POPULARITY
Categories
202 episodes with Critical care
144 episodes with Critical care
127 episodes with Critical care
111 episodes with Critical care
83 episodes with Critical care
54 episodes with Critical care
76 episodes with Critical care
33 episodes with Critical care
40 episodes with Critical care
75 episodes with Critical care
49 episodes with Critical care
34 episodes with Critical care
31 episodes with Critical care
33 episodes with Critical care
31 episodes with Critical care
35 episodes with Critical care
35 episodes with Critical care
49 episodes with Critical care
26 episodes with Critical care
20 episodes with Critical care
23 episodes with Critical care
25 episodes with Critical care
10 episodes with Critical care
22 episodes with Critical care
12 episodes with Critical care
11 episodes with Critical care
11 episodes with Critical care
8 episodes with Critical care
25 episodes with Critical care
9 episodes with Critical care
7 episodes with Critical care
8 episodes with Critical care
10 episodes with Critical care
7 episodes with Critical care
16 episodes with Critical care
8 episodes with Critical care
8 episodes with Critical care
10 episodes with Critical care
9 episodes with Critical care
9 episodes with Critical care
7 episodes with Critical care
20 episodes with Critical care
8 episodes with Critical care
6 episodes with Critical care
16 episodes with Critical care
20 episodes with Critical care
13 episodes with Critical care
5 episodes with Critical care
13 episodes with Critical care
9 episodes with Critical care
4 episodes with Critical care
6 episodes with Critical care
13 episodes with Critical care
6 episodes with 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.
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
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/australian-and-new-zealand-studies
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.
OxygenCare, a leading Irish medical device distributor with over 54 years of experience supporting anaesthesia and critical care, has announced the Irish launch of the GE Carestation 850 Anaesthesia Delivery System at the College of Anaesthesiologists of Ireland (CAI) Annual Congress, held in O'Reilly Hall, UCD. The launch marks a significant milestone in OxygenCare's long-standing partnership with Irish healthcare, reflecting more than five decades of innovation supporting clinicians, from early gas delivery systems to today's connected, data-driven care environments. As the exclusive Irish distributor for GE HealthCare's anaesthesia portfolio, OxygenCare is introducing the GE Carestation 850 as a Digital for Care-ready platform, aligned with the HSE's evolving digital infrastructure, including the One Health Record (National EHR), NIMIS, and future integrated care systems. "The theme of this year's CAI Congress, 'The Evolution of Anaesthesia and Critical Care', perfectly reflects our journey," said Maurice Moran, Managing Director, OxygenCare. "For over 50 years, we have enabled Irish clinicians to deliver safer, more effective care as technology has evolved. The GE Carestation 850 represents the next step: advanced clinical performance combined with seamless digital integration, fully aligned with HSE Digital for Care standards. We are proud to launch it here among the clinicians shaping the future of anaesthesia in Ireland." Designed for Ireland's Digital Healthcare Ecosystem The GE Carestation 850 is built as a fully connected medical device, supporting the transition from paper-based workflows to a data-driven, integrated perioperative environment. Key Digital Features include: Interoperability by Design: Simplifying connections to other medical devices and to hospital networks. Real-time data transmission can be configured to automatically send important physiological, machine and service data to various clients simultaneously. Integrated Care Connectivity: Bi-directional data exchange with Shared Care Record and future Community Care Record. Cybersecurity Framework: Future-ready: Extra computing power to accommodate smart tools and features. AI-Ready Architecture: Supports future decision tools such as predictive alerts and ventilation optimisation. Advanced Clinical Performance The GE Carestation 850 is engineered to support the evolving demands of anaesthesia and critical care: Advanced ventilation modes for both low-flow and high-flow anaesthetic techniques. High-resolution touchscreen interface for intuitive operation and rapid clinical decision-making. Efficient vapouriser and gas management systems. Native integration with anaesthesia information systems and hospital PAS. End-tidal control (Et Control) Automatically adjusts fresh gas flows to maintain EtO2 and EtAA targets. The new GE Carestation 850 is a platform for today and for the future – engineered with digital architecture that supports ongoing software innovations while delivering advanced clinical performance combined with seamless digital integration.The system will be displayed at the CAI Congress, continuing OxygenCare's long-standing commitment to engage directly with Ireland's anaesthesia community. See more stories here. More about Irish Tech News Irish Tech News are Ireland's No. 1 Online Tech Publication and often Ireland's No.1 Tech Podcast too. You can find hundreds of fantastic previous episodes and subscribe using whatever platform you like via our Anchor.fm page here: https://anchor.fm/irish-tech-news If you'd like to be featured in an upcoming Podcast email us at Simon@IrishTechNews.ie now to discuss. Irish Tech News have a range of services available to help promote your business. Why not drop us a line at Info@IrishTechNews.ie now to find out more about how we can help you reach our audience. You can also find and follow us on Twitter, LinkedIn, Facebook, Instagram, TikTok and Snapchat.
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.
In this edition of the CTSNet podcast, The Lifeline, host and nurse educator Jill Ley, Clinical Professor at the University of California San Francisco School of Nursing, Founder of the Essentials of Cardiac Surgical Resuscitation, and former Cardiac Surgery Clinical Nurse Specialist at California Pacific Medical Center in San Francisco, CA, USA, speaks with expert guest Jan Headley, Principal at Consultants in Acute and Critical Care. They explore the use of functional hemodynamics in the postoperative management of cardiothoracic surgical patients. Chapters 00:00 Intro 01:26 Case Study 04:28 Fluid Responsiveness, Dynamic Parameters 07:37 Variability Within Normal Limits 09:34 Determining Responsiveness Efficiently 12:45 No PA-Catheter Patients 15:35 Reassessing Values 17:22 First Step 19:20 No-Fluid Patient 20:27 Stroke Volume Trends 21:13 Key Takeaways The discussion includes a case study illustrating how functional hemodynamics can guide clinical decisions in this context. They delve into the concepts of fluid management and fluid responsiveness, comparing dynamic parameters and static parameters, and the importance of increasing stroke volume. Key topics also include pulse pressure variation, stroke volume variation, variability, and delta stroke volume. The conversation further covers techniques such as the passive leg raise maneuver and the pulmonary occlusive maneuver. Every month, The Lifeline features intensive care specialists sharing their expert insights into the rapid and effective management of critically ill cardiac surgical patients. Don't miss next month's episode! Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page 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.
Send us Fan MailThis episode of Sirens, Slammers and Service goes straight into the intensity of critical care with Brittany Foy—a STARS Air Ambulance flight nurse and Pediatric ICU pro from the Stollery Children's Hospital.
Fluent Fiction - Swedish: Crisis in Sunlight: Teamwork Triumphs in the ER Find the full episode transcript, vocabulary words, and more:fluentfiction.com/sv/episode/2026-05-07-22-34-01-sv Story Transcript:Sv: Vårsolen lyste genom fönstren i sjukhusets akutrumsavdelning.En: The spring sun shone through the windows in the hospital's emergency department.Sv: Dess ljus kontrasterade mot stressen runt omkring.En: Its light contrasted with the stress all around.Sv: Folk sprang fram och tillbaka.En: People were running back and forth.Sv: Patienter kom in strid ström.En: Patients came in a steady stream.Sv: En stor olycka hade inträffat, och nu kämpar personalen mot klockan.En: A major accident had occurred, and now the staff battled against the clock.Sv: Lukas, en engagerad sjuksköterska, stod vid receptionen med en känsla av osäkerhet.En: Lukas, a dedicated nurse, stood at the reception with a feeling of uncertainty.Sv: Han såg på sina kollegor och det väsnas överallt.En: He watched his colleagues and there was noise everywhere.Sv: Flera patienter väntade på hjälp.En: Several patients awaited help.Sv: Hans varma hjärta ville räcka till alla, men han visste att han var tvungen att prioritera.En: His warm heart wanted to reach everyone, but he knew he had to prioritize.Sv: På ett annat hörn av rummet befann sig Elin, en erfaren läkare med lugn hållning.En: In another corner of the room was Elin, an experienced doctor with a calm demeanor.Sv: Hon hade just fått information om att två patienter behövde omedelbar behandling.En: She had just received information that two patients needed immediate treatment.Sv: Elin kände pressen av att fatta rätt beslut.En: Elin felt the pressure to make the right decision.Sv: Hon tittade på Lukas och såg stressen i hans ögon.En: She looked at Lukas and saw the stress in his eyes.Sv: "Vi måste agera snabbt", sa hon lugnt till Lukas.En: "We have to act quickly," she said calmly to Lukas.Sv: Trots pressen, hade hon alltid en förmåga att kommunicera med klarhet.En: Despite the pressure, she always had the ability to communicate with clarity.Sv: Lukas nickade, försökte samla sig.En: Lukas nodded, trying to collect himself.Sv: Han tänkte på patienterna och på sitt ansvar.En: He thought about the patients and his responsibility.Sv: Beslutet blev tydligt: han skulle fokusera på den kritiska patienten framför honom, men hålla sig beredd att agera snabbt om något ändrades.En: The decision became clear: he would focus on the critical patient in front of him, but stay prepared to act quickly if anything changed.Sv: Elin, å sin sida, stod inför sitt eget val.En: Elin, for her part, faced her own choice.Sv: Resurserna var knappa.En: Resources were scarce.Sv: Hon övervägde att ringa in extra hjälp, medveten om att det kunde ses som ett misslyckande i att hantera med nuvarande team.En: She considered calling in extra help, aware that it could be seen as a failure to manage with the current team.Sv: Med en djup suck bestämde hon sig ändå.En: With a deep sigh, she decided to do so anyway.Sv: Hon tog mobiltelefonen och ringde efter förstärkning.En: She took her mobile phone and called for reinforcements.Sv: Det var ett riskfyllt beslut, men patienternas liv var viktigast.En: It was a risky decision, but the patients' lives were most important.Sv: Tiden gick.En: Time passed.Sv: Personal anlände snabbt för att hjälpa till.En: Staff quickly arrived to assist.Sv: Med fler händer blev arbetet mer hanterbart.En: With more hands, the work became more manageable.Sv: Patienterna fick den vård de behövde.En: The patients received the care they needed.Sv: En känsla av lättnad spred sig.En: A sense of relief spread.Sv: Lukas såg tillbaka på sina beslut och kände en nyfunnen säkerhet i sin förmåga att fatta snabba och viktiga beslut.En: Lukas looked back on his decisions and felt a newfound confidence in his ability to make quick and important choices.Sv: Elin insåg samtidigt värdet i sitt val.En: Elin meanwhile realized the value of her choice.Sv: Att be om hjälp när det behövs är inte ett tecken på svaghet, utan ett uttryck för ansvar och lagarbete.En: Asking for help when needed is not a sign of weakness, but an expression of responsibility and teamwork.Sv: Det var viktigt att lita på instinkt och sätta teamarbete före självständighet.En: It was important to trust instincts and prioritize teamwork over independence.Sv: Den akuta händelsen avlöpte väl.En: The acute incident ended well.Sv: När lugnet till slut återvände, kände både Lukas och Elin att de lärt sig värdefulla läxor.En: When calm finally returned, both Lukas and Elin felt they had learned valuable lessons.Sv: Vårsolen fortsatte att skina genom sjukhusets fönster, och världen utanför krisen låg redo att mötas med ny styrka och insikt.En: The spring sun continued to shine through the hospital's windows, and the world outside the crisis was ready to be met with new strength and insight. Vocabulary Words:emergency department: akutrumsavdelningmajor accident: stor olyckadedicated: engageraduncertainty: osäkerhetcolleagues: kollegorawaited: väntadeprioritize: prioriteraexperienced: erfarendemeanor: hållningimmediate: omedelbarpressure: pressenclarity: klarhetacting quickly: agera snabbtcollected himself: samlade sigresponsibility: ansvarscarce: knappareinforcements: förstärkningrisky decision: riskfyllt beslutvaluable lessons: värdefulla läxorinstincts: instinktteamwork: lagarbeteindependence: självständighetacute incident: akuta händelsenpain relief: lättnad spred sigurgent care: vård de behövdenewfound confidence: nyfunnen säkerhettrust: lita påmanage: hanterbartreinforcements: förstärkningcalm returned: lugnet återvände
In this episode of Transmission Interrupted, host Jill Morgan of Emory University Hospital sits down with Dr. Laura Evans to discuss how U.S. healthcare systems are preparing for the unique public health challenges surrounding the upcoming 2026 FIFA World Cup. From heat-related illness and overcrowded emergency departments to infectious disease risks such as measles, influenza, COVID-19, novel influenza viruses, and endemic threats like Lassa fever, the conversation explores why preparedness for mass gatherings extends far beyond a single disease focus.Dr. Evans emphasizes the importance of situational awareness tools, including CDC resources and Boston University's Beacon platform, while reminding listeners that screening alone is never perfect. The episode highlights the continued importance of core infection prevention practices such as source control, masking when appropriate, hand hygiene, and obtaining detailed travel and exposure histories. Together, Jill Morgan and Dr. Laura Evans reinforce the principle of “identify, isolate, and inform,” discuss the value of understanding local and regional escalation pathways, and examine how World Cup planning can strengthen everyday healthcare preparedness nationwide.Questions or comments for NETEC? Contact us at info@netec.org.Visit Transmission Interrupted on the web.GuestLaura Evans, MD, MScExecutive Director of the National Special Pathogen System (NSPS) Dr. Evans is a Professor of Medicine at the University of Washington and the former Medical Director of Critical Care at the University of Washington Medical Center. Her clinical and scholarly interests focus on preparedness for HCIDs and sepsis. Before joining the University of Washington faculty, she was the Medical Director of Critical Care at NYC Health + Hospitals/Bellevue, where she helped found the Special Pathogens Program. From 2014 to 2019, Dr. Evans served as the inaugural Co-Principal Investigator of NETEC at NYC Health + Hospitals/Bellevue.HostJill Morgan, RNEmory Healthcare, Atlanta, GAJill Morgan is a registered nurse and a subject matter expert in personal protective equipment (PPE) for NETEC. For 35 years, Jill has been an emergency department and critical care nurse, and now splits her time between education for NETEC and clinical research, most of it centering around infection prevention and personal protective equipment. She is a member of the Association for Professionals in Infection Control and Epidemiology (APIC), ASTM International, and the Association for the Advancement of Medical Instrumentation (AAMI).ResourcesBeaconNETEC Resource LibraryTransmission Interrupted PodcastNSPSNETECAbout NETECA Partnership for PreparednessThe National Emerging Special Pathogens Training and Education Center's mission is to set the gold standard for special pathogen preparedness and response across health systems in the U.S. with the goals of driving best practices, closing knowledge gaps, and developing innovative resources.Our vision is a sustainable infrastructure and culture of readiness for managing suspected and confirmed special pathogen incidents across the United States public health and health care delivery systems.For more information visit NETEC on the web at www.netec.org.NETEC Consultation ServicesAssess and Advance Your Readiness for Special Pathogens with Free, Expert Consulting.NETEC offers free virtual and onsite readiness consulting to help health care facilities and EMS agencies prepare for special pathogen events. Our targeted support services are delivered by experts selected and assigned to each inquiry based on the unique needs of your organization. Have a question? Ask a NETEC expert.For more information visit: netec.org/consulting-services.
In this World Shared Practice Forum Podcast, Drs. Briseida Mema and Wynne Morrison share their journeys into medical humanities, and reflect on the principles of narrative writing that resonate with healthcare workers. They explore how mentorship in narrative writing evolves through fostering connections and leads to community-building. The authors discuss the qualities of effective narrative pieces and share examples of impactful work on their professional practice. LEARNING OBJECTIVES - Understand the role of medical humanities in healthcare practice - Discuss community building and mentorship in narrative writing - Review narrative medicine examples and their impact on professional identity AUTHORS Briseida Mema, MD, MHPE Professor, Staff Physician University of Toronto, Hospital for Sick Children Wynne Morrison, MD, MBE Professor, Departments of Anesthesiology and Critical Care and Pediatrics Perelman School of Medicine at the University of Pennsylvania, The Children's Hospital of Philadelphia 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: April 28, 2026. REFERENCES - Morrison WE. A PCCM Narrative, in Verse. Pediatr Crit Care Med. 2022;23(10):836-837. - Healy LI, Helmers A, Mema B. Vulnerability through art: a path forward. Intensive Care Med. 2025;51(7):1380-1383. - https://niallwilliams.com/pages/this-is-happiness - https://www.middlebury.edu/writers-conferences/writers-conference - https://www.penguinrandomhouse.com/books/743358/on-call-by-anthony-fauci-md/ - https://www.penguinrandomhouse.com/books/183598/cutting-for-stone-by-abraham-verghese/ - https://en.wikipedia.org/wiki/Fathers_and_Sons_(novel) - https://www.poetryfoundation.org/poets/eavan-boland TRANSCRIPT https://cdn.bfldr.com/D6LGWP8S/at/2p43kr4k2546gzw3qr75n/20260417_WSP_Mema_and_Morrison_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 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 Mema B, Morrison W, Burns JP. Reflection and Community Building Through Narrative Writing. 04/2026. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/reflection-and-community-building-through-narrative-writing-by-b-mema-et-al.
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/
In an emergency situation would you know what to do if someone was bleeding? An upcoming educational event at the UK Gatton Student Center will provide answers in a fun and easy to understand way. Dr. Greg speaks with Amy Lambert, Critical Care, Safe Kids Fayette County, who'll be part of 'Stop The Bleed,' where attendees can learn techniques to stop bleeding in emergency situations to sustain a life until medical support can arrive.
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.
✨ Este domingo en Historias que Contar ✨Sadia Benzaquen nació en Caracas, Venezuela, el 6 de noviembre de 1972.Es el mayor de cuatro hermanos: Alex, Karen y Gastón, quien falleció en el año 2008.Hijo de José Benzaquen y Sara Wahnich de Benzaquen, ambos nacidos en Tetuán, Marruecos.Nieto de Mojluf y Sara Benzaquen, y de Yahya y Aziza Wahnich — todos nacidos en Tetuán — su historia familiar está marcada por la migración cuando el protectorado español dejó de gobernar la ciudad y pasó a control marroquí.La familia de su padre emigró primero a Israel.La de su madre, directamente a Venezuela.Sus padres se conocieron en Caracas, cuando su padre, trabajando en un barco israelí, hizo escala en Venezuela.Realizó sus estudios en el Hebraica y en el Moral y Luces (Promoción 1990), y se graduó como médico en la Escuela Luis Razetti de la Universidad Central de Venezuela en 1998, donde también ejerció — una etapa fundamental en su formación.En el 2003 emigró a Estados Unidos.Hoy vive en Philadelphia, donde es jefe del Departamento de Pulmonary, Critical Care, Sleep and Allergy en el Jefferson Einstein Medical Center y profesor de medicina en el Sidney Kimmel Medical College at Jefferson University.Durante la pandemia del COVID-19, su voz se convirtió en referencia para miles de personas.Esposo de Julie Simons, y padre de Joseph y Noah.
Roger Seheult, MD of MedCram explains the history of idiopathic pulmonary fibrosis treatments, current medications, and a potential new treatment. See all Dr. Seheult's videos at: https://www.medcram.com/ (This video was recorded on April 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.
“Nothing gets easier in flight.”That single line from today's guest says it all. Dennis is joined by Rich — SOF medic and flight medicine veteran — for a no-fluff masterclass on preparing patients for rotary-wing, ground, or even submarine evacuation. From rotor wash nightmares to 48-hour critical care handovers, this episode is pure gold for medics who want their patients to survive the bird, not just board it.Whether you're a ground medic with 30 seconds to hand off or a flight crew managing vents at altitude, these lessons will tighten your game, cut preventable errors, and keep aircraft off the deck longer than they need to be.KEY TAKEAWAYS YOU CAN USE TOMORROWAccurate MIST saves airframes and lives — over-triage or fake intel has real consequences.Document what the flight medic can't see (drugs, last dose/time, hidden injuries).Get access and secure everything on the ground — nothing magically gets easier at 500 feet and 120 knots.Stage 5–10 minutes early when possible. Headspace + rehearsed handover beats chaos every time.Redundancy is king in prolonged/critical care handovers: bring backups to the backups.Trend vitals and nursing care — clean the patient, position them, prevent DVT, manage contamination.Know your receiving asset — a vented patient handed to someone who's never touched one is now your problem again.Balance speed vs. life-saving interventions — don't skip a finger thoracostomy just because the bird is 30 seconds out.CHAPTERS00:00 – Welcome back to the PFC Podcast00:06 – Introducing Rich: soft medic & flight medicine expert01:44 – The brutal environment of rotary-wing medicine (lost senses, airspace surveillance, cable chaos)04:08 – Classic ground-medic mistakes (and how to stop making them)06:24 – Why accurate MIST actually matters (and how bad intel wastes lives & airframes)09:05 – The moped-vs-gunfight story every medic needs to hear13:55 – Standard aircraft loadout + what “special equipment” really means17:39 – Bare-minimum documentation when rotors are inbound (what to write in 30 seconds)20:02 – Handover acronyms that actually work (MIST vs. CIT-D + physical pointing trick)22:28 – Trust but verify: how flight medics reassess once the patient is aboard24:28 – Why ground access & securing lines is non-negotiable26:45 – Staging early, litter drills, and not racing to the rotor wash30:40 – Prolonged field care → critical care transport handovers31:30 – Is the patient ever “too unstable” to fly? (battlefield reality check)34:41 – Prepping the patient like you're handing off an ICU bed37:08 – Self-evac gear philosophy: treat the patient as if nothing was done yet41:32 – Pain management in the air — when to bump vs. load long-acting44:31 – Monitoring in flight (what still works when your senses are gone)46:58 – Over-optimizing for transport: trending, nursing care, contamination control49:25 – Know who you're handing off to (and why it matters for the truck ride)49:58 – Outro & resources For more content go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
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 episode of Transmission Interrupted, host Jill Morgan interviews Dr. Laura Evans, the new executive director of the National Special Pathogen System (NSPS), about her path from critical care leadership at Bellevue to national special pathogen preparedness. Dr. Evans recounts how the 2009 H1N1 pandemic and the 2014 Ebola outbreak shaped her focus on protecting healthcare workers while delivering high-quality care, and she describes Bellevue's teamwork-driven responses, including Hurricane Sandy's power crisis and evacuation supported by a fuel “bucket brigade.” She outlines NSPS's goal of a tiered, trauma-like network built to be nimble and adaptable, discusses challenges such as sustaining hospital engagement, expanding Level 3 and 4 participation, and strengthening patient transport capacity, and frames upcoming mass gatherings like the World Cup as opportunities to advance preparedness nationwide. Questions or comments for NETEC? Contact us at info@netec.org. Visit Transmission Interrupted on the web at netec.org/podcast. Guest Laura Evans, MD, MSc Executive Director of the National Special Pathogen System (NSPS) Dr. Evans is a Professor of Medicine at the University of Washington and the former Medical Director of Critical Care at the University of Washington Medical Center. Her clinical and scholarly interests focus on preparedness for HCIDs and sepsis. Before joining the University of Washington faculty, she was the Medical Director of Critical Care at NYC Health + Hospitals/Bellevue, where she helped found the Special Pathogens Program. From 2014 to 2019, Dr. Evans served as the inaugural Co-Principal Investigator of NETEC at NYC Health + Hospitals/Bellevue. Host Jill Morgan, RN Emory Healthcare, Atlanta, GA Jill Morgan is a registered nurse and a subject matter expert in personal protective equipment (PPE) for NETEC. For 35 years, Jill has been an emergency department and critical care nurse, and now splits her time between education for NETEC and clinical research, most of it centering around infection prevention and personal protective equipment. She is a member of the Association for Professionals in Infection Control and Epidemiology (APIC), ASTM International, and the Association for the Advancement of Medical Instrumentation (AAMI). Resources The National Special Pathogen System About the NSPS NETEC Transmission Interrupted Podcast About NETEC A Partnership for Preparedness The National Emerging Special Pathogens Training and Education Center's mission is to set the gold standard for special pathogen preparedness and response across health systems in the U.S. with the goals of driving best practices, closing knowledge gaps, and developing innovative resources. Our vision is a sustainable infrastructure and culture of readiness for managing suspected and confirmed special pathogen incidents across the United States public health and health care delivery systems. For more information visit NETEC on the web at www.netec.org. NETEC Consultation Services Assess and Advance Your Readiness for Special Pathogens with Free, Expert Consulting. NETEC offers free virtual and onsite readiness consulting to help health care facilities and EMS agencies prepare for special pathogen events. Our targeted support services are delivered by experts selected and assigned to each inquiry based on the unique needs of your organization. Have a question? Ask a NETEC expert. For more information visit: netec.org/consulting-services.
Robert Picardo, Ken Biller and Dr. Elizabeth Hudson A special presentation from Trek Talks 5. In this episode, we bring you the full "Critical Care" panel, celebrating the Star Trek: Voyager episode of the same name. Moderated by Tamia, this conversation features writer Ken Biller, Robert Picardo (The Doctor), and real-life physician Dr. Elizabeth Hudson DO, MPH, AAHIVS. Together, they explore the themes of care, ethics, and access to medicine …connecting science fiction to real-world healthcare conversations in a powerful and timely way. Thanks to the incredible support of the community, Trek Talks 5 raised close to $87,000 for the Hollywood Food Coalition, helping provide daily meals and essential services to those in need. If you missed the telethon, you can catch the replay at TrekTalks.net. Donations are still open — visit the link in our show notes or text TREK to 53-555 to continue supporting the mission.
Kevin WallBSN, School of Nursing, 1995More InformationUAB School of Nursing News - Alumnus leads in critical care transportOrlando Business Journal - AdventHealth plans to expand its air ambulance capabilities in Orlando. Here's how.Vertical Plus - Lifesaving Archangels
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.
Dr. Laura Weintraub, a large animal associate veterinarian who recently completed her residency in Large Animal Emergency and Critical Care, is our guest on this week's episode. Dr. Weintraub shares how her transition from student to veterinarian in general practice sparked a desire for deeper learning and academic camaraderie, leading her to pursue a hybrid internship and eventually a residency. Following her advanced training, she has found a great fit as an associate in a practice that prioritizes professional sustainability. Along the way, she highlights the importance of mentorship, adaptability, and keeping an open mind as new opportunities shape an evolving and fulfilling career path.Thank you to our podcast partner CareCredit. You can learn more about Veterinary Patient Financing for Providers through CareCredit by visiting: https://www.carecredit.com/providers/animal-healthcare/Remember, we want to hear from you! Please be sure to subscribe to our feed on Apple Podcasts and leave us a rating and review. You can also contact us at MVLpodcast@avma.org.Follow us on social media @AVMAVets #MyVetLife #MVLPodcast
The U.S. Environmental Protection Agency (EPA) changed the dollar value of a statistical life in January 2026, essentially dropping it to zero. What does that mean for the average American? As Anthony Gerber, MD, PhD, University of Kentucky, explains to Air Health Our Health host Erika Moseson, MD, MA, this means the agency will no longer account for the healthcare costs of air pollution and lost lives when determining how account how clean air policies and other key legislation affect communities. In this first part of a two-part series on the EPA's dollar value of a statistical life, Dr. Gerber explains what this change means and why is it significant.
We discuss the diagnosis and treatment of one of EM's paradoxes: High-Output Heart Failure. Hosts: Nicolas Gonzalez, MD Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/HOHF.mp3 Download Leave a Comment Tags: Cardiology Show Notes Core EM Modular CME Course Maximize your commute with the new Core EM Modular CME Course, featuring the most essential content distilled from our top-rated podcast episodes. This course offers 12 audio-based modules packed with pearls! Information and link below. Course Highlights: Credit: 12.5 AMA PRA Category 1 Credits™ Curriculum: Comprehensive coverage of Core Emergency Medicine, with 12 modules spanning from Critical Care to Pediatrics. Cost: Free for NYU Learners $250 for Non-NYU Learners Click Here to Register and Begin Module 1 1. Core Definition & Hemodynamic Profile Clinical Paradox: Congestive symptoms (pulmonary edema, JVD, peripheral edema) in the setting of a hyperdynamic, supranormal cardiac function. Hemodynamic Criteria: Cardiac Index (CI): >4.0 L/min/m2. Cardiac Output (CO): >8 L/min. Systemic Vascular Resistance (SVR): Pathologically low (vasodilated or shunted state). The “Warm” Phenotype: Unlike standard HFrEF/HFpEF (often “Cold and Wet”), HOHF presents as “Warm and Wet” due to low SVR and bounding pulses. 2. Pathophysiology: The Hemodynamic Paradox Primary Insult: Decreased SVR (either via peripheral vasodilation or arteriovenous shunting). Effective Arterial Blood Volume: Paradoxically low despite high total CO. Neurohormonal Cascade: Activation of Renin-Angiotensin-Aldosterone System (RAAS). Increased Sympathetic Nervous System tone. Increased Antidiuretic Hormone (ADH) secretion. Resultant State: Avid renal salt and water retention leading to massive plasma volume expansion. Cardiac Response: Chronic volume overload → eccentric remodeling → chamber dilation → eventual secondary myocardial failure/dilated cardiomyopathy. 3. Differential Diagnosis: Etiological “Buckets” Category A: Increased Metabolic Demand (Systemic) Hyperthyroidism/Thyrotoxicosis: Direct T3 effects: increased chronotropy/inotropy. Indirect effects: metabolic byproduct accumulation causing peripheral vasodilation. Myeloproliferative Disorders: High cell turnover and increased oxygen consumption drive compensatory CO increase. Sepsis (Hyperdynamic Phase): Cytokine-mediated global vasodilation. Note: Often transient; may transition to sepsis-induced myocardial depression. Category B: Peripheral Vascular Effects (Shunting/Vasodilation) Arteriovenous Fistulas (AVF) / Malformations (AVM): Most Common Cause: Iatrogenic AVF for Hemodialysis (ESRD population). Bypasses high-resistance capillary beds, dumping arterial blood directly into venous circulation. Chronic Liver Disease (Cirrhosis): Formation of “spider angiomata” and internal AV shunts. Impaired clearance of endogenous vasodilators (e.g., Nitric Oxide). Thiamine Deficiency (Wet Beriberi): Accumulation of pyruvate/lactate → systemic vasodilation. Histopathology: Vacuolation, myofiber hypertrophy, and interstitial edema. Chronic Lung Disease: Hypoxia/Hypercapnia-driven systemic vasodilation. Concomitant pulmonary HTN (RV remodeling) but preserved/high LV output. Others: Paget's disease of bone (extensive micro-shunting), Carcinoid syndrome, Mitochondrial diseases, Acromegaly, Erythroderma. 4. Special Focus: Hemodialysis Access-Induced HOHF Physiologic Phases of AVF Creation: Acute Phase: Immediate ↓ SVR. ↑ Stroke volume and Heart Rate (SNS-mediated). Endothelial shear stress → Nitric Oxide release → further arterial dilation. Subacute Phase (Days to 2 Weeks): RAAS-driven volume expansion. ↑ Right Atrial, Pulmonary Artery, and LV End-Diastolic Pressures (LVEDP). Natriuretic peptide surge (BNP/ANP) peaks around Day 10. Chronic Phase (Weeks to Months): Adaptive hypertrophy. Decompensation occurs when dilation exceeds contractility limits. 5. Point-of-Care Physical Exam & Maneuvers Nicoladoni-Branham Sign (Pathognomonic for Shunt-driven HOHF): Maneuver: Manually compress the AVF (or inflate cuff to >50 mmHg above SBP) for 30 seconds. Positive Result: Reflexive bradycardia or a transient rise in systemic BP. Significance: Confirms the shunt is a major contributor to the cardiac workload. Peripheral Pulse Assessment: Water Hammer Pulses: Rapid upstroke and collapse. Quincke's Pulse: Visible capillary pulsations in the nail beds. Traube's Sign: “Pistol-shot” sounds auscultated over the femoral arteries. Volume Status: Rales, S3 gallop, peripheral edema (standard HF signs). 6. Diagnostic Workup (Technical Targets) POCUS / Echocardiography: Left Ventricle: Hyperdynamic function; EF typically >60%. Left Atrium: Significant dilation (Left Atrial Volume Index >34 mL/m2; Case study noted 72 mL/m2). IVC: Plethoric with minimal respiratory variation. Doppler: High flow velocities across the AV access if applicable. Laboratory Evaluation: BNP/NT-proBNP: Often markedly elevated (e.g., >70,000 in severe cases), though mean values in literature hover around 700–800 pg/mL. Hematology: CBC to evaluate for severe anemia (trigger for HOHF if Hgb7–8 g/dL to reduce demand. Beriberi: High-dose IV Thiamine (100–500 mg). Thyrotoxicosis: Beta-blockers (Propranolol) + Antithyroid meds (PTU/Methimazole). Phase 3: Surgical/Interventional Salvage (Refractory AVF Cases) Closure of Accessory Sites: If multiple fistulas exist, close the non-dominant/unused sites. Flow Reduction (Banding): Surgical narrowing of the fistula to target flow
In this World Shared Practice Forum Podcast, Drs. Luregn Schlapbach and Janet Kelly-Geyer discuss the implementation and impact of the Airway, Breathing, Circulation - Plan, Risk, Options (ABC-PRO) handover tool in the Pediatric Intensive Care Unit. They discuss how a structured, proactive risk assessment during clinical handovers can reduce cardiac arrest rates and improve patient outcomes. They share perspectives on enhancing team situational awareness by anticipating high-risk events, identifying management strategies, and encouraging multidisciplinary participation in anticipatory care. Lastly, they highlight how the ABC-PRO framework advances overall patient safety in critical care settings. LEARNING OBJECTIVES - Understand the ABC-PRO tool's function in reducing cardiac arrests and enhancing safety - Examine bedside team-based discussions around key patient risks during handovers using the ABC-PRO tool - Recognize the significance of interdisciplinary collaboration in patient management - Assess the potential for implementing similar handover improvements in diverse healthcare settings AUTHORS Luregn Schlapbach, MD, PhD Professor in Pediatric Intensive Care, Head of Department of Intensive Care and Neonatology, University Children`s Hospital Zurich Janet Kelly-Geyer, MBChB Senior PICU Consultant University Children's Hospital Zurich 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: March 24, 2026. ARTICLES REFERENCED - Catchpole KR, de Leval MR, McEwan A, et al. Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to improve safety and quality. Paediatr Anaesth. 2007;17(5):470-478. doi:10.1111/j.1460-9592.2006.02239.x - Starmer AJ, Spector ND, Srivastava R, et al. Changes in medical errors after implementation of a handoff program. N Engl J Med. 2014;371(19):1803-1812. doi:10.1056/NEJMsa1405556 - Riley CM, Diddle JW, Harlow A, et al. Shifting the Paradigm: A Quality Improvement Approach to Proactive Cardiac Arrest Reduction in the Pediatric Cardiac Intensive Care Unit. Pediatr Qual Saf. 2022;7(1):e525. Published 2022 Jan 21. doi:10.1097/pq9.0000000000000525 - Spaeder MC, Lee L, Miller C, Keim-Malpass J, Harmon WG, Kausch SL. Incidence of cardiac arrest following implementation of a predictive analytics display in a pediatric intensive care unit. Resusc Plus. 2025;21:100862. Published 2025 Jan 2. doi:10.1016/j.resplu.2024.100862 TRANSCRIPT https://cdn.bfldr.com/D6LGWP8S/at/f7xr7vcxc6f4mhc9736tzpb/202603_WSP_Schlapbach___Kelly-Geyer_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 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 Schlapbach LJ, Kelly-Geyer JF, Burns JP. Reducing Cardiac Arrests in the PICU with ABC-PRO. 03/2026. OPENPediatrics. Online Podcast.
Contributor: Travis Barlock, MD Educational Pearls: What is an internal jugular catheter (IJ) and when do we use it? IJs are catheters that can be placed in either the left or the right internal jugular vein to provide central venous catheter (CVC) access. CVCs can be placed in other locations other than the internal jugular vein (i.e. subclavian vein or femoral veins). IJs are used when the patient may require long-term venous access or have to receive hyperosmolar solutions (such as solutions with high glucose content for parenteral nutrition); solutions with extreme pHs (9); or vesicant drugs (drugs that can cause tissue necrosis with extravasation). They are not to be confused with EJs (external jugular vein catheters) which can be placed in difficult to peripherally catheterize patients. EJs function similarly to a peripheral IV. The advantage of IJs is their location in larger veins brings them closer to direct access to the heart (i.e. the right internal jugular vein will provide immediate/quicker access to the right atrium to the heart.) What are concerns of using a right internal jugular catheter versus one in the left? The right internal jugular vein provides quick access to the heart via the right atrium, making it ideal in critically ill patients who may require vasopressor support. However it is also the site commonly used for additional cannulation procedures such as hemodialysis, pulmonary artery pressure measurements, extracorporeal membrane oxygenation (ECMO) and transvenous pacemaker placement. These procedures are not uncommon in critically ill patients who also required a CVC for initial hemodynamic support via vasopressors. Gharaibeh et al. found that patients who received a right IJ and hemodialysis had a higher need for re-insertion of the hemodialysis catheter (40% compared to 2.6% in the left IJ group). Furthermore, it was found that with a right IJ, hemodialysis catheters had to be exchanged by a guidewire in 23% of those with a right IJ as opposed to 0.9% in the left IJ group (a guidewire exchange is often considered a salvage technique to try and maintain access). Big Takeaway? If you are able to obtain an IJ on the right, you can likely obtain one on the left, and if considering longitudinal care for your patient, consider obtaining an IJ on the left to allow for future critical access in the right IJ. References Gharaibeh KA, Abdelhafez MO, Guedze KEB, Siddiqi H, Hamadah AM, Verceles AC. Impact of initial jugular vein insertion site selection for central venous catheter placement on hemodialysis catheter complications. Journal of Critical Care. 2025;87:155011. doi:10.1016/j.jcrc.2024.155011 Gallieni M, Pittiruti M, Biffi R. Vascular access in oncology patients. CA: A Cancer Journal for Clinicians. 2008;58(6):323-346. doi:10.3322/CA.2008.0015 Summarized by Dan Orbidan, OMS2 | Edited by Dan Orbidan & Jorge Chalit, OMS4 Donate: https://emergencymedicalminute.org/donate/ Join our mailing list: http://eepurl.com/c9ouHf
Host: Darryl S. Chutka, M.D. Guest: Kathryn del Valle, M.D. Chronic liver disease can result in a variety of complications which can involve multiple organs. One of these complications can occur in the pulmonary vascular system. Two of the most clinically significant include hepatopulmonary syndrome and Portopulmonary hypertension. Patients with these syndromes may present to their primary care provider and if the medical condition is unrecognized, it can affect morbidity and ultimately the prognosis of the patient. What are the early symptoms and physical findings of hepatopulmonary syndrome and Portopulmonary hypertension? How are they diagnosed, and should we be screening patients with chronic liver disease for these pulmonary vascular disorders? My guest for this podcast is Dr. Kathryn del Valle, from the Division of Pulmonary and Critical Care at the Mayo Clinic and we'll be discussing “Pulmonary Vascular Complications of Liver Disease”. Connect with us! Mayo Clinic Talks Podcast Season 6 | Mayo Clinic School of Continuous Professional Development
In this episode of Talking Sleep, host Dr. Seema Khosla welcomes Dr. Reena Mehra, professor in the Division of Pulmonary, Critical Care and Sleep Medicine at the University of Washington in Seattle, and Dr. Dennis Aukley, professor in the Division of Pulmonary, Critical Care, and Sleep Medicine at MetroHealth Medical Center, Case Western Reserve University in Cleveland, to discuss the newly released AASM clinical practice guidelines for evaluating and managing obstructive sleep apnea in hospitalized adults. The guidelines address a significant gap in inpatient care: how to systematically screen for sleep apnea in hospitalized patients, prioritize high-risk groups, determine when and where to perform testing, and ensure appropriate outpatient follow-up. Dr. Mehra and Dr. Aukley explain the impetus behind developing these guidelines and the PICO question process used to examine existing evidence, acknowledging the challenges of working with limited data in this emerging field. The conversation systematically walks through the four key recommendations: in-hospital screening for OSA as part of an evaluation and management pathway, use of inpatient PAP treatment for newly diagnosed or untreated moderate-to-severe OSA, availability of sleep medicine consultation, and implementation of discharge management plans to ensure timely diagnosis and effective outpatient management. Practical implementation receives extensive attention. How should patients be screened—using STOP-Bang or facility-specific methods? Should screening be built into the EMR? Which patient populations and hospital units should be prioritized? Who performs the screening—sleep navigators, nursing staff, or hospitalists? Can sleep consultations be conducted via telemedicine at the bedside? The experts emphasize the critical need for a program champion and comprehensive education initiatives. Dr. Aukley shares invaluable lessons from his experience creating an inpatient sleep program, discussing what he wishes he'd known before starting and practical insights gained through implementation. A particularly frustrating issue receives attention: patients who bring their own PAP devices to the hospital but never have them set up or used during their stay. The guidelines address this common scenario and provide frameworks for ensuring treated patients continue therapy during hospitalization. Legal liability considerations are explored: What responsibilities exist for untreated patients diagnosed with OSA during hospitalization? What about high-risk patients who haven't been formally diagnosed? The experts discuss strategies for ensuring outpatient follow-up, recognizing that effective discharge planning is essential for translating inpatient identification into long-term management. Whether you're considering establishing an inpatient sleep program, frustrated by gaps in hospital-based sleep apnea care, or seeking evidence-based approaches to identifying and managing OSA in hospitalized patients, this episode provides essential guidance and practical implementation strategies. Join us for this important discussion about bringing systematic sleep apnea evaluation and management into the inpatient setting.
© 2020-2026 Ivy Podcast Discovery LLC
