Podcasts about Critical care

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Best podcasts about Critical care

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Latest podcast episodes about Critical care

Becker’s Healthcare Podcast
Virtual Critical Care and Workforce Strategy at Advocate Health with Dennis L. Disch

Becker’s Healthcare Podcast

Play Episode Listen Later Feb 27, 2026 17:41


In this episode, Dennis L. Disch, Vice President of Hospital Based Specialties for the Illinois and Wisconsin Divisions at Advocate Health, shares how integrating virtual critical care, expanding AI supported documentation, and redesigning anesthesia and hospital based staffing models are helping the system navigate reimbursement pressure, workforce shortages, and the shift toward ambulatory care.

OPENPediatrics
Navigating Scholarly Writing and Academic Productivity by R. Tasker et al. | OPENPediatrics

OPENPediatrics

Play Episode Listen Later Feb 24, 2026 43:14


In this World Shared Practice Forum Podcast, Dr. Robert Tasker, Editor-in-Chief of the journal Pediatric Critical Care Medicine, discusses strategies for successful scholarship in pediatric critical care with a lens towards fellows and junior faculty. In discussion with co-hosts, Drs. Ruth Riedl and Katherine Rosengard, Dr. Tasker reviews clinical reports, effective engagement with the literature, and the role of mentorship in academia. He shares insights on pivotal themes in pediatric critical care literature, encouraging clinicians to engage actively with published research and contribute to evidence-driven practice. LEARNING OBJECTIVES - Recognize the significance of structured clinical research reports in pediatric critical care - Develop strategies for effective engagement with and utilization of medical literature - Identify the role of mentorship in academic scholarship and career development - Review the importance of the audience in academic projects and the implications for publication AUTHORS Robert Tasker, MBBS, MD Editor-in-Chief, Pediatric Critical Care Medicine Senior Associate in Critical Care Medicine, Department of Anesthesiology, Critical Care and Pain Medicine Boston Children's Hospital Professor of Anesthesia Harvard Medical School College Lecturer in Medicine and Graduate Tutor Selwyn College, University of Cambridge Ruth Riedl, MD Chief Fellow, Pediatric Critical Care Medicine Boston Children's Hospital Katherine Rosengard, MD, MBA Chief Fellow, Pediatric Critical Care Medicine Boston Children's Hospital Traci Wolbrink, MD, MPH‌ Senior Associate in Critical Care Medicine; Department of Anesthesiology, Critical Care and Pain Medicine Boston Children's Hospital Associate Professor of Anesthesia Harvard Medical School DATE Initial publication date: February 24, 2026. TRANSCRIPT https://cdn.bfldr.com/D6LGWP8S/at/84nhn6mvprnkpqjm3cq57pm8/202602_WSP_Tasker_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 Tasker RC, Riedl R, Rosengard K, Wolbrink TA. Navigating Scholarly Writing and Academic Productivity. 02/2026. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/navigating-scholarly-writing-and-academic-productivity-by-rtaskeretal.

The Critical Care Commute Podcast
Critical Care Workforce: Where We Are, And Where We're Going with Prof. Peter Kruger

The Critical Care Commute Podcast

Play Episode Listen Later Feb 24, 2026 24:29


In this conversation, Peter Brindley and Leon Byker sit down with Peter Kruger, President of the College of Intensive Care Medicine, to unpack one of the defining issues facing healthcare today: workforce reform.Against the backdrop of national workforce reviews across Australia and New Zealand, the discussion explores the tension between aspiration and reality. Governments want equitable access, rural coverage, sustainable systems, and improved wellbeing for clinicians. Colleges want standards, safety, and meaningful careers. Trainees want jobs. Communities want hospitals. Politicians want solutions.So how do we reconcile all of it?Dr. Kruger reflects on the growing engagement between specialist colleges and government, particularly around workforce maldistribution, rural and regional care, sub-specialization versus generalism, and the moral complexity of relying on internationally trained doctors. The conversation highlights a key truth: intensive care is a hospital-based, system-dependent specialty. You cannot simply “place a doctor” in a community without the supporting infrastructure.The episode also tackles uncomfortable but necessary questions:Can there be a universal standard for ICU access across vastly different hospital settings?Should governments mandate rural placements—or can communities be strengthened from within?What role should nurse practitioners and multidisciplinary teams play?Are we protecting turf, or protecting patients?And how do we better support doctors across the entire career pipeline—from medical student to senior intensivist winding down night shifts?Throughout, the tone is candid but diplomatic. There's recognition that workforce reform is complex, long-standing, and resistant to simple solutions. Yet there is also optimism: trust, transparency, and genuine partnership between colleges and government may offer a way forward.At its core, this episode is about purpose. The shared mission between clinicians, colleges, and governments is delivering safe, effective care to the community. The challenge lies in doing so while balancing standards, sustainability, and humanity.

The Elective Rotation: A Critical Care Hospital Pharmacy Podcast
1107: What Makes a Critical Care Pharmacist Take Action – Patient Acuity or Medication Regimen Complexity?

The Elective Rotation: A Critical Care Hospital Pharmacy Podcast

Play Episode Listen Later Feb 23, 2026 3:38


Show notes at pharmacyjoe.com/episode1107 In this episode, I'll discuss what predicts critical care pharmacist intervention – patient acuity or medication regimen complexity?

The Weekly Defence Podcast
Critical Care | Designing Sustainment Into the Future

The Weekly Defence Podcast

Play Episode Listen Later Feb 19, 2026 20:53


This episode is shared from Critical Care, a podcast produced by Shephard Studio in partnership with Collins Aerospace. Sustainment has long been seen as a downstream concern — something to be managed after procurement. But what happens when you flip that mindset?In this final episode of the current Critical Care series, produced by Shephard Studio in partnership with Collins Aerospace, we look at the next evolution of military aircraft support — one where sustainment is not only part of the mission, but designed into the platform from day one.We hear from key voices across Collins Aerospace, including Chris Norris, Mike Yunker, Marc Harrington and Michael Nelson, as they explore how predictive maintenance, digital engineering and common systems are reshaping the entire lifecycle of defence aviation. They discuss how AI, real-time data and open architecture are driving faster fixes, smarter logistics and more agile support — not in theory, but in practice.From augmented reality goggles for remote troubleshooting to embedded analytics that forecast component failures before they happen, this episode reveals how the future of sustainment is becoming faster, more integrated and more aligned with the operational tempo of the modern battlespace.More than technology, it's a cultural shift. Sustainment is no longer a separate conversation — it's central to design, procurement and mission success.

Power to Heal
At Foundry, Serving Youth Means Listening First

Power to Heal

Play Episode Listen Later Feb 19, 2026 34:09


The model for Foundry youth centres is based on “coming together, listening and learning.”  This is more than just a slogan: It's what they actually do. Created to remove barriers to quality care for youth ages 12-24 in British Columbia, Foundry centres bring together integrated health, wellness and social services for young people in one location. At a time when one in four Canadian youth are affected by mental health or substance use challenges, being able to open one door to access a range of support services can make all the difference.But Foundry centres also feature another unique aspect: opportunities for young people to share their ideas and feedback on how these wellness hubs can better serve their peers and provide preventative support for mental health or substance use—issues that, left unchecked, can result in future visits to already over-crowded emergency departments.In part two of our compelling exploration of Foundry and the integrated health and wellness services it provides, you'll met Ruby and Oscean, two articulate post-secondary students who are volunteering to help shape the new youth centre coming to South Surrey/White Rock. Both speak candidly about their own lived experiences with mental health, and the challenges facing their friends and others from their age group.Also joining the conversation is George Passmore, Executive Director with Sources BC, a non-profit, community-based provider of social wellness programs and services and, with support from the Peace Arch Hospital Foundation, the lead organization behind the new Foundry centre.Links: Foundry BC foundrybc.ca | Sources BC sourcesbc.caFor more information or to make a donation, visit Peace Arch Hospital Foundation at pahfoundation.caAbout Power to HealHosted by former Peace Arch News editor Lance Peverley, the Power to Heal podcast takes listeners behind the scenes with the Peace Arch Hospital Foundation as this innovative fund-raising organization develops partnerships with donors, medical staff and community groups to help foster better health and wellness in the community of South Surrey/White Rock BC.#podcast

MedCram
Episode 143. Outdoor Physical Activity is More Beneficial than Indoor Activity for Cognition in Young People

MedCram

Play Episode Listen Later Feb 17, 2026 15:09


Roger Seheult, MD of MedCram explores a UK study comparing the effects of outdoor vs indoor exercise on cognitive ability in young people. See all Dr. Seheult's videos at: https://www.medcram.com (This video was recorded on February 14th 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. #sunlight #exercise #cognition

Power to Heal
Trailer: Season 5

Power to Heal

Play Episode Listen Later Feb 17, 2026 2:26


Power to Heal Season 5An integral part of hundreds of thousands of communities worldwide are their hospitals.  The engine that drives those institutions are their foundations, without which, the wheels of progress would turn very slowly.  This series uncovers the ways the Peace Arch Hospital Foundation in White Rock, British Columbia connects with the community to stay ahead of health issues, challenge the norm and foster a spirit of innovation.#podcast 

HAINS Talk
Journal Club Folge 57 (KW 8): Prehospital transesophageal echocardiography versus conventional advanced life support in out-of-hospital cardiac arrest (PHTEE–OHCA): a randomized controlled pilot study.

HAINS Talk

Play Episode Listen Later Feb 17, 2026 20:02


Send a textKann eine transösophageale Echokardiographie (TEE) bereits präklinisch während laufender Reanimation eingesetzt werden, ohne die CPR-Qualität zu beeinträchtigen? In dieser Episode analysieren wir die erste randomisierte kontrollierte Pilotstudie zur prähospitalen TEE bei außerklinischem Herz-Kreislauf-Stillstand (OHCA) und diskutieren Effekte auf Chest Compression Fraction, EtCO₂ sowie diagnostische und prozedurale Konsequenzen.Katzenschlager S, Kaltschmidt N, Dietrich M, et al.Prehospital transesophageal echocardiography versus conventional advanced life support in out-of-hospital cardiac arrest (PHTEE–OHCA): a randomized controlled pilot study.Critical Care. 2026;30:45.DOI: 10.1186/s13054-025-05805-w Die Qualität der Thoraxkompressionen ist ein zentraler Determinant des Outcomes beim außerklinischen Herz-Kreislauf-Stillstand (OHCA). Während transthorakale Echokardiographie (TTE) in Leitlinien empfohlen wird, kann sie zu prolongierten Hands-off-Phasen führen. Die transösophageale Echokardiographie (TEE) erlaubt dagegen Bildgebung unter laufender Kompression und könnte sowohl die Reanimationsqualität als auch die Identifikation reversibler Ursachen verbessern.In dieser randomisierten, kontrollierten Pilotstudie wurden 32 erwachsene Patient:innen mit nicht-traumatischem OHCA in einem arztbesetzten zweistufigen Rettungsdienstsystem 1:1 zu Standard-ALS oder ALS plus TEE randomisiert. Primäre Endpunkte waren Hands-off-Zeit und Chest Compression Fraction (CCF). Sekundäre Endpunkte umfassten ROSC bei Krankenhausaufnahme, Überleben bis Entlassung, neurologisches Outcome (CPC 1–2), EtCO₂-Verlauf sowie TEE-basierte diagnostische Befunde.Die mediane Hands-off-Zeit betrug in beiden Gruppen 4 Sekunden; es zeigte sich kein signifikanter Unterschied. Die CCF war jedoch signifikant höher in der TEE-Gruppe (96,2 % vs. 91,6 %; mittlere Differenz 4,6 %, 95 %-KI 2,5–6,7; p < 0,001). EtCO₂-Werte lagen ebenfalls signifikant höher in der TEE-Gruppe (+7 mmHg; 95 %-KI 4–10; p < 0,001), was auf effektivere Perfusion hinweisen könnte.In der as-treated-Analyse wurden bei 23 % der Fälle eine initial falsche Area of Maximal Compression (AMC) sowie bei 14 % eine inadäquate Kompressionstiefe identifiziert und unter TEE-Guidance korrigiert. Perikardergüsse wurden in 23 % diagnostiziert, davon 60 % hämodynamisch relevant (Tamponade). In allen eCPR-Fällen war eine Visualisierung von Führungsdrähten und Kanülenlage möglich. TEE-bedingte Komplikationen wurden nicht beobachtet.Die Studie zeigt, dass prähospitale TEE technisch machbar ist und CPR-Metriken nicht beeinträchtigt. Darüber hinaus liefert sie relevante diagnostische Informationen und ermöglicht prozedurale Guidance. Aufgrund der geringen Fallzahl ist jedoch keine Aussage zu Überlebensvorteilen möglich.

CHEST Journal Podcasts
CHEST Critical Care: The Impact of Mechanical Power Normalized to Predicted Body Weight on Outcomes in Pediatric ARDS

CHEST Journal Podcasts

Play Episode Listen Later Feb 16, 2026 34:42


Authors Herng Lee Tan, MSc, and Judith Ju Ming Wong, MBBCh, BAO, and editorialist Vicent Modesto i Alapont, MD, PhD, join CHEST® Critical Care Podcast Moderator Dan Fein, MD, to discuss their research into the impact of mechanical power normalized to predicted body weight on outcomes in pediatric ARDS.  This episode is part of a new series exploring articles published in our open access journal CHEST Critical Care.  DOI: 10.1016/j.chstcc.2025.100162 Disclaimer: The purpose of this activity is to expand the reach of CHEST content through awareness, critique, and discussion. All articles have undergone peer review for methodologic rigor and audience relevance. Any views asserted are those of the speakers and are not endorsed by CHEST. Listeners should be aware that speakers' opinions may vary and are advised to read the full corresponding journal article(s) for complete context. This content should not be used as a basis for medical advice or treatment, nor should it substitute the judgment used by clinicians in the practice of evidence-based medicine.  

This Week
Master at the Rotunda on the rejection of a critical-care wing for the hospital

This Week

Play Episode Listen Later Feb 15, 2026 9:33


A planned €100m critical-care wing for Dublin's Rotunda Maternity Hospital was rejected by An Coimisiún Pleanála this week. Sean Daly, Master at the Rotunda, discusses the current situation at the hospital.

The Weekly Defence Podcast
Critical Care | Embedded Sustainment with the Royal Netherlands Air Force

The Weekly Defence Podcast

Play Episode Listen Later Feb 11, 2026 18:53


This episode is shared from Critical Care, a podcast produced by Shephard Studio in partnership with Collins Aerospace.What happens when sustainment stops being a service and becomes a partnership?In this episode of Critical Care, produced by Shephard Studio in partnership with Collins Aerospace, we head to Vliegbasis Woensdrecht in the Netherlands to see a new model of military aviation support in action — one that places engineers not behind desks, but on the hangar floor, shoulder to shoulder with pilots and technicians.Colonel Ted Meeuwsen of the Royal Netherlands Air Force shares how an initial contractor relationship with Collins evolved into something far deeper: an embedded, trust-based collaboration that has transformed how quickly sustainment issues are resolved — often within hours, not weeks. What began as workshop-level support for helmet systems has grown into a dynamic model of co-located engineering, real-time diagnostics and a shared commitment to mission readiness.We also hear from Chris Norris and Michael Nelson of Collins Aerospace, who explain how this approach goes far beyond shortening repair cycles. It reduces risk, enhances sovereignty, and creates a blueprint for other nations facing similar challenges.As the pace of technology accelerates and operational demands mount, this episode shows how co-location, communication and collaboration can reshape sustainment from a supply chain issue into a strategic advantage.Next time, we look ahead to the technologies set to revolutionise sustainment — from AI-powered diagnostics to predictive maintenance and condition-based logistics.

Deep Breaths: Updates from CHEST
Escalating COPD Care: From Flares to Long-Term Control

Deep Breaths: Updates from CHEST

Play Episode Listen Later Feb 10, 2026 16:30


Guest: Ravi Kalhan, MD Guest: MeiLan K. Han, MD, MS For patients with chronic obstructive pulmonary disease (COPD), exacerbations are early indicators of disease progression—not just isolated events. In this expert-led discussion, Drs. Ravi Kalhan and Meilan Han break down the latest GOLD updates, explain how to use eosinophil counts to guide treatment, and discuss when to consider adding biologic therapy. Dr. Kalhan is the Louis A. Simpson Professor of Pulmonary Medicine and Director of the Asthma and COPD Program at Northwestern Medicine in Chicago. Dr. Han is a Professor of Medicine and Chief of the Division of Pulmonary and Critical Care at the University of Michigan Health in Ann Arbor. This episode of Deep Breaths: Updates from CHEST was supported by a non-promotional, non-CME educational program brought to you by CHEST in collaboration with and sponsored by GSK.

Core EM Podcast
Episode 219: Meningitis 2.0

Core EM Podcast

Play Episode Listen Later Feb 3, 2026


We review diagnosing and managing bacterial meningitis in the ED. Hosts: Sarah Fetterolf, MD Avir Mitra, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Meningitis_2_0.mp3 Download Leave a Comment Tags: CNS Infections, Infectious Diseases, Neurology 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 Patient Presentation & Workup Patient: 36-year-old male, currently shelter-domiciled, presenting with 3 weeks of generalized weakness, fevers, weight loss, and headaches. Vitals (Initial): BP 147/98, HR 150s, Temp 100.2°F, RR 18, O2 99% RA. Clinical Evolution: Initial assessment noted cachexia and a large ventral hernia. Following initial workup, the patient became acutely altered (A&O x0) and febrile to 102.9°F. Physical Exam Findings: Brudzinski Sign: Positive (knees flexed upward upon passive neck flexion). Kernig Sign: Discussed as highly specific (resistance/pain during knee extension with hip flexed at 90°). Meningeal Triad: Fever, nuchal rigidity, and AMS (present in 40% of cases; 95% of patients have at least two of the four cardinal symptoms including headache). Imaging: Chest X-ray: Scattered opacities (pneumonia) and a small pneumothorax. CT Abdomen/Pelvis: Confirmed asplenia (secondary to 2011 GSW/exploratory laparotomy). Head CT: Ventricle enlargement concerning for obstructive hydrocephalus and diffuse sulcal effacement. CSF Analysis & Microbiology Bacterial Meningitis Opening Pressure: Elevated (Normal is 1000–2000/mm3 WBC); dominated by neutrophils (>80% PMN). Glucose: Low (

House Call Vet Café Podcast
Ep. 87: Liquid Gold Standard: Urinary Sampling & Case Management for House Call Vets; Meet Dr. Surell Levine of Calm Cozy Cat!

House Call Vet Café Podcast

Play Episode Listen Later Feb 3, 2026 56:13


Dr. Surell Levine graduated from Brown University with a Bachelor of Arts in 2001 and earned her Doctor of Veterinary Medicine from the University of Pennsylvania School of Veterinary Medicine in 2009. Following graduation, she completed a fellowship in Emergency and Critical Care and worked in the Emergency Room and Intensive Care Unit at Massachusetts Veterinary Referral Hospital. She is a certified veterinary medical acupuncturist and an active volunteer with the MSPCA animal shelter. She is also the inventor of the widely used Calm & Cozy Cat Wrap, a patented swaddle designed to make veterinary visits less stressful for cats. Topics covered in this episode: Preview of Dr. Surell's conference lecture on urinary sample collection and case management in house call practice Different styles of house call medicine, showing there's no single "right" way to practice Common urinary issues seen in home visits, including UTIs, cystitis Practical urine collection strategies in the home Using ultrasound as a quick in-home screening tool for urinary red flags Real-world urinalysis interpretation Balancing gold-standard preventive care with client budgets and real-life practice challenges Links & Resources: Calm & Cozy Cat Wrap: https://calmcozycat.com/  Hopkinton Home Vet https://www.hopkintonhomevet.com/  The House Call Vet Academy Resources:  Download Dr. Eve's FREE House Call & Mobile Vet Biz Plan Find out about the House Call Vet Academy online CE course Learn more about the Concierge Vet Mastermind Get your FREE Concierge Vet Starter Kit mini course Learn more about Dr. Eve Harrison Learn more about 1-to-1 coaching for current & prospective house call & mobile vets Learn more about the House Call & Mobile Vet Virtual Conference → Register TODAY for the House Call & Mobile Vet Virtual Conference, February 7th-8th, 2026!!!!!! Music:  In loving memory of Dr. Steve Weinberg.  Intro and outro guitar music was written, performed, and recorded by house call veterinarian Dr. Steve Weinberg.  This podcast is also available in video on our House Call Vet Cafe YouTube channel  P.S. Here's a special gift from me as a huge thank you for being a part of our wonderful House Call Vet Cafe podcast community! ☕️ GET 20% OFF your Four Sigmatic Mushroom Coffee when you order through this link! 4Sig truly is my favorite!!! Enjoy it in good health, my friends!

The Weekly Defence Podcast
Critical Care | Sustaining Europe's frontline from Heidelberg

The Weekly Defence Podcast

Play Episode Listen Later Feb 3, 2026 17:18


This episode is shared from Critical Care, a podcast produced by Shephard Studio in partnership with Collins Aerospace.As Europe ramps up defence investment in the wake of the Ukraine crisis, the spotlight is turning to how nations sustain their growing fleets. In this episode of Critical Care, produced by Shephard Studio in partnership with Collins Aerospace, we travel to Heidelberg, Germany — home to a regional sustainment hub that's proving crucial for fast, local support across Europe and beyond.We hear from Holger Eckstein, Michael Mayer and Michael Nelson – leaders within Collins' sustainment operations – as they explain how the Heidelberg service centre is handling everything from Eurofighter and Tornado repairs to complex electronics for helicopters and land platforms. They reveal how deep regional expertise, long-term partnerships with primes like Airbus and BAE Systems, and close ties to international customers are transforming the speed and scale of military readiness.From reducing reliance on transatlantic repair cycles to enabling more responsive support for customers like the Royal Saudi Air Force, this episode explores how Heidelberg's model of forward sustainment is setting a new benchmark. We also look at how Europe's fragmented defence landscape is starting to shift towards more unified, collaborative approaches — not just for procurement, but for long-term support.What emerges is a clear message: rapid, reliable sustainment isn't a nice-to-have. It's essential for operational credibility in a fast-changing world.Coming up next: we head to the Netherlands to see what happens when Collins' engineers go embedded with the Royal Netherlands Air Force, working side by side on the hangar floor.

REBEL Cast
REBEL CAST – IncrEMentuM26 Speaker Spotlight : Drs. Sara Crager and Ryan Ernst

REBEL Cast

Play Episode Listen Later Jan 29, 2026 36:38


🧭 REBEL Rundown 📝Introduction Welcome to this special edition of the REBEL Cast, where we unravel key highlights and educational insights from the IncrEMentuM Conference in Spain. This event is a cornerstone for advancing emergency medicine education, drawing esteemed speakers and participants from around the globe. As emergency medicine gains traction in Spain, this conference has become an essential platform for knowledge exchange and professional growth. Today, host Dr. Mark Ramzy shines a spotlight on two phenomenal educators: Drs. Sara Crager and Ryan Ernst who shared their expertise and experiences at this transformative gathering last spring. Click here for Direct Download of the Podcast. 🤔What's IncrEMentuM? A new conference and a pivotal gathering for emergency medicine professionals worldwide, has become an essential platform for education, collaboration, and advocacy, especially in light of emergency medicine’s recent recognition as a specialty in Spain. The conference is praised for its outstanding production quality, engaging speakers, and its capacity to foster a global community of emergency care professionals. ️What's an Essential Question? Essential questions are open-ended, thought-provoking, and intellectually engaging inquiries that inspire deeper exploration into topics. In the context of medical education, they challenge practitioners to think critically and reflect on their practice deeply. By focusing on essential questions, medical educators aim to inculcate a culture of continuous learning and curiosity, ensuring that medical professionals stay adaptable and insightful in their approach to patient care. 🎮Rapid Sequence (no not the intubating style...)  The Rapid Sequence game is an innovative tool that Sara and Ryan designed to enhance the learning experience for emergency medicine clinicians. It mimics real-life scenarios requiring rapid decision-making in high-pressure situations, such as those faced in emergency medical settings. This clinical case-based game aims to improve cognitive and procedural skills, allowing participants to hone their ability to respond effectively under pressure, thereby enhancing their real-world clinical performance.You can try it out for free on their website here!Their work was featured in the September 2025 edition of Annals of Emergency Medicine as a 2025 ACEP Abstract 🌳The Arboretum Teaching Collective An arboretum is a space that cultivates a wide variety of diverse, unique, and symbiotic growth. Arboretum provides a creative space to decrease barriers, open opportunities, and support the development of extraordinary teachers. The Arboretum Teaching Collective is a non-profit organization dedicated to supporting emergency medicine education in countries where it is a new or evolving specialty.  Their aim to facilitate the development of expert teachers by reducing barriers, providing opportunities, and curating talent.  Their goal is to create a community of educators around the globe who share a vision of bringing excellent, innovative emergency medicine teaching to where it is most needed.  Their approach is driven by curiosity, humility, and sustainability.If you want to learn more and get involved, check out the Arboretum Teaching Collective Website Here ️ See you in Spain! The upcoming conference aims to gather world-class educators once more and promises an enriching experience for all attendees. Drs. Sara Crager and Ryan Ernst, along with many others, will be there at the event. For more information on the IncrEMentuM Conference and to register, visit their website! See you there! Sara Crager, MD Associate Professor, Critical Care and Emergency Medicine UCLA, Los Angeles, CA Ryan Ernst, MD Assistant Professor of Emergency Medicine, Section Chief of Global EM University of Utah, Salt Lake City, UT Mark Ramzy, DO Co-Editor-in-Chief Rutgers Health / RWJBH, Newark, NJ 🔎 Your Deep-Dive Starts Here REBEL CAST – IncrEMentuM26 Speaker Spotlight : Drs. Sara Crager and Ryan Ernst Host Dr. Mark Ramzy shines a spotlight on two phenomenal ... Resuscitation Read More REBEL CAST – IncrEMentuM26 Speaker Spotlight : Drs. Tarlan Hedayati, Jess Mason and Simon Carley Host Dr. Mark Ramzy shines a spotlight on three distinguished ... Resuscitation Read More REBEL CAST – IncrEMentuM26 Speaker Spotlight : George Willis and Mark Ramzy 🧭 REBEL Rundown 📝Introduction In this exciting episode of REBEL ... Endocrine, Metabolic, Fluid, and Electrolytes Read More Incrementum Conference 2026: Revolutionizing Emergency Medicine in Spain In this special episode of Rebel Cast, we spotlight the ... Read More The post REBEL CAST – IncrEMentuM26 Speaker Spotlight : Drs. Sara Crager and Ryan Ernst appeared first on REBEL EM - Emergency Medicine Blog.

MedCram
Episode 141. OSA (Obstructive Sleep Apnea) Comparison of Treatments

MedCram

Play Episode Listen Later Jan 28, 2026 17:06


Roger Seheult, MD of MedCram explores a study comparing treatments for obstructive sleep apnea. See all Dr. Seheult's videos at: https://www.medcram.com (This video was recorded on January 21st, 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. #OSA #apnea #Apnoea

MedCram
Episode 142. New Study on Sunlight: All Cause Mortality Benefit Versus Melanoma Mortality Risk

MedCram

Play Episode Listen Later Jan 28, 2026 16:30


Roger Seheult, MD of MedCram examines a new UK BioBank study on sunlight comparing melanoma mortality risk with all cause mortality benefit. See all Dr. Seheult's videos at: https://www.medcram.com/ (This video was recorded on January 24th 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. #sunlight #melanoma #infrared

TopMedTalk
Perioperative Profile, Lee Fleisher

TopMedTalk

Play Episode Listen Later Jan 26, 2026 44:58


Andy Cumpstey takes the chair to speak with Professor Lee Fleischer, Emeritus Professor of Anesthesia and Critical Care at the University of Pennsylvania and the former Chief Medical Officer and Director of the Centers for Medicare and Medicaid Services (CMS), U.S. Department of Health and Human Services. Lee shares his remarkable journey, from his early interest in science and medicine to his pivotal roles in clinical research, healthcare policy, and national advisory boards. He discusses his efforts during the COVID-19 pandemic, the importance of balancing professional commitments with family life, and his ongoing passion for advancing evidence-based perioperative practice. The conversation also explores his work with the CMS, contributions to healthcare policy, and his future aspirations. -- Super Early Bird registration is now open for The Evidence Based Perioperative Medicine (EBPOM) World Congress 2026 in London, but it ends on 31 January! We are right now offering the best available rates to attend the Congress. We encourage you to register early and take advantage of this opportunity while you still can. Register here - https://ebpom.org/product/ebpom-world-congress-2026/

WE DON'T DIE® Radio Show with host Sandra Champlain
531 Adam Rizvi MD - Critical Care Physician at the Bedside of 500+ discovers that "Love Does Not Know Death"

WE DON'T DIE® Radio Show with host Sandra Champlain

Play Episode Listen Later Jan 24, 2026 50:27


"I have recorded over 500 deaths in my journal... and I can tell you, the room gets crowded when we pass." Join Sandra for a moving interview with Dr. Adam Rizvi, a Critical Care Physician and Neurologist who has spent decades on the frontlines of the ICU. Dr. Rizvi began keeping a "Death Journal" to process the grief of losing patients, and what he discovered changed his view of reality forever. In this episode, Dr. Rizvi shares the unexplainable phenomena he witnesses at the bedside. He tells the incredible story of a dying father whose blood pressure was so low he should have been unconscious, yet he stayed awake and conversing until the exact moment his son walked in the door. He also discusses the medical evidence for the afterlife, sharing cases where patients had zero brain activity yet woke up with clear memories of what happened. This is a powerful conversation about the "Crowded Room" phenomenon, the power of True Forgiveness to heal decades of estrangement, and the visual proof that something leaves the body when we die. In this episode: * The Death Journal: Lessons from witnessing 500+ transitions. * The Impossible Goodbye: How a dying man held on against medical odds for his son. * The "Crowded Room": Why the room feels "standing room only" when someone dies. * Visual Phenomena: Dr. Rizvi describes seeing a ball of light leave a patient's forehead. * Medical Proof: Consciousness exists even when the EEG is flat. * Healing Estrangement: A moving story of a father and daughters reuniting after 30 years. Get Dr. Adam Rizvi's book "Love Does Not Know Death": https://amzn.to/3ZjDPc9 Website: https://lovedoesnotknowdeath.com/ *Connect with Sandra Champlain: * Website (Free book by joining the 'Insiders Club, Free empowering Sunday Gatherings with medium demonstration, Mediumship Classes & more): http://wedontdie.com *Patreon (Early access, PDF of over 800 episodes & more): Visit https://www.patreon.com/wedontdieradio  *Don't miss Sandra's #1 "Best of all things afterlife related" Podcast 'Shades of the Afterlife' at https://shadesoftheafterlife.com

OPENPediatrics
Integrating Risk Analytics in Post-Cardiac Surgery Extubation Readiness by D. Hames | OPENPediatrics

OPENPediatrics

Play Episode Listen Later Jan 23, 2026 21:17


This Physician World Shared Practice Forum Podcast explores two multicenter studies on extubation outcomes in neonates and children following congenital cardiac surgery. These studies incorporate integration of machine learning and risk analytics for extubation decision-making, and examine extubation readiness and extubation failure outcomes. LEARNING OBJECTIVES - Understand the key factors influencing extubation outcomes following congenital cardiac surgery - Examine the use of machine learning and risk analytics in neonatal and pediatric extubation decisions - Discuss how machine learning can improve clinical decision-making and patient safety AUTHORS Daniel Hames, MD, MPH Assistant Professor of Pediatrics, Cardiac Care Unit Director of Quality and Safety University of Nebraska Medical Center Children's Nebraska 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: January 27, 2026. ARTICLES REFERENCED - Hames DL, Abbas Q, Asfari A, Borasino S, Diddle JW, Gazit AZ, Lipsitz S, Marshall A, Reise K, Guerineau LR, Wolovits JS, Salvin JW. Extubation Failure in Neonates Following Congenital Cardiac Surgery: Multicenter Retrospective Cohort, 2017-2020. Pediatr Crit Care Med. 2025 May 1;26(5):e590-e599. doi: 10.1097/PCC.0000000000003703. Epub 2025 Feb 10. PMID: 39927824. - Hames DL, Abbas Q, Asfari A, et al. Clinical and Risk Analytics Associations With Extubation Failure in Children Following Congenital Cardiac Surgery: A Multicenter Retrospective Cohort Study, 2017-2020. Pediatr Crit Care Med. 2025;26(9):e1105-e1114. doi:10.1097/PCC.0000000000003793. TRANSCRIPT https://cdn.bfldr.com/D6LGWP8S/as/w7qqc97g6m9g5n5vrq5vkx6x/202601_WSP_Hames_Transcript. Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu CITATION Hames DL, Burns JP. Integrating Risk Analytics in Post-Cardiac Surgery Extubation Readiness. 01/2026. OPENPediatrics. Online Podcast.

The Career Ready Podcast
Respiratory Care Careers with Christa Brennan

The Career Ready Podcast

Play Episode Listen Later Jan 20, 2026 23:47


In today's episode, Jordan Rembrecht interviews Christa Brennan, Program Director for Respiratory Care at College of DuPage. Christa shares her 20 years of experience in the field, including work in neonatal and pediatric care, and discusses the diverse career paths available in respiratory therapy—from critical care and acute care to roles in rehab facilities, physician offices, and home health. The conversation also highlights the skills students gain through COD's program, such as critical thinking, communication, and professionalism, and the hands-on training offered through labs and clinical rotations. After listening to this episode, we hope you have a better understanding of the respiratory care profession and how COD prepares students for success in this dynamic healthcare field. View the College of DuPage Respiratory Care program Contact the Respiratory Care program or Christa Brennan directly by emailing brennanc221@cod.edu   Full episode transcript can be found on the episode page. Below is a general timestamp summary.  00 – 01:17 | Introductions Jordan welcomes listeners and introduces Christa Brennan, Program Director for Respiratory Care at College of DuPage. Christa shares her background, including 20 years as a respiratory therapist and experience in neonatal/pediatric care, transport teams, project management, and teaching. 02:18 – 06:58 | Career Paths in Respiratory Care Christa explains the variety of roles available in respiratory care—from critical care and ICUs to acute care, rehab facilities, physician offices, pharmaceutical companies, and home health. She emphasizes flexibility and opportunities for specialization after gaining experience. 07:22 – 11:30 | Skills and Competencies Discussion shifts to essential skills for success: communication, critical thinking, professionalism, and teamwork. Christa highlights how the program reinforces these competencies to meet employer expectations. 12:10 – 16:43 | Program Structure and Clinical Rotations Christa outlines the program's unique structure, including lectures, labs, tutoring, and diverse clinical rotations in medical floors, ICUs, emergency departments, and specialized units like neonatal and pulmonary labs. 17:11 – 21:48 | Preparing for Success Advice for students includes leveraging resources, practicing teamwork, managing stress in high-pressure situations, and being receptive to feedback for professional growth. 23:08 – 24:47 | How to Learn More Christa shares how prospective students can access program details and advising sessions through the College of DuPage website. Listeners in the College of DuPage community can visit our website. All other listeners are encouraged to view the resources of their local community college, WIOA training programs, or other local support centers. Send us YOUR Listener Questions at careerpodcast@cod.edu Follow us on Instagram, Facebook, Twitter, LinkedIn @codcareercenter

MedCram
Episode 140. Flu Deaths Predictable Every Year

MedCram

Play Episode Listen Later Jan 18, 2026 9:16


Roger Seheult, MD of MedCram explains why flu deaths are predictable every year, and some lesser known treatment options. See all Dr. Seheult's videos at: https://www.medcram.com (This video was recorded on January 13th, 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. #nac #flu #sunlight

Core EM Podcast
Episode 218: Sympathetic Crashing Acute Pulmonary Edema (SCAPE)

Core EM Podcast

Play Episode Listen Later Jan 17, 2026 12:45


We discuss the diagnosis and management of SCAPE in the ED. Hosts: Naz Sarpoulaki, MD, MPH Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/SCAPEv2.mp3 Download Leave a Comment Tags: Acute Pulmonary Edema, Critical Care 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 The Clinical Case Presentation: 60-year-old male with a history of HTN and asthma. EMS Findings: Severe respiratory distress, SpO₂ in the 60s on NRB, HR 120, BP 230/180. Exam: Diaphoretic, diffuse crackles, warm extremities, pitting edema, and significant fatigue/work of breathing. Pre-hospital meds: NRB, Duonebs, Dexamethasone, and IM Epinephrine (under the assumption of severe asthma/anaphylaxis). Differential Diagnosis for the Hypoxic/Tachypneic Patient Pulmonary: Asthma/COPD, Pneumonia, ARDS, PE, Pneumothorax, Pulmonary Edema, ILD, Anaphylaxis. Cardiac: CHF, ACS, Tamponade. Systemic: Anemia, Acidosis. Neuro: Neuromuscular weakness. What is SCAPE? Sympathetic Crashing Acute Pulmonary Edema (SCAPE) is characterized by a sudden, massive sympathetic surge leading to intense vasoconstriction and a precipitous rise in afterload. Pathophysiology: Unlike HFrEF, these patients are often euvolemic or even hypovolemic. The primary issue is fluid maldistribution (fluid shifting from the vasculature into the lungs) due to extreme afterload. Bedside Diagnosis: POCUS vs. CXR POCUS is the gold standard for rapid bedside diagnosis. Lung Ultrasound: Look for diffuse B-lines (≥3 in ≥2 bilateral zones). Cardiac: Assess LV function and check for pericardial effusion. Why not CXR? A meta-analysis shows LUS has a sensitivity of ~88% and specificity of ~90%, whereas CXR sensitivity is only ~73%. Importantly, up to 20% of patients with decompensated HF will have a normal CXR. Management Strategy 1. NIPPV (CPAP or BiPAP) Start NIPPV immediately to reduce preload/afterload and recruit alveoli. Settings: CPAP 5–8 cm H₂O or BiPAP 10/5 cm H₂O. Escalate EPAP quickly but keep pressures to avoid gastric insufflation. Evidence: NIPPV reduces mortality (NNT 17) and intubation rates (NNT 13). 2. High-Dose Nitroglycerin The goal is to drop SBP to < 140–160 mmHg within minutes. No IV Access: 3–5 SL tabs (0.4 mg each) simultaneously. IV Bolus: 500–1000 mcg over 2 minutes. IV Infusion: Start at 100–200 mcg/min; titrate up rapidly (doses > 800 mcg/min may be required). Safety: ACEP policy supports high-dose NTG as both safe and effective for hypertensive HF. Use a dedicated line/short tubing to prevent adsorption issues. 3. Refractory Hypertension If SBP remains > 160 mmHg despite NIPPV and aggressive NTG, add a second vasodilator: Clevidipine: Ultra-short-acting calcium channel blocker (titratable and rapid). Nicardipine: Effective alternative for rapid BP control. Enalaprilat: Consider if the above are unavailable. Troubleshooting & Pitfalls The “Mask Intolerant” Patient Hypoxia is the primary driver of agitation. NIPPV is the best sedative. * Pharmacology: If needed, use small doses of benzodiazepines (Midazolam 0.5–1 mg IV). AVOID Morphine: Data suggests higher rates of adverse events, invasive ventilation, and mortality. A 2022 RCT was halted early due to harm in the morphine arm (43% adverse events vs. 18% with midazolam). The Role of Diuretics In SCAPE, diuretics are not first-line. The problem is redistribution, not volume excess. Diuretics will not help in the first 15–30 minutes and may worsen kidney function in a (relatively) hypovolemic patient. Delay Diuretics until the patient is stabilized and clear systemic volume overload (edema, weight gain) is confirmed. Disposition Admission: Typically requires CCU/ICU for ongoing NIPPV and titration of vasoactive infusions. Weaning: As BP normalizes and work of breathing improves, infusions and NIPPV can be gradually tapered. Take-Home Points Recognize SCAPE: Hyperacute dyspnea + severe HTN. Trust your POCUS (B-lines) over a “clear” CXR. NIPPV Immediately: Don’t wait. It saves lives and prevents tubes. High-Dose NTG: Use boluses to “catch up” to the sympathetic surge. Don’t fear the dose. Avoid Morphine: Use small doses of benzos if the patient is struggling with the mask. Lasix Later: Prioritize afterload reduction over diuresis in the hyperacute phase. Read More

Best Of The Bay
Wealth and Headlights

Best Of The Bay

Play Episode Listen Later Jan 12, 2026 30:00 Transcription Available


We're living in a day and age where tens of millions of American families are working harder than ever, with less to show for it. Dr. Willie Jolley a Hall of Fame speaker and best-selling author spoke with Manny Munoz about his new book, Rich Is Good, Wealthy Is Better. And have you noticed that some of these modern, futuristic cars have the worst headlights? They can be and often are blinding to oncoming drivers. Manny Munoz discussed the issue with Dr. Peter Papadakos, Professor of Anesthesiology and Critical Care at the University of Rochester.See omnystudio.com/listener for privacy information.

Behind The Knife: The Surgery Podcast
Behind the Knife ABSITE 2026 - Critical Care

Behind The Knife: The Surgery Podcast

Play Episode Listen Later Jan 9, 2026 39:14


Behind the Knife ABSITE 2026 – Up-to-date and high yield learning to help you DOMINATE the exam.Don't forget to check out our ABSITE Podcast Companion Book available on Amazon: https://www.amazon.com/Behind-Knife-ABSITE-Podcast-Companion/dp/B0CLDQWZG3/ref=monarch_sidesheetBe sure to check out our free study aid, which includes all 32 review episodes, brief written summaries, high yield images, and flash cards. Simply create an account on our iOS or Android app or on our website and you will find the entire course in your Library. Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Google Play App Store: https://play.google.com/store/apps/details?id=com.btk.appBehind the Knife would like to sincerely thank Medtronic for sponsoring the entire 2026 ABSITE podcast series.  Medtronic has a rich history of supporting surgical education, and we couldn't be happier that they chose to partner with Behind the Knife.  Learn more at https://www.medtronic.com/en-us/index.htmlIf you like the work that Behind the Knife is doing, please leave us a review wherever you listen to podcasts.  Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  Check out our recent episodes here: https://behindtheknife.org/listenBehind the Knife Premium:General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-reviewBehind the Knife in Español - repaso para el examen de certificación en cirugía general: https://app.behindtheknife.org/premium/repaso-para-el-examen-de-certificaci-n-en-cirug-a-general

Core EM Podcast
Episode 217: Prehospital Blood Transfusion

Core EM Podcast

Play Episode Listen Later Jan 1, 2026


We discuss the shift to prehospital blood to treat shock sooner. Hosts: Nichole Bosson, MD, MPH, FACEP Avir Mitra, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Prehospital_Transfusion.mp3 Download Leave a Comment Tags: EMS, Prehospital Care, Trauma 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 What is prehospital blood transfusion Administration of blood products in the field prior to hospital arrival Aimed at patients in hemorrhagic shock Why this matters Traditional US prehospital resuscitation relied on crystalloid ED and trauma care now prioritize early blood Hemorrhage occurs before hospital arrival Delays to definitive hemorrhage control are common Earlier blood may improve survival Supporting rationale ATLS and trauma paradigms emphasize blood over fluid National organizations support prehospital blood when feasible EMS already manages high risk, time sensitive interventions Evidence overview Data are mixed and evolving COMBAT: no benefit PAMPer: mortality benefit RePHILL: no clear benefit Signal toward benefit when transport time exceeds ~20 minutes Urban systems still experience long delays due to traffic and geography LA County median time to in hospital transfusion ~35 minutes LA County program ~2 years of planning before launch Pilot began April 1 Partnerships: LA County Fire Compton Fire Local trauma centers San Diego Blood Bank 14 units of blood circulating in the field Blood rotated back 14 days before expiration Ultimately used at Harbor UCLA Continuous temperature and safety monitoring Indications used in LA County Focused rollout Trauma related hemorrhagic shock Postpartum hemorrhage Physiologic criteria: SBP < 70 Or HR > 110 with SBP < 90 Shock index ≥ 1.2 Witnessed traumatic cardiac arrest Products: One unit whole blood preferred Two units PRBCs if whole blood unavailable Early experience ~28 patients transfused at time of discussion Evaluating: Indications Protocol adherence Time to transfusion Early outcomes Too early for outcome conclusions California collaboration Multiple active programs: Riverside (Corona Fire) LA County Ventura County Additional programs planned: Sacramento San Bernardino Programs meet monthly as CalDROP Focus on shared learning and operational optimization Barriers and concerns Trauma surgeon concerns about blood supply Need for system wide buy in Community engagement Patients who may decline transfusion Women of childbearing age and alloimmunization risk Risk of HDFN is extremely low Clear communication with receiving hospitals is essential Future direction Rapid national expansion expected Greatest benefit likely where transport delays exist Prehospital Blood Transfusion Coalition active nationally Major unresolved issue: reimbursement Currently funded largely by fire departments Sustainability depends on policy and payment reform Take-Home Points Hemorrhagic shock is best treated with blood, not crystalloid Prehospital transfusion may benefit patients with prolonged transport times Implementation requires strong partnerships with blood banks and trauma centers Early data are promising, but patient selection remains critical National collaboration is key to sustainability and future growth Read More

The Visible Voices
Coaching MiniCast Lillian Liang Emlet: From Burnout to Balance—Transforming Healthcare Leadership

The Visible Voices

Play Episode Listen Later Dec 31, 2025 12:23


Dr. Lillian Liang Emlet is a Professor of Critical Care Medicine at the University of Pittsburgh, dually trained in Emergency Medicine and Critical Care. She's also a certified energy leadership coach and the CEO founder of Transforming Healthcare Coaching.  She also hosts a podcast by the same name. We talk about a common phenomenon in healthcare: clinicians who are exceptional at their work getting promoted into leadership roles without the skills or support to succeed. Lillian shares how she helps healthcare leaders at all levels—physicians, nurses, NPs, PAs, pharmacists, executives—develop as whole people first before tackling the complexities of leading teams and systems. Lillian explains what energy leadership coaching actually means, and why healthcare will always need guides for its leaders even as we work to transform the culture. If you enjoy the show, please leave a ⭐⭐⭐⭐⭐ rating on Apple or a

MedCram
Episode 139. Technology Innovations That Facilitate Sunlight Exposure

MedCram

Play Episode Listen Later Dec 31, 2025 26:51


Roger Seheult, MD of MedCram discusses three tech innovations that can help increase sunlight exposure. See all Dr. Seheult's videos at: https://www.medcram.com/ (This video was recorded on December 29th, 2025) 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. #tech #sunlight #innovation

Breathe Easy
ATS Breathe Easy - Reviewing Advances in Endotrachael Intubation

Breathe Easy

Play Episode Listen Later Dec 23, 2025 25:59


 Endotrachael intubation is a highly important critical care procedure, and as such, clinicians are working to improve the procedure to ensure the best patient outcomes. As Stephanie DeMasi, MD, MS, assistant professor of emergency medicine at Vanderbilt University Medical Center, goes through the detailed review she wrote, along with her colleagues, on different evidence-based decisions clinicians face when intubating a patient, with host Eddie Qian, MD, Vanderbilt University Medical Center. Read Dr. DeMasi's paper, "Evidence-based Emergency Tracheal Intubation": https://www.atsjournals.org/doi/10.1164/rccm.202411-2165CI 

Marketing with Russ... aka #RussSelfie
Marketing with Russ...aka #RussSelfie, Episode 576, with Doreen Steenland

Marketing with Russ... aka #RussSelfie

Play Episode Listen Later Dec 22, 2025 34:54


Feeling overwhelmed or overworked? It might be time for a reset! Take a moment to reflect and recharge your mind.  Join us next week as we dive into effective strategies formanaging stress, improving productivity, and finding balance in our busy lives. Don't miss out on this opportunity to revitalize your routine!

GI Insights
Advances in Parenteral Nutrition: Examining Multi-Source Lipid Emulsions

GI Insights

Play Episode Listen Later Dec 19, 2025 7:15


Host: Charles Turck, PharmD, BCPS, BCCCP Guest: Sarah Cogle, PharmD, BCNSP, FASPEN Evolving evidence supports the shift from single-source to multi-source intravenous lipid emulsions in parenteral nutrition. These newer formulations may offer improved metabolic, inflammatory, and hepatic outcomes, particularly for vulnerable patient populations. Joining Dr. Charles Turck to discuss the clinical rationale and operational considerations for these formulations is Dr. Sarah Cogle, who's a Clinical Pharmacist Specialist at Vanderbilt University Medical Center in Nashville, Tennessee.

iCritical Care: All Audio
SCCMPod-561: Microcirculation and Shock in Critical Care

iCritical Care: All Audio

Play Episode Listen Later Dec 18, 2025 55:06


In this episode of the Society of Critical Care Medicine (SCCM) Podcast, host Marilyn N. Bulloch, PharmD, BCPS, FCCM, speaks with Olfa Hamzaoui, MD, PhD, professor of intensive care at Robert Debré Hospital in Reims, France, about her Peter Safar Honorary Lecture at the 2025 Critical Care Congress. The conversation centers on tissue perfusion, microcirculation, and shock, with a focus on bridging the gap between bench research and bedside practice. Dr. Hamzaoui shares insights on current scientific understanding of microcirculation and shock, including research on tools to monitor microcirculation, such as handheld video microscopy. The discussion highlights the utility of capillary refill time as a simple, noninvasive tool for guiding resuscitation. Dr. Hamzaoui advocates for early and repeated echocardiographic assessment in shock management, including during de-resuscitation. She also discusses her 2023 article in Clinical Medicine, which proposed titrating norepinephrine to individualized targets. This episode offers a compelling look at how emerging tools and research can refine shock management and promote precision care in critical illness. This podcast is sponsored by Fresenius Kabi. Resources referenced in this episode:  Effects of a Resuscitation Strategy Targeting Peripheral Perfusion Status versus Serum Lactate Levels Among Patients with Septic Shock. A Bayesian Reanalysis of the ANDROMEDA-SHOCK Trial (Zampieri FG, et al. Am J Respir Crit Care Med. 2020;201:423-429) The Eight Unanswered and Answered Questions about the Use of Vasopressors in Septic Shock (Hamzaoui O, et al. J Clin Med. 2023;12:4589) Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2021 (Evans L, et al. Crit Care Med. 2021;49:e1063-e1143)

Becker’s Healthcare Podcast
Leadership, Compassion, and the Future of AI in Critical Care with Dr. Hesham A. Hassaballa

Becker’s Healthcare Podcast

Play Episode Listen Later Dec 17, 2025 16:20


In this episode, Dr. Hesham A. Hassaballa, Medical Director of Critical Care and Respiratory Therapy at Rush-Copley Medical Center, discusses how AI is transforming clinical care, the irreplaceable human elements of medicine, and the leadership values that guide his work. He also shares insights on physician excellence, system-level improvement, and what inspires him as he looks ahead to 2026.

Taking Off The Mask
Compassion and Dignity for Educators: The key to changing school communities - w/ Dr. Bill Penuel

Taking Off The Mask

Play Episode Listen Later Dec 17, 2025 55:00


Welcome to UnMASKing with Male Educators. As we close out the year, we're revisiting some of the most downloaded and most meaningful conversations of the season. This replay with Dr. William (Bill) Penuel is one of those episodes that continues to resonate deeply with educators who are navigating burnout, discipline challenges, and the emotional weight of teaching in today's schools.Dr. Bill Penuel is a former middle school teacher, professor at the University of Colorado Boulder, and a nationally recognized scholar focused on educational change, compassion, and justice in school communities. He is the co-author of Creating Compassionate Change in School Communities, a book that invites educators to rethink discipline, grading, and leadership through an inside-out approach rooted in self-compassion and collective care.As we prepare for a new season of UnMASKing with Male Educators, returning with fresh conversations and exciting news about where we're headed—we invite you to slow down, reflect, and revisit this powerful dialogue. This episode reminds us that schools are often sites of suffering, and that compassion is not weakness, it's a skill, a practice, and a path toward justice.Wishing you and your loved ones a restful and restorative holiday season.In this conversation, we explore how educators can cultivate compassion for themselves and their students while navigating the real challenges of classrooms and school systems. You'll hear:How to shift your relationship to pain in order to best serve yourself and your studentsHow educators can put self-compassion into actionWhat does skillful care look like for children who are systemically marginalized?What is an “inside-out” approach to school change?(0:00) Class in session(2:00) Bill introduces himself(3:40) Bill and Ashanti share their teacher personas(11:20) Applying “contemplative practice” and “meditation” to teaching and education(12:30) Getting close to your resentment(17:20) Sitting with your pain and suffering in order to help others(22:00) Working as a bouncer and what it teaches you about servicing others(29:00) Finding common humanity, and how it helps navigating difficult situations(34:50) Critical Care - an important subject in the field of education(39:00) Deservingness gets in the way of compassion(41:30) Bill's approach to helping boys in schools and confirming dignity(51:00) Bill's book and where to find it---Connect with Bill Penuel:Bill's book: https://www.colorado.edu/crowninstitute/compassionate-change-schools-book LinkedIn: https://www.linkedin.com/in/bill-penuel-8069b5/ Instagram: https://www.instagram.com/crowninstitutecu Facebook: https://www.facebook.com/CrownInstituteCU ---Contribute to our Dance-a-thon fundraiser: https://charity.pledgeit.org/EFC-DanceAThon Join our Skool Community: https://www.skool.com/efc-young-mens-advocates-2345 Email us questions and comments at totmpod100@gmail.com Create your own mask anonymously at https://millionmask.org/ ---Connect with Ashanti Branch:Instagram: https://www.instagram.com/branchspeaks/Facebook: https://www.facebook.com/BranchSpeaksTwitter: https://twitter.com/BranchSpeaksLinkedIn: https://www.linkedin.com/in/ashantibranch/Website: https://www.branchspeaks.com/---Support the podcast and the work of the Ever Forward Club: https://podcasters.spotify.com/pod/show/branch-speaks/support ---Connect with Ever Forward Club:Instagram: https://www.instagram.com/everforwardclubFacebook: https://www.facebook.com/everforwardclubTwitter: https://twitter.com/everforwardclubLinkedIn: https://www.linkedin.com/company/the-ever-forward-club/

Teamcast
S5 Ep17 Multiprofessional Critical Care

Teamcast

Play Episode Listen Later Dec 15, 2025 48:47


In this episode, our Chief Medical Officer Dan Dworkis works with Alex Hodson, a seasoned critical care physician assistant, to explore the dynamics of high-functioning multi-professional healthcare teams, the training pipeline for APPs, and the importance of feedback and teamwork across disciplines. Gain insights into the challenges and rewards of working in high-stress environments and understand how multidisciplinary and multi-professional collaboration shapes effective patient care.

Infectious Diseases Society of America Guideline Update
Charting a Path in ID Critical Care

Infectious Diseases Society of America Guideline Update

Play Episode Listen Later Dec 13, 2025 16:00 Transcription Available


Paul Sax, MD, FIDSA, sits down with infectious disease and critical care physician, Matthew Brigmon, MD, of the University of Texas at San Antonio, to explore his unique path as a double-boarded physician. They discuss the challenges and rewards of combining the two specialties and share guidance for trainees interested in forging a career in ID Critical Care.This holiday season, you can help strengthen the infectious diseases workforce and support the people who advance patient care and public health every day. All donations to the IDSA Foundation through December 31 are matched up to $50,000. Learn more and double your impact at idsafoundation.org. 

PedsCrit
Nutrition in Critical Illness with Dr. Enid Martinez, 2/2

PedsCrit

Play Episode Listen Later Dec 8, 2025 20:27


Enid Martinez, MD is a Senior Associate in Critical Care at Boston Children's Hospital, and an Assistant Professor of Anaesthesia at Harvard Medical School. She is the Director of the Pediatric Critical Care Nutrition Program in the Division of Critical Care Medicine and Principal Investigator for a clinical-translational research program on gastrointestinal function and nutrition in pediatric critical illness.Learning Objectives:By the end of this podcast, listeners should be able to:Recognize the impact of nutritional status on outcomes of critically-ill children.Describe the key aspects of the metabolic stress response in critical illness.Discuss a clinical approach to accurately estimating and prescribing nutrition in critically-ill children.Reflect on an expert's approach to managing aspects of nutrition in critically-ill children where there may not be high-quality evidence. Selected references:Mehta et al. Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Pediatric Critically Ill Patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition. JPEN J Parenter Enteral Nutr. 2017 Jul;41(5):706-742. doi: 10.1177/0148607117711387. Epub 2017 Jun 2. PMID: 28686844. Fivez et al. Early versus Late Parenteral Nutrition in Critically Ill Children. N Engl J Med. 2016 Mar 24;374(12):1111-22. doi: 10.1056/NEJMoa1514762. Epub 2016 Mar 15. PMID: 26975590.Questions, comments or feedback? Please send us a message at this link (leave email address if you would like us to relpy) Thanks! -Alice & ZacSupport the showHow to support PedsCrit:Please complete our Listener Feedback SurveyPlease rate and review on Spotify and Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. You can also check out our website at http://www.pedscrit.com. Thank you for listening to this episode of PedsCrit!

Pediheart: Pediatric Cardiology Today
Pediheart Podcast #364: ECMO Prior To Single Ventricle Palliation - Outcomes

Pediheart: Pediatric Cardiology Today

Play Episode Listen Later Dec 5, 2025 34:17 Transcription Available


ECMO is the topic of this week's episode of Pediheart. We speak with Assistant Professor of Pediatrics and cardiac critical care specialist at Northwell Health, Dr. Ivana Capin about a recent ELSO database study she conducted to assess outcomes in single ventricle patients who were treated with ECMO prior to single ventricle palliation. What factors were associated with worse overall outcomes? Can this therapy be used to stabilize the HLHS patient with an intact atrial septum? Why have outcomes for this high risk patient group not appreciably improved in the recent decade? How can these data improve prognostic clarity when speaking with families in this difficult situation.Also joining us briefly is Associate Professor of Pediatrics at the Icahn School of Medicine at Mount Sinai, Dr. Scott Aydin to discuss his co-author and mentor, Dr. George Ofori-Amanfo as we approach the 4th anniversary of his untimely and tragic passing. DOI: 10.1017/S1047951125001386

Medicus
Ep 166 | Emotional Intelligence and Resilience in Pediatrics Critical Care with Dr. Elaine Cheng

Medicus

Play Episode Listen Later Dec 3, 2025 29:26


I spoke with Dr. Elaine Cheng, a neonatologist at Loyola, to learn about her experiences with navigating the challenges she faces in the NICU and how it's shaped her perspective on striking the balance between being clinically efficient while consistently being supportive and empathetic towards patients and families.Episode produced by: Anumitha AravindanEpisode recording date: 11/10/25www.medicuspodcast.com | medicuspodcast@gmail.com | Donate: http://bit.ly/MedicusDonate

The Conversing Nurse podcast
Pulmonary Critical Care Intensivist, Dr. Mahmoud Ibrahim, M.D.

The Conversing Nurse podcast

Play Episode Listen Later Dec 3, 2025 61:22 Transcription Available


Send us a textToday's guest is someone who brings compassion, intellect, and a genuine love for medicine to everything he does. Dr. Mahmoud Ibraheem is a Pulmonary and Critical Care physician whose medical journey has taken him from Bahrain to New York, Florida, and Texas. Those experiences shaped who he is as a physician. Beyond medicine, Dr. Ibraheem is passionate about mental health, music, and making medicine more human. He's also a proud husband to a brilliant cardiologist and devoted dog dad to Xena and Blue. In other words, he's very well-rounded.You might know him from Instagram, where he shares insight and humor about life in medicine under the handle @icuboy_meded.As Mahmoud told his story, I was filled with wonder at his joyful personality. His journey reminds us that medicine isn't just about surviving intense situations; it's about bringing heart, humor, and humanity into every encounter.In the five-minute snippet: Mahmoud's gone to the dogs! For Mahmoud's bio, visit my website (link below).Tik TokThreadsXContact The Conversing Nurse podcastInstagram: https://www.instagram.com/theconversingnursepodcast/Website: https://theconversingnursepodcast.comYour review is so important to this Indie podcaster! You can leave one here! https://theconversingnursepodcast.com/leave-me-a-reviewWould you like to be a guest on my podcast? Pitch me! https://theconversingnursepodcast.com/intake-formCheck out my guests' book recommendations! https://bookshop.org/shop/theconversingnursepodcast I've partnered with RNegade.pro! You can earn CE's just by listening to my podcast episodes! Check out my CE library here: https://rnegade.thinkific.com/collections/conversing-nurse-podcast Thanks for listening!

PedsCrit
Nutrition in Critical Illness with Dr. Enid Martinez, 1/2

PedsCrit

Play Episode Listen Later Dec 1, 2025 45:26


Enid Martinez, MD is a Senior Associate in Critical Care at Boston Children's Hospital, and an Assistant Professor of Anaesthesia at Harvard Medical School. She is the Director of the Pediatric Critical Care Nutrition Program in the Division of Critical Care Medicine and Principal Investigator for a clinical-translational research program on gastrointestinal function and nutrition in pediatric critical illness. Learning Objectives:By the end of this podcast, listeners should be able to:Recognize the impact of nutritional status on outcomes of critically-ill children.Describe the key aspects of the metabolic stress response in critical illness.Discuss a clinical approach to accurately estimating and prescribing nutrition in critically-ill children.Reflect on an expert's approach to managing aspects of nutrition in critically-ill children where there may not be high-quality evidence. Selected references:Mehta et al. Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Pediatric Critically Ill Patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition. JPEN J Parenter Enteral Nutr. 2017 Jul;41(5):706-742. doi: 10.1177/0148607117711387. Epub 2017 Jun 2. PMID: 28686844. Fivez et al. Early versus Late Parenteral Nutrition in Critically Ill Children. N Engl J Med. 2016 Mar 24;374(12):1111-22. doi: 10.1056/NEJMoa1514762. Epub 2016 Mar 15. PMID: 26975590.Questions, comments or feedback? Please send us a message at this link (leave email address if you would like us to relpy) Thanks! -Alice & ZacSupport the showHow to support PedsCrit:Please complete our Listener Feedback SurveyPlease rate and review on Spotify and Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show. Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.com for detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updates.

Health for Life
Critical Care Services at Hamilton Medical Center with Sumedha Sonde, MD, of Hamilton Physician Group - Specialty Care

Health for Life

Play Episode Listen Later Nov 30, 2025 11:04


Dr. Sumedha Sonde, pulmonologist and critical care physician at Hamilton Physician Group - Specialty Care in Dalton, Georgia. Dr. Sonde completed residency training in Anesthesia and Pain Management and additional residency training in Internal Medicine. She then completed a Pulmonary and Critical Care fellowship in New York.Dr. Sonde treats patients with sleep or pulmonary disorders. chronic obstructive pulmonary disease (also referred to as COPD), asthma, pulmonary fibrosis, lung cancer, COVID conditions, pneumonia, acute and chronic pulmonary hypersensitivity conditions, pulmonary hypertension, bronchiolitis, and more. For more information or an appointment at Hamilton Physician Group - Specialty Care, call 706-529-3072 or visit VitruvianHealth.com/specialtycare. This program in no way seeks to diagnose or treat illness or to replace professional medical care. Please see your healthcare provider if you have a health problem.

ECCPodcast: Emergencias y Cuidado Crítico
CPR-Induced Consciousness (CPRIC): Cuando el paciente "despierta" durante las compresiones

ECCPodcast: Emergencias y Cuidado Crítico

Play Episode Listen Later Nov 29, 2025 96:59


Conversación con los autores del caso clínico publicado en International Journal of Emergency Medicine (2025) En este episodio del ECCpodcast, conversamos con los autores del caso "Cardiopulmonary resuscitation-induced consciousness in an elderly patient: a case report in the prehospital setting"—un fenómeno sorprendente y todavía poco comprendido: la conciencia inducida por RCP (CPRIC). Hablamos con Jose Daniel Yusty-Prada y Jose Luis Piñeros-Alvarez, quienes documentaron la historia de un paciente de 80 años que, sin haber recuperado pulso, comenzó a moverse, hacer sonidos y quitarse el equipo… durante las compresiones torácicas. Este caso abre una conversación fundamental sobre la fisiología, el manejo clínico, la ética y la capacitación necesaria para enfrentar CPRIC en entornos reales. Contexto del Caso El paciente colapsó en un área pública, rápidamente reconocido como un paro cardíaco presenciado. Los testigos iniciaron compresiones inmediatas, y un equipo BLS llegó con un AED, confirmando un ritmo desfibrilable. Durante los ciclos iniciales de RCP, el paciente comenzó a: flexionar las piernas, mover brazos, intentar remover el BVM y los parches, vocalizar sonidos, y mover la cabeza. Todo esto sin pulso palpable y sin signos de perfusión sostenida. Los movimientos desaparecían al detener las compresiones y reaparecían al reanudarlas: un patrón clásico de CPRIC. Esto provocó interrupciones prematuras por parte del equipo, dudas entre los testigos e incluso conflictos psicológicos en los rescatistas, quienes inicialmente pensaron que el paciente "despertaba". Finalmente, tras múltiples desfibrilaciones y sin sedación disponible en protocolo, se logró ROSC. ¿Qué es CPR-Induced Consciousness (CPRIC)? Los autores explican que CPRIC es un fenómeno real, probablemente subdiagnosticado, en el cual un paciente sin pulso presenta: Formas interferentes Intentar quitarse dispositivos Empujar a los rescatistas Movimientos coordinados Vocalizaciones Mover cabeza, brazos o piernas Formas no interferentes Parpadeo Mirada fija o seguimiento Suspiros Movimientos mínimos La evidencia señala que CPRIC ocurre más en: paros presenciados, ritmos desfibrilables, paro de causa cardiaca, CPR de alta calidad, y pacientes sin daño cerebral previo severo. Cada vez vemos más casos porque estamos dando mejor RCP, con mayor perfusión cerebral y más equipos con feedback. Retos del Caso: Técnica, logística y psicología Uno de los aspectos más valiosos del episodio es cuando los autores discuten cómo el fenómeno impacta al equipo. 1. Interrupciones prematuras Los movimientos llevaron al equipo a detener compresiones 30–40 segundos antes del análisis del AED, y esto puede comprometer el éxito de la desfibrilación. 2. Manejo de vía aérea Los movimientos orales hicieron imposible avanzar más allá del OPA + BVM. Intentar insertar una supraglótica se volvió riesgoso. 3. Interferencia del público Familiares y testigos gritaban que el paciente estaba "despertando" y pedían detener la RCP. Esto modificó la toma de decisiones del equipo. 4. Dilema ético y emocional Los autores describen la experiencia como "desconcertante", incluso sabiendo que el paciente estaba en VF refractaria.   Sedación en CPRIC: ¿Cuándo? ¿Cómo? ¿Con qué? El artículo y los autores coinciden en que la evidencia actual favorece el uso de ketamina para manejar CPRIC interferente: 0.5–1 mg/kg IV o bolos de 50–100 mg Ventajas: No compromete presión arterial No deprime respiración Inicio muy rápido Ayuda en estrés psicológico post-evento Sin embargo: La mayoría de los sistemas en Latinoamérica no tienen protocolos Providers temen administrar sedación en pleno paro No existe guía formal de AHA o ERC ILCOR solo tiene un best practice statement Los autores recalcan que la sedación debe considerarse solo si CPRIC interfiere con las maniobras. Lecciones para EMS y emergencias Los autores destacan tres grandes enseñanzas: 1. CPRIC no es ROSC Si no hay pulso, no hay circulación espontánea, aunque el paciente hable o se mueva. 2. La educación pública es crucial Los testigos pueden ejercer presión equivocada. Es necesario explicar durante la escena qué está pasando. 3. Los sistemas deben crear protocolos ya Incluyendo: reconocimiento temprano decisiones sobre sedación documentación comunicación con familiares entrenamiento en simulación Por qué este caso es importante Este artículo es uno de los pocos reportes en un paciente geriátrico, resalta desafíos culturales en Latinoamérica y propone la urgente necesidad de estandarización internacional. CPRIC seguirá aumentando porque la RCP sigue mejorando. Y si no lo reconocemos, aumentarán: interrupciones innecesarias, conflictos en escena, mala calidad de RCP, y peor pronóstico. Llamado a la acción para la comunidad Si este episodio te hizo reflexionar: ðŸ'‰ Únete al ECCnetwork: https://ecctrainings.circle.so ðŸ'‰ Conoce nuestros cursos premium: ACLS, Manejo Avanzado de Vía Aérea, Emergency Nursing, Critical Care, TCCC-CMC www.ecctrainings.com ðŸ'‰ Lee el artículo completo: https://link.springer.com/article/10.1186/s12245-025-01032-w Yusty-Prada, J.D., Portuguez-Jaramillo, N.E. & Piñeros-Alvarez, J.L. Cardiopulmonary resuscitation-induced consciousness in an elderly patient: a case report in the prehospital setting. Int J Emerg Med 18, 230 (2025). https://doi.org/10.1186/s12245-025-01032-w

Health for Life
COPD & Asthma with Sumedha Sonde, MD, of Hamilton Physician Group - Specialty Care

Health for Life

Play Episode Listen Later Nov 28, 2025 14:06


Dr. Sumedha Sonde, pulmonologist and critical care physician at Hamilton Physician Group - Specialty Care in Dalton, Georgia. Dr. Sonde completed residency training in Anesthesia and Pain Management and additional residency training in Internal Medicine. She then completed a Pulmonary and Critical Care fellowship in New York.Dr. Sonde treats patients with sleep or pulmonary disorders. chronic obstructive pulmonary disease (also referred to as COPD), asthma, pulmonary fibrosis, lung cancer, COVID conditions, pneumonia, acute and chronic pulmonary hypersensitivity conditions, pulmonary hypertension, bronchiolitis, and more. For more information or an appointment at Hamilton Physician Group - Specialty Care, call 706-529-3072 or visit VitruvianHealth.com/specialtycare. This program in no way seeks to diagnose or treat illness or to replace professional medical care. Please see your healthcare provider if you have a health problem.

Breathe Easy
ATS Breathe Easy - Understanding Non-Smoking Causes of COPD

Breathe Easy

Play Episode Listen Later Nov 25, 2025 21:26


 Smoking is the main risk factor for COPD in the United States and many other countries. However, it is important to recall that there are other causes of COPD, from birth experiences to environmental exposures. COPD expert Meilan K. Han MD, MS, University of Michigan Health, discusses non-smoking causes of COPD, what patients can do to manage their symptoms, and how clinicians and communities can help. Air Health Our Health podcast creator Erika Moseson, MD, MA, of Legacy Health in Oregon hosts. Patient resources: - ATS COPD resources: https://site.thoracic.org/patient-resources/chronic-obstructive-pulmonary-disease-copd - GOLD COPD resources: https://goldcopd.org/patients-advocacy-groups/ - American Lung Association COPD resources: https://www.lung.org/lung-health-diseases/lung-disease-lookup/copd/resource-library  - UpToDate COPD resources: https://www.uptodate.com/contents/stable-copd-overview-of-management 

Critical Care Scenarios
Lightning rounds 57: Burn critical care with Clint Leonard

Critical Care Scenarios

Play Episode Listen Later Nov 12, 2025 60:07


We explore the fascinating intricacies and unique features of the burned critically ill patient, with Clint Leonard, NP in the burn ICU at Vanderbilt and ABLS instructor. Learn more at the Intensive Care Academy! Want to work at the University of Kentucky? UK's Anesthesia Critical Care department is hosting a hiring webinar on November 20, … Continue reading "Lightning rounds 57: Burn critical care with Clint Leonard"

The Elective Rotation: A Critical Care Hospital Pharmacy Podcast
1077: Sedation and Analgesia Statements From the AHA/NCS Scientific Statement on Critical Care Management of Patients After Cardiac Arrest

The Elective Rotation: A Critical Care Hospital Pharmacy Podcast

Play Episode Listen Later Nov 10, 2025 3:23


Show notes at pharmacyjoe.com/episode1077. In this episode, I'll discuss the AHA/NCS scientific statement on critical care management of patients after cardiac arrest. The post 1077: Sedation and Analgesia Statements From the AHA/NCS Scientific Statement on Critical Care Management of Patients After Cardiac Arrest appeared first on Pharmacy Joe.

Feel Better, Live More with Dr Rangan Chatterjee
The Science of Sunlight: How 20 Minutes a Day Could Transform Your Mood, Energy, Sleep & Longevity with Dr Roger Seheult #586

Feel Better, Live More with Dr Rangan Chatterjee

Play Episode Listen Later Oct 14, 2025 126:10


When we think of sunlight, vitamin D is usually the first thing that comes to mind. But the truth is, the full spectrum of light that we get exposed to when we spend time outside plays a vital role in how we sleep, how we feel and even how our cells create energy.   This week's returning guest is Dr Roger Seheult, who believes that sunlight is one of the most accessible and underutilised tools we have for improving health – and the science he shares is compelling.   I'm delighted to welcome back to my Feel Better, Live More podcast for our third conversation.  Roger is a quadruple board-certified physician in Internal Medicine, Pulmonary Diseases, Critical Care and Sleep Medicine. He is also an Associate Clinical Professor at the University of California, Riverside, and Assistant Clinical Professor at Loma Linda University.   Alongside his clinical practice, he co-founded MedCram, a medical education platform with over one million YouTube subscribers, widely used by hospitals and medical schools worldwide. Roger is also a sought after lecturer and has received multiple awards for his contributions to medicine and education. His passion lies in making complex medical science accessible, and he regularly lectures to schools, hospitals and media outlets.   In this conversation, we discuss: Why deficiency in sunlight can show up as fatigue, poor sleep, inflammation or even raised cholesterol. The three “macronutrients” of light – visible, ultraviolet and infrared – and how each plays a different role in mood, immunity and cellular energy. How infrared light penetrates deep into the body, supporting mitochondrial function and how it may help protect against diseases such as diabetes and dementia. Why spending 15–20 minutes a day outside – even in the shade – can be enough to recharge our cells. The growing evidence that sunlight exposure lowers the risk of all-cause mortality, cancer and heart disease. Practical strategies for getting the benefits of sunlight safely, even if you live in colder climates or spend much of your day indoors.   Roger also shares his “eight laws of health” – simple, timeless principles that include nutrition, rest, fresh air and sunlight – and explains how neglecting them leads to the chronic conditions he often sees in his work in intensive care.   This is a fascinating conversation that will change how you think about sunlight. It isn't just something that makes us feel good – it's a fundamental part of how our bodies stay healthy. And the best part? It's free and available to us all.   I hope you enjoy listening.   Support the podcast and enjoy Ad-Free episodes. Try FREE for 7 days on Apple Podcasts https://apple.co/feelbetterlivemore. For other podcast platforms go to https://fblm.supercast.com.   Thanks to our sponsors: https://www.boncharge.com/livemore https://www.calm.com/livemore https://thriva.co/   Show notes https://drchatterjee.com/586   DISCLAIMER: The content in the podcast and on this webpage is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your doctor or qualified healthcare provider. Never disregard professional medical advice or delay in seeking it because of something you have heard on the podcast or on my website.