Shows
Ramon & WillHr 4: Rhett Bryan scouts linebackersHr 4: Rhett Bryan scouts linebackersSee omnystudio.com/listener for privacy information.
2026-04-1537 min
3HL3HL - 4-14-26 - Hour 1 - Rhett Bryan joins us to share Memories of the Great Dave McGinnis3HL - 4-14-26 - Hour 1 - Rhett Bryan joins us to share Memories of the Great Dave McGinnisSee omnystudio.com/listener for privacy information.
2026-04-1440 min
The Buck Reising ShowThe Buck Reising Show Hr 2 - Rhett Bryan joins the show to remember Coach MacThe Buck Reising Show Hr 2 - Rhett Bryan joins the show to remember Coach MacSee omnystudio.com/listener for privacy information.
2026-04-1440 minRamon & WillHr 2 - Full hour of Rhett Bryan in-studio remembering and celebrating Coach MacHr 2 - Full hour of Rhett Bryan in-studio remembering and celebrating Coach MacSee omnystudio.com/listener for privacy information.
2026-04-1440 minRamon & WillHr 1 - Remembering Coach Mac + Rhett Bryan in-studioHr 1 - Remembering Coach Mac + Rhett Bryan in-studioSee omnystudio.com/listener for privacy information.
2026-04-1437 minRamon & WillHr 4 - Rhett Bryan scouts NFL Draft QBs and TEsHr 4 - Rhett Bryan scouts NFL Draft QBs and TEsSee omnystudio.com/listener for privacy information.
2026-04-0835 minRamon & WillHr 4 - Draft prep with Rhett Bryan: Early, mid & late round running back optionsHr 4 - Draft prep with Rhett Bryan: Early, mid & late round running back optionsSee omnystudio.com/listener for privacy information.
2026-04-0636 min3HL3HL - 4-1-26 - Hour 2 - Rhett Bryan & Todd Fuhrman join to talk Titans Draft + Final Four Betting Lines3HL - 4-1-26 - Hour 2 - Rhett Bryan & Todd Fuhrman join to talk Titans Draft + Final Four Betting LinesSee omnystudio.com/listener for privacy information.
2026-04-0238 min3HLRhett Bryan on 3HL - Titans Draft Possibilities & Free Agent AdditionsRhett Bryan on 3HL - Titans Draft Possibilities & Free Agent AdditionsSee omnystudio.com/listener for privacy information.
2026-04-0115 minRamon & WillHr 4 - Rhett Bryan joins the show scouting tacklesHr 4 - Rhett Bryan joins the show scouting tacklesSee omnystudio.com/listener for privacy information.
2026-04-0137 minRamon & WillHr 4 - Rhett Bryan talks NFL Draft interior offensive lineHr 4 - Rhett Bryan talks NFL Draft interior offensive lineSee omnystudio.com/listener for privacy information.
2026-03-2535 min3HL3HL - 3-18-26 - Hour 2 - Intriguing First Round NCAA Tourney Matchups + Rhett Bryan joins3HL - 3-18-26 - Hour 2 - Intriguing First Round NCAA Tourney Matchups + Rhett Bryan joinsSee omnystudio.com/listener for privacy information.
2026-03-1837 min3HLRhett Bryan on 3HL - Mid to Late Round OL & WR Draft ProspectsRhett Bryan on 3HL - Mid to Late Round OL & WR Draft ProspectsSee omnystudio.com/listener for privacy information.
2026-03-1813 minRamon & WillHr 4 - Rhett Bryan talks NFL Draft wide receiversHr 4 - Rhett Bryan talks NFL Draft wide receiversSee omnystudio.com/listener for privacy information.
2026-03-1834 min3HL3HL - 3-11-26 - Hour 1 - Free Agency News Ramps Up + Rhett Bryan joins3HL - 3-11-26 - Hour 1 - Free Agency News Ramps Up + Rhett Bryan joinsSee omnystudio.com/listener for privacy information.
2026-03-1143 min3HLRhett Bryan on 3HL - Recapping Titans Initial Moves in Free AgencyRhett Bryan on 3HL - Recapping Titans Initial Moves in Free AgencySee omnystudio.com/listener for privacy information.
2026-03-1122 minRamon & WillHr 4 - Rhett Bryan talks Titans free agencyHr 4 - Rhett Bryan talks Titans free agencySee omnystudio.com/listener for privacy information.
2026-03-1136 min3HLRhett Bryan on 3HL - What's the Word on the Titans Draft Targets from the NFL CombineTitans Radio executive producer Rhett Bryan joined 3HL to break down the top draft prospects the Titans are keeping an eye on plus which under talked about prospects should Titans fans keep a look out for.See omnystudio.com/listener for privacy information.
2026-02-2614 min
Spybrary Spy PodcastMy 5 Favourite Spy Books with new Spybrary Guest Host - Bryan Boling In the first Dead Drop Five episode of 2026, Spybrary host Shane Whaley welcomes new Spybrary guest host Bryan Boling for a deep dive into his five favourite spy books, the titles that Brian would request be stashed in the East Berlin Dead Drop. Full links to Brian's selection at https://www.spybrary.com/285 Join the Spybrary Community Today Brian, a history lover and spy book fan from Kentucky, categorizes his selections across nonfiction, classic and modern fiction, and reflects on what makes each pick significant—from the ingenious real operation at th...
2026-01-081h 13
Critical Care ScenariosEpisode 91: A simulated goals of care conversationBrandon and Bryan mock up a goals of care discussion for a critically ill patient, and reflect on the right and wrong ways to execute this complex procedure. Learn more at the Intensive Care Academy! Resources Center to Advance Palliative Care The Conversation Project
2025-09-031h 06Critical Care ScenariosLightning rounds 55: APP fellowships with Melissa BridgesMelissa Bridges, director of PA fellowships at Atrium Health and president of the Association of Post-graduate PA Programs (APPAP), chats with us (Bryan is president of APGAP, the Association of Post Graduate APRN programs) about PA/NP residencies/fellowships in critical care. Learn more at the Intensive Care Academy!
2025-07-0900 minCritical Care ScenariosLightning rounds 47: Post-op care transitionsWe chat about the post-op transition of care from the OR to the ICU, including questions to ask, workflows, and pitfalls. Check out the Intensive Care Academy here! Bryan’s textbook: Concepts in Surgical Critical Care Find us on Patreon here! Buy your merch here!
2024-11-2744 min
Rapid Response RN104: Obstructive Shock With Guests Bryan Boling and Brandon Oto From the Critical Care Scenarios PodcastObstructive shock may be the least common type of shock, but it’s no less critical. As part of Nurse PodCrawl 2024, Bryan Boling and Brandon Oto from the Critical Care Scenarios podcast join host Sarah Lorenzini in this episode to talk about the critical care management of obstructive shock. Together, they walk nurses through a patient scenario, detailing the diagnostic process of obstructive shock due to pulmonary embolism.Sarah, Bryan and Brandon review the three main causes of obstructive shock: pulmonary embolism, tension pneumothorax, and cardiac tamponade. They also discuss the importance of clinical assessments and diagnostic to...
2024-05-1051 minCritical Care ScenariosLightning rounds #31: How to not get firedBryan and Brandon chat about holding down jobs, conflict resolution and interpersonal skills, and how to protect yourself as an employee.
2023-08-3049 minCritical Care ScenariosEpisode 62: Running a cardiac arrestBryan puts Brandon through the paces, discussing the nuts and bolts of managing a code. Find us on Patreon here! Buy your merch here! Takeaway lessons
2023-06-211h 14Critical Care ScenariosLightning rounds #27: Our favorite FOAMBryan and Brandon share their favorite podcasts, blogs, social media, and other online channels for medical education. Podcasts Blogs/websites Twitter accounts So, with Twitter, we could post all day and still leave a bunch of people out. Here are a few…the best way to find good Twitter followers is to start with these and see … Continue reading "Lightning rounds #27: Our favorite FOAM"
2023-05-1037 minCritical Care ScenariosLightning rounds #22: Our drugs of choiceBryan and Brandon go through their default, go-to drugs for common clinical indications in the ICU: stress ulcer prophylaxis, empiric antibiotics, hypertension, and more.
2022-11-2357 minCritical Care ScenariosLightning rounds #20: Being efficientBrandon and Bryan chat about tricks and methods of increasing efficiency and getting things done at work.
2022-09-2553 minCritical Care ScenariosEpisode 51: Resuscitating and deresuscitating with hypertonic saline, with Sean BarnettWe explore the controversial area of using hypertonic saline to support hemodynamics, protect the kidneys, and facilitate diuresis in the critically ill patient. Our guest is Dr. Sean Barnett, hypertonic aficionado and nephrologist with a focus in critical care. Takeaway lessons The furosemide stress test in the shocked patient is a useful means to assess … Continue reading "Episode 51: Resuscitating and deresuscitating with hypertonic saline, with Sean Barnett"
2022-09-1143 minCritical Care ScenariosTIRBO #17: Being cool is a privilegeRuminations on nursing post-nominals, understated wealth, and how it’s easiest to not show your power when you already plenty of it.
2022-09-0412 minCritical Care ScenariosLightning rounds #19: How to write a journal articleContinuing the discussion from last Lightning Rounds about presenting at conferences, Brandon and Bryan chat about writing for peer-reviewed journals: why, how, and the process from choosing co-authors to choosing journals to navigating the submission.
2022-08-2853 minCritical Care ScenariosTIRBO #16: Are PAs as good as doctors?How do PAs and other APPs compare with physicians in the clinical context?
2022-08-2131 minCritical Care ScenariosEpisode 50: Rib fractures and surgical plating with Ron BarbosaWe look at the rib fracture patient requiring ICU admission, including a discussion of surgical repair, with Dr. Ron Barbosa (@rbarbosa91), Portland trauma surgeon and SICU director at Legacy Emmanual Medical Center. Takeaway lessons Algorithms and protocols for admitting disposition exist but are generally poorly predictive. ICU admission in rib fracture patients is still most … Continue reading "Episode 50: Rib fractures and surgical plating with Ron Barbosa"
2022-08-1450 min2022-08-0720 minCritical Care ScenariosLightning rounds #18: How to give a conference presentationBrandon and Bryan chat about academic presentations… how to prepare and submit them, selecting the right venue, giving a good talk, and the elephant in the room: why to do it at all.
2022-07-311h 05Critical Care ScenariosTIRBO #14: Trajectories of illness and critical careHow the arc of disease peaks and falls, and how the curve of our care should match it to avoid under- or over-treatment.
2022-07-2414 minCritical Care ScenariosEpisode 49: Invasive pulmonary aspergillosis with Shmuel ShohamWe discuss invasive aspergillosis, with a focus on when to consider and how to make this difficult diagnosis in the general ICU population—with Dr. Shmuel Shoham (@ShohamTxID), Associate Professor of Medicine at Johns Hopkins, transplant infectious disease physician, and an extensively published expert in invasive fungal infections as well as host of the Transplant ID … Continue reading "Episode 49: Invasive pulmonary aspergillosis with Shmuel Shoham"
2022-07-1744 minCritical Care ScenariosTIRBO #13: Hospital relativityTime is always a factor in the ICU, but some time matters more than other time.
2022-07-1008 minCritical Care ScenariosLightning rounds #17: Reading chest x-raysBrandon and Bryan share their approaches to the chest x-ray in the ICU. Plus: Bryan’s an FCCM! Here’s the Radiology Masterclass.
2022-07-0344 minCritical Care ScenariosTIRBO #12: On heroics (or: is critical care hard?)Some musings in response to people who are impressed by the work we do.
2022-06-2612 minCritical Care ScenariosEpisode 48: Undifferentiated hypotensionBrandon walks Bryan through a case of new, unexplained hypotension in the ICU, with a focus on approaching shock, the use of POCUS, and risk stratifying unexplained problems. Takeaway lessons Sudden changes in vital signs or other status are often due to precipitating factors, such as iatrogenic stimuli, whereas more gradual changes are often due … Continue reading "Episode 48: Undifferentiated hypotension"
2022-06-1956 minCritical Care ScenariosTIRBO #11: Mastering wire guidanceAdvanced techniques for manipulating the guidewire during non-fluoroscopic bedside procedures such as central line placement.
2022-06-1213 minCritical Care ScenariosLightning rounds #16: How we do case-based teachingBrandon and Bryan talk about how they assemble, implement, and leverage case-based learning, from this podcast to simulation to oral scenarios to internal visualization.
2022-06-0544 minCritical Care ScenariosTIRBO #10: Put the I back in TeamWhen it’s a bad idea to help out others with their work.
2022-05-2907 minCritical Care ScenariosEpisode 47: ICU triage with Eddy GutierrezDiscussing ICU triage, risk stratification, and patient disposition with intensivist Eddy Joe Gutierrez (@eddyjoemd) of the Saving Lives Podcast. For 20% off the upcoming Resuscitative TEE courses (through July 23, 2022), listen to the show for a promo code for CCS listeners! Takeaway lessons When a patient has borderline indications for requiring the ICU, generally, … Continue reading "Episode 47: ICU triage with Eddy Gutierrez"
2022-05-2248 minCritical Care ScenariosTIRBO #9: Some quotes about whyA selection of lesser-known quotes relevant to the practice of medicine.
2022-05-1515 minCritical Care ScenariosLightning rounds #15: Night shiftsBryan and Brand talk about night shifts, how to handle them, managing the disruption of your circadian rhythm, and more. For 20% off the upcoming Resuscitative TEE courses (through July 23, 2022), listen to the show for a promo code for CCS listeners!
2022-05-0840 minCritical Care ScenariosTIRBO #8: What does skin really tell you about hemodynamics?The relationship between skin warmth and color, cardiac output, and systemic vascular resistance. For 20% off the upcoming Resuscitative TEE courses (through July 23, 2022), listen to the show for a promo code for CCS listeners!
2022-05-0109 minCritical Care ScenariosEpisode 46: Neurologic catastrophe and brain death with Casey AlbinWe review a case of massive intraparenchymal hemorrhage progressing to brain death, including the process of brain death testing and declaration, with Dr. Casey Albin (@CaseyAlbin), neurologist and neurointensivist, assistant professor of Neurology and Neurosurgery at Emory and part of the NeuroEmcrit team. For 20% off the upcoming Resuscitative TEE courses (through July 23, 2022), … Continue reading "Episode 46: Neurologic catastrophe and brain death with Casey Albin"
2022-04-241h 10Critical Care ScenariosTIRBO #7: Selecting vasopressorsA practical approach to choosing and escalating vasopressors for patients in shock.
2022-04-1711 minCritical Care ScenariosLightning rounds #14: Abdominal compartment syndromeBrandon and Bryan discuss a practical approach to abdominal compartment syndrome: when to suspect it, confirming the diagnosis with bladder pressure or other monitoring, management, and prognosis. Sorry for the audio on this one!
2022-04-1029 minCritical Care ScenariosTIRBO #6: The many varieties of subclavian lineReviewing the different approaches to placing central venous catheters in the subclavian vein.
2022-04-0315 minCritical Care ScenariosEpisode 45: Amniotic fluid embolism with Stephanie MartinWe discuss the clinical presentation and management of AFE with guests Dr. Stephanie Martin (Twitter: @OBCriticalCare, Instagram: @criticalcareob), medical director for Clinical Concepts in Obstetrics and a Maternal Fetal Medicine specialist in Scottsdale, Arizona with expertise in critical care obstetrics. She is also co-host of the Critical Care Obstetrics podcast. We’re also joined for a … Continue reading "Episode 45: Amniotic fluid embolism with Stephanie Martin"
2022-03-2747 minCritical Care ScenariosEpisode 44: Physical therapy with Heidi EngelA look at rehabilitation and mobility in the critically ill, from the perspective of our skilled therapists—with Heidi Engel, PT, DPT of UC San Francisco, long-term provider of acute care therapy, researcher in ICU rehabilitation, and founding member of the SCCM’s ICU Liberation program. Takeaway lessons Tolerance of pressure support ventilation is often a good … Continue reading "Episode 44: Physical therapy with Heidi Engel"
2022-03-201h 09Critical Care ScenariosTIRBO #5: Tracheoinnominate fistulasA quick review of tracheoinnominate fistulas: how they happen, what they look like, and most importantly, what you’ll need to do.
2022-03-1309 minCritical Care ScenariosLightning rounds #13: What’s the deal with nurses?Brandon and Bryan reflect on the qualities that define good and bad ICU nurses, the challenges they face, and how APPs and physicians can enable them to be their best.
2022-03-0653 minCritical Care ScenariosTIRBO #4: HopeWhy an assumption in your training should be to call for assistance, but expect it will never arrive. Plan to manage problems yourself. Let help surprise you—otherwise hope becomes your plan.
2022-02-2710 minCritical Care ScenariosEpisode 43: Resuscitative TEE with Felipe TeranThe hows, whys, logistics, and applications of focused, bedside transesophageal echocardiography performed by critical care and EM providers, with Felipe Teran, assistant professor of emergency medicine at Weill Cornell and director of the Resuscitative TEE Project. Takeaway lessons As a rule, resuscitative TEE is performed in patients with a secured airway. TEE views are not … Continue reading "Episode 43: Resuscitative TEE with Felipe Teran"
2022-02-2056 minCritical Care ScenariosTIRBO #3: Weaning vs TitrationWhen do interventions need to be “weaned”? Stop using this word when you don’t mean it! Titrate, target to effect, but only wean when there is a physiologic dependence.
2022-02-1409 minCritical Care ScenariosLightning rounds #12: Co-managing patients in a surgical ICUBrandon and Bryan talk about the practicalities of communication, collaboration, and compromise in a surgical ICU, when the surgical and critical care teams are both involved, one is the “primary” team on paper, but everyone needs to be heard.
2022-02-0637 minCritical Care ScenariosTIRBO #2: Procedural handednessWhen should you place a line or perform other procedures using your left (or non-dominant) hand? Brandon reflects on a few situations.
2022-02-0209 minCritical Care ScenariosTIRBO #1: ToughnessThe first episode of Brandon’s intermittent solo rants, in this case discussing toughness, stress tolerance, and flexibility in clinical medicine.
2022-01-2720 minCritical Care ScenariosEpisode 42: Clinical pharmacists with Laura Means EbbittAn overview of the role and contributions of a clinical pharmacist in the ICU, with Laura Means Ebbitt of the University of Kentucky, a clinical pharmacist specializing in colorectal/ENT surgery and critical care. Takeaway lessons A clinical pharmacist is a “knowledge pharmacist,” dispensing advice rather than medications. They round with the team to review meds … Continue reading "Episode 42: Clinical pharmacists with Laura Means Ebbitt"
2022-01-2350 minCritical Care ScenariosLightning rounds #11: Reflections on two years of the podcastBryan and Brandon look back on the two-year anniversary of the show and reflect on where it’s been, where it’s going, lessons learned, and other deep thoughts.
2022-01-0939 minCritical Care ScenariosEpisode 41: Preventing and managing complications (part 2) with Matt SiubaPart two of our discussion with fan favorite Matt Siuba (@msiuba), Cleveland Clinic intensivist, on complications in critical care and how to prevent and manage them. Today we focus on respiratory failure after extubation, and unintentional self-extubation. Takeaway lessons When considering extubation of borderline patients, extubating to high flow nasal cannula or CPAP/BiPAP is often a good … Continue reading "Episode 41: Preventing and managing complications (part 2) with Matt Siuba"
2021-12-2655 minCritical Care ScenariosLightning rounds #10: Physical examination in the ICUBryan and Brandon talk about the physical exam: how we apply it in the ICU, its utility and changing role in the setting of modern diagnostic modalities, and its best and most practical use-cases. References McNamara LC, Kanjee Z. Counterpoint: Routine Daily Physical Exams Add Value for the Hospitalist and Patient. J Hosp Med. 2021 … Continue reading "Lightning rounds #10: Physical examination in the ICU"
2021-12-1252 minCritical Care ScenariosEpisode 40: Making the diagnosis with André MansoorDr. André Mansoor (@AndreMansoor), associate professor of medicine in Portland, Oregon, author of the excellent Frameworks for Internal Medicine, and contributor to Physical Diagnosis PDX, talks us through a complex case of encephalopathy and respiratory failure to illustrate some principles of diagnostic reasoning. Takeaway lessons The hardest part of treating most diseases is making the … Continue reading "Episode 40: Making the diagnosis with André Mansoor"
2021-11-281h 10Critical Care ScenariosLightning rounds #9: Notes and documentationBryan and Brandon chat about notes: what makes a good one, their many and conflicting purposes, some structures and approaches, system- versus problem-based charting, and more.
2021-11-1457 minCritical Care ScenariosEpisode 39: ECMO for COVID-19 with Kim BoswellAn overview of VV ECMO with a focus on COVID-19, with Dr. Kimberly A. Boswell (EM and CCM) of the University of Maryland, perhaps the busiest center in the country for COVID-related ECMO. We discuss evaluating for candidacy, induction, maintenance, weaning, and general approaches to the COVID patient. Takeaway lessons The limited amount of ECMO … Continue reading "Episode 39: ECMO for COVID-19 with Kim Boswell"
2021-10-3158 minCritical Care ScenariosLightning rounds #8: Five things you’re getting wrongBryan’s off this week, so Brandon flies solo to explain five wrong-headed notions that many people believe without thinking about them. Are diuretic infusions more effective than intermittent boluses? Are antipsychotic (neuroleptic) agents a good treatment for ICU delirium? Is pressure control or volume control a better form of assist control? Does renal failure cause … Continue reading "Lightning rounds #8: Five things you’re getting wrong"
2021-10-1711 minCritical Care ScenariosEpisode 38: GI bleeding with Elliot TapperBack with returning guest Dr. Elliot Tapper (@ebtapper), gastroenterologist, transplant hepatologist, and director of the cirrhosis program at the University of Michigan in Ann Arbor, to talk about critical GI bleeding. Takeaway lessons Consider the Glasgow-Blatchford score to stratify risk and need for admission, GI consultation, etc. Octreotide (or terlipressin) is indicated in every cirrhotic … Continue reading "Episode 38: GI bleeding with Elliot Tapper"
2021-10-0349 minCritical Care ScenariosLightning rounds #7: Operationalizing clinical skillDiscussing a pickle of a topic: outside of academic milestones, how do we recognize, acknowledge, reward, and move towards clinical excellence in medicine after one’s training is complete? In fact… do we?
2021-09-2036 minCritical Care ScenariosEpisode 37: Airway management for COVID-19Back again with Dr. Ross Hofmeyr (@rosshofmeyr), anesthesiologist in the Department of Anaesthesia and Perioperative Medicine at the University of Cape Town, to discuss an expert’s perspective on airway management in the COVID-19 patient. Takeaway lessons Good practices for intubating COVID patients are, by and large, good practices for intubating anybody. Using a standardized protocol, … Continue reading "Episode 37: Airway management for COVID-19"
2021-09-0557 minCritical Care ScenariosLightning rounds #6: Point of care ultrasoundWe chat about focused, clinician-performed point-of-care ultrasound (POCUS) in the ICU. How do you learn it? What are our favorite applications? What are some of the particulars and caveats surrounding credentialing, documentation, and billing? All that and more…
2021-08-2239 minCritical Care ScenariosEpisode 36: Preventing and managing complicationsBack in the arena with one of our favorites, Matt Siuba (@msiuba), Cleveland Clinic intensivist and Mr. Zentensivism, to discuss complications in critical care and how to prevent and manage them. Today we focus on atrial fibrillation with RVR and bleeding after thoracentesis and related other procedures. Takeaway lessons Rapid atrial fibrillation in the ICU … Continue reading "Episode 36: Preventing and managing complications"
2021-08-081h 03Critical Care ScenariosLightning rounds #5: Career development for critical care APPsConceiving, planning, and building your career as a critical care PA or NP. Determining if this field is for you, finding your first job, pinpointing your interests or “niche” during your early career, nurturing your growth during the mid-career period, and some thoughts on life and priorities in your late career.
2021-07-251h 08Critical Care ScenariosEpisode 35: When to operate in trauma with Dennis KimLooking at trauma from the perspective of a surgeon, with a focus on the perennial dilemma of when a patient needs surgery. Our guest is trauma surgeon Dr. Dennis Kim (@traumaicurounds), associate professor of Clinical Surgery at UCLA and medical director of the Harbor-UCLA Medical Center SICU, as well as host of the Trauma ICU … Continue reading "Episode 35: When to operate in trauma with Dennis Kim"
2021-07-111h 03Critical Care ScenariosEpisode 34: Lightning rounds #4Wrapping up our series on procedures with a talk about airway management. Who should manage airways in the ICU? What’s the role of intensivists, APPs, anesthesia, etc? What’s the “correct” balance of expertise, distribution of labor, and training? Our general approach to supraglottic airways, mask ventilation, intubation, cricothyrotomy, drugs, assessing airway anatomy, training, and more.
2021-06-271h 03Critical Care ScenariosEpisode 33: Ischemic stroke with Thomas LawsonEvaluation of ischemic stroke, decisions for tPA and thrombectomy, supportive critical care, and monitoring for cerebral edema—with returning guest Thomas Lawson (@TomLawsonNP), nurse practitioner in the neurocritical care unit at OSU Wexner Medical Center and James Cancer Hospital. Thomas is now also a PhD student at the OSU College of Nursing where he studies the … Continue reading "Episode 33: Ischemic stroke with Thomas Lawson"
2021-06-1342 minCritical Care ScenariosEpisode 32: Lightning rounds #3Following up from the last lightning rounds on vascular procedures, we look at non-vascular bedside procedures in the ICU: paracentesis, thoracentesis (including chest tubes), lumbar punctures, and bronchoscopy. How do we tap, what are our tricks, what’s the role of ultrasound, who needs a bronch, and more.
2021-05-3045 minCritical Care ScenariosEpisode 31: Practical mobility, awakening, and delirium prevention with Kali DaytonThe art of taking a critically ill, heavily sedated, floridly delirious patient on aggressive vent support and pulling them out of the loop of sedation, immobility, and delirium. With Kali Dayton, ACNP-BC (@HomeIcu), critical care nurse practitioner and host of the Walking Home from the ICU podcast, where she looks closely at these issues, including … Continue reading "Episode 31: Practical mobility, awakening, and delirium prevention with Kali Dayton"
2021-05-161h 00Critical Care ScenariosEpisode 30: Diabetic ketoacidosisDiagnosing and treating DKA, including fluid management, lab studies, insulin management, managing acid-base abnormalities, transitioning off your drips, and all the rest. Takeaway lessons Calculate your anion gap and perhaps your strong ion difference (or bicarb gap). In most cases, consider checking a b-hydroxybutyrate and a lactate to confirm the diagnosis, but hyperglycemia + anion … Continue reading "Episode 30: Diabetic ketoacidosis"
2021-05-0245 minCritical Care ScenariosEpisode 29: Lightning rounds #2A vascular access roundtable, discussing our practices surrounding arterial lines, central lines, PICC lines and midlines, and PA catheters. When do we place them? When can they come out? What sites do we like? When (and how) do we use ultrasound? What’s up with the axillary site, why does Brandon hate PICCs, the age-old debate … Continue reading "Episode 29: Lightning rounds #2"
2021-04-1838 minCritical Care ScenariosEpisode 28: Diuresis, deescalation, and liberation with Matt SiubaHow to take the well-resuscitated critically ill patient, get fluid out of them, deescalate their antibiotics, wean their sedation, reduce vent support, extubate, and get them out of the ICU—with Dr. Matt Siuba (Twitter: @msiuba), an intensivist at the Cleveland Clinic with an abiding interest in “zentensivism,” the art of doing less. Takeaway lessons Portal … Continue reading "Episode 28: Diuresis, deescalation, and liberation with Matt Siuba"
2021-04-041h 06Critical Care ScenariosEpisode 27: Wilderness medicine with Ross HofmeyrManagement of an alpine medicine scene including discussion of HAPE (High Altitude Pulmonary Edema), HACE (High Altitude Cerebral Edema), and suspension syndrome, with Dr. Ross Hofmeyr (@rosshofmeyr), anesthesiologist in the Department of Anaesthesia and Perioperative Medicine at the University of Cape Town, as well as cofounder and medical director of WildMedix, the oldest wilderness medicine … Continue reading "Episode 27: Wilderness medicine with Ross Hofmeyr"
2021-03-211h 08Critical Care ScenariosEpisode 26: ICU sedation, mobility, and delirium with Dale NeedhamHow to manage the intubated critically ill patient while keeping them awake, non-delirious, and mobile, with Dr. Dale Needham, FCPA, MD, PhD. Dr. Needham is a Professor of Pulmonary and Critical Care Medicine as well as Physical Medicine and Rehabilitation at the Johns Hopkins University. He is also director of their Outcomes After Critical Illness … Continue reading "Episode 26: ICU sedation, mobility, and delirium with Dale Needham"
2021-03-0745 minCritical Care ScenariosEpisode 25: RhabdomyolysisInitial workup, fluid management, renal replacement, and other subtleties of caring for the critically ill patient with rhabdomyolysis. Takeaway lessons Rhabdomyolysis is defined by elevated levels of creatinine kinase and/or myoglobin in the serum secondary to skeletal muscle breakdown with release of cellular contents. Common causes are crush or compartment syndrome, prolonged downtime on hard … Continue reading "Episode 25: Rhabdomyolysis"
2021-02-2133 minCritical Care ScenariosEpisode 16: Lightning rounds #1Quick takes on common controversies in the ICU, with Bryan and Brandon: Stress ulcer prophylaxis: drug selection, candidates, and when to discontinue Stress dose steroids: candidates, dosing, lab tests, and weaning Titrating PEEP: considering the disease process, PEEP/FiO2 tables, driving pressure trials, and pragmatic approaches
2020-09-2023 minCritical Care ScenariosEpisode 10: Ventilator dyssynchronyA restless patient experiences a series of dyssynchrony events during mechanical ventilation. Come see how Bryan wades through it all, and allow us to offer an academic, yet practical approach to this sometimes-confusing subject. Case files Takeaway lessons Start with ABCs and stabilizing the patient, then put on your thinking cap and try to optimize … Continue reading "Episode 10: Ventilator dyssynchrony"
2020-06-2842 minCritical Care ScenariosEpisode 9: Right heart failure and the SAVIOR protocol with Habib Srour (part 2)The book Buy the new textbook (Bryan edited, Brandon authored a chapter) here or on Amazon: Concepts in Surgical Critical Care, First Edition ed. Bryan Boling, DNP, ACNP; Kevin Hatton, MD, FCCM; Tonja Hartjes, DNP, ACNP-BC, CCRN, FAANP The podcast The second piece of our in-depth look at the management of right heart failure, with … Continue reading "Episode 9: Right heart failure and the SAVIOR protocol with Habib Srour (part 2)"
2020-06-1431 minCritical Care ScenariosEpisode 9: Right heart failure and the SAVIOR protocol with Habib Srour (part 1)The book Buy the new textbook (Bryan edited, Brandon authored a chapter) here or on Amazon: Concepts in Surgical Critical Care, First Edition ed. Bryan Boling, DNP, ACNP; Kevin Hatton, MD, FCCM; Tonja Hartjes, DNP, ACNP-BC, CCRN, FAANP The podcast An in-depth look at the management of right heart failure, with a focus on preserving … Continue reading "Episode 9: Right heart failure and the SAVIOR protocol with Habib Srour (part 1)"
2020-05-3131 min
Critical Care PractitionerCCP Podcast 111: Expanding Roles for APRNs in TelehealthRuth Kleinpell, Teresa Rincon and Denise Ward chat with Bryan Boling about the development of Telehealth in The USA.
2019-05-2120 minCritical Care PractitionerCCP Podcast 108: Liver problems in the ICU with Daniel Arellano and Brandi McCallBryan Boling chats with Daniel and Brandi about some of the liver problems our patients can have at the #NTI2019
2019-05-2033 min
Critical Care PractitionerCCP Podcast 094: Magnesium for the win.“Magnesium For the Win!”- with Bryan Boling. Guest: Habib Srour Dr. Srour is an attending in the Anesthesia Critical Care Division at the University of Kentucky where I practice. The episode is the first in a mini-series on electrolyte imbalances in the ICU. I hope to record an episode on hyponatremia soon. In the episode, […]
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2019-01-0826 minCritical Care PractitionerCCP Podcast 094: Magnesium for the win."Magnesium For the Win!"- with Bryan Boling. Guest: Habib Srour Dr. Srour is an attending in the Anesthesia Critical Care Division at the University of Kentucky where I practice. The episode is the first in a mini-series on electrolyte imbalances in the ICU. I hope to record an episode on hyponatremia soon. In the episode, we talk about a few studies that I said we'd link in the show notes: Review: Fawcett WJ, Haxby EJ, DaleDA. Magnesium: physiology and pharmacology. Br J Anaesth. 1999 Aug;83(2):302-20 https://www.ncbi.nlm.nih.gov/pubmed/10618948 Neuro: Bhudia SK, Cosgrove DM, Naugle RI, Rajeswar...
2018-09-2426 minCritical Care PractitionerCCP Podcast 092: Practicing Critical Care Like An Adult“Practicing Critical Care Like an Adult” This is the first podcast with my new co-host Bryan Boling without me! He has chosen to have a discussion with Brandon Oto (@critconcepts). Brandon is a PA in the Washington DC area who also writes a blog called Critical Concepts (http://www.critcon.org). The episode discusses maturing as a provider […]
The post CCP Podcast 092: Practicing Critical Care Like An Adult appeared first on Critical Care Practitioner.
2018-08-3035 minCritical Care PractitionerCCP Podcast 092: Practicing Critical Care Like An Adult"Practicing Critical Care Like an Adult" This is the first podcast with my new co-host Bryan Boling without me! He has chosen to have a discussion with Brandon Oto (@critconcepts). Brandon is a PA in the Washington DC area who also writes a blog called Critical Concepts (http://www.critcon.org). The episode discusses maturing as a provider as is based on a blog post he wrote recently. I think we can all take something from this one.
2018-08-3035 minCritical Care PractitionerCCP Podcast 091: Practitioners Across the PondI would like to introduce you all to Bryan Boling (@bryanboling) who is a critical care nurse practitioner over in the States. He is going to be a regular contributor to the podcast and he has many ideas and topics he wants to cover. In this episode, we talk about the differences and similarities of the practitioner role […]
The post CCP Podcast 091: Practitioners Across the Pond appeared first on Critical Care Practitioner.
2018-08-2529 minCritical Care PractitionerCCP Podcast 091: Practitioners Across The PondI would like to introduce you all to Bryan Boling (@bryanboling) who is a critical care nurse practitioner over in the States. He is going to be a regular contributor to the podcast and he has many ideas and topics he wants to cover. In this episode, we talk about the differences and similarities of the practitioner role in the UK and USA.
2018-08-2529 min
The Dungeoneers Podcast131 - The Curse of Bryan AdamsReeling from the loss of their party member, the party soldiers on to collect the construct and get it back to town. However travel in the jungle is tougher than they could ever imagine. Please forgive us, we do it for you. Starring Ronnie "Verge" Whitmire(Big Boss Dungeoneer), Mike Robertson(Callum), Jeffrey Nye(Alon), Brandt Wetzel(Sigil) and Robert Goen(Bart). dungeoneerspodcast.com | facebook.com/dungeoneerspodcast | @dungeoneerspod
2018-06-3057 min