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Emergency critical care fundamentals. Visit ICUedu.org for video versions of the talks as well as infographics that can be used as visual aids while listening to the podcasts.

Sara Crager


    • Apr 18, 2025 LATEST EPISODE
    • monthly NEW EPISODES
    • 29m AVG DURATION
    • 55 EPISODES


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    Latest episodes from ICUedu

    Valvulopathy Part II: Stenosis

    Play Episode Listen Later Apr 18, 2025 43:08


    Acute medical management of valvulopathy.  Part II talks about the pathophysiology and management of stenotic valves: AS and MS.  Check out Rapid Sequence, ICUedu's new education project at rapidsequence.org   Great Core Ultrasound post on POCUS assessment of valvulopathy: https://coreultrasound.com/valves-2/  Additional content and educational resources at ICUedu.org

    Valvulopathy Part I: Regurgitation

    Play Episode Listen Later Jan 20, 2025 42:55


    Acute medical management of valvulopathy.  Part I talks about the pathophysiology and management of regurgitant valves: AI, MR, and TR.  Great Core Ultrasound post on POCUS assessment of valvulopathy: https://coreultrasound.com/valves-2/Additional content and educational resources at ICUedu.org

    Resuscitation & the Science of Expertise

    Play Episode Listen Later Oct 21, 2024 33:46


    How can the science of expertise inform our ability to attain excellence in resuscitation?Additional content and educational resources at ICUedu.orgReferences for the papers mentioned in the episode: Kovacs & Croskery. Clinical Decision Making: An Emergency Medicine Perspective. Academic Emergency Medicine, 1999; 6(9): 947-952The Neuroscience of Expertise. Bilalic (2017), Cambridge University PressJeon et al. What does “being an expert” mean to the brain?  Functional specificity and connectivity in expertise.  Cerebral Cortex, 2017; 27(12): 5603-5615Gobet & Simon. Recall of random and distorted chess positions: Implications for the theory of expertise. Memory & Cognition, 1996; 24(4): 493-503 Gold & Ciorciari.  A Review on the Role of the Neuroscience of Flow States in the Modern World. Behav Sci (Basel), 2020;10(9):137

    Electrical Storm

    Play Episode Listen Later Jun 21, 2024 46:43


    Management approach for electrical storm!For a deep dive into EKGs in wide complex tachycardias, take a look at this awesome lecture by Amal Mattu.References to articles mentioned in the podcast:Cheskes et al. Defibrillation Strategies for Refractory Ventricular Fibrillation. N Engl J Med. 2022 Nov 24;387(21):1947-1956Ortiz et al. Randomized comparison of intravenous procainamide vs. intravenous amiodarone for the acute treatment of tolerated wide QRS tachycardia: the PROCAMIO study. Eur Heart J 2017;38(17):1329-1335Song et al. Association of Dexmedetomidine With New-Onset Atrial Fibrillation in Patients With Critical Illness. JAMA Netw Open 2023;6(4):e239955Wang etc. Effect of Dexmedetomidine on Tachyarrhythmias After Cardiac Surgery: A Systematic Review and Meta-Analysis. J Cardiovasc Pharmacol 2022;79(3):315-324Zhong et al. Dexmedetomidine Reduces Incidences of Ventricular Arrhythmias in Adult Patients: A Meta-Analysis. Cardiol Res Pract 2022;5158362Do et al. Thoracic Epidural Anesthesia Can Be Effective for the Short-Term Management of Ventricular Tachycardia Storm. J Am Heart Assoc. 2017 Oct 27;6(11):e007080Tian et al. Effective Use of Percutaneous Stellate Ganglion Blockade in Patients With Electrical Storm. Circ Arrhythm Electrophysiol. 2019;12(9):e007118Batnyam et al. Safety and Efficacy of Ultrasound-Guided Sympathetic Blockade by Proximal Intercostal Block in Electrical Storm Patients. JACC Clin Electrophysiol 2024;10(4):734-746

    Physiologically Difficult Airway

    Play Episode Listen Later May 3, 2024 41:08


    ICUedu Physiologically Difficult Airway Pocket Intensivist CardICUedu.org page with video lecture, references, and a downloadable link to key visuals: https://www.icuedu.org/physiologicallydifficultairway

    Permutations of Sick + Hypotensive

    Play Episode Listen Later Apr 27, 2024 21:08


    We know what to do with the patient who is sick and hypotensive.  But what about the patient who is sick but not hypotensive?  Or the patient who is hypotensive but not sick?References for the papers mentioned in the podcast on use of midodrine in the ED:Puissant et al (2022). Wait, What? Oral Midodrine Instead of Pressors for Septic Shock? Annals of Emergency Medicine;80(4):S94Zada et al (2024). Midodrine in Early Septic Shock. Critical Care Medicine 52(1):S708Lal et al (2021). Oral Midodrine Administration During the First 24 Hours of Sepsis to Reduce the Need of Vasoactive Agents: Placebo-Controlled Feasibility Clinical Trial. Critical Care Explorations 3(5):e0382Additional content and educational resources at ICUedu.org

    Beyond the ABCs

    Play Episode Listen Later Jan 12, 2024 25:39


    ICUedu Approach to the Acutely Ill Patient Pocket Intensivist CardAdditional content and educational resources at ICUedu.org

    Bedside Echo Physiologic DDX

    Play Episode Listen Later Jan 10, 2024 20:08


    Additional content and educational resources at ICUedu.org

    Acid-Base 2.0

    Play Episode Listen Later Dec 17, 2023 59:01


    ICUedu Acid-Base 2.0 Pocket Intensivist CardThis lecture has a lot of important visuals.  Here is is a link to the ICUedu.org subpage with the video lecture and a downloadable link to the key lecture visuals: https://www.icuedu.org/approachacidbase

    Vasoplegia

    Play Episode Listen Later Nov 22, 2023 20:17


    ICUedu Vasoplegia Pocket Intensivist Card

    The Big 5: Misses That Matter

    Play Episode Listen Later May 26, 2023 17:39


    Additional content and educational resources at ICUedu.org

    The Sepsis Survey

    Play Episode Listen Later May 26, 2023 13:51


    Like the Trauma Survey... but for sepsis!Additional content and educational resources at ICUedu.org

    Approach to Cardiac Arrest

    Play Episode Listen Later May 14, 2023 50:53


    Updated talk on approach to cardiac arrest! Access to video version of lecture, supplemental materials & references at: https://www.icuedu.org/cardiacarrest

    Mistakes #2: Agitation, CRRT & Trachs

    Play Episode Listen Later May 12, 2023 28:29


    Additional content and educational resources at ICUedu.org

    Critical Cases #4: SCAPE with WCT

    Play Episode Listen Later May 12, 2023 32:20


    Additional content and educational resources at ICUedu.orgMore discussion of unstable A-fib: https://www.icuedu.org/unstableaf

    Mistakes #1: Fourniers, A-fib & Cholecystitis

    Play Episode Listen Later Mar 28, 2023 21:50


    Additional content and educational resources at ICUedu.org

    Blood Gas Reading Skills: ABG #3

    Play Episode Listen Later Mar 28, 2023 6:54


    Blood Gas Reading Skills seriesAdditional content and educational resources at ICUedu.orgIf you have ABGs you are interested in submitting for possible discussion, you can send along the ABG, the basic metabolic panel, and the albumin (if you have it) as well as a one-liner summary of the clinical context through the ICUedu comments section 

    Reframing Shock Part II: 3-Pressures Approach to Shock

    Play Episode Listen Later Mar 23, 2023 64:54


    Chapter 1: Clinical ContextChapter 2: Perfusion PressuresChapter 3: Three-Pressures Physiology MapChapter 4: ManagementThis lecture has a lot of important visuals.  Here is is a link to the ICUedu.org subpage with the video lecture and a downloadable link to the key lecture visuals:  https://www.icuedu.org/reframingshock-2

    Right Ventricular Failure & Pulmonary Hypertension

    Play Episode Listen Later Mar 21, 2023 69:09


    Right ventricular failure talk updated and re-recorded!  This version is broken down into chapters within the podcast feed rather than published as separate segments.Chapter 1: Clinical ContextChapter 2: PhysiologyChapter 3: Diagnosis and Differential DiagnosisChapter 4: Spiral of DeathChapter 5: ManagementChapter 6: RecapAccess to video version of lecture, supplemental materials & references at: https://www.icuedu.org/rvfailureLink to review article

    Pressors and Vasoactives

    Play Episode Listen Later Mar 16, 2023 42:40


    Chapter 1: Why Start Vasoactives?Chapter 2: When Start Vasoactives?Chapter 3: Which Vasoactive to Start?Access to video version of lecture, supplemental materials & references at: https://www.icuedu.org/pressorsvasoactives

    Critical Cases #3: Hypoxemia with Abdominal Distention

    Play Episode Listen Later Feb 17, 2023 11:35


    Additional content and educational resources at ICUedu.org

    Blood Gas Reading Skills: ABG #2

    Play Episode Listen Later Feb 17, 2023 9:34


    Blood Gas Reading Skills seriesAdditional content and educational resources at ICUedu.orgIf you have ABGs you are interested in submitting for possible discussion, you can send along the ABG, the basic metabolic panel, and the albumin (if you have it) as well as a one-liner summary of the clinical context through the ICUedu comments section 

    Thoughtful Use: Bicarb and Calcium

    Play Episode Listen Later Jan 23, 2023 26:08


    Additional content and educational resources at ICUedu.org

    Blood Gas Reading Skills: ABG #1

    Play Episode Listen Later Jan 23, 2023 15:19


    Blood Gas Reading Skills seriesAdditional content and educational resources at ICUedu.orgIf you have ABGs you are interested in submitting for possible discussion, you can send along the ABG, the basic metabolic panel, and the albumin (if you have it) as well as a one-liner summary of the clinical context through the ICUedu comments section 

    Critical Cases #2: Sick Atrial Fibrillation

    Play Episode Listen Later Jan 23, 2023 17:53


    Additional content and educational resources at ICUedu.orgYou can find a quick reference chart on inhaled pulmonary vasodilators in the Cardiac Infographics section of the website: https://www.icuedu.org/core-content

    Ventilator Alarms

    Play Episode Listen Later Jan 14, 2023 19:41


    Access to video version of lecture & supplemental materials: https://www.icuedu.org/ventalarms

    LVADs in the Emergency Department

    Play Episode Listen Later Jan 13, 2023 37:42


    Lecture audio here, you can access video version of lecture and supplemental content at: https://www.icuedu.org/lvads

    Hemorrhagic Shock and Massive Transfusion

    Play Episode Listen Later Jan 13, 2023 51:37


    00:00 Pathophysiology13:27 Decision to initiate massive transfusion28:18 Massive transfusion product composition35:21 Metabolic derangements39:51 Pressors in hemorrhagic shock?47:54 Approach to refractory shock

    Reframing Shock Part I: The Shock Continuum

    Play Episode Listen Later Oct 25, 2022 71:30


    Chapter 1: Stages of ShockChapter 2: Shock IdentificationChapter 3: Shock Differential Diagnosis Access to video version of lecture, supplemental materials & references at: https://www.icuedu.org/reframingshock-1

    Emergency Medicine Cognitive Toolbox

    Play Episode Listen Later Oct 25, 2022 50:39


    Access to video version of lecture & supplemental materials: https://www.icuedu.org/emcognitiveapproach

    Unstable Atrial Fibrillation

    Play Episode Listen Later Aug 5, 2022 24:23


    Access to video version of lecture & supplemental materials at: https://www.icuedu.org/unstableaf

    Precision BiPAP

    Play Episode Listen Later Aug 4, 2022 29:59


    Access to video version of lecture, supplemental materials & references at: https://www.icuedu.org/bipap

    Critical Cases #1: Respiratory Acidosis

    Play Episode Listen Later Aug 4, 2022 17:42


    Additional content and educational resources at ICUedu.org

    Fluid Resuscitation II: Physiology

    Play Episode Listen Later Aug 3, 2022 47:46


    Access to video version of lecture, supplemental materials & references at: https://www.icuedu.org/fluids

    Fluid Resuscitation I: Fluids in Sepsis

    Play Episode Listen Later Aug 3, 2022 33:44


    Access to video version of lecture, supplemental materials & references at: https://www.icuedu.org/fluids

    Vents 201 Part VIII: VQ Mismatch

    Play Episode Listen Later Aug 3, 2022 19:02


    Access to video version of lecture & supplemental materials at: https://www.icuedu.org/vents201

    Vents 201 Part VII: APRV

    Play Episode Listen Later Aug 3, 2022 41:59


    Access to video version of lecture & supplemental materials at: https://www.icuedu.org/vents201

    Vents 201 Part VI: Lung Injury Physiology

    Play Episode Listen Later Aug 3, 2022 28:14


    Access to video version of lecture & supplemental materials at: https://www.icuedu.org/vents201

    Vents 201 Part V: Obstructive Physiology

    Play Episode Listen Later Aug 3, 2022 18:19


    Access to video version of lecture & supplemental materials at: https://www.icuedu.org/vents201

    Vents 201 Part IV: Patient-Vent Dyssynchrony.

    Play Episode Listen Later Aug 2, 2022 20:25


    Access to video version of lecture & supplemental materials at: https://www.icuedu.org/vents201

    Vents 201 Part III: Resistance and Compliance

    Play Episode Listen Later Aug 2, 2022 16:47


    Access to video version of lecture & supplemental materials at: https://www.icuedu.org/vents201

    Vents 201 Part II: Goal of Mechanical Ventilation

    Play Episode Listen Later Aug 2, 2022 9:01


    Access to video version of lecture & supplemental materials at: https://www.icuedu.org/vents201

    Vents 201 Part I: Introduction

    Play Episode Listen Later Aug 2, 2022 12:53


    Access to video version of lecture & supplemental materials at: https://www.icuedu.org/vents201

    The Critically Ill Cirrhotic Patient

    Play Episode Listen Later Aug 2, 2022 40:45


    Access to video version of lecture & supplemental materials at: https://www.icuedu.org/vents201Link to review article

    COVID Intubation Triggers

    Play Episode Listen Later Aug 2, 2022 65:38


    Access to video version of lecture, supplemental materials at: https://www.icuedu.org/covideti

    Vents 101 Part IV: Troubleshooting

    Play Episode Listen Later Aug 1, 2022 18:39


    Take a look at the updated Vent Alarms episode posted 1/13/23 for further discussion of vent alarms!Access to video version of lecture & supplemental materials at: https://www.icuedu.org/vents101

    Vents 101 Part III: Basic Management Strategies

    Play Episode Listen Later Aug 1, 2022 30:54


    Access to video version of lecture & supplemental materials at: https://www.icuedu.org/vents101

    Vents 101 Part II: Basic Metrics and Modes

    Play Episode Listen Later Aug 1, 2022 37:23


    Access to video version of lecture & supplemental materials at: https://www.icuedu.org/vents101

    Vents 101 Part I: Pulmonary Physiology

    Play Episode Listen Later Aug 1, 2022 32:15


    Access to video version of lecture & supplemental materials at: https://www.icuedu.org/vents101

    DKA Case Part VI: Electrolyte Composition of IV Fluids

    Play Episode Listen Later Jul 30, 2022 12:14


    Access to video version of lecture & supplemental materials at: https://www.icuedu.org/acidbasecasedka

    DKA Case Part V: Strong Ion Difference

    Play Episode Listen Later Jul 30, 2022 4:52


    Access to video version of lecture & supplemental materials at: https://www.icuedu.org/acidbasecasedka

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