Podcasts about Critical care

This week we speak with Ms. Sharon Welsh BSN, RN about a novel project she has embarked upon called CLEAR CHD PHYSIOLOGY (on Instagram chdphysiology.icu) which is a physiology-based site intended to teach bedside critical care nurses about CHD physiology. What signs or symptoms are important and what is their meaning? Why is nursing at the bedside of a sick postoperative newborn so much more difficult than it was at the start of Ms. Welsh's career? How does Ms. Welsh use AI to create a flexible learning tool for RN's and all interested in congenital heart physiology? Ms. Welsh provides the answers this week. 

In this episode, Charles Powell, MD, MBA, Chief Executive Officer, Mount Sinai Respiratory Institute; Regional Medical Director, Mount Sinai Hospital Doctors Faculty Practice; System Division Chief, Pulmonary, Critical Care and Sleep Medicine, Mount Sinai Health System, discusses advances in respiratory care, lung cancer risks linked to air pollution, AI in clinical practice, and emerging approaches to preventing chronic disease.

Send us Fan MailDr. Michele Frazer, DVM, is a board-certified equine veterinarian at Hagyard Equine Medical Institute in Lexington, Kentucky — one of the world's oldest and most respected equine veterinary practices — where she holds dual diplomate status in two of the most demanding specialties in veterinary medicine. A diplomate of both the American College of Veterinary Internal Medicine and the American College of Veterinary Emergency and Critical Care, Dr. Frazer represents the kind of deep, specialized expertise that the most complex equine cases demand. Her passion for horses and the equine industry was always present, but her specific desire to become an equine veterinarian crystallized in a memorable moment: watching Seattle Slew win the Triple Crown. From that spark, she built a career at the highest levels of equine medicine. Her professional interests center on neonatal medicine and the treatment and research of Lawsonia intracellularis, a bacterial pathogen that causes significant disease in young horses and remains an active area of veterinary research. Dr. Frazer describes her first week at Hagyard as her favorite memory of her veterinary career — a dream come true because of the people, the horses, and the extraordinary location in the heart of the Thoroughbred world. Outside of work, she is an enthusiastic supporter of the arts and shares her life with an impressive menagerie that includes horses, llamas, dogs, cats, saltwater fish, rabbits, and lizards.Berry Porter is one of the most respected and inspiring professionals in American hunter-jumper sport — a trainer, judge, volunteer leader, and community builder whose career is as much a story about what is possible in this sport as it is about what he has accomplished within it.Porter's introduction to the hunter-jumper world came through a pony ride as a young child in the Houston area — a single moment that set the course of his life. At 22, he attended his first hunter-jumper competition at the Great Southwest Equestrian Center in Katy, Texas, arriving without a groom — cleaning all the stalls himself, arriving at 3 or 4 am to do chores before stepping into his role as professional rider and trainer. That combination of humility and relentless work ethic has defined everything he has built since. Berry Porter is the head trainer at Brookside Pine Farms in Conroe, Texas, where he has developed many riders from the beginner level, progressing to compete in the collegiate ranks and succeed at the top levels of equestrian competition. He once watched Frank Madden, Stacia Klein Madden, Andre Dignelli, and Missy Clark on television and thought they were rock stars — and now has those same professionals on speed dial while his students go toe-to-toe with theirs at championship shows. His competitive accomplishments are substantial. At the 2025 Platinum Performance/USEF Show Jumping Talent Search Final — East, Porter took Leading Trainer honors after coaching riders Eleanor Rudnicki and Emily Jurnovoy to the top two finishes. His contributions to the governance of the sport are equally significant. Porter voluntarily serves on the USHJA Hunter Working Group and the Joint Equitation Task Force, and in December 2025 was awarded the USHJA President's Distinguished Service Award at the USHJA Evening of Equestrians — an honor bestowed upon members who have gone beyond the call of duty to bring the sport to a new level. In May 2026, he was named a recipient of the Ethos Award presented by Ethos Award Equestrian, Inc., which celebrates and elevates the contributions of Black and Brown equestrians who are creating meaningful change and inspiring a more inclusive future in the sport. Porter was among the initial members of the USHJA Diversity Task Force, formed in 2020, and has consistently approached conversations about race and access in equestrian sport with the levelheadedness, generosity, and fundamental optimism that characterize everything he does. Berry Porter is, in every sense, a professional whose presence in this sport makes it measurably better.Eleanor Rudnicki is one of the most compelling success stories in American hunter-jumper sport — a young professional from Conroe, Texas whose journey from a small local barn and a cart-bred pony to the winner's circle of the nation's most prestigious equitation finals is the kind of story the sport tells about itself at its best, and one she actually lived.Her start in the sport was far from glamorous. Growing up in Texas, she began at a small local barn with a pony originally bred to pull a cart — and that same pony, through hard work and persistence, carried her all the way to Pony Finals. The barn where she learned to ride focused primarily on jumpers, but Eleanor was drawn early and irrevocably to the hunters and equitation. She moved to Berry Porter's Brookside Pine Farm in Conroe, Texas at age twelve, and that partnership would prove to be the foundation of everything that followed.What distinguished Eleanor throughout her junior career was not just talent but an extraordinary ability to catch ride — to get on a horse she had barely met and produce a performance that looked like years of partnership. Many of the horses she rode were new to either the equitation or hunter ring, and she fell in love early with the experience of feeling their progression and growth. That versatility produced results across the country at the highest levels of junior competition. In 2019, she won the THIS National Children's Medal Final, and that same year emerged victorious in the Hamel Foundation National Horse Show 3'3" Equitation Championship — impressively, during her first year competing in the equitation ranks and her first indoors season, on a horse she had ridden for the first time only one week prior. She went on to win the ASPCA Maclay at the Kentucky Summer Horse Show and captured the Overall Grand Championship in the 3'6" Junior Hunter National Championship — West in 2023, earning scores of 90 across all three phases on a catch ride.The crowning achievement of her junior career came at the 2025 Platinum Performance/USEF Show Jumping Talent Search Finals — East, where she and Qwantreau, a 2016 Belgian Warmblood gelding, were crowned champions after navigating a technical 1.15m course featuring bending lines, unrelated distances, and an open water jump. The win made her the top finisher in one of the most coveted equitation-to-jumper transition competitions in the country and confirmed what the industry had known for years — that Eleanor Rudnicki was ready for whatever came next.Now competing as a professional, she manages horses, clients, and staff while transitioning into the open jumper ranks, with her sights set on five-star shows and ultimately the U.S. Equestrian Team. The cart pony from Texas has taken her a very long way, and she is just getting started.theplaidhorse.comThank you so much for joining us today on the Plaidcast. This podcast is a labor of love, and every single episode exists because of this incredible community of riders, trainers, barn managers, parents, and horse lovers who show up in the barn, in the ring, and right here with us.At The Plaid Horse, our commitment goes far beyond the show ring. We believe deeply in the power of literacy and education and that every rider, at every level, deserves access to knowledge, stories, and ideas that make them a better horseperson and a better human being. Reading matters. Learning matters. And the stories we tell each other in this sport matter more than we sometimes realize.Whether you are a junior rider picking up your first copy of The Plaid Horse  Magazine, a professional trainer looking for inspiration, or someone who simply loves horses and everything this world stands for then this community is for you. You belong here.We build this together. Every article, every episode, every conversation is an opportunity to learn something new, to feel less alone in the challenges of this sport, and to be reminded of why we fell in love with horses in the first place.Until next time, keep reading, keep learning, keep riding, and remember that the horse world is better when we build it together. I will see you at the ring!

Obstructive sleep apnea affects approximately one in four adults and is especially common among patients with neurologic disorders, including stroke, Parkinson disease, dementia, epilepsy, and neuromuscular conditions. In this episode, Dr. Stephanie Stahl discusses why neurologists should routinely screen for OSA, highlights key symptoms and risk factors, reviews important considerations when interpreting sleep studies, and outlines current treatment options beyond CPAP. Learn how recognizing and treating sleep apnea can improve quality of life, optimize management of neurologic disease, and reduce long-term health risks. In this episode, Aaron L. Berkowitz, MD, PhD, FAAN, speaks with Stephanie M. Stahl, MD, FAASM, author of the article "Obstructive Sleep Apnea" in the Continuum® August 2026 Sleep Neurology issue. Dr. Berkowitz is a Continuum® Audio interviewer and a professor of neurology in the Department of Neurology at the University of California, San Francisco, in San Francisco, California. Dr. Stahl is an Associate Professor of Clinical Medicine and Sleep Medicine Fellowship Program Director at Indiana University School of Medicine in Indianapolis, Indiana, where she also serves as Sleep Laboratory Medical Director in the Division of Pulmonary, Critical Care, Sleep, and Occupational Medicine. Additional Resources Read the article: Obstructive Sleep Apnea Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @AaronLBerkowitz  Full episode transcript available here Dr Berkowitz: Obstructive sleep apnea is very common. It can cause or contribute to common neurologic symptoms, such as headache and impaired cognition, and it's a risk factor for stroke. And yet, if you're like me, you may not know too much more about sleep apnea than that. Today, I have the pleasure of talking to sleep expert Dr. Stephanie Stahl to learn what every neurologist should know about OSA.  Dr Jones:  This is Dr. Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast.  Dr Berkowitz: This is Dr. Aaron Berkowitz. Today I'm interviewing Dr. Stephanie Stahl about her article on obstructive sleep apnea. This article appears in the 2026 Continuum issue on Neurology of Sleep. Welcome to the podcast, Dr. Stahl, and could you please introduce yourself to our audience?  Dr Stahl: Yeah. Thank you for having me. I'm a sleep medicine physician and neurologist and medical director of the Indianapolis Sleep Lab at Indiana University Health. I serve as the director of the Sleep Medicine Fellowship program. I'm faculty advisor for our very first student interest group in sleep medicine at Indiana University School of Medicine. I'm also actively involved in some national leadership roles, including the incoming chair of the American Academy of Sleep Medicine's Education Committee and co-chair of the Academy's Inter-Scorer Reliability Gold Standard Panel. So, I really appreciate this opportunity. I look forward to our discussion.  Dr Berkowitz: Me too, and we appreciate the opportunity too to get to talk to you. You have so much expertise in this area, and I certainly encourage our listeners to look at your article, which is very comprehensive and up to date, and I learned a ton from it. I didn't get much exposure to sleep neurology as a trainee, and I've always worked in academic centers where we have a sleep group and we can refer patients there. So, I have to admit, sleep may probably be the area of neurology I know the least about, and felt like I was learning something new from pretty much every line of your article, and I know our readers will too. So, your article has a lot of excellent detail for our readers on the diagnosis and treatment of this very common condition. But I'd like to keep our interview relatively high level today and focus on the essentials for the practicing general neurologist. So, to start, can you just give us a sense of what obstructive sleep apnea is, and what every neurologist should know about it?  Dr Stahl: Yeah. So obstructive sleep apnea is characterized by either partial or full obstructions in the upper airway. That may sound pretty simple, but this leads to a whole bunch of issues. It leads to oxygen desaturations, arousals from sleep, leading to sleep fragmentation. This can then lead to sympathetic nervous system activation, cerebral hypoperfusion, leading to a whole bunch of symptoms or neurologic conditions.  Dr Berkowitz: Great. And you mentioned this in your article, but just to emphasize, how common is obstructive sleep apnea in the general population?  Dr Stahl: Yeah. So, about a quarter of the general population have obstructive sleep apnea. Much more common in many neurologic conditions.  Dr Berkowitz: Yeah, so very common disorder. We are seeing patients with it quite frequently, whether that's the reason they are seeing us in neurology or not. And this leads to my next question, which is what neurologic symptoms or presenting concerns of a patient should make us think about OSA and the differential diagnosis, and what factors based on the history or the exam or the context would make you suspicious for OSA as the cause of a neurologic symptom? In other words, the patient's presenting with classic symptoms of OSA, and that's why they're seeing a neurologist or seeing a primary care doctor, but is coming for evaluation of, say, headache or other symptoms. And what symptoms would make you think of wanting to consider OSA, and then what aspects of the history or otherwise would make you want to evaluate the patient for OSA?  Dr Stahl: I think a really important takeaway is for neurologists to know that obstructive sleep apnea is very common in neurologic conditions and has that potential to worsen a lot of these conditions or their associated symptoms. And so, it should be on our radar. There are certainly some basic questions and signs and symptoms that we can ask patients about or, or take a look at on exam. And so particular symptoms include snoring. Anybody that snores loudly or frequently, that's a strong risk factor for obstructive sleep apnea. If someone's seeing them stop breathing in their sleep, if they are waking up a lot throughout the night. There are some other symptoms that we may not necessarily attribute upfront to obstructive sleep apnea, such as nocturia, nocturnal reflux, night sweats. There are some daytime symptoms, of course, too, like unrefreshing sleep, daytime sleepiness, morning headaches, an important one in neurology. And then we take a look at the patient's exam. And so, some things that neurologists might want to be thinking about are people with obesity are certainly at a risk for obstructive sleep apnea. But it's also very important to know that someone does not need to have obesity in order to have obstructive sleep apnea. We look at neck size, other morphologic characteristics, such as how much that we can see in the back of their mouth. Can we see their uvula? Does their tongue size appear large in their mouth? And then some other risk factors too, such as male gender, older age, family history, post-menopausal state in women. All that being said, though, sometimes in neurologic conditions, we don't have all of those symptoms or risk factors to be thinking about. And so, in certain neurologic conditions such as stroke where obstructive sleep apnea is very common and has the potential to increase the risk of another stroke, we may need to be thinking about testing these patients even with minimal symptoms or other risk factors.  Dr Berkowitz: That's very helpful. So, you mentioned their headache might be the presenting symptom, right, to a neurologist, and we should certainly be thinking about obstructive sleep apnea as a potential diagnosis, even the cause of the patient's headache, particularly you said patients with morning headache. I often try to think about in patients presenting with, for memory loss, or other cognitive concerns, and that may be due more to inattention from poor sleep, so asking about sleep and symptoms of sleep apnea in those contexts. Are there any other presenting neurologic symptoms not particularly related to sleep? I'm thinking of headache, memory loss, other symptoms that would make you think, "Oh, I should actually screen this patient for sleep apnea also."  Dr Stahl: Yeah, other symptoms to think about in pediatrics, hyperactivity, people that have impaired vigilance, as you alluded to, that poor attention. Sometimes people get misdiagnosed with ADHD, and it's actually just a manifestation of obstructive sleep apnea.  Dr Berkowitz: You alluded to this, Dr. Stahl, that stroke, for example, patients are at higher risk of developing sleep apnea as a result of stroke, and it's also a risk factor for stroke. What other neurologic conditions, primary neurologic diseases, put patients at a higher risk of OSA? And again, similar to the last question I asked you, what are some clues that we should evaluate for? We might be following a patient for their post-stroke care over time and not necessarily thinking about diagnosing a separate condition in them since we're following them for their stroke or their degenerative disease. What are the conditions that put patients at a higher risk of OSA as a result of the condition, and then when would you think about screening them for it?  Dr Stahl: Some particular neurologic conditions where obstructive sleep apnea are very common, in addition to stroke and, and TIA, include Parkinson disease. It can worsen a lot of the motor, cognitive symptoms, sleep disruption that we can see in Parkinson disease. Very common in all causes of dementia, but in particular Alzheimer disease and Lewy body dementia. Very common in neuromuscular conditions. We should definitely have obstructive sleep apnea and all forms of sleep-disordered breathing high on our radar. In conditions like myotonic dystrophy. Charcot-Marie-Tooth is another one where obstructive sleep apnea is very common. Myasthenia gravis, it can worsen the symptoms of that. In particular, a pearl is if somebody has morning weakness in myasthenia gravis, obstructive sleep apnea should be high on your radar. And also, as you mentioned, any forms of headaches. There are some other things too. If somebody has poor seizure control, especially nocturnal seizures, you might have obstructive sleep apnea on your radar as well.  Dr Berkowitz: So, I think you've covered essentially every category of neurologic disease, right? We have cerebrovascular, movement, neurodegenerative, neuromuscular, epilepsy, all conditions where either the disorder itself, such as stroke or the, correct me if I'm wrong, the neurodegenerative disease puts the patient at risk. Or the patient may be at risk for exacerbations of their disease, as you mentioned in myasthenia. I love that pearl. Not fatiguable at the end of the day, but if the patient with myasthenia is telling you they're feeling weaker at the beginning of the day, then think about obstructive sleep apnea and that obstructive sleep apnea worsening control of epilepsy due to poor sleep. So really a lot of bidirectional interactions with this common condition. Okay, so if we're concerned about obstructive sleep apnea, again, myself, a general neurologist speaking perhaps on behalf of other general neurologists, we see a patient with headache or reporting memory loss that we find to be impaired attention, or we see exacerbation of their underlying primary neurologic disease. As you mentioned, we think, "Oh, I've listened to this podcast. I've read Dr. Stahl's article. I should probably be thinking about OSA in this patient, and I should order a sleep study." Now, I admit when I get the sleep study back, I scroll to the bottom, I see they do have obstructive sleep apnea, I'm going to send them over to a sleep specialist. But for the general neurologist, what are some high-yield pearls and some pitfalls to be aware of when we get sleep studies for obstructive sleep apnea, and we are looking at the results? Dr Stahl: The first thing is to understand that there are two main types of sleep studies: in-lab polysomnography and home sleep apnea test. In-lab studies are typically what we consider the more accurate type of study. Main reason for that is that we have EEG, so we can see if someone is awake versus asleep. Most home sleep apnea tests do not utilize EEG, and so when we're looking at respiratory events, apneas or hypopneas, we're looking at over the total recording time rather than the total sleep time. So, we know we're going to capture some time where a person is awake, where we don't have sleep apnea events, and that can be a big amount of time in people with insomnia, poor sleep efficiency. And as a result of that, it can lead to an underestimation of the apnea-hypopnea index. That's really important for people to understand that that means we can end up with a false negative home sleep apnea test, or it can put them in a category of lower severity than what they actually have. And so, if you get a home sleep study report back that's negative for sleep apnea and you remain concerned, you need to go on to do an in-lab study, where about twenty to fifty percent of people will go on to have a positive in-lab study. You can also get false positives with home sleep apnea tests too, and so ideally, we should only be doing home sleep apnea tests in people that are at high risk of having obstructive sleep apnea to decrease our chance of false positive study. When we get that sleep study report, what's important to take a look at? So the main number that we look at currently is the apnea-hypopnea index. The number of apneas, which are full obstructions in that upper airway, or hypopneas, partial obstructions in the upper airway where either there's an oxygen desaturation or an arousal associated with that. Less than five is considered to be normal. Anything five or more gives them a diagnosis of obstructive sleep apnea, and then we stratify them based on the AHI. But it's important to take a look at more than just the apnea-hypopnea index. And while my eyes too on various reports like echocardiograms want to jump to the impression, it is important to take a look at that full report, see what their oxygen levels averaged and what they dipped down to. The arousal index, which is how many times a patient may have woken up briefly throughout the night. Take a look at the histogram, usually an image at the bottom of their report that shows what sleep fragmentation may have been like so that you can take that all in and make that decision. How important are these study findings, and is this a person that would benefit from treatment?  Dr Berkowitz: That's a fantastic overview of sleep studies and some of the highlights to look out for, even if we won't be understanding every detail as you would to know most importantly the caveats about home sleep testing having a fairly high percentage of false negative and false positive results. So being wary if our suspicion is high, and that test is normal or inconclusive to get an in-lab sleep study. And if our suspicion is low or maybe we haven't ordered the test and the patient has had it done elsewhere, and the history doesn't really match up to know that there are false positives on the home studies as well, and again, an in-lab study to settle the diagnosis. Is that right?  Dr Stahl: Yes.  Dr Berkowitz: Okay. Now, for most neurologists, probably if we diagnose OSA, we will be referring the patient to a sleep specialist like yourself for treatment. I think we're all familiar with CPAP and patients being on CPAP. Your article mentions a number of treatment modalities I admit I have not heard of before or maybe heard of in passing, acknowledging most general neurologists are not going to be prescribing or knowing with the nuance that you do as an expert how to decide which treatment a patient would most benefit from or most qualify for. So, can you just give us a broad overview, again, for the general neurologist acknowledging we might see a patient whose past medical history says OSA being treated with fill in the blank. What are the different treatment modalities, and how do you think, just so we can learn from you in broad brush strokes, about particular treatments for particular patients?  Dr Stahl: As you mentioned, most people are familiar with positive airway pressure or PAP therapy, and that does remain our most efficacious treatment. The way I explain it to patients is why PAP therapy is the most effective treatment is it's the only treatment that can take all of the tissues of that upper airway and open them up. Whereas all of our other treatments, we're going to target smaller spaces of that upper airway. So, our first option is if we can get somebody on PAP therapy, we know that that's going to be the best option for the majority. PAP therapy works by basically acting as an air splint to open up the air tissues. Know that masks are not interchangeable. There are masks that cover the nose and go over the nose and mouth and under the nose. Full face masks that cover the nose and mouth, they do typically require higher pressures, also tend to be less comfortable for a lot of patients as well. In addition to different PAP masks, there's different modalities of positive airway pressure therapy too. There are machines that auto-adjust, some that provide fixed pressure, bi-level PAP that provides a higher inspiratory pressure, lower expiratory pressure. Then outside of PAP therapy, there are, as you alluded to, a lot of options and more, continuing to come down the pipeline as well. Mandibular advancement devices or a form of oral appliances has been around for a while. This is device that somebody wears in their mouth. It's preferably customized for their teeth and titratable, meaning that they can make adjustments that pulls their mandible forward in relation to the maxilla in order to pull those tongue tissues further away from the back of the upper airway. That's ideally managed by a qualified sleep dentist or someone that specializes in oral appliance management. Other treatments include surgical options, including hypoglossal nerve stimulation, which is an implanted device that causes the tongue to protrude repetitively throughout their sleep period to hopefully open up the airspace. There's some other surgical options too that open up various places of the upper airway. There's a daytime treatment of obstructive sleep apnea, transoral neuromuscular electrical stimulation that changes the muscle fiber type of the tongue. And then there's some adjunctive treatments that can be helpful too, such as positional therapy, oral facial myofunctional therapy that helps a person breathe better through their nose and may help train the upper airway muscles.  Dr Berkowitz: Great. Well, that's a very helpful overview, and again, I refer our listeners to your article, which talks about all of those modalities in very comprehensive detail. So, Dr. Stahl, as we wrap up our conversation, you have a captive audience of neurologists and neurology trainees here. What would you like to leave us with that every neurologist should know about obstructive sleep apnea?  Dr Stahl: The most important, again, is for neurologists to know that obstructive sleep apnea is so common in your patient population, and it can have a significant negative impact on quality of life and health, including many neurologic conditions. And at the same time, obstructive sleep apnea is very treatable. We have so many options nowadays that we can usually get someone onto adequate treatment. And treatment has that potential to improve several neurologic symptoms and disorders, even at times when you don't think that there's an opportunity to improve symptoms such as say in, headache. So, neurologists really should be screening for signs and symptoms of obstructive sleep apnea, as well as considering testing in high-risk, potentially asymptomatic or minimally symptomatic patients.  Dr Berkowitz: That's a fantastic overview of some of the many pearls that you shared with us today, as well as in your article. So, thank you so much again. Today, I've been interviewing Dr. Stephanie Stahl about her article on obstructive sleep apnea. This article appears in the August 2026 Continuum issue on neurology of sleep. Be sure to check out Continuum Audio episodes from this and other issues. And thank you so much to our listeners for joining today, and thank you again, Dr. Stahl.  Dr Stahl: Thank you again for having me.  Dr Monteith: This is Dr. Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.  

Clinicians and medical providers rely on data to tailor care plans to their patients. Aartik Sarma, MD, University of California, San Francisco, Pat Lyons, MD, Oregon Health & Science University, and host Lekshmi Santhosh, MD, the University of California, San Francisco, discuss the use of data science in critical care medicine and how it has evolved over time. They dive into how new technologies benefit ICU patients, and how the medical infrastructure can be further improved.

What does it really take to match into a medical fellowship as an IMG?In this episode of Med School Minutes, we sit down with Dr. Brandon Gordon, Saint James School of Medicine alumnus and Pulmonary & Critical Care fellow at the University of Florida Jacksonville, to discuss the journey from medical school to residency, chief residency, and fellowship.Dr. Gordon shares what he learned navigating the fellowship application process, including why connections matter, how research and quality improvement projects can strengthen your application, and what fellowship programs are really looking for during interviews.In this episode, we discuss:• How fellowship applications differ from residency• The importance of research, case reports, and QI projects• How networking can help you land fellowship interviews• Why social media can be a valuable networking tool• Whether becoming a chief resident can improve your chances• What fellowship interviews are really evaluating• Fellowship and visa considerations for international graduates• Why physicians choose to subspecializeWhether you're currently in medical school, preparing for residency, or already thinking about your next step after residency, this episode offers practical insight into what it takes to pursue fellowship training as an IMG.

Key Points Gamification in medical education can deeply engage learners and improve clinical skills. Rapid Sequence alternates between game blocks, where learners act in clinical scenarios, and teaching blocks, where insights are shared. True expertise is about developing effective cognitive strategies, not just accumulating knowledge. Building mental models involves not just learning, but practicing decision-making in complex environments. The learning environment should foster psychological safety and encourage growth through reflection and feedback. REBEL Rundown Introduction Welcome back to Rebel MIND, the podcast where we sharpen the person behind the practitioner. MIND stands for Mastering Internal Negativity during Difficulty. This series emphasizes productivity, provider performance, and team optimization to ensure we are at our best during high-pressure situations. In this episode, we introduce an innovative teaching tool called Rapid Sequence, aimed at revolutionizing how clinicians learn critical care through gamified experiences. With host Dr. Mark Ramzy, we invite Drs. Sarah Crager, and Ryan Ernst, to explore what it takes to become an expert and how gamification can transform learning in the medical field. Cognitive Question What does it truly mean to be an expert in emergency and critical care medicine? What Is Rapid Sequence?? It’s a gamified clinical case simulation tool consisting of different “blocks” where you have individual learners that can work through cases in non-multiple choice format. You’re basically working on shifts, seeing multiple patients with your team.There’s a cast of characters, interruptions, distractions, and you enter orders just like you would as if you were on shift, and then the cases advance to see the outcome of your decisions, good or badFor more information check it out the Rapid Sequence website here. Use the following Promo Code: REBEL2026 at checkout page to receive a 20% off couponFigure 1: Screenshot from Rapid Sequence showing the initial dashboard Learning Must Be An Active Not Passive Process An important part of the process when acquiring new skills or information is making it an active processIt is not just passively listening, but actively participating, providing answers that aren’t multiple choice, and then responding to the outcomeThis provides the engagement, and increases both the comprehension and retainability of new conceptsWhen you then apply those same concepts in future times of questioning (or in Rapid Sequence's case “Blocks”) it helps expedite active recall through spaced repetition How This Applies to the Emergency Department or ICU? In high-stakes environments like the ED or ICU, clinicians must make fast, informed decisions often without complete data. Rapid Sequence provides a simulated space where clinicians can make mistakes without risk to real patients, receive feedback, and build the cognitive resilience needed for actual shifts, mirroring the chaotic nature of these departments. Immediate Action Steps for Your Next Shift **Embrace Gamified Learning**: Engage with or seek out platforms like Rapid Sequence that offer a practice ground for real-world medical scenarios.**Develop Mental Models**: Start by breaking down complex cases into mental models that you can refer back to during your shift. **Prioritize Feedback and Reflection**: After each shift, allocate time to reflect on decisions and seek peer feedback to refine your cognitive strategies.**Foster a Safe Learning Environment**: Encourage open discussions in your team where all members can express uncertainties and learn from one another. Conclusion Embracing innovative teaching methodologies such as gamification can lead to significant improvements in clinical education and practice. By integrating tools like Rapid Sequence in training, healthcare professionals can not only enhance their skills but also foster a culture of continuous learning and psychological safety. Clinical Bottom Line Effective medical education isn’t about rote memorization—it’s about developing the ability to think critically and adapt rapidly in ever-changing environments. Gamified tools offer an engaging path to achieve true expertise, ensuring clinicians are well-equipped to provide the best patient care possible. Meet the Authors Sara Crager, MD Associate Professor, Critical Care and Emergency Medicine UCLA, Los Angeles, CA Ryan Ernst, MD Assistant Professor of Emergency Medicine, Section Chief of Global EM University of Utah, Salt Lake City, UT Showing Slide 1 of 2 The post REBEL MIND – Teaching Towards Expertise with Gamification appeared first on REBEL EM - Emergency Medicine Blog.

Dr Jason van der Velde, Prehospital Emergency Medicine and Critical Care doctor in Cork; Grace Boland, Fine Gael TD for Dublin Fingal West; and Michael Sheridan, motoring journalist

Roger Seheult, MD of MedCram explains the ways permanent daylight saving time would affect health. See all Dr. Seheult's videos at: https://www.medcram.com/ (This video was recorded on July 18th, 2026.) Roger Seheult, MD is the co-founder and lead professor at: www.medcram.com He is Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine and an Associate Professor at the University of California, Riverside School of Medicine. MEDCRAM WORKS WITH MEDICAL PROGRAMS AND HOSPITALS: MedCram offers group discounts for students and medical programs, hospitals, and other institutions. Contact us at customers@medcram.com if you are interested. MEDIA CONTACT:  Media Contact: customers@medcram.com Media contact info: https://www.medcram.com/pages/media-contact Video Produced by Kyle Allred Edited by Daphne Sprinkle of Sprinkle Media Consulting, LLC FOLLOW US ON SOCIAL MEDIA: Facebook:  www.facebook.com/MedCram Twitter/X: www.twitter.com/MedCramVideos Instagram: www.instagram.com/medcram DISCLAIMER: MedCram medical videos are for medical education and exam preparation, and NOT intended to replace recommendations from your doctor.

Every spring for over 50 years, the Trauma, Critical Care, and Acute Care Surgery conference, best known simply as the MATTOX conference, is held in Las Vegas (https://www.trauma-criticalcare.com/).  The conference is unique in that it is entirely focused on practice-changing clinical education. It's a damn good time too!  A favorite feature is the annual debates.  Today, we are featuring a showdown between Drs. Bryan A. Cotton, MD, MPH and Marty A. Schreiber, MD, FACS, FCCM, FCRST (Hon), COL, MC, USAR as they debate REBOA as a Life-Saving Intervention in Hemorrhagic Shock.  You can listen on the podcast or watch the debate with accompanying slides on our website or app.  Let's get ready to RUMMMBLLLEEEE!  TRAUMA SURGERY VIDEO ATLAS: https://behindtheknife.org/premium/trauma-surgery-video-atlasPreparing for the deadliest injuries is challenging, and currently available resources are limited. That is why we created the Behind the Knife Trauma Surgery Video Atlas. Be ready for the most complex injuries, like penetrating trauma to the neck, audible bleeding from the IVC, and pelvic hemorrhage, with 24 scenarios. Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listenBehind the Knife Premium: https://behindtheknife.org/premiumOral Board Review: https://behindtheknife.org/oral-boardOral Board Simulator: https://behindtheknife.org/oral-board/simulatorGeneral Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

Every spring for over 50 years, the Trauma, Critical Care, and Acute Care Surgery conference, best known simply as the MATTOX conference, is held in Las Vegas (https://www.trauma-criticalcare.com/).  The conference is unique in that it is entirely focused on practice-changing clinical education. It's a damn good time too!  A favorite feature is the annual debates.  Today, we are featuring a showdown between Drs. Carlos V.R. Brown, MD, FACS and Katie W. Russell, MD as they debate WHETHER OR NOT PEDIATRIC PANCREATIC INJURIES CAN BE MANAGED NON-OPERATIVELY.  You can listen on the podcast or watch the debate with accompanying slides on our website or app.  Let's get ready to RUMMMBLLLEEEE!  TRAUMA SURGERY VIDEO ATLAS: https://behindtheknife.org/premium/trauma-surgery-video-atlasPreparing for the deadliest injuries is challenging, and currently available resources are limited. That is why we created the Behind the Knife Trauma Surgery Video Atlas. Be ready for the most complex injuries, like penetrating trauma to the neck, audible bleeding from the IVC, and pelvic hemorrhage, with 24 scenarios. Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listenBehind the Knife Premium: https://behindtheknife.org/premiumOral Board Review: https://behindtheknife.org/oral-boardOral Board Simulator: https://behindtheknife.org/oral-board/simulatorGeneral Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

As part of the June issue, the European Respiratory Journal presents the latest in its series of podcasts. Deputy Chief Editor Don Sin interviews Melanie Königshoff (Center for Lung Aging and Regeneration, Division of Pulmonary, Allergy, Critical Care and Sleep Medicine, Department of Medicine, University of Pittsburgh, and Geriatric Research Education and Clinical Center at the VA Pittsburgh Healthcare System, Pittsburgh, PA, USA) about her Back to Basics review of the hallmarks of the ageing lung, published in this issue of the ERJ (https://doi.org/10.1183/13993003.01272-2025). Cite this podcast as: ERJ Podcast June 2026: The ageing lung. Eur Respir J 2026; 67: 26E6706 [https://doi.org/10.1183/13993003.E6706-2026].

In this episode, Dennis sits down with Brock, a civilian critical care flight paramedic who flies Medevac in the States, to break down what it actually takes to move a sick patient from point A to point B — and why drone evacuations are nowhere near as simple as the headlines suggest.They cover the real decision matrix behind scene calls versus interfacility transports, why time-sensitive patients (STEMI, stroke, major trauma) get priority, and the constant safety calculus of weather, maintenance, and crew fatigue. Brock reveals the shocking frequency of “stable” hospital patients who decompensate the moment transport begins — and why the dynamic environment of movement, vibration, and altitude changes everything.They also tackle the hard questions around drone evac: What kind of patient is actually stable enough to fly without a provider? What technology gaps (remote vent/pump titration, redundant IV access, real-time monitoring) must be solved before drones can handle true critical care? And why drone resupply might be the capability we should be training on right now.If you're a medic, planner, or leader betting on unmanned systems to solve evacuation problems in austere or contested environments, this conversation is your reality check.Key Takeaways:Scene crews decide destination based on capability; interfacility decisions are physician-driven.Over-triage happens — CCT assets sometimes get used for patients who could go ground.The “3 to go, 1 to say no” rule keeps aircraft missions safe (weather, maintenance, fatigue).Patients stable in the static hospital environment frequently decompensate once transport starts.True ICU-level patients on vents and drips currently require human titration that drones can't provide.Drone resupply is already viable and should be trained aggressively now.Realistic logistics training prevents dangerous “training scars” in younger medics.Chapters00:00 – Welcome & Why Drone Evacs Are the New Hotness (But Not That Simple)00:27 – Guest Intro: Brock, Civilian Critical Care Flight Paramedic01:59 – Scene Calls vs Interfacility Transports: Who Actually Decides?03:45 – Over-Triage Problem: Using CCT Assets on Patients Who Could Go Ground04:46 – Key Decision Factors: Time-Sensitive Patients (STEMI, Stroke, Trauma, Burns)06:56 – Aircraft Safety Culture: Weather, Maintenance Packages & Crew Fatigue (“3 to Go, 1 to Say No”)09:31 – Ground Critical Care Trucks as Backup When Weather Grounds Flights11:12 – Drone Evacs: What Kind of Patient Is Stable Enough for Unmanned Transport?13:32 – The Core Problem: Static Hospital vs Dynamic Transport Environment15:57 – Why Patients Decompensate in Transport (Real Examples from the Street)18:48 – What Drone Critical Care Would Actually Require (Remote Titration, Redundancy, Monitoring)21:44 – When It's Safer to Leave the Patient Where They Are22:48 – Drone Resupply: Already Working and Why We Need to Train It Now27:03 – Logistics Nightmares in Critical Care Transport28:50 – Training Scars: Why Realistic Logistics Training Matters for Medics29:58 – Closing Thoughts & Where to Find More PFC ContentFor more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠

Episode 142 – Using Trazodone with SSRIs and TCAs   Can trazodone be safely used in combination with and SSRI or TCA without causing signs of Serotonin Syndrome? This is one of the most frequently asked questions I hear, especially from GP vets.   Have a listen as I chat through my thoughts on this topic and refer back to one of the original studies on trazodone from 2008 where it was used as an augmenting agent for patients already on an SSRI or TCA to further improve signs of fear or anxiety.   I also talk about medication doses, and I mention 2 further papers where dogs and cats ingested their caregivers' anti-depressant medication and only 25% developed clinical signs consistent with SS.   Here are the papers I mention in the episode: Gruen, M.E. and Sherman, B.L., 2008. Use of trazodone as an adjunctive agent in the treatment of canine anxiety disorders: 56 cases (1995–2007). Journal of the American Veterinary Medical Association, 233(12), pp.1902-1907.   Pugh, C.M., Sweeney, J.T., Bloch, C.P., Lee, J.A., Johnson, J.A. and Hovda, L.R., 2013. Selective serotonin reuptake inhibitor (SSRI) toxicosis in cats: 33 cases (2004–2010). Journal of Veterinary Emergency and Critical Care, 23(5), pp.565-570.   Thomas, D.E., Lee, J.A. and Hovda, L.R., 2012. Retrospective evaluation of toxicosis from selective serotonin reuptake inhibitor antidepressants: 313 dogs (2005–2010). Journal of Veterinary Emergency and Critical Care, 22(6), pp.674-681.   If you would like to learn more about Veterinary Psychopharmacology, then my PSYCHOACTIVE course is for you: https://katrin-jahn.mykajabi.com/psychoactive   If you liked this episode of the show, Veterinary Behaviour Chat, please LEAVE A 5-STAR REVIEW, like, share, and subscribe!   Facebook Group: Join The Veterinary Behaviour Community on Facebook   You can CONNECT with me: Website: Visit my website Trinity Veterinary Behaviour Instagram: Follow Trinity Veterinary Behaviour on Instagram Trinity Veterinary Behaviour Facebook: Join us on Trinity Veterinary Behaviour's Facebook page Trinity Veterinary Behaviour YouTube: Subscribe to Trinity Veterinary Behaviour on YouTube LinkedIn Profile: Connect with me on LinkedIn   Thank you for tuning in!

In this podcast, recorded at the Top Articles of 2025 Session at PEDICRITICON 2025, Dr. Traci Wolbrink interviews Drs. Ashish Agarwal and Ramesh Kumar Ramachandran about two randomized controlled trials. These studies comparing 0.9% normal saline with Ringer's lactate in diabetic ketoacidosis and the efficacy of high flow nasal cannula versus nasal prong bubble CPAP in bronchiolitis. The conversation reveals challenges in resource-limited settings, emphasizing the importance of protocol adherence, mentorship, and resource management. Valuable insights into fluid management, respiratory support, and research execution are offered for healthcare professionals keen on advancing clinical practice and research knowledge. Learning Objectives - Recognize the limitations of using normal saline in diabetic ketoacidosis - Understand the physiological benefits of balanced fluids like Ringer's Lactate - Identify the logistical challenges in conducting trials in resource-limited settings - Appreciate the role of teamwork and protocol adherence in research success AUTHORS Ashish Agarwal, MD Post Graduate Institute of Medical Education and Research, Chandigarh, Chandigarh, India Ramachandran Rameshkumar, MD, DM, FRCPCH Division of Pediatric Critical Care, Department of Pediatrics, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India Pediatric Intensive Care Unit, Department of Pediatrics, Mediclinic City Hospital, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates Traci Wolbrink, MD, MPH‌ Co-Director, OPENPediatrics Senior Associate in Critical Care Medicine Department of Anesthesiology, Critical Care and Pain Medicine Boston Children's Hospital Associate Professor of Anesthesia Harvard Medical School DATE Initial publication date: July 1, 2026. ARTICLES REFERENCED Agarwal A, Jayashree M, Nallasamy K, Dayal D, Attri SV. 0.9% Saline versus Ringer's lactate as initial fluid in children with diabetic ketoacidosis: a double-blind randomized controlled trial. BMJ Open Diabetes Res Care. 2025;13(2):e004623. https://pubmed.ncbi.nlm.nih.gov/40194836/ Maya M, Rameshkumar R, Selvan T, Delhikumar CG. High-Flow Nasal Cannula Versus Nasal Prong Bubble Continuous Positive Airway Pressure in Children With Moderate to Severe Acute Bronchiolitis: A Randomized Controlled Trial. Pediatr Crit Care Med. 2024;25(8):748-757. https://pubmed.ncbi.nlm.nih.gov/38639564/ TRANSCRIPT https://cdn.bfldr.com/D6LGWP8S/as/szcrpthcfg3w4398gkvf9ch/202606_Pedicriticon_Podcast_2025_Transcript Please visit: http://www.openpediatrics.org OPENPediatrics™ 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 thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu CITATION Agarwal A, Rameshkumar R, Wolbrink TA. PEDICRITICON 2025: Top Articles in PICU Research. 07/2026. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/pedicriticon-2025-top-articles-in-picu-research.

For more information regarding this CME/CE activity and to complete the CME/CE requirements and claim credit for this activity, visit:https://www.mycme.com/courses/emerging-agents-in-pulmonary-arterial-hypertension-10829Program DescriptionThis enduring educational activity provides a comprehensive update on late stage agents being researched for the management of pulmonary arterial hypertension (PAH). Led by expert faculty, the program shifts the clinical focus from traditional vasodilators to novel investigational therapies that directly target the underlying cellular pathways responsible for pulmonary vascular remodeling and disease progression. Clinicians will gain critical insights into the mechanisms of action, latest clinical trial data, and real-world practice implications of these emerging therapeutic classes to better address unmet needs in contemporary care.At the conclusion of this activity, participants should be better able to:Discuss clinical trial data and potential clinical utility of emerging agents in PAH.Accredited ProvidersThe National Association for Continuing Education in partnership with the Association for Pulmonary Advanced Practice Providers (APAPP).Accreditation StatementThe National Association for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.The National Association for Continuing Education designates this enduring material for a maximum of 0.25 Physicians should claim only the credit commensurate with the extent of their participation in the activity. The National Association for Continuing Education is accredited by the American Association of Nurse Practitioners as an approved provider of nurse practitioner continuing education. Provider number: 121222. This activity is approved for 0.25 contact hours (which includes 0.25 hours of pharmacology).Intended AudiencePulmonology clinicians (physicians, nurse practitioners, and physician associates), cardiology clinicians, and primary care clinicians caring for patients with or at risk for PAH.FacultyIoana Preston, MDDirector Pulmonary Hypertension CenterLahey Hospital and Medical CenterUMASS Chan Medical SchoolBurlington, MADr. Preston has disclosed the following financial relationships:Consultant: Gossamer Bio, Insmed, Janssen Pharmaceuticals, Keros Therapeutics, Liquidia Technologies, Merck & Co./Acceleron Pharma, Respira Technologies, United Therapeutics CorporationContracted Research: Gossamer, Janssen Pharmaceuticals, Merck & Co./Acceleron Pharma, Novartis, United Therapeutics CorporationData and Safety Monitoring Board (DSMB): Tectonic TherapeuticAll of her disclosures are related to PH.Jean Elwing, MDProfessor of Medicine, University of Cincinnati College of MedicineDirector, Pulmonary Hypertension Program, University of Cincinnati Pulmonary, Critical Care and Sleep MedicineCincinnati, OHDr. Elwing has disclosed the following financial relationships:Consultant: Gossamer Bio (pulmonary hypertension), Insmed (pulmonary hypertension), Liquidia (pulmonary hypertension), United Therapeutics (pulmonary hypertension)Speaker: Merck (pulmonary hypertension)Contracted Research: Acceleron/Merck (pulmonary hypertension), Gossamer Bio (pulmonary hypertension), Inhibikase (pulmonary hypertension), Insmed (pulmonary hypertension), Lung LLC (pulmonary hypertension), Novartis (pulmonary hypertension), NS Pharma (pulmonary hypertension), Pharmosa/Liquidia (pulmonary hypertension), Pulmovant (pulmonary hypertension), Regeneron (pulmonary hypertension), United Therapeutics (pulmonary hypertension)These relationships ended within the last 24 months:Consultant: Inhibikase (pulmonary hypertension), Janssen/Actelion/Johnson & Johnson (pulmonary hypertension), Merck (pulmonary hypertension)Advisor/Advisory Board: Gossamer Bio (pulmonary hypertension), Inhibikase (pulmonary hypertension), Merck (pulmonary hypertension), United Therapeutics (pulmonary hypertension)Speaker: United Therapeutics (pulmonary hypertension)All of the relevant financial relationships listed for these individuals have been mitigated.Nurse Planner and Peer ReviewerMarjorie Crabtree, DNP, FNP, ANPHaymarket Medical EducationSteering CommitteeNurse Practitioner Healthcare FoundationAccredited Provider Program DirectorBellevue, WADr. Crabtree has no relevant conflicts of interest with any ACCME-defined ineligible company.Accredited Provider DisclosureNACE staff have no relevant financial relationships to disclose.Commercial SupportersThis activity is supported by an independent educational grant from Insmed and an independent educational grant from Merck Sharp & Dohme LLC, a subsidiary of Merck & Co., Inc.Please visit  http://naceonline.com to engage in more live and on demand CME/CE content.

In this World Shared Practice Forum Podcast, first authors Drs. Frances Balamuth and Chanu Rhee describe the objectives and methodology for their study “National Estimates of Pediatric Sepsis in US Hospitals Using Clinical Data” published in the March 2026 edition of JAMA. They discuss the process of modifying the Phoenix Sepsis Criteria to an electronic health record-based Pediatric Sepsis Event (PSE) definition and the methods for validating this definition. The authors share salient findings from their study, noting the limitations, and share their hopes for the future direction of sepsis surveillance research. LEARNING OBJECTIVES - Understand the derivation for the Pediatric Sepsis Event definition for electronic health record-based pediatric sepsis surveillance - Review the validation process for the Pediatric Sepsis Event definition - Compare the Pediatric Sepsis Event definition to the Phoenix Sepsis Criteria - Discuss the results and limitations of the electronic health record-based study design - Express the goals for the future direction of pediatric sepsis surveillance research AUTHORS Frances Balamuth, MD, PhD, MSCE Professor of Pediatrics, Chief of Pediatric Emergency Medicine University of Pennsylvania Perelman School of Medicine Children's Hospital of Philadelphia Chanu Rhee, MD, MPH Associate Professor of Population Medicine Harvard Medical School and Harvard Pilgrim Health Care Institute Traci Wolbrink, MD, MPH‌ Senior Associate in Critical Care Medicine; Department of Anesthesiology, Critical Care and Pain Medicine Boston Children's Hospital Associate Professor of Anesthesia Harvard Medical School DATE Initial publication date: June 23, 2026. ARTICLES REFERENCED Rhee C, Balamuth F, Dysart K, et al. National Estimates of Pediatric Sepsis in US Hospitals Using Clinical Data. JAMA. 2026;335(15):1321-1331. https://pubmed.ncbi.nlm.nih.gov/41865411/ TRANSCRIPT https://cdn.bfldr.com/D6LGWP8S/as/swj4kvkgg686b6p9whmbht/20260622_WSP_Rhee_and_Balamuth_Transcript Please visit: www.openpediatrics.org OPENPediatrics™ 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, thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu CITATION Balamuth F, Rhee C, O'Hara JE, Wolbrink TA. National Estimates of Pediatric Sepsis. 06/2026. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/new-national-estimates-of.

*** Learn how the TALK tool enhances team communication in critical care settings. Discover its benefits, implementation strategies, and key takeaways for healthcare professionals.Article referenced: Iago Enjo-Perez, Cristina Diaz-Navarro, Esther Leon-Castelao, Miquel Sanz-Moncusí, Inma Carmona-Delgado, Javier Pérez-Dueñas, Rocío Ponce-Muñoz, Sara Fernandez-Mendez, Jose-Ramón Alonso-Viladot, Jose María Nicolàs-Arfelis, Pedro Castro; Use of the TALK Tool for Interprofessional Team Self-Debrief During Everyday Opportunities for Learning in Critical Care. Am J Crit Care 1 May 2026; 35 (3): 171–181. doi: https://doi.org/10.4037/ajcc2026814The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women.Dr Stephanie Martin is the Medical Director for Clinical Concepts in Obstetrics and a Maternal Fetal Medicine specialist with expertise in critical care obstetrics.Suzanne McMurtry Baird, DNP, RN is the Nursing Director for  Clinical Concepts in Obstetrics with many years of experience caring for critically ill pregnant women.Julie Arafeh, RN, MS is the Simulation Director for Clinical Concepts in Obstetrics and a leading expert in simulation.Critical Care Obstetrics Academy: https://www.clinicalconceptsinob.com/Follow us:Patreon: patreon.com/CCOBYouTube: @CriticalCareOBPodcastInstagram: https://www.instagram.com/criticalcareob/Dr Martin's LinkedIn: http://linkedin.com/in/stephanie-martin-65b07112aCCOB LinkedIn: https://www.linkedin.com/company/clinical-concepts-in-obstetrics/Twitter/X: https://twitter.com/OBCriticalCareCCOB Facebook: ...

Welcome to episode 124 of Mogil's Mobcast. Today's guest is Dr. Anthony Esposito. Dr. Esposito is a pulmonologist and the co-director of the Northwestern Scleroderma Program. Interstitial lung disease is the leading cause of death in scleroderma patients, and one of the first manifestations many will develop. In fact, four out of five scleroderma patients will show it on their very first CT scan. Dr. Esposito shares important information we all need to hear.”

Point-of-care ultrasound (POCUS) has become one of the most exciting developments in modern pre-hospital care. From enhancing clinical assessment and supporting critical interventions to influencing transport and treatment decisions, ultrasound is increasingly finding its place in the hands of pre-hospital clinicians.In this special compilation episode of the Pre-Hospital Care Podcast, we bring together three previous episodes that explore the role of ultrasound from different perspectives. Together, they provide a comprehensive overview of the opportunities, limitations, and governance considerations surrounding pre-hospital ultrasound practice.In this episode, we discuss:The evolving role of ultrasound in pre-hospital decision-makingHow POCUS can augment clinical assessment in critically ill and injured patientsThe use of ultrasound in trauma care and time-critical interventionsCurrent evidence supporting pre-hospital ultrasoundTraining, competency and governance requirementsChallenges of implementation and avoiding over-reliance on imagingThe future of ultrasound in pre-hospital and critical care practiceFeatured EpisodesSound Decisions: The Evolving Role of Pre-Hospital Ultrasoundhttps://podcasts.apple.com/gb/podcast/sound-decisions-the-evolving-role-of-pre/id1441215901?i=1000723373532Point-of-Care Ultrasound in Critical Care with Dan Nevinhttps://podcasts.apple.com/ca/podcast/point-of-care-ultrasound-in-critical-care-with-dan-nevin/id1441215901?i=1000625086379Pre-Hospital Ultrasound in Trauma: Practice & Governancehttps://podcasts.apple.com/gb/podcast/pre-hospital-ultrasound-in-trauma-practice-governance/id1441215901?i=1000724321110ResourcesFor more episodes and educational resources, visit the Pre-Hospital Care Podcast and follow us on social media for updates on future episodes and series.If you enjoyed this compilation, please consider subscribing, leaving a review, and sharing the episode with colleagues who have an interest in pre-hospital critical care.

Roger Seheult, MD of MedCram explores two new rooftop ICU facilities and tries out the MiEye light sensor. See all Dr. Seheult's videos at: https://www.medcram.com/ (This video was recorded on June 9th, 2026) Roger Seheult, MD is the co-founder and lead professor at: www.medcram.com He is Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine and an Associate Professor at the University of California, Riverside School of Medicine. MEDCRAM WORKS WITH MEDICAL PROGRAMS AND HOSPITALS: MedCram offers group discounts for students and medical programs, hospitals, and other institutions. Contact us at customers@medcram.com if you are interested. MEDIA CONTACT:  Media Contact: customers@medcram.com Media contact info: https://www.medcram.com/pages/media-contact Video Produced by Kyle Allred Edited by Daphne Sprinkle of Sprinkle Media Consulting, LLC FOLLOW US ON SOCIAL MEDIA: Facebook:  www.facebook.com/MedCram Twitter/X: www.twitter.com/MedCramVideos Instagram: www.instagram.com/medcram DISCLAIMER: MedCram medical videos are for medical education and exam preparation, and NOT intended to replace recommendations from your doctor.

Stephanie Lee, PharmD, and Isabel A. Mangaoang, PharmD, join CHEST® Critical Care Podcast Moderator Gretchen Sacha, PharmD, BCCCP, FCCM, to discuss their research into the sedation gap that can occur in patients who are critically ill and undergoing bedside procedural paralysis.  This episode is part of a new series exploring articles published in our open access journal CHEST Critical Care.  BRIDGE THE GAP DOI: 10.1016/j.chstcc.2026.100237 MIND THE GAP DOI: 10.1016/j.chstcc.2024.100089 Disclaimer: The purpose of this activity is to expand the reach of CHEST content through awareness, critique, and discussion. All articles have undergone peer review for methodologic rigor and audience relevance. Any views asserted are those of the speakers and are not endorsed by CHEST. Listeners should be aware that speakers' opinions may vary and are advised to read the full corresponding journal article(s) for complete context. This content should not be used as a basis for medical advice or treatment, nor should it substitute the judgment used by clinicians in the practice of evidence-based medicine.  

SummaryThis episode explores the ethical, legal, and practical implications of virtual critical care in healthcare, highlighting recent cases and regulatory challenges. Hosts Sean and Terry discuss the boundaries of telehealth, the moral dilemmas faced by providers, and the importance of appropriate, compliant virtual care practices.Key TopicsEthical dilemmas in virtual critical careLegal and malpractice considerations in telehealthImpact of COVID-19 on virtual healthcare practices

Hospital-acquired bacterial pneumonia (HABP) and ventilator-associated bacterial pneumonia (VABP) are serious conditions that often affect critically ill patients in ICUs. These infections carry a high risk of mortality and are frequently caused by multidrug-resistant bacteria like MRSA. On this episode of the ATS Breathe Easy podcast, Scott Micek, PharmD, University of Health Sciences and Pharmacy in St. Louis, explains to host Eddie Qian, MD, Vanderbilt University, why treating HABP/VABP needs to be tailored to the patient, how rapid diagnostics have pros and cons, and the importance of balancing aggressive early treatment with careful reassessment. This episode is sponsored by Innoviva Specialty Therapeutics.

What does it take to drive meaningful change in healthcare when systems feel broken and institutional betrayal runs deep? Dr. Jessica Bunin, a retired Army Colonel with deployments to Iraq and Afghanistan, joins Dr. Andrea Austin to discuss her remarkable journey from psychiatrist to critical care physician and senior academic leader. Through compelling stories; including dramatically reducing ICU central line infections by empowering unexpected team members, Jessica reveals how shifting from “extreme ownership” to true team-building, practicing moral courage, and mastering civil discourse can rebuild trust and create healthier healthcare cultures. The conversation explores self-awareness as the foundation of effective leadership, the CLEAR framework for civil discourse, navigating institutional betrayal, and why leadership development must become central to medical education. You'll hear how they: Address institutional betrayal and moral injury by focusing on micro-cultures and small-team empowerment Build high-impact teams by including unexpected voices and shifting from doing things to people to doing things with them Practice moral courage in everyday healthcare settings, from challenging hierarchy to protecting patient safety Use the CLEAR framework (Create safety, Listen actively, Establish common ground, Adjust thinking, Respond skillfully) for productive conversations across difference Develop self-aware leaders who build trust and drive system-level transformation About the Guests “Civil discourse is our way forward.” – Dr. Jessica Bunin Dr. Jessica Bunin is a retired Army Colonel, critical care physician, and former psychiatrist with 23 years of service including deployments to Iraq and Afghanistan. She has held numerous leadership roles in academic medicine including critical care program director, assistant dean of faculty development, associate dean of DEI and community, and professor of medicine and health professions education. She is the co-founder and Chief Architect of All Levels Leadership, an International Coaching Federation certified executive leadership coach, and the author of the upcoming book From the Inside Out: How Self-Aware Leaders Build Trust and Transform Healthcare.

In this episode, Dr Abbie Begnaud discusses the importance of lung cancer screening and evolving strategies to improve early detection among high-risk populations, including: Low-dose CT screening, which reduces lung cancer mortality by detecting cancers at earlier, more treatable stages Updated screening guidelines that have expanded eligibility Key challenges that impact screening participation, including awareness, access, and broader risk assessment Get access to all of our new podcasts by subscribing to the Decera Clinical Education [Oncology] Podcast on Apple Podcasts, YouTube Music, or Spotify. Presenter: Abbie Begnaud, MD, FCCP Associate Professor of Medicine University of Minnesota Pulmonary, Critical Care, Allergy and Sleep Medicine Program Director, Interventional Pulmonology Fellowship University of Minnesota Health Lung Cancer Screening Program Link to full program:  Advancing the Early Detection of Lung Cancer: A Multipronged Educational Initiative to Elevate Evidence-Based Screening Practices | Decera Clinical Education Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

This week we speak with 2 pioneers in the field of pediatric cardiac critical care, Dr. Anthony Rossi and Dr. Gil Wernovsky. Both were present at the very start of the field of cardiac critical care for children. What was it like in an era before transesophageal echocardiography or even postoperative echo? Why was the advent of the bidirectional cavo-pulmonary anastomosis such a game changer in the care of children with heart disease? What do Drs. Rossi and Wernovsky think were the most important improvements to care for children with heart disease in their 35+ year careers? What about care today troubles these intensive care gurus? This is a rare opportunity to speak with two who have seen and done it all in cardiac critical care for children.For those interested to hear Dr. Rossi speak about goal directed therapy, take a listen to episode 21 and episode 200 of this podcast!

Send us your questions and comments!SCAPE is one of those presentations where the difference between success and failure often comes down to the first few decisions. Patients arrive frightened, hypoxic, diaphoretic, and crashing, while the team must rapidly assess, prioritize, communicate, and intervene.In this episode, we focus on the assessment, clinical decision-making, prioritization, and communication strategies required during the highest-risk moments of care. Rather than simply reviewing the pathophysiology, we'll explore how experienced emergency and critical care nurses recognize patterns, anticipate deterioration, and coordinate care when time is limited and the stakes are high.In This EpisodeRapid assessment of the patient with severe respiratory distressIdentifying the clues that point toward SCAPEPrioritizing interventions when everything feels urgentNon-invasive ventilation: practical considerations for nursesClinical decision-making under pressurePractical clinical pearls from the bedsideCheck out our education programs  - www.roschealthcare.comCheckout our education programs at ROSC Healthcare - www.roschealthcare.com

At the SOAP meeting in Montreal, Desiree Chappell and Monty Mythen interview Dr. Marie Louise Meng, Assistant Professor of Anesthesiology at Duke University Department of Anesthesiology and her former cardio-obstetric fellow Liliane Ernst, assistant professor in the Obstetric and Gynecologic Anesthesia section Wake Forest University. The conversation focuses on cardio-obstetric anesthesia, hemodynamics, monitoring, and patient-centered care. Meng describes building multidisciplinary "pregnancy heart teams" to plan management for complex cardiac disease in pregnancy and reduce birth trauma. Ernst discusses research using the Premier database on preexisting atrial fibrillation in pregnancy (about 25 per 100,000 deliveries) and associated management and outcomes. They review cases including mechanical circulatory support with an Impella to prolong pregnancy and highlight knowledge gaps about placental perfusion and pulsatility, including Fontan physiology. Meng outlines individualized hemodynamic monitoring for labor and C-sections, emphasizes recognizing hypertensive instability, and details preeclampsia with severe features, its end-organ criteria, incidence, disparities, postpartum follow-up challenges, and potential use of remote monitoring and noninvasive cardiac output/SVR monitoring to guide therapy. Monty Mythen, founding editor-in-chief of TopMedTalk, is now Senior Vice President, Scientific Liaison, BD Advanced Patient Monitoring. He is also Emeritus Professor of Anaesthesia and Critical Care, University College London, UK. Desirée Chappell, former co-editor-in-chief of TopMedTalk, is now Director of Medical Affairs and Medical Science Liaison, BD Advanced Patient Monitoring. She is also a CRNA at NorthStar Anesthesia, USA. -- Join us at Evidence Based Perioperative Medicine (EBPOM) World Congress 2026 in London. Be part of a global conversation as clinicians from around the world gather between 7-9th July at the British Library in London. Three days of evidence-based perioperative medicine, global insights, and expert debate—featuring speakers including Michael Marmot and Ken Rockwood. Register here - EBPOM World Congress 2026

Sustaining critical care delivery in today's healthcare environment requires more than resilience—it also calls for collective solutions to systemic challenges. In this episode of the Society of Critical Care Medicine (SCCM) Podcast, Past President Jose L. Pascual, MD, PhD, FRCS(C), FACS, FCCM, elaborates on the session presented during the 2026 Critical Care Congress, Critical Care Under Pressure: Sustaining the Workforce and Infrastructure Amid Rising Demands. Joined by host Marilyn Bulloch, PharmD, BCPS, FCCM, Dr. Pascual examines the complex forces reshaping critical care, from shrinking ICU capacity and hospital closures to persistent workforce shortages and shifting training pipelines. He highlights concerning trends such as reduced entry into certain critical care pathways, particularly anesthesiology. At the same time, he points to encouraging growth in other pathways, with increasing participation from clinicians in emergency medicine, neurology, and surgery. The conversation underscores disparities in access to care, particularly for rural and community hospitals. Dr. Pascual explores the tension between the regionalization of specialized care and the need to maintain equitable access across health systems, emphasizing the importance of thoughtful resource distribution and collaboration across institutions. Beyond workforce numbers, the evolution of leadership in critical care is also impactful, including the migration of experienced clinicians into administrative roles and the potential need for cyclical leadership models that maintain clinical engagement. Meeting these challenges requires innovation and cooperation. Dr. Pascual highlights advancements in education, particularly the expansion of simulation-based training, as critical tools for maintaining competency and improving team performance. Resources referenced in this episode:  2026 Congress Digital

The claim that real change is enabled by grassroots, community-based movements might seem a distant ideal, but Dr Geraldine Fela shows such assertions are far from hypothetical. Critical Care: Nurses on the Frontline of Australia's AIDS Crisis (UNSW Press, 2024) shows that grassroots movements were what made Australia's response to the AIDS epidemic better than elsewhere. HIV and AIDS devastated communities across Australia in the 1980s and 1990s. In the midst of this profound health crisis, nurses provided crucial care to those living with and dying from the virus. They negotiated homophobia and complex family dynamics as well as defending the rights of their patients. Bringing together stories from across the country, historian Geraldine Fela documents the extraordinary care, compassion and solidarity shown by HIV and AIDS nurses. Critical Care unearths the important and unexamined history of nurses and nursing unions as caregivers and political agents who helped shape Australia's response to HIV and AIDS. In addition to this NBN interview Geraldine Fela has a podcast episode on the ABC Rewind series, 'Blood Prejudice and Nursing' Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/new-books-network

The claim that real change is enabled by grassroots, community-based movements might seem a distant ideal, but Dr Geraldine Fela shows such assertions are far from hypothetical. Critical Care: Nurses on the Frontline of Australia's AIDS Crisis (UNSW Press, 2024) shows that grassroots movements were what made Australia's response to the AIDS epidemic better than elsewhere. HIV and AIDS devastated communities across Australia in the 1980s and 1990s. In the midst of this profound health crisis, nurses provided crucial care to those living with and dying from the virus. They negotiated homophobia and complex family dynamics as well as defending the rights of their patients. Bringing together stories from across the country, historian Geraldine Fela documents the extraordinary care, compassion and solidarity shown by HIV and AIDS nurses. Critical Care unearths the important and unexamined history of nurses and nursing unions as caregivers and political agents who helped shape Australia's response to HIV and AIDS. In addition to this NBN interview Geraldine Fela has a podcast episode on the ABC Rewind series, 'Blood Prejudice and Nursing' Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

The claim that real change is enabled by grassroots, community-based movements might seem a distant ideal, but Dr Geraldine Fela shows such assertions are far from hypothetical. Critical Care: Nurses on the Frontline of Australia's AIDS Crisis (UNSW Press, 2024) shows that grassroots movements were what made Australia's response to the AIDS epidemic better than elsewhere. HIV and AIDS devastated communities across Australia in the 1980s and 1990s. In the midst of this profound health crisis, nurses provided crucial care to those living with and dying from the virus. They negotiated homophobia and complex family dynamics as well as defending the rights of their patients. Bringing together stories from across the country, historian Geraldine Fela documents the extraordinary care, compassion and solidarity shown by HIV and AIDS nurses. Critical Care unearths the important and unexamined history of nurses and nursing unions as caregivers and political agents who helped shape Australia's response to HIV and AIDS. In addition to this NBN interview Geraldine Fela has a podcast episode on the ABC Rewind series, 'Blood Prejudice and Nursing' Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/lgbtq-studies

The claim that real change is enabled by grassroots, community-based movements might seem a distant ideal, but Dr Geraldine Fela shows such assertions are far from hypothetical. Critical Care: Nurses on the Frontline of Australia's AIDS Crisis (UNSW Press, 2024) shows that grassroots movements were what made Australia's response to the AIDS epidemic better than elsewhere. HIV and AIDS devastated communities across Australia in the 1980s and 1990s. In the midst of this profound health crisis, nurses provided crucial care to those living with and dying from the virus. They negotiated homophobia and complex family dynamics as well as defending the rights of their patients. Bringing together stories from across the country, historian Geraldine Fela documents the extraordinary care, compassion and solidarity shown by HIV and AIDS nurses. Critical Care unearths the important and unexamined history of nurses and nursing unions as caregivers and political agents who helped shape Australia's response to HIV and AIDS. In addition to this NBN interview Geraldine Fela has a podcast episode on the ABC Rewind series, 'Blood Prejudice and Nursing' Learn more about your ad choices. Visit megaphone.fm/adchoices

The claim that real change is enabled by grassroots, community-based movements might seem a distant ideal, but Dr Geraldine Fela shows such assertions are far from hypothetical. Critical Care: Nurses on the Frontline of Australia's AIDS Crisis (UNSW Press, 2024) shows that grassroots movements were what made Australia's response to the AIDS epidemic better than elsewhere. HIV and AIDS devastated communities across Australia in the 1980s and 1990s. In the midst of this profound health crisis, nurses provided crucial care to those living with and dying from the virus. They negotiated homophobia and complex family dynamics as well as defending the rights of their patients. Bringing together stories from across the country, historian Geraldine Fela documents the extraordinary care, compassion and solidarity shown by HIV and AIDS nurses. Critical Care unearths the important and unexamined history of nurses and nursing unions as caregivers and political agents who helped shape Australia's response to HIV and AIDS. In addition to this NBN interview Geraldine Fela has a podcast episode on the ABC Rewind series, 'Blood Prejudice and Nursing' Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/politics-and-polemics

Listener discretion is advised! References: Buttner & Arlanger. (May 3, 2022). ST depression does not localise. Available: https://litfl.com/st-depression-does-not-localise/ Cannon, J. W., Khan, M. A., Raja, A. S., et al. (2017). Damage control resuscitation in patients with severe traumatic hemorrhage. Journal of Trauma and Acute Care Surgery, 82, 605-617. Kabra, R., Acharya, S., Kamat, S., & Kumar, S. (2022). ST-Segment Elevation in Lead aVR With Global ST-Segment Depression: Never Neglect Left Main Coronary Artery (LMCA) Occlusion. Cureus. Lee, G.-K., Hsieh, Y.-P., Hsu, S.-W., Lan, S.-J., & Soni, K. (2019). Value of ST‐segment change in lead aVR in diagnosing left main disease in Non‐ST‐elevation acute coronary syndrome—A meta‐analysis. Annals of Noninvasive Electrocardiology, 24. Morrison, C. A., Carrick, M. M., Norman, M. A., et al. (2011). Hypotensive Resuscitation Strategy Reduces Transfusion Requirements and Severe Postoperative Coagulopathy in Trauma Patients With Hemorrhagic Shock: Preliminary Results of a Randomized Controlled Trial. Journal of Trauma: Injury, Infection & Critical Care, 70, 652-663. Rossaint, R., Afshari, A., Bouillon, B., et al. (2023). The European guideline on management of major bleeding and coagulopathy following trauma: sixth edition. Critical Care, 27. Tamura, A. (2014). Significance of lead aVR in acute coronary syndrome. World Journal of Cardiology, 6(7), 630. Uthamalingam, S., Zheng, H., Leavitt, M., Pomerantsev, E., Ahmado, I., Gurm, G. S., & Gewirtz, H. (2011). Exercise-Induced ST-Segment Elevation in ECG Lead aVR Is a Useful Indicator of Significant Left Main or Ostial LAD Coronary Artery Stenosis. JACC: Cardiovascular Imaging, 4, 176–186. Weymouth, W., Long, B., Koyfman, A., & Winckler, C. (2019). Whole Blood in Trauma: A Review for Emergency Clinicians. The Journal of Emergency Medicine, 56, 491-498. Wang, A., Singh, V., Duan, Y., Su, X., Su, H., Zhang, M., & Cao, Y. (2020). Prognostic implications of ST‐segment elevation in lead aVR in patients with acute coronary syndrome: A meta‐analysis. Annals of Noninvasive Electrocardiology, 26.

From Evidence to Action: Incorporating Disability Inclusion in Medical Training and Practice (ICAM 2026) Session Description The ICAM Series | Recorded Live at the International Congress on Academic Medicine (ICAM) What does it take to move disability inclusion from research and policy into everyday medical training and practice? Recorded live at the International Congress on Academic Medicine (ICAM) in Ottawa, Canada, this special episode of the Docs With Disabilities Podcast brings together an extraordinary panel of physician leaders, educators, and advocates working to transform disability inclusion across undergraduate medical education, residency training, and clinical practice. Together, the panel explores how institutions can move beyond awareness and compliance toward meaningful, sustainable change. Drawing from scholarship, systems leadership, and lived experience, they discuss the realities of accommodation implementation, the importance of centralized and trusted systems, faculty training, universal design, and the role of culture in shaping whether disability inclusion succeeds or stalls. This conversation asks difficult—but necessary—questions: How do we create systems that are consistent and humane? How do we support learners and physicians across transitions and career stages? And how do we build medical environments where disability is expected, planned for, and valued? Rich with practical insight and grounded in real-world experience, this live ICAM session highlights a field at an important turning point—one where we increasingly have the evidence, the tools, and the responsibility to act. Whether you are a learner, educator, physician, administrator, or institutional leader, this episode offers concrete ideas and inspiration for advancing disability inclusion within your own environment. Keywords: UGME, PGME, Disability, Learner, Trainee, Medical Education, Policies, Processes, Ableism, Culture, ICAM, AFMC, Docs With Disabilities. Transcript: https://docs.google.com/document/d/18hNrBcylnDfSuT6hJB-RwFMpIBVzEPY21Qf4y0mU0WY/edit?usp=sharing Co-Moderators Lisa Meeks, PhD, MA  Dr. Meeks is a Professor of Medical Education at the University of Illinois College of Medicine in Chicago, IL and holds an appt as an Associate Professor of Family Medicine at the University of Michigan School of Medicine in Ann Arbor, MI. She is the founder of the Docs with Disabilities Initiative and host of the DWDI Podcast. Lynn Ashdown, MD, MMEd   Lynn Ashdown is a patient experience expert who advocates for patients to be included as stakeholders in all levels of healthcare. She has a medical degree, and was close to finishing her residency in family medicine when she began, and continues to navigate, a complex journey as a full-time patient. She has a masters degree in medical education, and presents, participates in research, and is a senior patient partner consulting with various organizations like the Association of Faculties of Medicine of Canada. She's involved in curriculum reform focusing on patient partnerships and is a disability educator within medicine. Lynn is a disability advocate, drawing from her experiences as a patient and person living with multiple disabilities. She's a board member of the Canadian Association of Physicians with Disabilities and is involved with policy and legislative changes to combat ableism and inequities for people living with disabilities. She co-authored Canada's first position statement on the importance of disability inclusion in medical education, and received the 2024 CMA Dr. Ashok Muzumdar Memorial Award for Physicians with Disabilities. Pam Liao, MD, MEd, FRCPC Dr. Liao is the Inaugural Interim Associate Dean Accessibility and Disability Health at the Toronto Metropolitan University School of Medicine. Here, she previously served as the Disability Health Lead and Special Advisor to the Dean at the Toronto Metropolitan University School of Medicine. In her work, she leads efforts to embed critical disability perspectives and anti-ableist practices into medical education. Drawing from her personal experience navigating medical training with a disability, she has dedicated her career to dismantling systemic barriers faced by individuals with disabilities in medicine. Her work includes groundbreaking research—such as the first analysis of accommodations policies in Canadian undergraduate medical programs—and advocacy efforts like the widely recognized "#docswithdisabilities" social media campaign, which brings attention to the underrepresentation of disabled individuals in healthcare and drives meaningful change. She advocated for the establishment of the Association of Faculties of Medicine of Canada (AFMC) Disability Inclusion Network and currently serves as its inaugural Co-Chair. Her advocacy earned her a place on the Board of Directors of the Canadian Association of Physicians with Disabilities, where she continues to serve. Dr. Liao earned her medical degree from the University of British Columbia and completed her residency in Family and Community Medicine and a fellowship in Palliative Medicine at the University of Toronto. She is also an Assistant Professor in the Department of Family and Community Medicine at the University of Toronto and practices clinically in long-term care and rehabilitation settings. Her contributions have been recognized with several honors, including the OMA Section of Palliative Medicine – Award of Excellence. Jill Rudkowski, MD, FRCPC  Dr. Jill Rudkowski is an Associate Professor of Medicine in Department of Medicine (Critical Care) at McMaster University, Hamilton, Ontario, Canada.  She has practised as a critical care physician for over 20 years and is an educator, researcher, and educational leader.  She obtained her MD from the University of Calgary. She trained in Internal Medicine, Respirology, and Critical Care at McGill University after which she completed a Post-doctoral Fellowship with Dr. Barrett Rollins at the Dana-Farber Cancer Institute, Harvard University. She served as Head of Service for the Medical Stepdown Unit and then the Intensive Care Unit at St. Joseph's Healthcare Hamilton for over 10 years.  Dr. Rudkowski has been involved as a co-investigator on numerous patient-focused clinical studies, and these collaborations focus on improving outcomes for survivors of critical illness and the impact on their caregivers. She has designed and delivered curriculum through sessions and workshops on the concept of team compassion in critical care and its role in effective communication.      Dr. Rudkowski has held several educational leadership roles within the McMaster University DeGroote School of Medicine including the Chair of Clerkship and the Director of Student Advising. She is currently the Postgraduate Medicine (PGME) Accommodation Advisor within Resident Affairs and the PGME Resident Assessment Faculty Lead. Dr. Rudkowski has been involved in writing and implementing policy and guidelines around accessing accommodations as well as designing and delivering curriculum aimed at faculty, learners, and administrators through virtual and in person sessions and workshops. Dr. Rudkowski has had the privilege of collaborating nationally and internationally around disability policy in medical education.  She was a member of the Disability Policy Toolkit Committee, Multimedia Resource Hub for Disability Inclusion in Graduate Medical Education on "Learn at ACGME" supported by the 2024 Josiah Macy Jr. Foundation Catalyst Award for Transformation in Graduate Medical Education.  Dr. Rudkowski is currently a member of the Association of Faculties of Medicine of Canada Disability Inclusion and Accessibility Network.  She lives with a chronic disability and is passionate about ensuring that all medical learners and practitioners with disability experience belonging and accessibility in the clinical learning and practice environments.   Camille Munro MD CCFP (PC) Dr. Camille Munro is a palliative medicine physician in the Department of Medicine at the Ottawa Hospital and an Assistant Professor at the University of Ottawa. Originally from Chester, Nova Scotia, she received her Doctor of Medicine from Dalhousie University in 1991 and completed her rotating internship at Royal Columbian Hospital, University of British Columbia. After practicing family medicine in Ottawa for 18 years while raising her children, she returned to the academic setting, driven by a longstanding commitment to compassionate, whole patient-centred care for those facing a serious illness.  In 2018, Dr. Munro was appointed Director of Equity, Diversity and Inclusion for the Department of Medicine where she led initiatives to foster a more inclusive and equitable academic and clinical environment. Her work included the development and implementation of the first formal accommodations policy for physicians with disabilities at a Canadian academic hospital. She remains a strong advocate for physicians with disabilities and for creating environments free from discrimination and inequity. Here work is grounded in compassion, advocacy, and representation; values she brings to her clinical care, teaching, mentorship and leadership. In recognition of her contributions, she received the 2022 Faculty Member Award of Excellence for Leadership in Equity, Diversity, and Inclusion from the University of Ottawa Faculty of Medicine.  Samantha Lavitt, MD Dr. Samantha Lavitt (she/her) is the first Equity, Diversity, and Inclusion Curricular Lead in undergraduate medical education at the University of Ottawa, which sits on the traditional, unceded territory of the Algonquin people. In this role, she designs educational content including topics such as gender equity, sexual orientation and gender diversity, language rights, and disability, integrating these topics throughout the clinical curriculum in a format that connects students with community teachers with lived experience. Trained as a family physician and dedicated to resilience through sustainable practice development, Dr. Lavitt also offers coaching and peer support to family physicians on advocacy, disability, and well-being through the Ontario College of Family Physicians (OCFP). She established the first peer support group for physicians with chronic illness and/or disabilities at the OCFP in 2024 and continues to co-lead this group monthly.  While she finds working with individual physicians and small groups deeply rewarding, this intervention is not enough to dismantle the system of barriers that disabled physicians face in our medical culture, so Dr. Lavitt brings her professional and lived experience as a disabled physician to advocacy initiatives at her academic institution, provincial, and national levels with involvement in peer support projects, webinars, and conference appearances. Produced by: Dr. Lisa Meeks.  Audio editor: Next Day Podcast Digital Media: Lisa Meeks Resources: https://docs.google.com/document/d/1EXw4F1pt5J-O6Y0k-WksDC71RCA6aTFSCOkz-lqJiyc/edit?usp=sharing  

Roger Seheult, MD of MedCram explores the fundamentals of Ebola virus and the best hope for treatment, especially of the BDBV species. See all Dr. Seheult's videos at: https://www.medcram.com/ (This video was recorded on May 28th, 2026) Roger Seheult, MD is the co-founder and lead professor at: www.medcram.com He is Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine and an Associate Professor at the University of California, Riverside School of Medicine. MEDCRAM WORKS WITH MEDICAL PROGRAMS AND HOSPITALS: MedCram offers group discounts for students and medical programs, hospitals, and other institutions. Contact us at customers@medcram.com if you are interested. MEDIA CONTACT:  Media Contact: customers@medcram.com Media contact info: https://www.medcram.com/pages/media-contact Video Produced by Kyle Allred Edited by Daphne Sprinkle of Sprinkle Media Consulting, LLC FOLLOW US ON SOCIAL MEDIA: Facebook:  www.facebook.com/MedCram Twitter/X: www.twitter.com/MedCramVideos Instagram: www.instagram.com/medcram DISCLAIMER: MedCram medical videos are for medical education and exam preparation, and NOT intended to replace recommendations from your doctor.

In this World Shared Practice Forum Podcast, Drs. Mark Peters and Scott Weiss provide their expert insight on the methodology and development of the 2026 International Surviving Sepsis Campaign guidelines. They discuss challenges encountered during the process and review notable changes to these guidelines compared to previous iterations. The authors share the recommendations that will most impact their personal practice for patients with sepsis, and reflect on how we can improve global research infrastructure to address salient knowledge gaps in pediatric critical care. LEARNING OBJECTIVES - Understand the design and methodology for the 2026 Surviving Sepsis Campaign guidelines - Review notable changes in the 2026 sepsis guidelines compared to the 2020 edition - Discuss the implications of the altered recommendations for clinical practice changes - Consider methods to improve global pediatric research infrastructure and data organization AUTHORS Mark Peters, MBChB, PhD, MRCP, FFICM, FRCPCH Professor of Paediatric Intensive Care NIHR Senior Investigator UCL Great Ormond St Institute of Child Health Hon. Consultant Paediatric Intensivist Paediatric Intensive Care Unit and Children's Acute Transport Service Great Ormond St Hospital Scott Weiss, MD, MSCE Professor of Pediatrics and Pathology & Genomic Medicine, Division Chief of Critical Care, Vice-Chair of Research for the Department of Pediatrics, Nemours Children's Hospital, Sidney Kimmel Medical College at Thomas Jefferson University Jeffrey Burns, MD, MPH Emeritus Chief Division of Critical Care Medicine Department of Anesthesiology, Critical Care and Pain Medicine Boston Children's Hospital Professor of Anesthesia Harvard Medical School DATE Initial publication date: May 26, 2026. ARTICLES REFERENCED & ADDITIONAL REFERENCES - Weiss SL, Peters MJ, Oczkowski SJW, et al. Surviving Sepsis Campaign International Guidelines for the Management of Sepsis and Septic Shock in Children 2026. Pediatr Crit Care Med. 2026;27(4):379-434. https://pubmed.ncbi.nlm.nih.gov/41869844/ - Balamuth F, Weiss SL, Long E, et al. Balanced Fluid or 0.9% Saline in Children Treated for Septic Shock. N Engl J Med. Published online April 24, 2026. https://pubmed.ncbi.nlm.nih.gov/42028918/ - Weiss SL, Balamuth F, Long E, et al. PRagMatic Pediatric Trial of Balanced vs nOrmaL Saline FlUid in Sepsis: study protocol for the PRoMPT BOLUS randomized interventional trial. Trials. 2021;22(1):776. Published 2021 Nov 6. https://pubmed.ncbi.nlm.nih.gov/34742327/ - Steven Pinker "Enlightenment Now” - https://stevenpinker.com/publications/enlightenment-now-case-reason-science-humanism-and-progress - Blood Poison: The Untold Story of Sepsis - https://amplifypublishinggroup.com/product/nonfiction/health-medicine-and-wellness/general-health-medicine-and-wellness/blood-poison/ TRANSCRIPT https://cdn.bfldr.com/D6LGWP8S/at/r9q8w9vhsbpg7wwzn35kbmz/202605_WSP_Peters_and_Weiss_Transcript.pdf Please visit: http://www.openpediatrics.org OPENPediatrics™ 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 among healthcare providers worldwide who care for critically ill children across 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, thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu CITATION Peters MJ, Weiss SL, O'Hara J, Burns JP. Pediatric Surviving Sepsis: Insights From the Leadership. 05/2026. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/pediatric-surviving-sepsis-insights-from-the-leadership-by-m-peters-s-weiss-openpediatrics.

On this episode Gil and Gregg welcome Dr. Sai Praveen Haranath, Senior Vice President for Medical and Strategy at Apollo HealthAxis and Senior Consultant in Pulmonary and Critical Care at Apollo Hospitals, Hyderabad. Their conversation picks up where a chance green-room meeting at BioAsia 2026 left off. What follows is a candid, wide-ranging dialogue on the future of medicine: tele-critical care delivered from a command center in India to hospitals in rural America and the island of Fiji; AI tools that could restore empathy to time-starved clinicians; a 4.5-billion-person global access gap that demands urgent innovation; and Apollo's four-decade bet that prevention, technology, and human connection belong together. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

This week we feature a collaboration episode between the Pediheart Podcast and the PedsCrit Podcast in which pediatric critical care experts Drs. Alice Shanklin of Northwell Medical Center and Dr. Zac Hodges of UT Southwestern discuss the evaluation and management of heart block in children. What should the clinician be thinking when encountering a previously healthy child with heart block? When is pacing indicated and how should it be performed? Who is a candidate for transvenous or transcutaneous pacing, who is not and why? Drs. Pass, Shanklin and Hodges review many aspects of this in an episode from the PedsCrit Podcast. https://www.pedscrit.com/

Hospitals already have rich patient data. The next step is turning that data into validated, timely insights that help clinicians respond before patients deteriorate. In this episode, Brian Tufts, President & CEO at Ambient Clinical Analytics, joins Saul Marquez at the MedTech Innovator Radar Forum to explore how software-as-a-medical-device is improving critical care workflows. Brian explains how the company, a Mayo Clinic spinout, built an FDA-cleared platform that combines clinical analytics, decision support, and workflow automation to help hospitals monitor complex patients. He highlights tools like Sepsis DART, which enable earlier detection and response by embedding hospital-specific protocols directly into workflows. Brian also underscores that AI in healthcare must be validated, structured, and carefully implemented, not left to unproven models making clinical decisions. Tune in to learn how hospitals can better leverage data to improve patient care in a thoughtful, reliable way. Resources: Connect with and follow Brian Tufts on LinkedIn. Follow Ambient Clinical Technologies on LinkedIn and explore their website here.

Roger Seheult, MD of MedCram explains the mechanism by which hantavirus kills. See all Dr. Seheult's videos at: https://www.medcram.com/ (This video was recorded on May 7th, 202 Roger Seheult, MD is the co-founder and lead professor at: www.medcram.com He is Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine and an Associate Professor at the University of California, Riverside School of Medicine. MEDCRAM WORKS WITH MEDICAL PROGRAMS AND HOSPITALS: MedCram offers group discounts for students and medical programs, hospitals, and other institutions. Contact us at customers@medcram.com if you are interested. MEDIA CONTACT:  Media Contact: customers@medcram.com Media contact info: https://www.medcram.com/pages/media-contact Video Produced by Kyle Allred Edited by Daphne Sprinkle of Sprinkle Media Consulting, LLC FOLLOW US ON SOCIAL MEDIA: Facebook:  www.facebook.com/MedCram Twitter/X: www.twitter.com/MedCramVideos Instagram: www.instagram.com/medcram DISCLAIMER: MedCram medical videos are for medical education and exam preparation, and NOT intended to replace recommendations from your doctor.

Roger Seheult, MD of MedCram explores the deadly Andes hantavirus outbreak on the MV Hondius Cruise Ship. See all Dr. Seheult's videos at: https://www.medcram.com/ (This video was recorded on May 4th, 2026) Roger Seheult, MD is the co-founder and lead professor at: www.medcram.com He is Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine and an Associate Professor at the University of California, Riverside School of Medicine. MEDCRAM WORKS WITH MEDICAL PROGRAMS AND HOSPITALS: MedCram offers group discounts for students and medical programs, hospitals, and other institutions. Contact us at customers@medcram.com if you are interested. MEDIA CONTACT:  Media Contact: customers@medcram.com Media contact info: https://www.medcram.com/pages/media-contact Video Produced by Kyle Allred Edited by Daphne Sprinkle of Sprinkle Media Consulting, LLC FOLLOW US ON SOCIAL MEDIA: Facebook:  www.facebook.com/MedCram Twitter/X: www.twitter.com/MedCramVideos Instagram: www.instagram.com/medcram DISCLAIMER: MedCram medical videos are for medical education and exam preparation, and NOT intended to replace recommendations from your doctor.

Roger Seheult, MD of MedCram explores the connection between hantavirus and interferon. See all Dr. Seheult's videos at: https://www.medcram.com/ (This video was recorded on May 6th, 2026) Roger Seheult, MD is the co-founder and lead professor at: www.medcram.com He is Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine and an Associate Professor at the University of California, Riverside School of Medicine. MEDCRAM WORKS WITH MEDICAL PROGRAMS AND HOSPITALS: MedCram offers group discounts for students and medical programs, hospitals, and other institutions. Contact us at customers@medcram.com if you are interested. MEDIA CONTACT:  Media Contact: customers@medcram.com Media contact info: https://www.medcram.com/pages/media-contact Video Produced by Kyle Allred Edited by Daphne Sprinkle of Sprinkle Media Consulting, LLC FOLLOW US ON SOCIAL MEDIA: Facebook:  www.facebook.com/MedCram Twitter/X: www.twitter.com/MedCramVideos Instagram: www.instagram.com/medcram DISCLAIMER: MedCram medical videos are for medical education and exam preparation, and NOT intended to replace recommendations from your doctor.

Perioperative Profiles, a popular monthly series on TopMedTalk in which we speak with the giants of perioperative medicine. This month Kate Leslie speaks with Denny Levett, Professor in Perioperative Medicine and Critical Care at the University of Southampton and a Consultant in Perioperative Medicine at Southampton University Hospital NHS Foundation trust (UHS). She discusses her roles in Southampton in perioperative medicine and adult intensive care, and as director of the UK Centre for Perioperative Care (CPOC). Denny recounts growing up in Rye, East Sussex, studying medicine at Cambridge, and how a transformative ICU post (just after the Soho pub bombing) led her into anaesthesia as a route to critical care. Then, with mentorship from TopMedTalk's founder, Monty Mythen, co-led the Extreme Everest project, which informed her PhD and later work using cardiopulmonary exercise testing to predict surgical outcomes and develop prehabilitation; she also reflects on balancing a clinical-academic career with family life. More on Xtreme Everest here: https://topmedtalk.libsyn.com/xtreme-everest-extra-the-problem-with-hypoxia-the-inception-of-xtreme-everest https://topmedtalk.libsyn.com/xtreme-everest-extra-the-significance-of-the-microcirculation https://topmedtalk.libsyn.com/xtreme-everest-extra-unlocking-the-secrets-of-the-mighty-mitochondria https://topmedtalk.libsyn.com/xtreme-everest-extra-hypoxia-and-the-brain -- Join us at Evidence Based Perioperative Medicine (EBPOM) World Congress 2026 in London. Be part of a global conversation as clinicians from around the world gather between 7-9th July at the British Library in London. Three days of evidence-based perioperative medicine, global insights, and expert debate—featuring speakers including Michael Marmot and Ken Rockwood. Register here - https://ebpom.org/product/ebpom-world-congress-2026/

BTO Program Manager Lt. Col. Adam Willis, M.D., U.S. Air Force, joins Voices from DARPA to share his remarkable journey from a ROTC physics major to a leading innovator in military medicine.Dr. Willis discusses how a desire to apply science to help people led him down the dual paths of a Ph.D. in theoretical and appliled mechanics and a medical degree with a focus on neurology. He recounts the moment a demonstration of the DARPA-funded Revolutionizing Prosthetics program sparked his interest, leading him to cold-email a military doctor and future mentor, Col. Geoffrey Ling, who gave him a simple, life-changing piece of advice.In this episode, Dr. Willis explains his work on groundbreaking programs like Golden Hour Evacuation (GOLDEVAC) and Making Anatomical Sense of Hemorrhage (MASH), which aim to revolutionize battlefield medicine by bringing critical care capabilities directly to the point of injury. He details his vision for an "ICU in a box" and autonomous surgical tools that could save countless lives when evacuation to a surgeon isn't possible. He also shares his unique perspective as a "Rosetta Stone," translating complex medical challenges into the language of physics and engineering to find novel solutions.

Welcome to PsychEd, the psychiatry podcast for medical learners, by medical learners. This short episode covers the basics of neuroleptic malignant syndrome.Hosts: Eric Yu (MS3)Dr. Angad Singh (PGY2)Dr. Shaoyuan Wang (PGY5)Audio Editing: Dr. Angad Singh (PGY2)References:1. Park, J., Tan, J., Krzeminski, S., Hazeghazam, M., Bandlamuri, M., & Carlson, R. W. (2017). Malignant catatonia warrants early psychiatric‐critical care collaborative management: two cases and literature review. Case Reports in Critical Care, 2017(1), 1951965.2. Simon, L. V., Hashmi, M. F., & Callahan, A. L. (2023). Neuroleptic malignant syndrome. In StatPearls [Internet]. StatPearls Publishing.2. Tan, C. M., & Kumachev, A. (2023). Neuroleptic malignant syndrome. CMAJ, 195(43), E1481-E1481.4. Trollor, J. N., & Sachdev, P. S. (1999). Electroconvulsive treatment of neuroleptic malignant syndrome: a review and report of cases. Australian & New Zealand Journal of Psychiatry, 33(5), 650-659.For more PsychEd, follow us on Instagram (⁠⁠@psyched.podcast⁠⁠), Facebook (⁠⁠PsychEd Podcast⁠⁠), X (⁠⁠@psychedpodcast⁠⁠), and Bluesky (⁠⁠@psychedpodcast.bsky.social‬⁠⁠). You can email us at ⁠⁠psychedpodcast@gmail.com⁠⁠ and visit our website at⁠⁠ psychedpodcast.org⁠⁠.

In this compelling lecture by Dr. David Winlaw of Northwestern University, we hear his thoughts on the state of the CICU/Surgeon relationship and he offers his thoughts on how to improve care for children with congenital heart disease undergoing surgery. Why does he believe that the more old fashioned approach of having cardiac programs run by academic departments is no longer optimal? What do critical care doctors not understand about surgery and vice versa? Are we asking too much of our CICU practitioners? How can the 'shift work' mentality be abolished and how can we avoid burnout for our critical care front line staff while also improving outcomes for patients? How can we bring joy back into the care of children with critical heart disease? Dr. Winlaw shares his insights from a long career in multiple centers worldwide in the Thomas J. Spray Lecture at the Cardiology 2026 CHOP conference from late February, 2026 in Arizona.