, we have you covered. So read the post, then come take a listen to review all things hypo K!2019-12-0521 minThe Internet Book of Critical Care PodcastBrain DeathIn this episode we cover the definition and concrete way how to identify and correctly diagnose brain death. This is something we need to get right, so grab a coffee and come take a listen.2019-11-2820 minThe Internet Book of Critical Care PodcastHypothermiaIn this episode we cover both accidental and non-accidental hypothermia. Come listen for a good review on: Clinical Clues Passive and Active re-warming Modification of standard ACLS approach Complications of hypothermia and much much more... PS: Many apologies to cardiac anesthesiologists and perfusionists: core after-drop is a thing, but we don't want to cloud the issue of priorities in rewarming.2019-11-2121 minThe Internet Book of Critical Care PodcastBupropion ToxicityIn this episode, we cover the 2019 version of a TCA overdose: Bupropion. AKA: Wellbutrin / Illbutrin (Shoutout to Tox & The Hound). Read the post then get an audio summary of the clinical diagnosis, risk stratification, Activated charcoal, whole-bowel irrigation and finally all things VA-ECMO for the extreme toxicities.2019-11-1418 minThe Internet Book of Critical Care PodcastAcalculus CholecystitisIn this episode, we cover that sneaky presentation of acalculus cholecystitis. When that ALP/GGT start climbing, or your chronically critically ill patient gets septic again, you need to know about this!2019-11-1218 minThe Internet Book of Critical Care PodcastCarbon Monoxide PoisoningIn this episode, we cover that pesky Carbon monoxide. From minor exposure to critically ill, we have you covered for: -Diagnosis -Testing -Hyperoxia -Hyperbaric -Bleeding Edge Therapies2019-11-1032 minThe Internet Book of Critical Care PodcastPost MI ComplicationsJust when you thought your post MI patient has made it through the woods... they start to crump! In this episode we cover the Ddx and approach to post myocardial infarction complications. Come listen to review all the greatest hits. -Rupturing things -Pericarditis -Access issues -Arrythmias2019-10-2419 minThe Internet Book of Critical Care PodcastMethemoglobinemiaIn this episode we cover that rare but fun element to your cyanosed patient Ddx. When your hemoglobin gets oxidized to Fe3+, badness can ensure. Enjoy this quick refresher.2019-10-1518 minThe Internet Book of Critical Care PodcastDiffuse Alveolar Hemorrhage & Pulmonary VasculitisIn this episode, we cover one check box on your bilateral airspace opacification differential diagnosis. Come take a listen for Diffuse alveolar hemorrhage and pulmonary vasculitis in the ICU. -Imaging findings -Bronch? -What labs to order (you can't just write "vasculitis work up")2019-10-1025 minThe Internet Book of Critical Care PodcastAsthmaWe know you all have been waiting for it! Here is one of the foundational chapters for the IBCC. All things asthma. We've got everything from physiology, to bleeding edge sedation approaches. Come take a (longer) listen to solidify everything you read in the post: -Presentation / patient phenotypes -Initial management -Escalation to salvage treatments -Vent Management & ECMO2019-10-081h 10The Internet Book of Critical Care PodcastMetabolic AlkalosisIn this episode, we further explore the acid-base-palooza with Metabolic Alkalosis. We give you 10 things to treat said event with, however, sometimes its best to let sleeping dragons lie. Josh even snuck in some acid infusion!2019-09-2617 minThe Internet Book of Critical Care PodcastNAGMAIn this episode we have a quick little refresher on Non-Anion-Gap Metabolic Acidosis for you! Enjoy!!!2019-09-1911 minThe Internet Book of Critical Care PodcastAGMAContinuing 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. 2019-09-1713 minThe Internet Book of Critical Care PodcastApproach to Acid Base DisordersIn 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 Bicarbonate2019-09-1219 minThe Internet Book of Critical Care PodcastSubmassive & Massive Pulmonary EmbolismIn 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 patient2019-09-101h 14The Internet Book of Critical Care PodcastAnticoagulation ReversalIn this episode, we cover all the big hits for anticoagulant management in your bleeding patients. -Warfarin -DOAC -Anti platelets -Heparin and LMWH -And More!2019-08-2933 minThe Internet Book of Critical Care PodcastTumor Lysis SyndromeIn 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 -Dialysis2019-08-2222 minThe Internet Book of Critical Care PodcastIBCC Episode 50 - Hyper and HypomagnesemiaIn 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.2019-08-1525 minThe Internet Book of Critical Care PodcastSeptic ShockHere 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.2019-08-081h 10The Internet Book of Critical Care PodcastAngioedemaIn 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!2019-08-0128 minThe Internet Book of Critical Care PodcastHyperthermiaIn 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!2019-07-3129 minThe Internet Book of Critical Care PodcastMassive HemoptysisIn 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.2019-07-2524 minThe Internet Book of Critical Care PodcastETOH WithdrawalIn 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 & more2019-07-2053 minThe Internet Book of Critical Care PodcastCommunity Acquired Biliary SepsisIn 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.2019-07-1127 minThe Internet Book of Critical Care PodcastClostridium DifficileIf 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! 2019-07-0524 minThe Internet Book of Critical Care PodcastIBCC Episode 42 Fluid Selection & pH Guided ResuscitationIn 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.2019-06-2733 minThe Internet Book of Critical Care PodcastHypercalcemiaIn 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.2019-06-2014 minThe Internet Book of Critical Care PodcastSerotonin Syndrome / ToxicityPull 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.2019-06-1328 minThe Internet Book of Critical Care PodcastTick Borne IllnessIn 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).2019-06-0620 minThe Internet Book of Critical Care PodcastHepatic EncephalopathyEither 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!2019-05-3021 minThe Internet Book of Critical Care PodcastRhabdomyolysisIn 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!2019-05-1623 minThe Internet Book of Critical Care PodcastHypo & HyperphosphatemiaIn this episode, you get a two-for-one. Come for the hypophosphatemia, stay for the hyperphosphatemia.2019-05-0921 minThe Internet Book of Critical Care PodcastContrast Induced NephropathyContrast induced nephropathy is the "white walker" of critical care and emergency medicine. Come take a listen as we discuss the potential error in creating a clinically non-meaningful entity, and how we should address this in our daily clinical work.2019-05-0215 minThe Internet Book of Critical Care PodcastEndocarditisIn this episode we cover all those big highlights for infective endocarditis. Come solidify your approach to clinical presentation of both left and right sided disease, approach to imaging, and empiric therapy. We've even got the hot topic of dual coverage down!2019-04-2527 minThe Internet Book of Critical Care PodcastVentricular Fibrillation & Tachycardia StormIn this episode we cover the finer points of the high stakes resuscitation of VF / VT "Storm." Come get a solid approach to identification, resuscitation and nuanced management.2019-04-1917 minThe Internet Book of Critical Care PodcastMetformin ToxicityHave you ever seen that patient with a bicarb of 6 and a lactate of 14, and they are just smiling at you and texting their spouse about taxes? In this episode, we explore the direct, indirect, and obscured role that metformin can play in your critical care patients. Come listen for all things diagnosis, classification and some special discussion around GIK, Methylene Blue and when to spin that dialysis machine.2019-04-1122 minThe Internet Book of Critical Care PodcastPenicillin AllergyThis often mis-understood "penicillin allergy" can have far more dire impacts on the population you would think. Come take a listen and explore the pathophysiology of R1-side chain impact on true allergy, what to do about it, and how it impacts antimicrobial selection and use.2019-04-0427 minThe Internet Book of Critical Care PodcastPre-EclampsiaIn this episode, we've got you covered for this hypertensive emergency that you need to know cold. Come take a listen for all things around diagnosis, risk factors, clinical presentation, labs and treatment. We've got your magnesium. We've got your labetolol. We even have a few new tricks for hemolysis.2019-03-3023 minThe Internet Book of Critical Care PodcastHypertensive EmergencyJust like when you were a kid and that science fair volcano was spewing badness everywhere... an unchecked perfusion pressure can wreak havoc on your end organs. In this podcast, we cover the true primary emergency that results from too high of perfusion pressure. Come take a listen for all things diagnosis, treatment and even a nice coverage of PRES.2019-03-2331 minThe Internet Book of Critical Care PodcastAbdominal Compartment SyndromeIn this episode, we cover the often missed "abdominal compartment syndrome." Lace up those shoes, get ready for your commute, and let us review for you the diagnosis and treatment of this critical care quagmire.2019-03-1418 minThe Internet Book of Critical Care PodcastImmune Checkpoint InhibitorsDon't know what immune checkpoint inhibitors are? Don't worry, neither did I until Farkas through some major knowledge on me. Come take a listen about what this class of drugs can do to every organ in your body!2018-12-1933 minThe Internet Book of Critical Care PodcastIschemic Evaluation in the Non-Cardiac PatientIn this episode, Josh takes us through how to approach the type 1 versus type 2 acute coronary syndrome in the ICU. In other words, take a listen to find out what to do with that ECG and troponin.2018-09-1212 min