POPULARITY
10 episodes with cardiac icu
2 episodes with cardiac icu
3 episodes with cardiac icu
4 episodes with cardiac icu
2 episodes with cardiac icu
2 episodes with cardiac icu
2 episodes with cardiac icu
2 episodes with cardiac icu
Join our host Saidie Rodriguez (Children's Healthcare of Atlanta) as she discusses the topic of Leadership with our panel of guests - Genevieve M. Frey MSN, RN, CPN (Associate Vice President, Heart Center Transformation, Lurie Children's Hospital of Chicago), Justin Elhoff, MD (Medical Director, Cardiac ICU, Sunrise Children's Hospital), Kshitij Mistry MD, MMSc (Director, Heart Center Quality Outcomes, Boston Children's Hospital), and Erin M. Dugan, NP (Director, Advanced Practive, Levine Children's Hospital). The panelists share key insights from their PCICS 2024 presentations on Leadership and explore how professionals at all levels, regardless of position or experience, can adopt and cultivate a leadership mindset to drive their professional goals. Join us for this engaging conversation and take away practical tools to advance your own leadership journey. Host: Saidie Rodriguez, MD (Children's Healthcare of Atlanta) Editor & Producer: Christopher Knoll, MD (Phoenix Children's Hospital)
Get caught up on the current best practices and guidelines in venous interventions. Dr. Adam Raskin covers this and more, with host Dr. Sabeen Dhand in this discussion of DVT and PE treatments. Dr. Raskin is an interventional cardiologist, medical director of Cardiac ICU, and Co-Director of the PERT program at Mercy Health in Cincinnati, Ohio. --- CHECK OUT OUR SPONSOR Imperative Care https://imperativecare.com/vascular/ --- SYNPOSIS Dr. Raskin shares his comprehensive approach for treating patients with DVT and PE, highlighting recent advancements in thrombectomy systems, as well as underscoring the need for more randomized trials to further build on current venous disease treatment guidelines. The doctors also touch on the significance of accurate diagnostic tools and thorough follow-up to improve patient outcomes. --- TIMESTAMPS 00:00 - Introduction 10:58 - Approaching DVT & PE Patients 19:04 - Thrombectomy Advancements 24:02 - Iliofemoral Interventions & Standard Practices 26:32 - Accessing Tibial Veins & Clearing Clots 38:59 - Follow-Up & Data Collection 41:09 - Future of Venous Interventions --- RESOURCES The 2023 Society for Vascular Surgery, American Venous Forum, and American Vein and Lymphatic Society clinical practice guidelines for the management of varicose veins of the lower extremities. Part II Endorsed by the Society of Interventional Radiology and the Society for Vascular Medicine: https://www.jvsvenous.org/article/S2213-333X(23)00322-0/fulltext
Dr. Andy Sabatier, a physiotherapist passionate about the mechanics of breathing, joins us. After training at Stanford Hospital's Cardiac ICU and serving as the primary ICU physical therapist for a hospital system in Oregon, Andy has dedicated himself to eliminating confusion and harmful practices around breathing. We continue the conversation on breathing that we started a few weeks ago with Alison Starr.In this episode, Andy explains the difference between functional and dysfunctional breathing, the anatomy of the breathing muscles, and simple practices to optimize your breathing. You'll walk away with a fascinating new perspective on this essential bodily function we often take for granted.Get full show notes and more information here: https://erikabelanger.com/242 Hosted on Acast. See acast.com/privacy for more information.
In today's episode, hosts Amanda Golightly and Kate McDowell interview Tracy Burkdoll, a family nurse practitioner who transitioned from working in a cardiac ICU to a holistic approach inspired by her pets. Tracy's personal health journey, the importance of addressing symptoms, and the value of patience and investing in one's health are just some of the highlights of this insightful conversation. From holistic health approaches to the need for parasitic cleanses and heavy metal detoxes, this episode is filled with valuable information to support your own health journey. Join us as we delve into the world of holistic health and the incredible potential for healing from within. Timestamp: 00:00 Reflecting on past as a nurse.06:32 Hormonal birth control caused severe mood swings.09:10 Struggles with skin condition and ineffective treatments.11:02 Doctor Jean Dodds conducts comprehensive thyroid research.16:33 Transitioning to raw diet, health concerns arise.19:34 Sudden improvement, then severe skin problems ensued.22:41 Doctors prescribed psoriasis medication despite health concerns.25:09 Poor habits led to toxic body burden.27:37 Pill may mask symptoms, not solve them.32:09 Patience is key for liver cell recovery.34:14 "Nutrition is crucial for true total health."38:16 Embrace life, be healthy and seek help.40:44 Mom's health improved through targeted treatment.44:19 Colleague Sarah Outlaw's Skittles analogy explanation.47:35 Grateful for podcast opportunity, offering career advice. Resources: Connect with Tracy Burkdoll: Phone - (708) 554-6730 Website - http://oasisfornaturalhealing.com/index.html Instagram - https://www.instagram.com/oasis_forhealing/ Connect with Kate & Amanda: Website - www.alignednaturalhealth.com Instagram - https://www.instagram.com/alignednaturalhealth *** This podcast is for information purposes only. By providing the information contained herein, we are not diagnosing, treating, curing, mitigating, or preventing any disease or medical condition. Before beginning any type of natural regimen, it is advisable to seek the advice of a licensed healthcare professional.
In this episode, professional photographers Kyle Wilson and Henry Tieu discuss the importance of SEO in the photography industry. They emphasize the role of backlinks in enhancing a website's ranking and recommend SEO Edge, a mobile app for tracking keyword rankings. They also discuss the ethical considerations of sharing intimate wedding photos, agreeing on the importance of discretion even though they legally have the right to use these images. About Henry: Hi, I am Henry Tieu, an elopement and intimate wedding photographer based out of Seattle, Washington. My background in the Cardiac ICU inspires my passion for capturing moments and preserving them in the most artful forms. Photography has allowed me to step outside of my comfort zone and connect with people in ways I never thought would be possible. Links: https://www.henry-tieu.com/ https://www.instagram.com/henrysdiary/?hl=en Get Narrative Select for Free: https://narrative.so/select
Commentary by Dr. Candice Silversides
Priya Bhaskar, M.D. is an Associate Professor of Pediatrics at UT Southwestern and an attending in the Cardiac ICU at Children's Medical Center Dallas. She completed her pediatric residency at Inova Children's Hospital in Virginia and critical care fellowship at UTSW prior to completing a 1 year CICU fellowship at Laurie Children's in Chicago. Prior to her current position here at UTSW she was a cardiac intensivist at Arkansas Children's Hospital. Her professional interests include extracorporeal support and education. She serves on the ECMO team as a core staff physician, and she has co-authored a review on this topic that we will use to guide our conversation. Learning Objectives:By the end of this podcast, listeners should be able to discuss:The general indications for VA-ECMO in pediatrics.The anatomic and physiologic rationale supporting various VA-ECMO cannulation strategies.Physiologic targets to ensure adequate oxygen delivery for patients on VA-ECMO.Hemodynamic complications of VA-ECMO such as left atrial hypertension and harlequin syndrome and general strategies in their management. Liberation strategies for VA-ECMO either to decannulation or conversion to ventricular assist device.How to support PedsCrit:Please rate and review on Spotify and Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show.Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.com for detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updates.References:Bhaskar, P., Davila, S., Hoskote, A., & Thiagarajan, R. (2021). Use of ECMO for Cardiogenic Shock in Pediatric Population. Journal of clinical medicine, 10(8), 1573. https://doi.org/10.3390/jcm10081573Brown G, Moynihan KM, Deatrick KB, Hoskote A, Sandhu HS, Aganga D, Deshpande SR, Menon AP, Rozen T, Raman L, Alexander PMA. Extracorporeal Life Support Organization (ELSO): Guidelines for Pediatric Cardiac Failure. ASAIO J. 2021 May 1;67(5):463-475. doi: 10.1097/MAT.0000000000001431. Erratum in: ASAIO J. 2022 Jul 1;68(7):e129. PMID: 33788796.Xie A, Forrest P, Loforte A. Left ventricular decompression in veno-arterial extracorporeal membrane oxygenation. Ann Cardiothorac Surg. 2019 Jan;8(1):9-18. doi: 10.21037/acs.2018.11.07. PMID: 30854308; PMCID: PMC6379183. https://www.elso.org/ecmo-resources/elso-ecmo-guidelines.aspx https://www.congenitalheartacademy.com/home Support the show
Our nursing professors cautioned us about the risk of not using proper technique when removing central lines, their warnings sometimes seeming dramatic and unlikely. That's why this previously released interview with Nurse Marissa is such an important story, because sometimes those rare cases DO happen!In this episode, Marissa tells the story of a patient that was admitted for her mental status, lethargy and hyperkalemia. She seemed to improve but then became unresponsive, and the rapid response team was called. What followed was the surprising discovery of air in her brain, and a probe into how it happened.At the end of Marissa's story, host Sarah Lorenzini shares her research on air embolisms, including how air gets into the bloodstream, what happens when it travels to each part of the body, and the level of risk associated with each scenario.By the end of this episode, you'll know the steps you can take if your patient pulls their central line just like Marissa's patient, what signs to look for, and how to treat a cerebral embolus if it occurs. Tune in now!Topics discussed in this episode:Marissa's journey from Med-Surg nurse to Cardiac ICU to Rapid ResponseHer patient's presentation and patient historyWhat the patient's CT showedHow they treated the patient for air in the brainHow air gets into the bloodstreamThe risk associated with air embolismsWhat to do if your patient pulls their own central lineThings to remember about air embolismsLearn more about the pathophysiology of air embolism in the brain in this article by the American Heart Association, called Accidental Air Embolism: https://www.ahajournals.org/doi/full/10.1161/STROKEAHA.119.025340Mentioned in this episode:Rapid Response and Rescue Intro CourseIf you would like to check out Sarah's 1hr, 1 CE course, go to: http://www.rapidresponseandrescue.com To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST!AND If you are planning to sit for your CCRN and would like to take the Critical Care Academy CCRN prep course you can visit https://www.ccrnacademy.com and use coupon code RAPID10 to get 10% off the cost of the course!
Different types of patients in a cardiac ICU. Discussing books The Dawn of Everything by Graeber and The Sword of Kaigen by Wang.
The practice of critical care cardiology relies on the use of invasive hemodynamics, mechanical ventilation, mechanical circulatory support, and other advanced techniques to help our patients recover from critical cardiac illnesses. To facilitate these interventions, it is essential to have a broad understanding of how sedation and analgesia keep our patients comfortable and safe throughout their time in the CICU. In this episode, series co-chair, Dr. Yoav Karpenshif, and CardioNerds co-founder, Dr. Daniel Ambinder, are joined by Dr. Natalie Tapaskar, cardiology fellow and CardioNerds FIT Ambassador from Stanford, and faculty expert, Dr. Chris Domenico, to discuss sedation in the cardiac ICU. Notes were drafted by Dr. Natalie Tapaskar. Audio editing by CardioNerds academy intern, Anusha Gandhi. We discuss the use of analgesics and sedative medications in the cardiac ICU. We dissect three cases of VT storm, heart failure associated cardiogenic shock, and cardiac arrest. We assess the hemodynamic, arrhythmic, and metabolic effects of opioids and sedatives and delve into the altered pharmacokinetics of these drugs during targeted temperature management. Most importantly, we highlight the use of structured pain and sedation scoring systems and discuss the recognition and management of ICU delirium both from a pharmacologic and non-pharmacologic standpoint. The CardioNerds Cardiac Critical Care Series is a multi-institutional collaboration made possible by contributions of stellar fellow leads and expert faculty from several programs, led by series co-chairs, Dr. Mark Belkin, Dr. Eunice Dugan, Dr. Karan Desai, and Dr. Yoav Karpenshif. Pearls • Notes • References • Production Team CardioNerds Cardiac Critical Care PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls and Quotes - Sedation in the Cardiac ICU with Dr. Christopher Domenico Think about analgesia and sedation as separate entities with management of analgesia first and sedation second. Frequent re-assessment of needs should be performed to reduce ICU delirium and improve long-term outcomes. Fentanyl is generally a good starting point for analgesia in the ICU since it is fast on/fast off, but can stick around for a long time the longer it is used. The choice of bolus or continuous infusion opioids depends on the clinical scenario and personal/institutional preference. Remember to administer bolus doses that are 50-100% of the hourly continuous infusion dose to reach steady state faster. When managing refractory VT storm with sedative agents (propofol, benzodiazepines and/or dexmedetomidine), you should target the deepest level of sedation necessary to suppress sympathetic drive. For cardiogenic shock patients, the choice of sedative agent is a nuanced decision. Think about etomidate first for intubation as it has the least cardiovascular and hemodynamic impact. And remember the propofol trifecta: negative inotropy, direct vasodilation, and bradycardia! Pharmacokinetics are disrupted during targeted temperature management, thus be weary of overly sedating patients due to reduced drug clearance. Show notes - Sedation in the Cardiac ICU with Dr. Christopher Domenico How do we initiate analgesics and sedatives? Analgesia first and sedation second! Analgesia: think about how to reduce a patient's painEveryone has a different pain tolerance and critically ill patients can have moderate to severe pain at baseline. Metrics to assess pain include self-reported scales, behavioral scales, facial expressions, extremity movement, compliance with the ventilator, tachycardia, tachypnea, and hypertension. Sedation: think about how to reduce a patient's agitation or anxietyThe target depth of sedation depends on the clinical scenario.For example,
When Brittany gave birth to her son, she thought she was healthy … until she had a heart attack immediately afterward. The downhill spiral from there – medically dying of heart failure 6 times, being among 1% of women who need a heart transplant, and diagnosed with Stage 4 cancer within a year after finally receiving her long-awaited transplant – turned into a catalyst for Brittany to accomplish more with her life than she ever thought possible. She earned a master's and PhD during the most stressful periods of her life, aiming to help others cope with being on the edge of death.You'll hear:How the plans Brittany had for starting her family were radically different from realityWhat got her through being confined to Cardiac ICU for 9 monthsWhat caused her to keep going after she almost gave up on her battle to “hang in there” after waiting almost 3 years for a heart transplantWhat she has learned are the MOST important things in lifeHow she got her doctorate while undergoing chemo and radiation for Stage 4 cancer … less than a year after her heart transplant.How both Brittany and her 12-year-old son work to help critical illness patients and their families create environments where they can heal.Learn about Brittany's life and mission on her websiteConnect with her on Facebook, TikTok, or Instagram.Some days you just need a little pep talk, so I created a motivational video where I share the top lessons I learned when I went through Ranger School. I did it to help motivate you when you're facing your own challenges and facing adversity. The video is free, and you can get it HERE.Leave a review of this podcast on your favorite platform; it helps us get these stories out to more people who need to hear them! To give specific feedback directly to us on what you like about the podcast and what you don't, fill out this 5-minute survey.Don't let fear win. Get your FREE copy of the Unbeatable Army Survival Guide HERE.
On episode 401 of The Nurse Keith Show nursing and healthcare career podcast, Keith interviews Sarah Lorenzini, an expert Rapid Response Nurse Educator and the host of the awesome "Rapid Response RN" podcast. In the course of this inspiring conversation, Keith and Sarah discuss the magic, excitement, challenges, and professional satisfaction of rapid response nursing. Bringing clarity, comfort, hope, and calm is something Sarah loves providing her patients when they're at their most vulnerable and frightened, and she also deeply enjoys being a rapid response nurse educator. If you find rapid response nursing and trauma fascinating — whether it's your chosen career path or not — this episode will be a very fulfilling listen indeed. Sarah Lorenzini is a Rapid Response Nurse and Educator who loves telling stories to teach critical thinking. Her nursing career started in the ER, and she has since worked in the Cardiac ICU, on the Rapid Response Team, taught as a Nursing Professor and ER Nurse Educator, and COVID brought her back to the bedside as a Rapid Response Nurse once again. Sarah holds a Masters degree in Nursing Education along with her CCRN and CEN certifications. She has taught ACLS, PALS, and NRP, and is a speaker at multiple nursing symposiums. On her podcast, "Rapid Response RN," Sarah shares real-life stories from the frontlines of nursing and breaks down the pathophysiology, pharmacology, and the nurse's role in caring for that patient. She is married to the love of her life, Neil, and together they have five children and one grandson. She enjoys exploring the outdoors with her family, crocheting warm things even though she lives in Florida, and gummy bears. Connect with Sarah Lorenzini & The Rapid Response RN: The Rapid Response RN podcast Instagram Sarah's rapid response online course (go ahead and earn a CE!) The Rapid Response RN podcast on RNegade.pro (earn CEs while listening to Sarah's show!) Nurse Keith is a holistic career coach for nurses, professional podcaster, published author, award-winning blogger, inspiring keynote speaker, and successful nurse entrepreneur. Connect with Nurse Keith at NurseKeith.com, and on Twitter, Facebook, LinkedIn, and Instagram. Nurse Keith lives in beautiful Santa Fe, New Mexico with his lovely fiancée, Shada McKenzie, a highly gifted traditional astrologer and reader of the tarot. You can find Shada at The Circle and the Dot. The Nurse Keith Show is a proud member of The Health Podcast Network, one of the largest and fastest-growing collections of authoritative, high-quality podcasts taking on the tough topics in health and care with empathy, expertise, and a commitment to excellence. The podcast is adroitly produced by Rob Johnston of 520R Podcasting, and Mark Capispisan is our stalwart social media manager and newsletter wrangler.
In this episode Laura interviews one of our Master's Mentorship Year Two superstars. Sita offers deep transformative healing in partnership with Sacred Chocolate as a Board Certified Life and Holistic Nurse Coach. Her healing journey brought her from the Cardiac ICU of Mount Sinai Hospital to the heart-healing properties of Sacred Chocolate. She has been a student of this medicine for the last 8 years and is leading the way of bringing Sacred Chocolate to the world of Healthcare. Sita is expert at partnering with Sacred Chocolate to help her clients accelerate with falling back in love with life. Facebook: https://www.facebook.com/sita.coutu (https://www.facebook.com/sita.coutu) Heal Your Heart with Chocolate Facebook Group: http://facebook.com/groups/healyourheartwithchocolate (facebook.com/groups/healyourheartwithchocolate) Website: http://healthalchemyrn.com/ (HealthAlchemyRN.com) TIME STAMP [00:37] Laura introduces Sita [02:18] Sita shares what she loves about private practice [08:10] Sita hires her first life coach [12:24] As her health fell apart, she found the tools that brought her back to life [14:17] Sita travels to Guatemala to study coffee and cacao [20:26] Sita shares her Spiritual moments [27:20] Chocolate can create massive impact (clip) [31:40] Laura shares Evan's experience during a ceremony. “It's not just a cup of chocolate”. [34:03] Sita teaches us more about Cacao and implications physiologically [42:36] Who Sita is working with now and the Be, Do, Have Paradigm Make sure to subscribe, rate and review our podcast! Join our Facebook grouphttps://www.facebook.com/groups/thesuccessfulnursecoach ( HERE) You can check us out on Instagram @successful_nursecoaches Websitehttps://www.thesuccessfulnursecoaches.com/workwithus ( https://www.thesuccessfulnursecoaches.com/workwithus)
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Dr. Wernovsky is a senior consultant in pediatric Cardiology and Cardiac Critical Care at Children National Hospital, having joined the faculty in 2018. He attended Brandeis University, receiving a BS degree in 1978 in anthropology and music. He attended Pennsylvania State University College of Medicine, receiving his M.D. in 1982. He completed a pediatric residency at New York Hospital (now known as Weill Cornell Medical Center) in 1985, and his pediatric cardiology fellowship at Boston Children's Hospital in 1988, with a focus on cardiac intensive care. He was appointed the Associate Director of the Cardiac ICU through 1995.At Children's National Hospital, he is also a member of the NeuroCardiac Critical Care Team, and is a Professor of Pediatrics at the George Washington University School of Medicine and Health Sciences.Regarding research, he was a study physician in the landmark Boston Circulatory Arrest Study from 1987-1992, and was the Principal Investigator of the international PRIMACORP study from 2002-2003, at the time the largest multicenter trial in pediatric cardiac intensive care. He has edited six textbooks and 13 periodicals, and has published nearly 300 peer-reviewed manuscripts, book chapters and reviews. He has an H-index of 91 and his work has been cited over 25,000 times.He is a founding member of:Pediatric Cardiac Intensive Care Society (1996)International Society of Pediatric Mechanical Circulatory Support(2009)World Society for Pediatric and Congenital Cardiac Surgery (2010)Cardiac Neurodevelopmental Outcome Collaborative (2016)Congenital Heart Academy (2020) – which presented over 100 webinars free of charge in 2020-2021 during the Coronavirus Pandemic, to over 26,000 attendees in over 115 countries.He was awarded the prestigious Newburger-Bellinger Award in 2015, for his lifetime contributions to the field of Neurodevelopment in children with heart disease. In 2021, Dr. Wernovsky was awarded the 2021 Maria Serratto Master Educator Award by the Section on Pediatric Cardiology and Cardiac Surgery of the American Academy of Pediatrics. Find out more about Gil and this episode at: www.the-incubator.org______________________________________________________________________________________As always, feel free to send us questions, comments or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through instagram or twitter, @nicupodcast. Or contact Ben and Daphna directly via their twitter profiles: @drnicu and @doctordaphnamd. enjoy!This podcast is proudly sponsored by Chiesi.
Ever heard of "broken heart syndrome"?... it's a real thing. It's also called Takotsubo Cardiomyopathy or stress induced cardiomyopathy. In this episode we discuss a case of a patient who developed this unexpectedly, came very close to death, but made a full recovery. We break down the cause, presentation, and pathophysiology of Takotsubo Cardiomyopathy as well as treatment and prognosis.
This week, I am joined by my very dear friend Heran. Heran is from Addis Ababa, Ethiopia. She has a bachelor's degree in Public Health from Georgia State University, and a master's degree in Nursing from Emory University. She currently works in a Cardiac ICU as a registered nurse. In this episode, we discussed how we each dealt with imposter syndrome while in college and navigating through the feeling of not-belonging. We talked about the importance of believing in ourselves and trusting our abilities. Additionally, we discussed some tips that helped us including avoiding comparison with others, eliminating self-doubt and setting realistic goals. Tune-in to laugh, learn and appreciate the international student experience! Please send questions and feedbacks you have to internationaliebyruth@gmail.com or DM on the Instagram page @internationaliebyruth
This is one for the books! This week we chat with Steph Kamataris, the owner of Shift Change RN!! This conversation was such a blast, and honestly, SO relatable. We discussed everything from building a business to occupational health nursing. There is something in this one for ANYONE. A little background: Steph Kamataris is a nurse entrepreneur who owns Shift Change RN, a business that helps nurses and nursing students succeed at the bedside. Steph started her healthcare journey in 2015 as a cardiac tech and began her nursing career in the Cardiac ICU. She transitioned to the Cath Lab and continues to work there alongside her occupational health job. She has a Master's degree in Public Health and is certified in critical care. Steph has appeared on multiple podcasts and has been invited to speak to numerous nursing groups.Connect with Steph!!Instagram: @shiftchange.rnwebsite: www.shiftchangern.comFollow along and join the Nursing Co-op community on Instagram @ashley_nursingcoop and on Facebook in The Nursing Co-op Huddle! We would love to see you there! As always, message me with any feedback, comments, or questions on Instagram, or shoot me an email at thenursingcoop@gmail.com. Happy Nursing!(side note, sorry for the change in sound quality, my microphone wasn't working! Still juicy though!)
Cardiac ICU is not for the weak-hearted (no pun intended) but rather for nurses with hearts. The cardiovascular Intensive Care Unit or CVICU is a hospital ward that caters to and cares for patients with ischemic heart disease and other severe heart conditions. And if you are a nurse interested in working with cardiac patients, this nursing field will surely keep you on your feet! In this Cup of News episode, we welcome our guest, James Hatano. He is a New grad nurse in the Cardiac ICU at a Trauma 1 hospital in Cleveland, Ohio. If the cardiovascular intensive care unit is the area of your choice, this episode will give you insight into what it's like to work as a CVICU nurse. So, please sit back, relax, take notes, and join us in another inspiring episode from your favorite, Cup of Nurses! ☕☕ Cup of Nurses: https://fanlink.to/CONsite Frontline Warriors: https://fanlink.to/FWsite Apple https://fanlink.to/Applepodcast Spotify https://fanlink.to/Spotifypodcast Cup of Nurses Store https://fanlink.to/CONshop Frontline Warriors store https://fanlink.to/FWshop Interested in Travel Nursing? https://fanlink.to/TravelNurseNow Free Travel Nursing Guide https://fanlink.to/Travelnursingchecklist Nclex Guide https://fanlink.to/NCLEXguide Cup of Nurses FB Group https://www.facebook.com/groups/cupofnurses Frontline Warriors FB group https://fanlink.to/FWFBgroup
Pediatric Insights: Advances and Innovations with Children’s Health
For children with heart conditions, home may offer feelings of safety and security, better sleep, and therefore, the best opportunity for healing. Dr. Nicolas Madsen discusses a collaborative focus to improve the transition from Cardiac ICU to inpatient to home. Learn more about the Heart Center at Children's Health and how to refer a patient at childrens.com/heart.
Hit with an unexpected medical emergency in the prime of his life, Kearney, Nebraska patrol Sergeant Ryan Ohri, fought an invisible opponent. In the middle of building his real estate portfolio, Ryan was rehabbing a home when his legs began to swell. Over the course of the next 2 days, he gained 28 lbs of fluid in both legs due to a unforeseen medical emergency. Find out how this dad fought through 8 days alone in the cardiac ICU, hours from home with no idea what was in store next.
Dr. Dharini Ramu, Associate Professor of Medicine at the Medical University of South Carolina, practicing advanced heart failure, leading the cardio-oncology program and serving as co-medical director of the Cardiac ICU.Richard Cheng, et al. “Implications of cancer prior to and after heart transplantation” Richard Cheng, Associate Professor of Medicine/Cardiology and Adjunct Associate Professor of Radiology at University of Washington/Seattle Cancer Care Alliance, Program Director for the Advanced Heart Failure Fellowship, Director of the Cardio-oncology Program Related Articles: Richard Cheng, et al. “Implications of cancer prior to and after heart transplantation” https://heart.bmj.com/content/early/2021/06/30/heartjnl-2020-318139 Richard Cheng, et al. “Cardio-Oncology and the Intersection of Cancer and Cardiotoxicity: The Role of Palliative Care” https://www.jacc.org/doi/10.1016/j.jaccao.2019.10.003 Bhavadharini Ramu, et. al. “Heart Transplantation in Adriamycin-Associated Cardiomyopathy in the Contemporary Era of Advanced Heart Failure Therapies” https://www.jacc.org/doi/10.1016/j.jaccao.2021.02.010
Healthcare workload has emerged as an important metric associated with poor outcomes. To measure workload, studies have used bed occupancy as a surrogate. However, few studies have examined frontline clinician workload and outcomes.
Healthcare workload has emerged as an important metric associated with poor outcomes. To measure workload, studies have used bed occupancy as a surrogate. However, few studies have examined frontline clinician workload and outcomes.
Dr. Umesh Gidwani, Director of the Cardiac ICU at Mount Sinai Medical Center in New York City, joined the podcast to discuss health equity in heart care, data management and exciting new technologies.
Was it ever my responsibility to protect my family?
Episode 7: Our guest, John Moriarty MD FSIR is an interventional radiologist and an Associate Professor at UCLA with appointments in both the Departments of Radiology and Internal Medicine. James Horowitz MD FACC FAHA is a cardiac intensivist and is the director of the Cardiac ICU and NYU Langone Health. Links: Endovascular Removal of Thrombus and Right Heart Masses Using the AngioVac System: Results of 234 Patients from the Prospective, Multicenter Registry of AngioVac Procedures in Detail (RAPID). Moriarty J, et al. JVIR. 2021. PMID: 33526346 https://pubmed.ncbi.nlm.nih.gov/33526346/ The AngioVac system as a bail out option in infective endocarditisStarck CT, et al. Ann Cardiothoracic Surg. 2019. PMID: 31832358 https://pubmed.ncbi.nlm.nih.gov/31832358/ The Role of Percutaneous Vacuum-Assisted Thrombectomy for Intracardiac and Intravascular Pathology Basman C, et al. J of Cardiac Surg. 2018. PMID: 30187515 https://pubmed.ncbi.nlm.nih.gov/30187515 Factors Associated with Successful Thrombus Extraction with the AngioVac Device: An Institutional Experience D'Ayala et al. Annals of Vascular Surgery. 2017. PMID: 27521826 https://pubmed.ncbi.nlm.nih.gov/27521826/ Percutaneous Retrieval of an Embolized Vegetation from Pulmonary Artery After ICD Lead Extraction Bhansal HM et al JACC 2020 Supplement https://www.jacc.org/doi/pdf/10.1016/S0735-1097%2820%2933256-3
Episode 6: Our guest, Scott Cameron MD, PhD is a cardiology and vascular medicine specialist and is the Section Head of Vascular Medicine at Cleveland Clinic James Horowitz MD is a cardiac intensivist and is the director of the Cardiac ICU and NYU Langone Health. Links: The lung is a site of platelet biogenesis and a reservoir for haematopoietic progenitors. Lefrançais E, et al. Nature. 2017. PMID: 28329764 https://pubmed.ncbi.nlm.nih.gov/28329764/ Lung megakaryocytes are immune modulatory cells.Pariser D, et al. J Clin Invest. 2021. PMID: 33079726https://pubmed.ncbi.nlm.nih.gov/33079726/ Megacaryocytes and platelet clumps as the cause of finger clubbing.Dickinson CJ, Martin JF. Lancet 1987. PMID: 2891996https://pubmed.ncbi.nlm.nih.gov/2891996/ Histopathologic analysis of extracted thrombi from deep venous thrombosis and pulmonary embolism: Mechanisms and timing. Silver MJ et al. Catheter Cardiovasc Interv 2021. PMID: 33522027https://pubmed.ncbi.nlm.nih.gov/2891996/
Host: Andrew Smith, MD, MSCI, MMHC. Editor: Deanna Tzanetos, MD, MSCI. Producer: David Werho, MD. Mary McLellan, MPH, BSN, RN, CPN (Boston Children's Hospital) discusses the POSTER program to improve nursing resiliency & retention in the ICU.
Aisha McMillan is a Registered Nurse and has a Master of Science in Nursing. She has worked in the Medical-surgical; Cardiac ICU, Medical ICU, Surgical ICU, public health, school health, as well as a lead nurse in an infusion and much more. Aisha has over 23 years of work experience within the nursing field. She is also a nurse instructor, helping others to begin their nursing career. Aisha provides important insights and tips on the etiquette in the nursing field as well as the importance of keeping a balanced work and home life. She offers inspirational testimonies which she had experienced throughout her career and personal life. If anyone is thinking about entering the nursing field or is already in this field this is a must listen to radio talk show
Warning: This episode talks about infant loss. If you have experienced infant and/or pregnancy loss, please proceed with caution. In this very special episode, my friend Maria (the winner of my giveaway!) shares her story with us about her beautiful daughter, Camila. Maria's Bio Maria “Eva” Itriago Rivera is a 25 year old woman from Venezuela (South America) currently living in Southwest Kansas Area. She is a Licensed Nursing Assistant, CPR Instructor and Spanish Interpreter with personal and professional experience on the medical field. Eva is a wife to Reinaldo who is a hard-working and loving man, mother to Camila who went to heaven on 5/9/2019 due to a CHD and Di George’s Syndrome and Aurora who is expected to arrive on November 2020. She enjoys singing, working out, spending time with her family and going to church. Since 06/19 she is working for a non for profit organization in Kansas as an Administrative Assistant and Spanish interpreter, helping families receive free early intervention services for children 0-3 years old that have a delay or a disability. This organization also helps mothers who are pregnant get education about their pregnancy, lactation consultation, and connecting them with the community resources available to help them meet their needs. Eva is passionate about helping others, as the only child of a single mother she grew up facing many challenges, but at the same time her mother was a role model for her, a true example of how to be unstoppable. The many struggles she has faced in her short life have made her understand that regardless of your current situation, you always need to “Fight to Flourish – Jennie Lusko”. Maria's Birth Story December 2018 was the due date for the birth of my firstborn daughter “Camila”. My belly was enormous to use a more graceful term. At 35-weeks my doctor found out I had high levels of amniotic fluid, per ultrasound report: severe polyhydramnios. The doctor checked me out, but he did not understand the cause because I was “healthy”. At 39 weeks on 12/07 I had a scheduled C-section early in the morning, I was taken to the OR for the surgery, and I was very scared and excited about the birth of Camila. My anesthesiologist placed the epidural but it did not numb my body, and then they put me to sleep immediately after that under general anesthesia. Little did I know what was waiting for me. When I woke up from the C-Section there wasn’t anyone around me, and I immediately knew that something was wrong. I just wanted to hold my baby, but instead my husband got into the room with a face that told me something was wrong. He told me that my baby was having trouble breathing and she needed to be flown out in an emergency flight to a bigger hospital 3 hours away from us. I was so confused, panicked, hurt, I felt that the weight of the world was over my body and I just wanted to really wake up. With the strength I had left I stand up, got into a wheel chair and kissed my baby good bye at the NICU, with no guarantees she would survive the flight. That moment broke my heart forever, my expectations and dreams of the birth of my daughter, and to this day this moment hunts before I go to bed. The nurses wanted me to pump, but I had no energy knowing that my baby was away from me and I was still hospitalized, and couldn’t go with her. She made it safely to the other Hospital, and a few hours later my cellphone ringed with the worst news: Camila has a severe heart problem that we cannot fix here in Kansas, she needs to go now to Colorado. I think my own heart skipped a beat after that call, and after that call our lives and my expectations of motherhood changed forever. Camila's Story At 1 day old Camila had to be taken in an emergency flight from Kansas to Colorado (her second medical flight in a little over 24hrs). I asked the doctor permission to take a flight to Denver after I was discharged (4 days after my C-section). That flight was the worst nightmare of my life, I was going to pass out from the bleeding, nausea, anemia, pain and panic. I made it to Aurora, CO with my family and checked-in at the Ronald McDonalds House. Upon arrival at the hospital, I was desperate to be with my baby girl. When I got into that CICU room, she was peacefully sleeping and I just feel like I heard: "mama I was waiting for you" in my inside, that connection... I cannot explain. That same day I ended up in the ER with a very high blood pressure and unstable but I was able to be discharged at night. The next day I went back to the CICU to hold her for the first time and be with her every second, and that same day the doctors gave us the worst news of our lives. Your daughter has: Tetralogy of Fallot with Pulmonary Atresia and MAPCAS, and this diagnosis usually has a base genetic disorder called Di George's Syndrome or 22q11.2 Deletion Syndrome which she is tested positive for 3 weeks after the blood sample was taken.... That day my life was turned upside down. With these news my husband and I decided that we were not going to give into sadness but that we were going to give her the best life we could, give her the best of the best from our hearts and advocate like no other, after all, I knew God had prepared me for this moment She went through a lot: X-Rays, CTs, PICC line, 3 Hearth Catheterizations, 1 failed G-J tube Surgery, NG tubes, 1 Nissen Surgery with G-tube (which I had to advocate for and propose to the medical board since they did not know what to do with her, I had another momma help me find out about this option for her on Instagram). She was intubated multiple times, had CPAP, high flow, nasal cannula, breathing treatments ...lots of labs, meds, monitors. I knew God had not sent me to this battle without preparing me, since I had worked with every department at the rural Hospital where I gave birth (I got to learn from amazing healthcare professionals) I knew how to help her most of the time, I would provide direct care for her, even during the most critical times. She needed a 20-hour open heart and lung surgery to be able to have some chance at life, and on May 9th, 2019 at 9:00pm while I went to RMH for dinner she went into Cardiac and Respiratory arrest after getting upset while having her RT treatment. I arrived in the middle of the episode, she did not respond to epinephrine or any other meds used for resuscitation, neither CPR. She was 3 days away from her heart surgery and 2 days away from our first mother's day together. While watching the team trying to bring her back to life, I felt an unexplainable weight in my chest, I knew in my heart it was her time, because we knew there was nothing else with could do, it was her time to go to heaven, we fought a hard battle but the decision of her life in earth unfortunately was not ours. I held her lifeless and surprisingly weightless body one last time that night. We spent 5 months in the Cardiac ICU with her. I must say she had everything she needed: best medical care, us as her parents by her side at all times, her grandparents got to meet her and serve her as well, and she had 2 baby showers and had tons of things, which I took as much as I could to her hospital room so she could feel at home. After her passing all these items were sent to Venezuela for the children and moms in need, and some others were donated to Ronald McDonalds House. She never made it home, she never made it out of the hospital but she stayed forever in our hearts and minds. She changed us forever. Now I understand that her spirit was so strong, so big that her earthly and broken body could not hold. Never forgotten, always loved … My Dear Camila mommy and Daddy Love You. You can find Maria on social media here: Instagram: hopeforcamila and mariaevaitriago Resources: For more support with Di George’s Syndrome (22q11.2 Deletion Syndrome) https://www.22q.org/ https://22qfamilyfoundation.org/what-22q/22q-overview For Free Early Intervention Services and Pregnancy Support in Southwest Kansas Area: Russell Child Development Center (620)-275-0291 https://www.rcdc4kids.org/ FB: RUSSELL CHILD DEVELOPMENT CENTER Books for Grieving Families: “The Fight to Flourish” by Jennie Lusko “It was not supposed to be this way” by Lisa TerKeurst “Be the One to Heal Yourself” by Beth Rogerson, PhD
In this Episode: Is poorly controlled glucose levels a predictor of worse outcome? The medical workforce is slowly emerging from a physical and psychological war-zone What's happening outside of NY Host: Dr Harry Nespolon, GP and RACGP President Guest: A/Prof Umesh Gidwani, Director, Cardiac ICU, Mount Sinai Hospital, New York; Associate Professor of Cardiology, Pulmonary, Critical Care and Sleep Medicine, Icahn School of Medicine, Mount Sinai Total time: 28 mins See omnystudio.com/listener for privacy information.
Join Tony DUrso as he interviews Vince Baiera - Creator Step2Health Brand! Vince Baiera started his career working as an ICU Nurse at The Cleveland Clinic and Duke University Hospital in the Cardiac ICU. After working as a traveling ICU Nurse, Vince stepped away from nursing to pursue Healthcare Consulting and Teaching. He moved on to start Baiera Wellness Products, a Product Development Company, as a result of dealing with his own grandparents who struggled with mobility and falls, Vince developed the Step2bed to help solve this problem. Listen to The Tony DUrso Show on VoiceAmerica Influencers Platform every Friday at 2pm Pacific or on our mobile app at tonydurso.com/mobile.
Join Tony DUrso as he interviews Vince Baiera - Creator Step2Health Brand! Vince Baiera started his career working as an ICU Nurse at The Cleveland Clinic and Duke University Hospital in the Cardiac ICU. After working as a traveling ICU Nurse, Vince stepped away from nursing to pursue Healthcare Consulting and Teaching. He moved on to start Baiera Wellness Products, a Product Development Company, as a result of dealing with his own grandparents who struggled with mobility and falls, Vince developed the Step2bed to help solve this problem. Listen to The Tony DUrso Show on VoiceAmerica Influencers Platform every Friday at 2pm Pacific or on our mobile app at tonydurso.com/mobile.
Join Tony DUrso as he interviews Vince Baiera - Creator Step2Health Brand! Vince Baiera started his career working as an ICU Nurse at The Cleveland Clinic and Duke University Hospital in the Cardiac ICU. After working as a traveling ICU Nurse, Vince stepped away from nursing to pursue Healthcare Consulting and Teaching. He moved on to start Baiera Wellness Products, a Product Development Company, as a result of dealing with his own grandparents who struggled with mobility and falls, Vince developed the Step2bed to help solve this problem. Listen to The Tony DUrso Show on VoiceAmerica Influencers Platform every Friday at 2pm Pacific or on our mobile app at tonydurso.com/mobile.
Join Tony DUrso as he interviews Vince Baiera - Creator Step2Health Brand! Vince Baiera started his career working as an ICU Nurse at The Cleveland Clinic and Duke University Hospital in the Cardiac ICU. After working as a traveling ICU Nurse, Vince stepped away from nursing to pursue Healthcare Consulting and Teaching. He moved on to start Baiera Wellness Products, a Product Development Company, as a result of dealing with his own grandparents who struggled with mobility and falls, Vince developed the Step2bed to help solve this problem. Listen to The Tony DUrso Show on VoiceAmerica Influencers Platform every Friday at 2pm Pacific or on our mobile app at tonydurso.com/mobile.
Join Tony DUrso as he interviews Vince Baiera - Creator Step2Health Brand! Vince Baiera started his career working as an ICU Nurse at The Cleveland Clinic and Duke University Hospital in the Cardiac ICU. After working as a traveling ICU Nurse, Vince stepped away from nursing to pursue Healthcare Consulting and Teaching. He moved on to start Baiera Wellness Products, a Product Development Company, as a result of dealing with his own grandparents who struggled with mobility and falls, Vince developed the Step2bed to help solve this problem. Listen to The Tony DUrso Show on VoiceAmerica Influencers Platform every Friday at 2pm Pacific or on our mobile app at tonydurso.com/mobile.
Join Tony DUrso as he interviews Vince Baiera - Creator Step2Health Brand! Vince Baiera started his career working as an ICU Nurse at The Cleveland Clinic and Duke University Hospital in the Cardiac ICU. After working as a traveling ICU Nurse, Vince stepped away from nursing to pursue Healthcare Consulting and Teaching. He moved on to start Baiera Wellness Products, a Product Development Company, as a result of dealing with his own grandparents who struggled with mobility and falls, Vince developed the Step2bed to help solve this problem. Listen to The Tony DUrso Show on VoiceAmerica Influencers Platform every Friday at 2pm Pacific or on our mobile app at tonydurso.com/mobile.
WIHI - A Podcast from the Institute for Healthcare Improvement
As an organization dedicated to continuous improvement, we hope you will take a moment to give us feedback on this episode of WIHI. Take the 1-minute survey here: ihi.org/PodcastSurvey. Featuring: Jamie Beach, BSN, RN, Quality Data Manager, Frankel Cardiovascular Center, Michigan Medicine Diane Lopez, RN, MSN, Clinical Nursing Director, Michigan Medicine Jessical Perlo, MPH, Network Director, Institute for Healthcare Improvement Caregiver burnout is well documented and on the rise. To address some of the underlying issues and improve patient and provider safety, the Institute for Healthcare Improvement (IHI) has developed a framework and set of recommendations known as "Joy in Work." Organizations across the country are testing how to apply the principles with encouraging results. If you want to learn how one clinical team at Michigan Medicine, spearheaded by Diane Lopez with help from Jamie Beach, has changed what was once a toxic culture in a medical unit, this episode of WIHI is for you. IHI Joy In Work Tools and Resources: The IHI Framework for Improving Joy in Work is the North Star for this work. Other key and helpful materials include: IHI Blog Post: In Defense of the Word “Joy” Journal of Healthcare Management: Why Focusing on Professional Burnout Is Not Enough NEJM Catalyst: Applying Community Organizing Principles to Restore Joy in Work IHI Tool: "What Matters to You?" Conversation Guide for Improving Joy in Work Currently, IHI is gearing up for a Results-Oriented Learning Network around Joy in Work. The network will kick off in January 2020. Register here to save your spot in a free informational call with Network faculty on November 15, 2019, at 11:00 AM ET. Looking for in-person trainings? Join us at this year’s National Forum, where Joy in Work is a featured track. (You can browse all National Forum sessions here.)
Mary McLellan, MPH, BSN, RN, CPN (Boston Children's Hospital) discusses the POSTER program to improve nursing resiliency retention in the ICU. Host: Andrew Smith, MD, MSCI, MMHC. Editor: Deanna Tzanetos, MD, MSCI. Producer: David Werho, MD.
Mary McLellan, MPH, BSN, RN, CPN (Boston Children's Hospital) discusses the POSTER program to improve nursing resiliency retention in the ICU. Host: Andrew Smith, MD, MSCI, MMHC. Editor: Deanna Tzanetos, MD, MSCI. Producer: David Werho, MD.
Join Tony DUrso as he interviews Vince Baiera - Creator Step2Health Brand! Vince Baiera started his career working as an ICU Nurse at The Cleveland Clinic and Duke University Hospital in the Cardiac ICU. After working as a traveling ICU Nurse, Vince stepped away from nursing to pursue Healthcare Consulting and Teaching. He moved on to start Baiera Wellness Products, a Product Development Company, as a result of dealing with his own grandparents who struggled with mobility and falls, Vince developed the Step2bed to help solve this problem. Listen to The Tony DUrso Show on VoiceAmerica Influencers Platform every Friday at 2pm Pacific or on our mobile app at tonydurso.com/mobile.
Join Tony DUrso as he interviews Vince Baiera - Creator Step2Health Brand! Vince Baiera started his career working as an ICU Nurse at The Cleveland Clinic and Duke University Hospital in the Cardiac ICU. After working as a traveling ICU Nurse, Vince stepped away from nursing to pursue Healthcare Consulting and Teaching. He moved on to start Baiera Wellness Products, a Product Development Company, as a result of dealing with his own grandparents who struggled with mobility and falls, Vince developed the Step2bed to help solve this problem. Listen to The Tony DUrso Show on VoiceAmerica Influencers Platform every Friday at 2pm Pacific or on our mobile app at tonydurso.com/mobile.
Join Tony DUrso as he interviews Vince Baiera - Creator Step2Health Brand! Vince Baiera started his career working as an ICU Nurse at The Cleveland Clinic and Duke University Hospital in the Cardiac ICU. After working as a traveling ICU Nurse, Vince stepped away from nursing to pursue Healthcare Consulting and Teaching. He moved on to start Baiera Wellness Products, a Product Development Company, as a result of dealing with his own grandparents who struggled with mobility and falls, Vince developed the Step2bed to help solve this problem. Listen to The Tony DUrso Show on VoiceAmerica Influencers Platform every Friday at 2pm Pacific or on our mobile app at tonydurso.com/mobile.
Join Tony DUrso as he interviews Vince Baiera - Creator Step2Health Brand! Vince Baiera started his career working as an ICU Nurse at The Cleveland Clinic and Duke University Hospital in the Cardiac ICU. After working as a traveling ICU Nurse, Vince stepped away from nursing to pursue Healthcare Consulting and Teaching. He moved on to start Baiera Wellness Products, a Product Development Company, as a result of dealing with his own grandparents who struggled with mobility and falls, Vince developed the Step2bed to help solve this problem. Listen to The Tony DUrso Show on VoiceAmerica Influencers Platform every Friday at 2pm Pacific or on our mobile app at tonydurso.com/mobile.
Join Tony DUrso as he interviews Vince Baiera - Creator Step2Health Brand! Vince Baiera started his career working as an ICU Nurse at The Cleveland Clinic and Duke University Hospital in the Cardiac ICU. After working as a traveling ICU Nurse, Vince stepped away from nursing to pursue Healthcare Consulting and Teaching. He moved on to start Baiera Wellness Products, a Product Development Company, as a result of dealing with his own grandparents who struggled with mobility and falls, Vince developed the Step2bed to help solve this problem. Listen to The Tony DUrso Show on VoiceAmerica Influencers Platform every Friday at 2pm Pacific or on our mobile app at tonydurso.com/mobile.
Join Tony DUrso as he interviews Vince Baiera - Creator Step2Health Brand! Vince Baiera started his career working as an ICU Nurse at The Cleveland Clinic and Duke University Hospital in the Cardiac ICU. After working as a traveling ICU Nurse, Vince stepped away from nursing to pursue Healthcare Consulting and Teaching. He moved on to start Baiera Wellness Products, a Product Development Company, as a result of dealing with his own grandparents who struggled with mobility and falls, Vince developed the Step2bed to help solve this problem. Listen to The Tony DUrso Show on VoiceAmerica Influencers Platform every Friday at 2pm Pacific or on our mobile app at tonydurso.com/mobile.
Sarah Heavey is a Cardiac ICU Nurse detailing the steps to take when a patient goes into cardiac arrest.
Dr. Brandon Smith and I had an interesting discussion about his experience as a physical therapist. Though Brandon's background is mostly in orthopedic manual therapy and therapeutic exercise at the elite levels, it also consist of public health, strength and nutrition certifications, time spent in Surgical ICU wound care, Cardiac ICU, Neurological ICU, Critical Care ICU, and has recently led him into geriatrics (all affiliated settings) and home care. He uses his eclectic background to provide a comprehensive and tailored approach to each patient/client. Whether that's in the home, telehealth, or remote performance and nutrition coaching. What's really interesting is that he got into PT to work with high-performance athletes and then discovered the work wasn't fulfilling enough. He made the switch to neuro patients and found the work much more rewarding. To help teach more people outside the PT world about things happening within the PT world, he partnered with colleague and former class mate Yong Kim to launch the Physical Therapy Unleashed Podcast. Facebook Strokecast is on Facebook. I use that page for less formal thoughts on stroke and recovery. I also post videos of demos and other topics. Just recently, I created a video talking about my experience with different AFOs. Head on over to Facebook.com/strokecast to like the page and check out the videos. Hack of the Week Being a stroke survivor is complex. We have physical, medical, and daily living needs. There can also be special nutritional, social, or spiritual needs. Regardless of the need, we don't have to do it alone. There are professionals who can help. If you have needs, or think you might, ask your doctor or other member of your medical team to point you in the direction of the appropriate professional. They're out there. Links Physical Therapy Unleashed Podcast https://itunes.apple.com/us/podcast/physical-therapy-unleashed-podcast/id1275938491 Physical Therapy Unleashed on Facebook https://www.facebook.com/PTUnleashedPodcast/ Dr. Brandon Smith on Twitter https://twitter.com/drsmithdptmph Dr. Brandon Smith on LinkedIn https://www.linkedin.com/in/bsmithmph/ Dr. Brandon Smith on Facebook https://www.facebook.com/drsmithdpt/ Dr. Brandon Smith Consulting http://drsmithdpt.com/ Yong Kim Wellness https://yongkimdpt.wordpress.com/ Where do we go from here? What do you think of Brandon's story? Let us know in the comments below. Ask you physical therapist what their thoughts on Brandon's perspective are. Give them the link strokecast.com/brandon Strokecast is on Facebook. Visit Facebook.com/strokecast to like the page and check out the videos Seek out the appropriate professionals for your needs Don't get best…get better
In this episode Shree Basu and Ahmed Osman discuss the shocked neonate - both the initial management when they present and the subsequent PICU management. From IntensiveCareNetwork.com
In this episode Shree Basu and Ahmed Osman discuss the tricky issues surrounding management of paeds CICU patients with a single ventricle. From IntensiveCareNetwork.com
Shree Basu and Lily Foster are paediatric intensive care trainees. They discuss post operative management in paediatric cardiac intensive care following surgery for congenital heart disease.
Shree Basu and Lily Foster are paediatric intensive care trainees. They give an introductory podcast to paediatric cardiac intensive care, covering recognition of congenital heart disease, early and emergency pre-operative management principles, and classification of the most common lesions.
Session 57 Dr. Tom Bice is an academic Pulm Critical Care physician in North Carolina. We talk about his specialty and what you should be doing if you're interested in it. Tom has been out of fellowship for four years now. By the way, check out all our other podcasts on the MedEd Media Network. [01:03] His Interest in Critical Care Medicine Not being able to decide on one topic, Tom knew he wanted to do a little bit of everything. And he has mild to moderate ADD. He also considered Emergency Medicine early on but he found he didn't enjoy people showing up at 3 am with significantly non-emergent problems. So when he focused more on internal medicine, he was doing his rotations in surgery and medicine. Then he realized that all of the patients and disease processes that were cool ended up in the ICU. What cemented his decision was his OB rotation with a young 26-year-old lade with sickle cell anemia came in at 29 weeks and went to the emergency section. She ended up in the unit for several days and intubated, septic shock. He was a third year medical student at that time and he was the one from their team surrounding the patient. And he realized he loved every minute of it. In fact, the attending OB was one of those who wrote letters for his residency. Since then, he got hooked. "I was hooked. Right away, I just love the excitement of the physiology and meeting a broad swath of knowledge about the various systems." In short, it was the acuity that actually drew him towards what he's doing now. He had this notion that patients are going to need you when they come see you. But that's not always the case in the emergency medicine. [04:55] Types of Patients Being part of a large academic medical center, they have different ICUs for all the different patient types. As with Tom, he works predominantly in the medical ICU. But they also have the cardiac ICU, neuro ICU, surgical ICU, and cardiothoracic ICU (where he spent the first two years out of fellowship). At medical ICU, they see patients with sepsis and septic shock of some kind. You also have those with liver failure, drug overdoses, and problems which you can't figure out what's wrong but they look real bad. What identifies all those patients is the need for fixing a deranged physiology. Neuro intensivists tend to go through neurology or emergency medicine and then do neuro critical care. The cardiothoracic ICU uses a bit of everyone including anesthesia and critical care. Cardiac ICU does cardiology and pulmonary critical care too. Tom explains that you get training during fellowship because your'e required to do so many months of ICU, that you can go and work in any kind of ICU necessary. Having done a lot of moonlighting during fellowship, and he saw that at the bigger community-based academic programs, intensivists rounds on all those ICU patients providing critical care. [09:15] Typical Week When Tom is o service, his typical week would be nighttime covered by the different intensivists where he is on from 7am to 7pm for seven days. And for the weekends, the ICUs have to have two attendings on so they split it between the two of them every other day. Tom tries to keep his rounds short. And there's a lot of work that need to be done, procedures, consults, and activities for patients. Then before he leaves for the day, he ensures he has followed up everything and whatever action plans that needed to happen should have happened. [10:35] Is It Procedure-Heavy? Tom says it's a lot of procedures, with a caveat. To some extent, you can do as many or as few procedures as you want depending on how hands-on you want to be. But if you don't like procedures then it's not the specialty for you. Especially for the pulmonary side of things, they do thoracentesis and chest tubes as well as intubation, lumbar punctures, etc. If you really don't like procedures, then it's probably not the specialty for you." [12:00] Work-Life Balance Tom says he has a lot of work-life balance, and this is the reason he chose academic over private practice. He probably would have enjoyed private practice critical care for 2-3 years. But he enjoys about 12 weeks of ICU time a year. And the rest of his time is non-clinical, doing research. His focus is clinical research so it's still patient-focused. But the 24/7 grind is not constant. Nevertheless, when he's home, then he's really home. He likes the advantage of shift work. In fact, most of critical care is moving that direction around the country. In their state, what he notices is very much a day group and a night group. You're on when you're on and you're not when you're not. So it's easy to maintain balance that way. "There is generally recognized shortage of people that are critical care trained and most of the hospital quality folks would prefer that there was a critical care trained person in the hospital 24/7." [13:45] The Training Path Tom cites a few options available now. When he started his fellowship, he knew he was going to keep doing research and stay in academics, he did his three-year internal medicine residency and then a two-year critical care fellowship only. Another options is for one extra year, you do pulmonary. This is mostly determined on whether you like clinic or not. People who do critical care only, tend not to have clinic obviously because there's no ICU followup per se. But if you want some of that longitudinal relationship with patients then you get to a little bit of both. That's why Tom also has a pulmonary clinic. This is three year after internal medicine residency, totaling to 6 years after medical school. "There is no particular disadvantage to hiring a critical care fellowship only." In terms of competition, Tom thinks it's getting more competitive, but it's not cardiology, or GI, or oncology. They get very competitive applicants every year at their program. He describes it as being competitive enough that requires some degree of forethought. He also thinks you have to have some research exposure if you go to an academic-type program. [17:24] Negative Bias Towards DO Physicians and Special Opportunities Tom has not seen any bias against DO doctors. In fact, a couple of his absolute famous attendings from residency were DOs that did pulmonary critical care. They've interviewed plenty of DOs. To them, it seems another way of getting the same training. There are further subspecialization both in the pulmonary care side and the critical care side. Under pulmonary, there's interventional pulmonology which is more procedure-based. There are no formal NRMP matching programs for lung transplants but there are a few places that offer fellowship and subspecialty training in that. There are not set training programs, but they are niches within pulmonary medicine. "As with everything, subspecialization continues to involve. There aren't formal training programs but emphasis or subspecialization has developed in recent years." [20:10] Working with Primary Care and Other Specialties Tom explains they do have interaction with primary care doctors in the pulmonary side. One of the balances they often run with primary care is the shortness of breath consultations, which cardiology and pulmonary like to point the finger at the other direction. His advice to primary care is to accept that both are probably wrong. And it's probably a little both of the lungs and the heart causing the shortness of breath. Other specialties he works with include Nephrology. One-third of patients through the ICU require dialysis at some point. Tom also underlines the importance of having a good relationship with critical care trained surgeons, which are different from your general surgeons. Sometimes, it's knowing when not to take the patient to the operating room. And sometimes, it's knowing that you need to take a patient to the operating room, no matter what. He may also work with GI/Hepatology. "In the medical world, having good relationship with your critical care trained surgeons makes a big difference." Outside of critical care, there are other opportunities that are available. Pulmonary gets involved with high altitude medicine which also includes diving (low altitude medicine). Personally, he has had some experience traveling and training in resource-poor environments. Knowing how to provide critical care in those environments can be very handy. You can also do research. Critical care is relatively a new specialty. So there's still a ton that we don't know about how to do things right, according to Tom. You can also do quality and leadership initiatives through that. [23:40] What He Wished He Knew that He Knows Now The one thing he didn't know as much early on about critical care is how much time spent with families of dying patients. He's glad though that it's something he enjoys having those conversations about end of life care and the expectations of what is going to happen. "Most of our medical training leading up to, and including in residency and fellowship, is find the problem, fix the problem. There's just so much of the time where we just can't." Tom stresses that unlike what they're taught during training to find the problem and fix it, there are times they just can't. And being able to have that conversation with patients or their families is really important. This is a good message he wishes to send out to primary care doctors as well is to have those conversations in clinic early. But recognize that they're flexible and people change right up until the last minute. [25:20] What He Likes Most and the Least and Major Changes in the Future What Tom likes the most about critical care is that there's always something to do. It's always a busy specialty. There's always going to be sick patients. And the acuity never stops because if you're going to get one patient better. And there's going to be three waiting in line. "Flu is one of the diseases that they know most of the symptoms of it, but they can just do anything later on and affect almost any organ system." On the flip side, what he likes the least is that the ICU never closes. So you have to know that you're going to work in the ICU on Christmas and all the other holidays at some point. Know that going in. Although this has been growing over the last several years, you still see the inclusion of advanced practice providers like PAs and NPs in the ICU. This is primarily because of the shortage of critical care providers. It's a numbers problem that a number solution can help with. Ultimately, if he had to do it all over again, he still would have chosen the same specialty. Tom wishes to tell students who might be interested to explore this field that they'd love to have you. Contact your local critical care doctor for rotation. It's a good time even if it's busy. [29:30] Personal Takeaways Most students that love a little bit of everything go to emergency medicine. Yet, there's also this subsection of students who love the high acuity stuff. Go back and listen to Episode 2 of Specialty Stories where I interviewed an emergency medicine doctor where he revealed that the high acuity stuff only comprises a small percentage of an emergency physician's job. So if you like the high acuity stuff, and you like a little bit of everything, pulm critical care might be the specialty for you. If you have a physician you want to be interviewed here on the podcast, shoot me an email at ryan@medicalschoolhq.net. Links: MedEd Media Network ryan@medicalschoolhq.net Episode 2 of Specialty Stories
Patricia Lincoln describes her work on the Cardiac RESTORE Protocol, an algorithm used to help wean patients from pain and sedation medications in the Cardiac ICU. Please visit: http://www.openpediatrics.orgOPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children’s Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu
Students deliver their original stories: #10: Sixteen Days in Cardiac ICU #11: Sesame Place #12: Promises To God
Margaret Parker, MD, MCCM, speaks with Michael Gaies, MD. Dr. Gaies is an Assistant Professor and works as a Cardiac Intensivist in the Division of Cardiology, Department of Pediatrics and Communicable Diseases at C.S. Mott Childrens Hospital and University of Michigan Medical School in Ann Arbor, MI.
Margaret Parker, MD, MCCM, speaks with Michael Gaies, MD. Dr. Gaies is an Assistant Professor and works as a Cardiac Intensivist in the Division of Cardiology, Department of Pediatrics and Communicable Diseases at C.S. Mott Childrens Hospital and University of Michigan Medical School in Ann Arbor, MI.
She is internationally known in media as the Mile High Psychic Medium, Medical Intuitive and Energetic Practitioner. Weekly, she is regularly featured on TV, print and radio in venues such as Fox News, Living The Question Radio, KDCL Media, BIT Radio, KDNK Community Radio a NPR Affiliate, Get Focused Radio, ALICE 105.9 FM, Award Winning Talk Radio KHOW with Peter Boyles, The Villager Magazine, and many more. Denver's Westword Magazine highlighted her work with famed music promoter Barry Fey at Red Rocks Amphitheater channeling the music greats like Jimi Hendrix, Janis Joplin, Michael Jackson, Ronnie Van Zant, and Bill Graham. As a Psychic Medium with expertise in reading “Energy”, Michelle works with individuals to couples to businesses. She is clairaudient, clairvoyant and clairsentient, working with our Creator on hundreds of levels of consciousness with connection to miraculous information. Her background as a formally trained Cardiac ICU nurse with over 21 years as a 35 time award Medical Executive in Corporate America for companies like Medtronic. Michelle announced her “supernatural” abilities to the public four years ago. Today she has built over a 1,000 person practice worldwide, with hundreds of testimonials speaking to the astounding details she Divinely knows. Michelle resides in Colorado and enjoys all aspects of the outdoors, as well as involvement in multiple charities and her church. She is a U.S. Patent Holder for a Medical Device, Certified Mediator, Private Pilot In-Training and Earth Steward.
She is internationally known in media as the Mile High Psychic Medium, Medical Intuitive and Energetic Practitioner. Weekly, she is regularly featured on TV, print and radio in venues such as Fox News, Living The Question Radio, KDCL Media, BIT Radio, KDNK Community Radio a NPR Affiliate, Get Focused Radio, ALICE 105.9 FM, Award Winning Talk Radio KHOW with Peter Boyles, The Villager Magazine, and many more. Denver’s Westword Magazine highlighted her work with famed music promoter Barry Fey at Red Rocks Amphitheater channeling the music greats like Jimi Hendrix, Janis Joplin, Michael Jackson, Ronnie Van Zant, and Bill Graham. As a Psychic Medium with expertise in reading “Energy”, Michelle works with individuals to couples to businesses. She is clairaudient, clairvoyant and clairsentient, working with our Creator on hundreds of levels of consciousness with connection to miraculous information. Her background as a formally trained Cardiac ICU nurse with over 21 years as a 35 time award Medical Executive in Corporate America for companies like Medtronic. Michelle announced her “supernatural” abilities to the public four years ago. Today she has built over a 1,000 person practice worldwide, with hundreds of testimonials speaking to the astounding details she Divinely knows. Michelle resides in Colorado and enjoys all aspects of the outdoors, as well as involvement in multiple charities and her church. She is a U.S. Patent Holder for a Medical Device, Certified Mediator, Private Pilot In-Training and Earth Steward.
Dr. Wernovsky is a pediatric Cardiologist and Intenvisist specializing in Cardiac Critical Care at Children's National Hospital. Dr. Wernovsky graduated with his BS degree in 1978 in anthropology and music! He attended Pennsylvania State University College of Medicine, receiving his M.D. in 1982. He completed a pediatric residency at New York Hospital (now known as Weill Cornell Medical Center) in 1985, and his pediatric cardiology fellowship at Boston Children's Hospital in 1988, with a focus on cardiac intensive care. He was appointed the Associate Director of the Cardiac ICU in 1995.Dr. Wernovsky started at the Children's Hospital of Philadelphia in 1995, where he was the Medical Director of one of the first Pediatric Cardiac Intensive Care Units in the United States. Dr. Wernovsky has been involved in the training and mentoring of over 300 fellows in pediatric cardiology, cardiac surgery, neonatology, critical care medicine, and cardiac anesthesia, in addition to countless residents and medical students. He has edited six textbooks and 13 periodicals and has published nearly 300 peer-reviewed manuscripts, book chapters, and reviews. He has an H-index of 91 and his work has been cited over 25,000 times.He is a founding member of:Pediatric Cardiac Intensive Care Society (1996)International Society of Pediatric Mechanical Circulatory Support(2009)World Society for Pediatric and Congenital Cardiac Surgery (2010)Cardiac Neurodevelopmental Outcome Collaborative (2016)Congenital Heart Academy (2020) – which presented over 100 webinars free of charge in 2020-2021 during the COVID-19 Pandemic, to over 26,000 attendees in over 115 countries.He is also the co-chair of the upcoming 8th Quadrennial World Congress of Pediatric Cardiology and Cardiac Surgery, planned for August, 2023 in Washington, D.C. He was awarded the prestigious Newburger-Bellinger Award in 2015, for his lifetime contributions to the field of Neurodevelopment in children with heart disease. We are so thankful for his time today and to have on a man with such passion to change lives and improve medical team dynamics. REGISTER FOR PEDIATRIC CARDIOLOGY WORLD CONGRESS HERETo connect with Gil click HERETo connect with Tori click HERE To connect with Sam click HERETo connect with Cellfie Show click HERECheck out our Youtube page HERESubscribe to the Sweet and Salty HERERate + Review the Show to Claim your Cellfie Swag Bag! HERESUBMIT YOUR CELLFIE SHENANIGANS HERETHIS EPISODE IS BROUGHT TO YOU BY GALESAll healthcare workers should have access to comfortable and protective footwear at an affordable priceCode: Cellfie10CLICK HERE THIS EPISODE IS BROUGHT TO YOU BY RESUME RX Stand out in your job search! Online courses, templates, and resources for healthcare professionals to land the career of your dreams.Code: CELLFIE 20% off CLICK HERE Nurse Résumé Templates CLICK HERE FILL-IN-THE-BLANK SOLUTION FOR YOUR RÉSUMÉ AND COVER LETTERUP AT DAWN X CELLFIE STUDIOS SOCK COLLABSnag your Cellfie Compression socks CELLFIE15 for 15% collab sock CLICK HERE COMPLETE NURSE INTERVIEW GUIDE TO LAND YOUR DREAM JOB 28-page eBook, digital download. Fully loaded with strategies, nurse pro times, and juicy details to perfect the art of interviewing.CLICK HEREAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
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