Podcasts about critical care medicine

The World Federation of Pediatric Intensive & Critical Care Societies (WFPICCS), in collaboration with OPENPediatrics, recognizes World PICU Awareness Week 2025. This initiative aims to raise global awareness about the importance of PICUs and critical care wards worldwide, emphasizing how healthcare professionals in these units, regardless of resource setting, are driving change. From predictive analytics to AI-driven teamwork, this episode explores how pediatric intensive care units across North America are blending technology and human insight to transform care. Hear experts from leading children's hospitals in the U.S. discuss how innovation, frontline collaboration, and a focus on people, not just machines, are shaping the future of critical care for children. HOST Maya Dewan, MD, MPH Division Director, Division of Critical Care Attending Physician, Pediatric Intensive Care Unit & Associate Professor UC Department of Pediatrics Cincinnati Children's Hospital United States of America GUESTS Matthew Zackoff MD, Med Director, Critical Care Fellowship Program Co-Lead Digital Simulation, Center for Simulation and Research Attending Physician, Pediatric Intensive Care Unit Assistant Professor, UC Department of Pediatrics Cincinnati Children's Hospital United States of America Sanjiv Mehta, MD, MBE Sanjiv D Mehta, MD, MBE, MSCE Assistant Professor of Anesthesiology and Critical Care Medicine, University of Pennsylvania School of Medicine Attending Physician, Division of Pediatric Critical Care Medicine, Children's Hospital of Philadelphia Associate Medical Director for Analytics - ICU United States of America Jean Anne Cieplinski-Robertson, MSN, RN Senior Director of Nursing, Critical Care Children's Hospital of Philadelphia United States of America DATE Initial publication date: May 8, 2025. TRANSCRIPTS English - https://cdn.bfldr.com/D6LGWP8S/at/b73v7gmf79nzjt9bt3vg3w/WPAW-25_North_America_Final_English.pdf Spanish - https://cdn.bfldr.com/D6LGWP8S/at/2xjfmjbwfcw739f6f68tj4q/WPAW-25_North_America_Final_Spanish.pdf French - https://cdn.bfldr.com/D6LGWP8S/at/9b4xsp88j7m3t438rpxrc62t/WPAW-25_North_America_Final_French.pdf Portuguese - https://cdn.bfldr.com/D6LGWP8S/at/5bqn4q6fnw8b5gnr6swvvbx/WPAW-25_North_America_Final_Portuguese.pdf Italian - https://cdn.bfldr.com/D6LGWP8S/at/3n2xjk7tvrqgmtwwhx3mb8nb/WPAW-25_North_America_Final_Italian.pdf German - https://cdn.bfldr.com/D6LGWP8S/at/2q58jgjq7p99nxsgmbqp887/WPAW-25_North_America_Final_German.pdf Arabic - https://cdn.bfldr.com/D6LGWP8S/at/ntsn8qpntsfkm65krzs6hqc/WPAW-25_North_America_Final_Arabic.pdf Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access, thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

In this episode with Dr. Rania Esteitie, Assistant Professor of Pulmonary and Critical Care Medicine at the University of Central Michigan, and a strong advocate for women in Pulmonary and Critical Care Medicine in Michigan and at the American Thoracic Society, we share her journey, challenges, and triumphs in a field historically dominated by men.  We explore topics such as mentorship, gender equity, leadership development, and the importance of diversity, and representation in medicine.  This episode can be found on Apple, Spotify, Anghami, and all podcast apps.    #WomenInMedicine #CriticalCareMedicine #WomenInSTEM #MedicalLeadership #DiversityInMedicine #HealthcareHeroes #WomenInHealthcare #MentorshipInMedicine #LeadingTheWay #GenderEquity #WomenInICU #FutureOfMedicine

The World Federation of Pediatric Intensive & Critical Care Societies (WFPICCS), in collaboration with OPENPediatrics, recognizes World PICU Awareness Week 2025. This initiative aims to raise global awareness about the importance of PICUs and critical care wards worldwide, emphasizing how healthcare professionals in these units, regardless of resource setting, are driving change. Discover how innovation is reshaping pediatric intensive care across Latin America. From telemedicine and AI to regional data networks, leading experts share practical solutions and powerful success stories. HOST Manuel Enrique Soriano Aguilar, MD Pediatric Critical Care Medicine StarMédica Hospital Infantil Privado & Centro Médico ABC Past President of the Mexican Society of Pediatric Critical Care SLACIP (Latin-American Association of Pediatric Critical Care) Representative to the World Federation of Pediatric & Critical Care Societies (WFPICCS) Mexico GUESTS Emmanuelle Dexeus Gabriel Fernández Vera, Paediatric Critical Care Medicine/Big Data in Health Intensive Care Hospital General de Acapulco RENEO and PALS instructor, SLACIP social media spokesperson Mexico Ledis Maria Izquierdo Borrero, MD Paediatrician specialising in Critical Care Medicine and Paediatric Intensive Care. Master in Biomedical Engineering Chief UCIP Hospital Militar Central Associate Professor Universidad Militar Nueva Granada Colombia Alexandra Jimenez Chaves, MD Specialist in Paediatric Intensive Care Mg(c) Artificial Intelligence Support Services Coordinator at Colsubsidio Children's Clinic Teacher Colegio Mayor Nuestra Señora del Rosario Advanced Life Support in Paediatrics Instructor Founding Member Aipocrates (Think Tank Innovation in Health) Colombia Maria del Pilar Arias, MD Specialist in Paediatric Intensive Care - Master in Clinical Effectiveness - Master in Data Science and Knowledge Management Staff physician Intermediate Care Unit. Ricardo Gutierrez Children's Hospital Buenos Aires. Argentina Coordinator of the SATI-Q Quality Benchmarking Program (Argentinean Society of Intensive Care). DATE Initial publication date: May 4, 2025. TRANSCRIPTS English - https://cdn.bfldr.com/D6LGWP8S/as/89x7t8rcm3rbv32vnkxvjh6/WPAW-25_LATAM_Final_English Spanish - https://cdn.bfldr.com/D6LGWP8S/at/px9wtttsw8q68w2h68r8qcpx/WPAW-25_LATAM_Final_Spanish.pdf French - https://cdn.bfldr.com/D6LGWP8S/at/2pn95f94vc9vm9p633zq59/WPAW-25_LATAM_Final_French.pdf Portuguese - https://cdn.bfldr.com/D6LGWP8S/at/z6v47859hk7tpn8vzkvkrbm/WPAW-25_LATAM_Final_Portuguese.pdf Italian - https://cdn.bfldr.com/D6LGWP8S/at/gpqnjkkpth8g7ps84gfgkhr/WPAW-25_LATAM_Final_Italian.pdf German - https://cdn.bfldr.com/D6LGWP8S/at/76n5cr66m6cq9474hwr986tq/WPAW-25_LATAM_Final_German.pdf Arabic - https://cdn.bfldr.com/D6LGWP8S/at/785vh6cqkrsrr8mxf9xwtgkx/WPAW-25_LATAM_Final_Arabic.pdf Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access, thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu Please note: OPENPediatrics does not support or control any related videos in the sidebar; these are placed by YouTube. We apologize for any inconvenience this may cause.

Dr. Avi Cooper is joined by Dr. Lekshmi Santhosh to discuss the article “Diversity in the Pulmonary and Critical Care Medicine Pipeline. Trends in Gender, Race, and Ethnicity among Applicants and Fellows."

Host: Charles Turck, PharmD, BCPS, BCCCP Guest: Jason Ackrivo, MD, MSCE Guest: Bethany Lussier, MD Respiratory decline in patients with neuromuscular diseases and mitochondrial myopathies can be challenging to identify, especially because its early signs may be subtle and vary from person to person. However, knowing how to evaluate a patient's respiratory function is key to improving outcomes and quality of life. Joining Dr. Charles Turck to discuss this importance and provide recommendations for optimizing respiratory care are Drs. Jason Ackrivo and Bethany Lussier. Dr. Ackrivo is an Assistant Professor of Medicine in Pulmonary, Allergy, and Critical Care at the Hospital of the University of Pennsylvania, and Dr. Lussier is an Associate Professor of Internal Medicine at UT Southwestern Medical Center and a member of its Division of Pulmonary and Critical Care Medicine.

Dr. Catherine Oseni, Pharm.D., FAAMFM, ABAAHP Dr. Catherine Oseni is a board-certified, fellowship-trained clinical integrative pharmacist with deep expertise in both traditional pharmaceuticals and the impact of supplements and herbs on the body. Her career is rooted in a unique understanding of how conventional medications interact with integrative therapies, allowing her to create safe, personalized, and effective treatment plans for her clients.   Since 2006, Dr. Oseni has provided direct client care, skillfully blending Western medicine with holistic, evidence-based approaches to address the root causes of health concerns. Her individualized care model focuses on achieving optimal wellness through natural, whole-person solutions.   Recognized by peers as a leader in functional and integrative medicine, Dr. Oseni remains at the forefront of her field by continually expanding her knowledge through ongoing education and participation in professional conferences. She is also a passionate educator, frequently speaking at national and local events for both the public and healthcare professionals to promote and advance the field of integrative medicine.   Dr. Olusegun Oseni, MD Dr. Olusegun Oseni serves as the Medical Director of Alpha Care Wellness Center and is board certified in internal medicine, pulmonary care, critical care, and sleep medicine. Originally from Nigeria, he earned his medical degree from the University of Ilorin College of Medicine before moving to the United States for postgraduate training.   He completed his residency in internal medicine and a fellowship in pulmonary medicine at Harlem Hospital Center (an affiliate of Columbia University), followed by a fellowship in critical care medicine at Montefiore Medical Center (an affiliate of Albert Einstein College of Medicine), both in New York City.   Dr. Oseni is a Fellow of the American College of Chest Physicians (FCCP), a Diplomate of the American Board of Sleep Medicine (DABSM), and an active member of the Society of Critical Care Medicine, American Lung Association, and American Medical Association. Highly respected by his peers and beloved by his patients, Dr. Oseni is known in the community for his thorough, compassionate care and unwavering commitment to improving quality of life—regardless of the complexity of the condition.

In this episode, Dr. Sergion Zanotti discusses TEE in cardiac arrest and shock. Critical care clinicians commonly utilize transthoracic echocardiography in the ICU as part of their point-of-care-ultrasonography (POCUS) toolkit. However, there is a growing push to train intensivists in using transesophageal echocardiography (TEE) for cardiac arrest and peri-arrest situations in the ICU. Our guest is Dr. Sara Nikravan, a cardiothoracic anesthesia critical care physician with training in advanced perioperative echocardiography. Dr. Nikravan is an Associate Professor of Cardiothoracic Anesthesiology and Critical Care Medicine at the University of Washington Medical School and practices at the UW Medical Center. She is recognized as an expert and master educator in Critical Care, Perioperative echocardiography, and Point of Care Ultrasound. She has authored numerous peer-reviewed papers and is the guidelines co-chair of the Society of Critical Care Medicine Guidelines on Adult Critical Care Ultrasonography: Focused Update 2024, recently published in Critical Care Medicine.  Additional links: Society of Critical Care Medicine Guidelines on Adult Critical Care Ultrasonography: Focused Update 2024, Crit Care Med 2025: https://pubmed.ncbi.nlm.nih.gov/39982182/ Focused Transesophageal Echocardiography During Cardiac Arrest Resuscitation: JACC Review Topic of the Week. JACC 2020: https://pubmed.ncbi.nlm.nih.gov/32762909/ Landing page for the Resuscitative TEE Project website: https://www.resuscitativetee.com/ Books mentioned in this episode: The Prophet. By Kahlil Gibran: https://www.amazon.com/dp/998247037X?psc=1&smid=ATVPDKIKX0DER&ref_=chk_typ_imgToDp

Host Kyle Enfield, MD, FCCM, welcomes Adriano Targa, PhD, to discuss the article, “Sleep and Circadian Health of Critical Survivors: A 12-Month Follow-Up Study,” published open access in the August 2024 issue of Critical Care Medicine (Henríquez-Beltrán M, et al. Crit Care Med. 2024;52:1206-1217). They will discuss the prevalence of sleep disturbances and circadian rhythm fragmentation in critical survivors, the impact of factors such as invasive mechanical ventilation and hospitalization duration, and associations among sleep quality, mental health, and respiratory function one year post-discharge. Dr. Targa is a researcher at the Center for Biomedical Research Network - CIBER in Madrid, Spain. Find more expert-developed articles from Critical Care Medicine at ccmjournal.org.

Dr. Deepak Pradhan chats with Dr. Krutsinger about their article, "Financial Education in U.S. Pulmonary and Critical Care Medicine Fellowship Programs."

Join us for On the Mission: Earth Day with Amy Cadora as we explore how Norwex is making a difference for the planet through sustainable solutions. Amy shares how the Safe Haven 5 can help reduce chemicals and waste in your home while making everyday cleaning safer. Tune in for practical tips on creating a healthier home and a greener future with Norwex! Stats Shared in Podcast: • Using just the 5 products in our Safe Haven 5 Set and water helps eliminate 80+ chemicals in your home. (Based on a comparison of Norwex Safe Haven 5 to 18 retail brand cleaning products, 2020.) • Regular use of chemical sprays has long-term impact on lung function decline, equivalent to smoking a pack of cigarettes a day. (American Journal of Respiratory and Critical Care Medicine | bit.ly/36XHLEo ) • 45 different chemicals have been identified in household dust. (Natural Resources Defense Council on.nrdc.org/3BBSm67) • Up to 85% of contaminants are brought indoors in the first 4 steps. The floors of your home can harbor pollutants, chemicals, dust and bacteria. (University of Georgia College of Family and Consumer Sciences | bit.ly/3i6hDO9) • The Superior Mop Starter System physically removes up to 99% of bacteria from a surface with only water when following proper care and use instructions. (https://nrwx.info/Mop)

This piece is part four of a four part series on “Implementation, what works and what doesn't?”. Part one is here: https://topmedtalk.libsyn.com/joyce-yeung-why-dont-we-implement-trial-results-ebpom-world-congress Part two is here: https://topmedtalk.libsyn.com/professional-organisations-the-ebb-and-flow-of-eras-ebpom-world-congress And part three is here: https://topmedtalk.libsyn.com/implementation-what-works-and-what-doesnt-nhs-leader-perspective-incentives-and-penalties-ebpom-world-congress The recording is taken from the Evidence Based Perioperative Medicine (EBPOM) World Congress. For more about EBPOM and the incredible work they do go here: www.ebpom.org The Q&A session, Chaired by John Whittle, features; Imogen Fecher-Jones, Lead Nurse Perioperative Services, University Hospital Southampton, Joyce Yeung, Professor of Anaesthesia and Critical Care Medicine at the University of Warwick, Tim Miller, Professor of Anesthesiology at Duke University Medical Center and David Probert, Chief Executive Officer at University College London Hospitals NHS Foundation Trust.

Listen to today's podcast... According to American Journal of Respiratory and Critical Care Medicine the accident risk is two to six times higher for those suffering from sleep apnea than it is for regular drivers. Everyday, car crashes are caused by drivers with sleep apnea falling asleep at the wheel. I grew up with people who snored.  I thought that everyone did.  And I thought, like most people, that it was no big deal.  However, people with untreated sleep apnea are more likely to have motor vehicle crashes, hypertension, heart attacks, irregular heartbeat stroke, depression, impotence and diabetes. Do You Think You May Have Sleep Apnea? Are you often very sleepy throughout the day? Do others tell you that you snore or have short pauses in your breathing while you sleep? Are you known to choke, gasp, or hold your breath while asleep? Do you think you get a full night's sleep most nights but still wake up tired? Are you overweight? The Public Health Agency of Canada found that 26%of Canadian adults aged 18 years and older are estimated to be at high risk for having sleep apnea and only 5% of people at high risk have been tested for the condition. Take One Action Today To Build Your #Resiliency!      Tips For Building Resiliency and Celebrating National Sleep Apnea Day and Sleep Awareness Week: If in doubt, get it checked out.  Go to see your doctor and ask for a referral to a sleep clinic. Decrease your risk. You can control your diet and weight, how much you exercise, how you use alcohol and caffeine and whether you smoke.  All of these can lower your risk for sleep apnea. For more information on coping with mental health issues, sign up for one of my on-line courses at worksmartlivesmart.com under the resources and courses tab. #mentalhealth #hr

About our Guest: Dr. Philip C. Spinella is a professor in the Departments of Surgery and Critical Care Medicine and the Director of the Trauma and Transfusion Medicine Research Center at the University of Pittsburgh. He also co-founded the THOR network for trauma and hemostasis research and has as been involved with multiple nationally-funded research programs.References:Use of whole blood in pediatric trauma: a narrative review - PubMed (nih.gov)Fresh whole blood transfusions in coalition military, foreign national, and enemy combatant patients during Operation Iraqi Freedom at a U.S. combat support hospital - PubMed (nih.gov)Consensus Recommendations for RBC Transfusion Practice in Critically Ill Children From the Pediatric Critical Care Transfusion and Anemia Expertise Initiative - PubMed (nih.gov)Whole Blood Transfusion - PubMed (nih.gov)Pediatric traumatic hemorrhagic shock consensus conference recommendations - PubMed (nih.gov)Early Cold Stored Platelet Transfusion Following Severe Injury: A Randomized Clinical Trial - PubMed (nih.gov)Precision Platelet Transfusion Medicine is Needed to Improve Outcomes - PubMed (nih.gov)Just chill—it's worth it! (wiley.com)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.

Recorded at Evidence Based Perioperative Medicine (EBPOM) in London last year this presentation is part of a series of talks given under the session heading: “Implementation – what works and what doesn't?”. This piece is part one of four, with two more presentations to come and then a fascinating panel discussion to conclude. This first session focuses on the implementation of clinical trials, covering research methodologies, clinical implementations, and their challenges, and looking at the lengthy process of translating medical discoveries into clinical practice, emphasizing the ethical obligation to disseminate trial results effectively. The under-representation of certain demographics in trials, the gap between research findings and clinical practice, and the need for better communication strategies is stressed alongside solutions, including training for researchers, involving key stakeholders from the start, and the role of funders in supporting effective dissemination and implementation of research findings. Our presenter is, Joyce Yeung, Professor of Anaesthesia and Critical Care Medicine at the University of Warwick. She is Theme Lead of the Emergency, Prehospital, Perioperative and Critical Care Trials group within Warwick Clinical Trials Unit. Clinically she holds appointments as a Consultant in Critical Care Medicine at University Hospital Birmingham NHS Foundation Trust. Joyce is Director of UK Perioperative Medicine Clinical Trials Network. She is joint Clinical Speciality Lead for Anaesthesia, Perioperative Medicine and Pain for West Midlands Comprehensive Research Network. She is also the Chair of Resuscitation Council UK Immediate Life Support Subcommittee and is a member of Scientific and Education Committee at European Resuscitation Council. She serves as expert systematic reviewer and International Liaison Committee on Resuscitation taskforce member. Joyce is Chief Investigator for a major grant examining the impact of volatile versus intravenous anaesthesia in non-cardiac surgery (VITAL trial). Her research interests are applied health research and clinical trials including improving perioperative patient outcomes, chronic pain, post-operative cognitive dysfunction, and resuscitation. For more information about EBPOM and the conferences they are organising this year please go to www.ebpom.org

ATS Scholar editor Nitin Seam, MD, ATSF - clinical professor of Medicine at George Washington University and the Uniformed Services University - shares some takeaways from his editorial on the ATS journals' position on the evolving role of artificial intelligence on scientific research and review. Eddie Qian, MD, of Vanderbilt University Medical Center, hosts.06:35 - What are the main takeaways of the ATS editorial?09:13 - Should large language models be authors?09:59 - Why would a reviewer want to upload a paper to an LLM?21:08 - What are topics around AI and LLMs that should be studied in medicine?Read the editorial in the American Journal of Respiratory and Critical Care Medicine:  https://www.atsjournals.org/doi/full/10.1164/rccm.202411-2208ED

About our Guest: Dr. Philip C. Spinella is a professor in the Departments of Surgery and Critical Care Medicine and the Director of the Trauma and Transfusion Medicine Research Center at the University of Pittsburgh. Dr. Spinella is a well-established clinical trialist who has published extensively in the field and contributed to research programs for the FDA, NIH, and DoD. He also co-founded the THOR network for trauma and hemostasis research and has been involved with multiple nationally funded research programs.References:Use of whole blood in pediatric trauma: a narrative review - PubMed (nih.gov)Fresh whole blood transfusions in coalition military, foreign national, and enemy combatant patients during Operation Iraqi Freedom at a U.S. combat support hospital - PubMed (nih.gov)Consensus Recommendations for RBC Transfusion Practice in Critically Ill Children From the Pediatric Critical Care Transfusion and Anemia Expertise Initiative - PubMed (nih.gov)Whole Blood Transfusion - PubMed (nih.gov)Pediatric traumatic hemorrhagic shock consensus conference recommendations - PubMed (nih.gov)Early Cold Stored Platelet Transfusion Following Severe Injury: A Randomized Clinical Trial - PubMed (nih.gov)Precision Platelet Transfusion Medicine is Needed to Improve Outcomes - PubMed (nih.gov)Just chill—it's worth it! (wiley.com)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.

A Great Cases discussion on Common Cause v Union of India, in which the Supreme Court of India recognised the right to die with dignity under Article 21 of the Constitution and gave legal recognition to advance medical directives. In 2024, the Supreme Court also released orders to simplify the process for executing the advance medical directives. This panel discussion was hosted as a part of the Great Cases series under Vidhi's collaboration with the India International Centre on The Working of the Indian Constitution. The discussion focused on the legal journey that brought us to this landmark inflection point, how the medical and legal communities can better understand one another, and the broader legal, ethical, medical and societal issues surrounding end-of-life care. The event featured a panel discussion with Dr. R.K. Mani (Chairman, Critical Care Medicine and Pulmonology, Yashoda Super Specialty Hospital), Dr. Sushma Bhatnagar (Professor & Head Department of Onco-Ansesthesia,Pain and Palliative care, AIIMS, New Delhi), and Parth Sharma (Community physician and Public health researcher). Dr. Dhvani Mehta, Co-Founder and Lead, Health, Vidhi Centre for Legal Policy moderated the discussion.

Dr. Roger Seheult is quadruple board-certified in Internal Medicine, Pulmonary Diseases, Critical Care Medicine, and Sleep Medicine through the American Board of Internal Medicine. Dr. Seheult joins our MBB Report to break down the prevalence of microplastics and nanoplastics in our oceans, our drinking water, our clothes, our make up and our food, and help you understand what that means for your health. He shares the science behind leaching, when the forever chemicals in plastics seep into your food and your body. Dr. Seheult explains that the misleading term "BPA-Free" does NOT mean something is free of harmful chemicals, and how loopholes in regulations mean BPA-like chemicals are still in most common household products. Mayim and Jonathan tackle the different ways YOU can take actionable steps to decrease the amount of microplastics in your home and in your body. WATCH NOW to uncover the horrifying reality of microplastics and nanoplastics and how you can better protect yourself against them! Roger Seheult, MD is the Co-Founder & an Instructor for MedCram, a medical education website where not only professionals go to learn and get accreditation but also patients and lay people go to learn about medical conditions and tests that interest them. Check out their YouTube channel for evidence-based, up-to-date medical education on contemporary topics: https://www.youtube.com/channel/UCG-iSMVtWbbwDDXgXXypARQ BialikBreakdown.comYouTube.com/mayimbialik

About Dr. Richard Milani: Dr. Milani serves as the Chief Clinical Innovation Officer, at Sutter Health.  His background and research focus on population health with a special interest in chronic disease, medical informatics, preventive medicine, and healthcare technology. After receiving his Internal Medicine training at the University of Florida, Dr. Milani completed fellowships in Critical Care Medicine at the University of Florida, Preventive Medicine, and Clinical Epidemiology at Harvard University (Massachusetts General Hospital), and Cardiovascular Diseases at Ochsner Clinic Foundation. He has authored over 500 medical publications, is on the editorial board for several medical journals, and serves as a frequent lecturer for healthcare systems and Fortune 500 companies as well as an advisor to venture capital firms and emerging healthcare technology companies. Things You'll Learn:AI and scribe companies are being used to reduce clinician documentation time, and reduce 'pajama time'.AI models can predict patient deterioration, such as cardiac arrest, and allow for early intervention, reducing cardiac arrests by 44%.AI should act as an assistant, with a human clinician always in the loop for evaluation and decision-making.Technology should point clinicians toward patients most in need, optimizing care and resource allocation.Digital tools that can monitor the activities of daily living unobtrusively are the future of patient care, especially for elderly patients living alone.Resources:Connect with and follow Dr. Richard Milani on LinkedIn.Discover more about Sutter Health on LinkedIn and visit their website.

Article: Olson EM, Sanborn DM, Dyster TG, Kelm DJ, Murray SG, Santhosh L, DesJardin JT. Gender Disparities in Critical Care Procedure Training of Internal Medicine Residents. ATS Sch. 2023 Feb 13;4(2):164-176. doi: 10.34197/ats-scholar.2022-0025OC. PMID: 37538076; PMCID: PMC10394715. About our Guests: Dr. Emily Olson is a pulmonary and critical care medicine fellow at Northwestern Feinberg School of Medicine. She attended medical school at the University of Wisconsin School of Medicine and completed her internal medicine residency at Mayo Clinic in Rochester, Minnesota. In addition to her work on gender disparities in procedural training, Dr. Olson is interested in clinical feedback and transitions in medical education. Dr. Lekshmi Santhosh is an Associate Professor of Medicine in the Division of Pulmonary/Critical Care Medicine and the Division of Hospital Medicine at UCSF. She practices in the MICU, neuro ICU, on the Internal Medicine teaching wards, and at the Pulmonary Outpatient Faculty Practice at UCSF. Dr. Santhosh serves as the Curriculum APD for the Internal Medicine Residency and is an Associate Program Director of the Pulmonary and Critical Care Medicine Fellowship. Learning Objectives:By the end of this podcast, listeners should be able to:Define ‘mixed methods' in a research context.Explain why a researcher might choose focus groups instead of individual interviews for qualitative assessment.  Discuss factors contributing to implicit bias in procedural opportunities for trainees.Explain how implicit bias in educational opportunities might lead to a ‘leaky pipeline' for competitive subspecialties. Identify ways to truncate their implicit bias when offering procedures to trainees.References:Olson EM, Sanborn DM, Dyster TG, Kelm DJ, Murray SG, Santhosh L, DesJardin JT. Gender Disparities in Critical Care Procedure Training of Internal Medicine Residents. ATS Sch. 2023 Feb 13;4(2):164-176. doi: 10.34197/ats-scholar.2022-0025OC. PMID: 37538076; PMCID: PMC10394715.Olson EM, Kennedy CC, Kelm DJ. Assessment of Gender Parity: Leadership Representation in Pulmonary and Critical Care Medicine. J Womens Health (Larchmt). 2022 Mar;31(3):439-446. doi: 10.1089/jwh.2020.8982. Epub 2021 May 5Questions, 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.

Dr. Hunter Champion received his training in Cardiovascular Disease, Heart Failure and Transplant Cardiology at Johns Hopkins where he later directed the Bernard Laboratory for the Study of Cardiovascular Disease.  Thereafter he was recruited to the University of Pittsburgh to join the faculty of the Divisions of Pulmonary, Allergy and Critical Care Medicine and the Cardiovascular Institute as an Associate Professor of Medicine where he directed Translational Research for the University of Pittsburgh Vascular Medicine Institute. He is a Heart Failure trained specialist and a Pulmonary Hypertension trained specialist and treats patients with hypertension, coronary artery disease, heart rhythm issues, and valvular disease. Dr. Champion joins Mark Immelman on the #OntheMark podcast to introduce 5 lifestyle changes that are sure to lead to a healthier, happier existence - habits which will also set you on the path to better physical performance and, by extension, better golf. Dr Champions elaborates on: Healthy body movement High quality sleep Morning sunlight, fresh air and breathwork The practice of gratitude, and Healthier eating involving protein and green vegetables. He also talks about the 'mind-body connection', alcohol consumption, managing stress, hydration, dietary supplements, meditation, hot and cold water therapy and grounding. Download this podcast or watch it on YouTube - search and subscribe to Mark Immelman.  

Today's show is sponsored by Americans for Free Choice in Medicine -- https://www.afcm.orgDr. Adalja is an expert on infectious disease, emergency preparedness, pandemics, and the intersections of public health and national security. is a board-certified physician in internal medicine, emergency medicine, infectious diseases, and critical care medicine. Dr. Adalja's expertise is frequently sought by international and national media.He has also published in such journals as the New England Journal of Medicine, JAMA, Journal of Infectious Diseases, Clinical Infectious Diseases, Emerging Infectious Diseases, Annals of Emergency Medicine, and Health Security.Dr. Adalja is a Fellow of the Infectious Diseases Society of America, the American College of Physicians, and the American College of Emergency Physicians. He is a member of various medical societies, including the American Medical Association, the HIV Medicine Association, and the Society of Critical Care Medicine.Dr. Adalja is a native of Butler, Pennsylvania, and actively practices infectious disease, critical care, and emergency medicine in the Pittsburgh metropolitan area.Dr. Adalja is the Chairman of the board of Americans for Free Choice in Medicine.Reinier Schuur is the Executive Director of AFCM. He holds a PhD in Philosophy from the University of Birmingham in the United Kingdom, where he specialized in the philosophy of medicine, and a Masters of Science in Philosophy of Psychiatry from King's College London. A native of the Netherlands, Reinier was a visiting Fulbright scholar at New York University and at the University of Pittsburgh. Reinier develops AFCM's educational offerings and collaborates with other organizations to educate the American public about how to advocate for their individual rights in healthcare.Show is Sponsored by The Ayn Rand Institute https://www.aynrand.org/starthereEnergy Talking Points, featuring AlexAI, by Alex Epstein https://alexepstein.substack.com/Express VPN https://www.expressvpn.com/yaronJoin this channel to get access to perks: / @yaronbrook Like what you hear? Like, share, and subscribe to stay updated on new videos and help promote the Yaron Brook Show: https://bit.ly/3ztPxTxSupport the Show and become a sponsor: / yaronbrookshow or https://yaronbrookshow.com/Or make a one-time donation: https://bit.ly/2RZOyJJContinue the discussion by following Yaron on Twitter (https://bit.ly/3iMGl6z) and Facebook (https://bit.ly/3vvWDDC )Want to learn more about Ayn Rand and Objectivism? Visit the Ayn Rand Institute: https://bit.ly/35qoEC3#freemarket #healthcare #Rights #individualism #AynRand #science #philosophyofscience #ethics #selfishness #egoism #capitalism #philosophy #Morality ​ ​#Objectivism​ #politicsBecome a supporter of this podcast: https://www.spreaker.com/podcast/yaron-brook-show--3276901/support.

Dr. Sapna Kudchadkar is the Anesthesiologist-in-Chief of the Johns Hopkins Children's Center and Vice Chair for Pediatric Anesthesiology and Critical Care Medicine at Johns Hopkins University School of Medicine. Dr. Kudchadkar is also the lead PI for the "PICU Up!" study, a 10-site randomized trial of a multifaceted early mobility program for critically ill children.In this episode, Dr. Kuchadkar shares her path from her general pediatrics residency at Hopkins to running a large multi-center trial as a dual-trained pediatric intensivist and anesthesiologist. 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.

Host Diane C. McLaughlin, DNP, AGACNP-BC, CCRN, FCCM, welcomes Matthew Kirschen, MD, PhD, FAAN, FNCS, to discuss what critical care professionals need to know about determining brain death/death by neurologic criteria (BD/DNC). In October 2023, a revised consensus practice guideline for the determination of brain death in both children and adults was published in Neurology (Greer DM, et al. Neurology. 2023;101;1112-1132). The guideline integrated guidance for adults and children to provide a comprehensive, practical way to evaluate patients with catastrophic brain injuries to determine whether they meet the criteria for brain death. The Society of Critical Care Medicine (SCCM) offers several additional resources to support critical care clinicians' understanding of the updated guidelines, including an article published in the March 2024 issue of Critical Care Medicine addressing what the critical care team needs to know about the guidelines (Kirschen MP, et al. Crit Care Med. 2024;52:376-386). Dr. Kirchen was the lead author of that article and shares key points in this podcast episode. Other resources include: Pediatric and Adult Brain Death/Death by Neurologic Criteria Consensus Practice Guidelines 2024 Critical Care Congress presentation Free AAN evaluation tool that walks clinicians through the process of brain death evaluation. Special article in Neurology: Clinical Practice that provides a detailed narrative about what has changed in the 2023 guidelines compared to prior guidelines. The article also includes tables outlining comparisons, bolding new recommendations, and italicizing age-specific guidance to easily identify the differences between determining brain death in children versus adults.

Dr. Sapna Kudchadkar is the Anesthesiologist-in-Chief of the Johns Hopkins Children's Center and Vice Chair for Pediatric Anesthesiology and Critical Care Medicine at Johns Hopkins University School of Medicine. She completed her training in pediatrics, pediatric intensive care, anesthesiology, and pediatric anesthesiology at Johns Hopkins Children's Center and the Johns Hopkins Hospital, during which she also received her Ph.D. in clinical investigation at the Johns Hopkins Bloomberg School of Public Health. Dr. Kudchadkar is now the lead PI for the "PICU Up!" study, a 10-site randomized trial of a multifaceted early mobility program for critically ill children.Learning Objectives: By the end of this podcast, listeners should be able to: 1. Discuss the best ways to prevent delirium in young children, including sedative medication selection and non-pharmacologic techniques.2. Describe the optimal level of sedation for a child who requires invasive mechanical ventilation for acute respiratory failure and the staffing needed to achieve this safely.3. Discuss how to obtain hospital resources to support early mobilization and motivate a team to accomplish these goals.Selected References: 1. Traube, C., Silver, G., Gerber, L. M., Kaur, S., Mauer, E. A., Kerson, A., Joyce, C., & Greenwald, B. M. (2017). Delirium and Mortality in Critically Ill Children: Epidemiology and Outcomes of Pediatric Delirium*. Critical Care Medicine, 45(5), 891–898. https://doi.org/10.1097/CCM.00000000000023242. Traube, C., Silver, G., Kearney, J., Patel, A., Atkinson, T. M., Yoon, M. J., Halpert, S., Augenstein, J., Sickles, L. E., Li, C., & Greenwald, B. (2014). Cornell Assessment of Pediatric Delirium. Critical Care Medicine, 42(3), 656–663. https://doi.org/10.1097/CCM.0b013e3182a66b763. Wieczorek B, Ascenzi J, Kim Y, Lenker H, Potter C, Shata NJ, Mitchell L, Haut C, Berkowitz I, Pidcock F, Hoch J, Malamed C, Kravitz T, Kudchadkar SR. PICU Up!: Impact of a Quality Improvement Intervention to Promote Early Mobilization in Critically Ill Children. Pediatr Crit Care Med. 2016 Dec;17(12):e559-e566. doi: 10.1097/PCC.0000000000000983. PMID: 27759596; PMCID: PMC5138131.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.

Nitin Shah is the founder, Aparigrah Foundation - advising, leading, and organizing humanitarian efforts globally. He started and scaled over 350 medical and surgical missions across the world that have benefited millions of people. Dr. Shah is a renowned Professor of Anesthesiology and Critical Care Medicine and Chief of the Surgical ICU. He has delivered highly reputed presentations on Ambulatory Anesthesia and Critical Care. --- Support this podcast: https://podcasters.spotify.com/pod/show/theindustryshow/support

Kristina Betters, MD is an Associate Professor of Pediatrics in the division of Critical Care Medicine at Vanderbilt University and a pediatric intensivist at Monroe Carell Jr. Children's Hospital. Dr. Betters' research interests are focused on early mobility, rehabilitation of the ICU patient, sedation, and delirium in critically ill children. She was an author of the 2022 SCCM PANDEM guidelines.Brooke Light, MD is a pediatric resident physician at Prisma Health in Greenville, SC. Prior to residency, she completed her MD at the Medical University of South Carolina. She is (obviously) an aspiring pediatric intensivist, and we are so happy she reached out to coordinate this episode.Learning Objectives:By the end of this podcast, listeners should be able to discuss:The rationale supporting the use of an ICU liberation bundle.Key components of the A to F ICU liberation bundle.An expert's approach to implementing the A to F ICU liberation bundleReferences:Smith et al. 2022 Society of Critical Care Medicine Clinical Practice Guidelines on Prevention and Management of Pain, Agitation, Neuromuscular Blockade, and Delirium in Critically Ill Pediatric Patients With Consideration of the ICU Environment and Early Mobility. Pediatr Crit Care Med. 2022 Feb 1;23(2):e74-e110. Marra A, Ely EW, Pandharipande PP, Patel MB. The ABCDEF Bundle in Critical Care. Crit Care Clin. 2017 Apr;33(2):225-243. Curley et al; RESTORE Study Investigators and the Pediatric Acute Lung Injury and Sepsis Investigators Network. Protocolized sedation vs usual care in pediatric patients mechanically ventilated for acute respiratory failure: a randomized clinical trial. JAMA. 2015 Jan 27;313(4):379-89. Madden K, Wolf M, Tasker RC, Figueroa J, McCracken C, Hall M, Kamat P. Antipsychotic Drug Prescription in Pediatric Intensive Care Units: A 10-Year U.S. Retrospective Database Study. J Pediatr Intensive Care. 2021 Oct 22;13(1):46-54. 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.

Patients with sepsis are regularly transferred to intensive care units, but there is a dearth of literature that describes the type of communication occurring between the receiving and referring clinicians after these transfers take place. The Society of Critical Care Medicine's (SCCM) Diagnostic Excellence Program sought to gain a better understanding of these communications through an in-depth survey. In this podcast, host Kyle B. Enfield, MD, discusses the survey results with grant principal investigator Greg S. Martin, MD, MSc, FCCM. Dr. Martin also discusses a new toolkit created by SCCM to facilitate better transfer communication. Learn more about the toolkit and the Diagnosis Excellence Program at sccm.org/diagnosticexcellence. This podcast offers 0.25 hours of accredited continuing education (ACE) credit. Learn more at https://sccm.org/diagnosticexcellence The Diagnostic Excellence Program is funded by the Gordon and Betty Moore Foundation through a grant program administered by the Council of Medical Specialty Societies to support the development and dissemination of resources and programs to improve the timeliness, accuracy, safety, efficiency, patient-centeredness, and equity of diagnostic outcomes for patients in the United States. Dr. Martin, a past SCCM president, is the James Paullin Distinguished Professor and division director of pulmonary, allergy, critical care and sleep medicine at Emory University. He is an international authority on critical care medicine and an expert on sepsis, COVID-19, and ARDS, having conducted groundbreaking clinical trials on these conditions, coauthored the Sepsis-3 definition, and published seminal papers for diagnosing and treating critically ill patients.

Kristina Betters, MD is an Associate Professor of Pediatrics in the division of Critical Care Medicine at Vanderbilt University and a pediatric intensivist at Monroe Carell Jr. Children's Hospital. Dr. Betters' research interests are focused on early mobility, rehabilitation of the ICU patient, sedation, and delirium in critically ill children. She was an author of the 2022 SCCM PANDEM guidelines.Brooke Light, MD is a pediatric resident physician at Prisma Health in Greenville, SC. Prior to residency, she completed her MD at the Medical University of South Carolina. She is (obviously) an aspiring pediatric intensivist, and we are so happy she reached out to coordinate this episode. Learning Objectives:By the end of this podcast, listeners should be able to discuss:The rationale supporting the use of an ICU liberation bundle.Key components of the A to F ICU liberation bundle.An expert's approach to implementing the A to F ICU liberation bundleReferences:Smith et al. 2022 Society of Critical Care Medicine Clinical Practice Guidelines on Prevention and Management of Pain, Agitation, Neuromuscular Blockade, and Delirium in Critically Ill Pediatric Patients With Consideration of the ICU Environment and Early Mobility. Pediatr Crit Care Med. 2022 Feb 1;23(2):e74-e110. Marra A, Ely EW, Pandharipande PP, Patel MB. The ABCDEF Bundle in Critical Care. Crit Care Clin. 2017 Apr;33(2):225-243. Curley et al; RESTORE Study Investigators and the Pediatric Acute Lung Injury and Sepsis Investigators Network. Protocolized sedation vs usual care in pediatric patients mechanically ventilated for acute respiratory failure: a randomized clinical trial. JAMA. 2015 Jan 27;313(4):379-89. Madden K, Wolf M, Tasker RC, Figueroa J, McCracken C, Hall M, Kamat P. Antipsychotic Drug Prescription in Pediatric Intensive Care Units: A 10-Year U.S. Retrospective Database Study. J Pediatr Intensive Care. 2021 Oct 22;13(1):46-54. 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.

Dr. Gerry San Pedro with Willis Knighton Red River Pulmonary and Critical Care Medicine discusses lung cancer prevalence, symptoms, risk factors and the importance of early detection through low dose CT scans/screening. 

Today, I talk with Dr. Sean Fortier, a specialist in pulmonary medicine. Since more than 40% of scleroderma patients show evidence of interstitial lung disease, I thought it was important to discuss pulmonary fibrosis and pulmonary hypertension. Dr. Fortier and I also discuss his research, which I found very encouraging—and I believe you will, too.

In this episode, we review the recommendations from the 2024 SCCM/ASHP stress ulcer prophylaxis guidelines and highlight three of the more recent landmark critical care trials investigating the role of stress ulcer prophylaxis. Key Concepts After 25 years, the stress ulcer prophylaxis guidelines have been updated by SCCM and ASHP. These guidelines make 13 recommendations in a PICO format. Three large, landmark randomized controlled trials (SUP-ICU, PEPTIC, and REVISE) have significantly contributed to the body of literature regarding stress ulcer prophylaxis. The SCCM/ASHP guidelines recommend stress ulcer prophylaxis in patients with coagulopathy, shock, chronic liver disease, and possibly in neurocritical care patients. They do not specifically recommend prophylaxis in mechanically ventilated patients; this is a controversial recommendation. The SCCM/ASHP guidelines equally prefer proton pump inhibitor (PPI) and histamine-2 receptor antagonists (H2RA) drug therapies given either intravenously or orally. The prophylaxis regimen should be continued until the indication for prophylaxis has resolved or the patient leaves the ICU. References MacLaren R, Dionne JC, Granholm A, et al. Society of Critical Care Medicine and American Society of Health-System Pharmacists Guideline for the Prevention of Stress-Related Gastrointestinal Bleeding in Critically Ill Adults. Crit Care Med. 2024;52(8):e421-e430. doi:10.1097/CCM.0000000000006330 SUP-ICU study. Krag M, Marker S, Perner A, et al. Pantoprazole in Patients at Risk for Gastrointestinal Bleeding in the ICU. N Engl J Med. 2018;379(23):2199-2208. doi:10.1056/NEJMoa1714919 PEPTIC study. PEPTIC Investigators for the Australian and New Zealand Intensive Care Society Clinical Trials Group, Alberta Health Services Critical Care Strategic Clinical Network, and the Irish Critical Care Trials Group, Young PJ, Bagshaw SM, et al. Effect of Stress Ulcer Prophylaxis With Proton Pump Inhibitors vs Histamine-2 Receptor Blockers on In-Hospital Mortality Among ICU Patients Receiving Invasive Mechanical Ventilation: The PEPTIC Randomized Clinical Trial. JAMA. 2020;323(7):616-626. doi:10.1001/jama.2019.22190 REVISE study. Cook D, Deane A, Lauzier F, et al. Stress Ulcer Prophylaxis during Invasive Mechanical Ventilation. N Engl J Med. 2024;391(1):9-20. doi:10.1056/NEJMoa2404245

In this World Shared Practice Forum Podcast, Drs. Adrienne Randolph and Aaron Bodansky explore the groundbreaking research findings that uncover the pathophysiological mechanism behind multisystem inflammatory syndrome in children (MIS-C). These findings shed light on the characteristic immune response of patients who develop MIS-C, and provide insight into the development of post-infectious auto-immune disease phenotypes. LEARNING OBJECTIVES - Describe the pathophysiology of MIS-C, including the clinical features and molecular immune response - Describe the immune dysregulation that results in MIS-C, including the role of autoantibodies and T-cell responses - Identify the potential connections between SARS-CoV-2 infection and the development of autoimmune responses - Recognize the implications of the study findings for other related conditions such as long COVID and sepsis AUTHORS Adrienne Randolph, MD, MSc Senior Associate in Critical Care Medicine, Department of Anesthesiology, Critical Care and Pain Medicine Boston Children's Hospital Professor of Anaesthesia and Pediatrics Harvard Medical School Aaron Bodansky, MD Assistant Professor Pediatric Critical Care University of California, San Francisco School of Medicine DATES Initial publication: September 24, 2024. ARTICLES REFERENCED Bodansky A, Mettelman RC, Sabatino JJ Jr, et al. Molecular mimicry in multisystem inflammatory syndrome in children. Nature. 2024;632(8025):622-629. doi:10.1038/s41586-024-07722-4. 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-and thus at no expense to the user.For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu CITATION Randolph AG, Bodansky A, Burns JP. Unveiling MIS-C's Immune Response: Molecular Mimicry. 09/2024. OPENPediatrics. https://soundcloud.com/openpediatrics/unveiling-mis-cs-immune-response-molecular-mimicry-by-a-randolph-and-a-bodansky-openpediatrics

Welcome to The Peds NP Acute Care Faculty series! This series was created and peer-edited by national leaders in acute care PNP education collaborating with one another to meet the needs of our future colleagues. In the push for competency-based education where faculty verify the skills of what a student can do, rather than their knowledge, our series focuses on the application of didactic content with a practical approach so that you can learn nuances of clinical skills before you reach the bedside.    *This is the second episode in a 2 part series on enteral feeding. Listen to Episode 75: Malnutrition and Feeding Tube Selection first.   This episode walks through the decision-making for which enteral formula to select based on the patient's age, protein needs, and GI function. A list of commercially available examples is listed for each age group and protein type. Fluid and caloric goals are discussed to determine if concentrated formulas are appropriate. Lastly, the process of starting continuous feeds and advancing to bolus feeds while assessing for tolerance is reviewed. Build functional skills by following along with a case study that is continued from the prior episode. It's proof that there's more than just formula that goes into tube feedings.   Authors: Becky Carson, DNP, APRN, CPNP-PC/AC, Jessica D. Murphy, DNP, CPNP-AC, CPHON, CNE, & Marian Malone, DNP, APRN, CPNP-AC/PC   References: Bechtold, M. L., Brown, P. M., Escuro, A., Grenda, B., Johnston, T., Kozeniecki, M., Limketkai, B. N., Nelson, K. K., Powers, J., Ronan, A., Schober, N., Strang, B. J., Swartz, C., Turner, J., Tweel, L., Walker, R., Epp, L., & Malone, A. (2022). When is enteral nutrition indicated? Journal of Parenteral and Enteral Nutrition, 46(7), 1470–1496. https://doi.org/10.1002/jpen.2364 Becker, P., Carney, L. N., Corkins, M. R., Monczka, J., Smith, E., Smith, S. E., Spear, B. A., & White, J. V. (2014). Consensus statement of the Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition. Nutrition in Clinical Practice, 30(1), 147–161. https://doi.org/10.1177/0884533614557642 Green Corkins, K. (2015). Nutrition‐focused physical examination in pediatric patients. Nutrition in Clinical Practice, 30(2), 203–209. https://doi.org/10.1177/0884533615572654 Hess, L., & Crossen, J. (2008). Pediatric Nutrition Handbook (3rd ed.). Cincinnati Children's. Mehta, N. M., Skillman, H. E., Irving, S. Y., Coss-Bu, J. A., Vermilyea, S., Farrington, E. A., McKeever, L., Hall, A. M., Goday, P. S., & Braunschweig, C. (2017). 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. Pediatric Critical Care Medicine, 18(7), 675–715. https://doi.org/10.1097/pcc.0000000000001134 Panchal, A. K., Manzi, J., Connolly, S., Christensen, M., Wakeham, M., Goday, P. S., & Mikhailov, T. A. (2014). Safety of enteral feedings in critically ill children receiving vasoactive agents. Journal of Parenteral and Enteral Nutrition, 40(2), 236–241. https://doi.org/10.1177/0148607114546533 Yi, Dae Young. (2018). Enteral nutrition in pediatric patients. Pediatric Gastroenterology, Hepatology & Nutrition, 21(1), 12-19. http://doi.org/10.5223/pghn.2018.21.1.12

In this episode of Providing Pediatrics, host Charles Wooley talks with Brian Eble, MD, Cardiology and Critical Care Medicine at Arkansas Children's about a variety of cardiac emergency topics. Dr. Eble serves as the Medical Director of the Pediatric Exercise Laboratory at ACH and the education coordinator for the medical students and pediatric residents rotating through cardiology.   Topics include cardiac emergencies in sports, having a plan for when those cardiac emergencies happen, and a breakdown of the high profile case of Damar Hamlin, NFL player who had sudden cardiac arrest in a game. Dr. Eble also answers viewer questions.Brian Eble, M.D., is an Associate Professor of Pediatrics in the Pediatric Cardiology section of the University of Arkansas for Medical Sciences (UAMS), practicing at Arkansas Children's Hospital (ACH). Dr. Eble received his MD in 1999 from the University of Missouri – Columbia. He completed his pediatric residency at ACH and UAMS in 2002 and spent an additional year as a pediatric critical care fellow at ACH. He then completed his pediatric cardiology fellowship at Texas Children's Hospital and Baylor College of Medicine in 2006.Dr. Eble returned to ACH in July 2006 following completion of his formal training. He is board-certified in pediatric cardiology. He is a member of the American Heart Association, the American College of Cardiology, the American Academy of Pediatrics, the Society for Cardiovascular Angiography and Interventions, and the North American Society for Pediatric Exercise Medicine. His clinical interests include pediatric cardiac intensive care and pediatric exercise stress testing. Research interests include hemodynamic monitoring of perioperative patients following cardiac surgery and serial exercise testing in patients with palliated or corrected heart disease. #pediatriccardiology #ArkansasChildrens #ArkansasChildrensHeartInstitute #cardiology #pediatriccardiologists #pediatriccardiologysurgery #hearttransplant #cathlab #heartmurmur #arrhythmia #pediatriccardiologycare 

Welcome back to The Peds NP Acute Care Faculty series! This series was created and peer-reviewed by national leaders in acute care PNP education collaborating with one another to meet the needs of our current and future colleagues. In the push for competency-based education where faculty verify the skills of what a student can do, rather than their knowledge, our series focuses on the application of didactic content with a practical approach so that you can learn nuances of clinical skills before you reach the bedside.    This episode begins with a brief review of malnutrition and pediatric nutritional assessment in acute care settings. Next we begin a choose-your-own-nutrition adventure by asking a series of questions that aid in medical decision-making for which nutrition route is appropriate, and, if enteral feeding is best, then determines the type of tube indicated. A case-based discussion with examples helps you to apply the concepts to a complex scenario. Our next episode will focus on formula selection, the initiation of feeds, and assessment of tolerance.   Authors: Becky Carson, DNP, APRN, CPNP-PC/AC, Jessica D. Murphy, DNP, CPNP-AC, CPHON, CNE, & Marian Malone, DNP, APRN, CPNP-AC/PC   References: Bechtold, M. L., Brown, P. M., Escuro, A., Grenda, B., Johnston, T., Kozeniecki, M., Limketkai, B. N., Nelson, K. K., Powers, J., Ronan, A., Schober, N., Strang, B. J., Swartz, C., Turner, J., Tweel, L., Walker, R., Epp, L., & Malone, A. (2022). When is enteral nutrition indicated? Journal of Parenteral and Enteral Nutrition, 46(7), 1470–1496. https://doi.org/10.1002/jpen.2364 Becker, P., Carney, L. N., Corkins, M. R., Monczka, J., Smith, E., Smith, S. E., Spear, B. A., & White, J. V. (2014). Consensus statement of the Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition. Nutrition in Clinical Practice, 30(1), 147–161. https://doi.org/10.1177/0884533614557642 Green Corkins, K. (2015). Nutrition‐focused physical examination in pediatric patients. Nutrition in Clinical Practice, 30(2), 203–209. https://doi.org/10.1177/0884533615572654 Hess, L., & Crossen, J. (2008). Pediatric Nutrition Handbook (3rd ed.). Cincinnati Children's.  Mehta, N. M., Skillman, H. E., Irving, S. Y., Coss-Bu, J. A., Vermilyea, S., Farrington, E. A., McKeever, L., Hall, A. M., Goday, P. S., & Braunschweig, C. (2017). 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. Pediatric Critical Care Medicine, 18(7), 675–715. https://doi.org/10.1097/pcc.0000000000001134 Panchal, A. K., Manzi, J., Connolly, S., Christensen, M., Wakeham, M., Goday, P. S., & Mikhailov, T. A. (2014). Safety of enteral feedings in critically ill children receiving vasoactive agents. Journal of Parenteral and Enteral Nutrition, 40(2), 236–241. https://doi.org/10.1177/0148607114546533 Yi, Dae Young. (2018). Enteral nutrition in pediatric patients. Pediatric Gastroenterology, Hepatology & Nutrition, 21(1), 12-19. http://doi.org/10.5223/pghn.2018.21.1.12

Christopher G. Byers, DVM, DACVECC, DACVIM (SAIM), CVJ, is a practicing board-certified veterinary emergency & critical care and small animal internal medicine specialist, as well as a certified veterinary journalist, based in Omaha, Nebraska. He received his Bachelor of Science degree as a University Honors Scholar in Animal Sciences from Colorado State University and his Doctor of Veterinary Medicine from Cornell University. He is the Co-Editor of the textbooks, Feline Emergency & Critical Care Medicine and Canine Emergency & Critical Care Medicine. He has also published chapters and articles in numerous textbooks and peer-reviewed medical journals.  

In this World Shared Practice Forum Podcast, experts from three large pediatric hospitals discuss their collaborative care models designed to optimize care for patients undergoing hematopoietic stem cell transplant. This global panel reviews the history, structure, and current state of these models, and offers insight into how clinicians can develop and improve their own collaborative care models. LEARNING OBJECTIVES - Identify the importance of collaborative care models for hematopoietic stem cell transplant patients - Discuss the status of current care models in three pediatric stem cell transplant programs - Apply insights on how clinicians develop collaborative care models and steps that can be taken to make ongoing improvements AUTHORS Asya Agulnik, MD, MPH Associate Member, St. Jude Faculty Director, Global Critical Care Program Director, Euro Regional Program St. Jude Children's Research Hospital Indira Jayakumar, MD Lead Pediatric Intensivist Apollo Specialty Cancer Hospitals Co Convenor- IAP Transplant Critical Care, Chairman- Pediatric wing, ECMO Society of India Chennai, Tamil Nadu, India Leslie Lehmann, MD Attending Physician, Pediatric Stem Cell Transplant Center Boston Children's Hospital/Dana Farber Cancer Institute Associate Professor of Pediatrics Harvard Medical School Revathi Raj, MBBS, DCH, PLAB, MRCP, FRCPath Senior Consultant Department of Pediatric Hematology and Oncology and Blood and Marrow Transplantation Apollo Hospitals Chennai, Tamil Nadu, India Adrienne Randolph, MD, MSc Senior Associate in Critical Care Medicine, Department of Anesthesiology, Critical Care and Pain Medicine Boston Children's Hospital Professor of Anaesthesia and Pediatrics Harvard Medical School Aimee C. Talleur, MD Assistant Member, Department of Bone Marrow Transplantation and Cellular Therapy Fellowship Director, BMTCT Fellowship Program St. Jude Children's Research Hospital DATES Initial publication: August 26, 2024. ARTICLES REFERENCED • Zinter MS, McArthur J, Duncan C, et al. Candidacy for Extracorporeal Life Support in Children After Hematopoietic Cell Transplantation: A Position Paper From the Pediatric Acute Lung Injury and Sepsis Investigators Network's Hematopoietic Cell Transplant and Cancer Immunotherapy Subgroup. Pediatr Crit Care Med. 2022;23(3):205-213. doi:10.1097/PCC.0000000000002865 (13:04) • St. Jude Global Critical Care program, https://global.stjude.org/en-us/programs/transversal-programs/critical-care.html, Email: globalcriticalcare@stjude.org (25:49) 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-and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu CITATION Agulnik A, Jayakumar I, Lehmann L, Raj R, Randolph AG, Talleur AC, Wolbrink TA. Collaborative Care Models to Optimize Care of Hematopoietic Stem Cell Transplant Patients. 08/2024. OPENPediatrics. Podcast https://soundcloud.com/openpediatrics/collaborative-care-models-to-optimize-care-of-hsct-patients-by-t-wolbrink-et-al-openpediatrics.

The Society of Critical Care Medicine just released their first set of updated stress ulcer prophylaxis (SUP) guidelines since 1999 that include groundbreaking changes. We also discuss evidence on proton pump inhibitor (PPI) use for SUP that impacts ICU practice.  The GameChangerNew guidelines for use of PPIs for stress ulcer prophylaxis will have a significant impact on ICU practice.HostJen Moulton, BSPharmPresident, CEimpactGuest Geoff Wall, PharmD, BCPS, FCCP, BCGPProfessor of Pharmacy Practice, Drake UniversityInternal Medicine/Critical Care, UnityPoint HealthMatthew Trump, DO, FACP, FCCPPulmonologistThe Iowa ClinicReferenceGuidelinesPaperPharmacists, REDEEM YOUR CPE HERE!CPE is available to Health Mart franchise members onlyTo learn more about Health Mart, click here: https://join.healthmart.com/CPE Information Learning ObjectivesUpon successful completion of this knowledge-based activity, participants should be able to:1. Describe the new Stress Ulcer Prophylaxis (SUP) guidelines from the Society of Critical Care Medicine (SCCM), including identifying patients at risk.2. Discuss the use of Proton Pump Inhibitors (PPI) and Histamine-2 Receptor Antagonists (H2RA) for Stress Ulcer Prophylaxis (SUP).0.05 CEU/0.5 HrUAN: 0107-0000-24-247-H01-PInitial release date: 08/26/2024Expiration date: 08/26/2025Additional CPE details can be found here.

The Society of Critical Care Medicine just released their first set of updated stress ulcer prophylaxis (SUP) guidelines since 1999 that include groundbreaking changes. We also discuss evidence on proton pump inhibitor (PPI) use for SUP that impacts ICU practice.  The GameChangerNew guidelines for use of PPIs for stress ulcer prophylaxis will have a significant impact on ICU practice. GuestGeoff Wall, PharmD, BCPS, FCCP, BCGPProfessor of Pharmacy Practice, Drake UniversityInternal Medicine/Critical Care, UnityPoint HealthMatthew Trump, DO, FACP, FCCPPulmonologistThe Iowa Clinic ReferenceGuidelinesPaper Pharmacist Members, REDEEM YOUR CPE HERE! Not a member? Get a Pharmacist Membership & earn CE for GameChangers Podcast episodes! (30 mins/episode)CPE Information Learning ObjectivesUpon successful completion of this knowledge-based activity, participants should be able to:1. Describe the new Stress Ulcer Prophylaxis (SUP) guidelines from the Society of Critical Care Medicine (SCCM), including identifying patients at risk.2. Discuss the use of Proton Pump Inhibitors (PPI) and Histamine-2 Receptor Antagonists (H2RA) for Stress Ulcer Prophylaxis (SUP).0.05 CEU/0.5 HrUAN: 0107-0000-24-247-H01-PInitial release date: 08/26/2024Expiration date: 08/26/2025Additional CPE details can be found here.Follow CEimpact on Social Media:LinkedInInstagram

Host Kyle B. Enfield, MD, FCCM, is joined by Daisuke Kawakami, MD, to discuss the Critical Care Medicine article, “Evaluation of the Impact of ABCDEF Bundle Compliance Rates on Postintensive Care Syndrome: A Secondary Analysis Study.” (Kawakami D, et al. Crit Care Med. 2023 Dec;51:1685-1696). The study examines how compliance with the ICU Liberation Bundle (A-F) impacts post-intensive care syndrome and intensive care unit mortality rates Dr. Kawakami is a physician in the Department of Emergency and Critical Care Medicine at St. Marianna University School of Medicine in Kawasaki, Japan. Learn more about the ICU Liberation Bundle at sccm.org/iculiberation.

Joseph Carcillo, MD, a physician scientist in Critical Care Medicine at UPMC Children's Hospital of Pittsburgh, discusses the intersection of precision medicine and pediatric critical care medicine research.

Our listeners are in for a treat this week on the Faculty Factory Podcast as we enjoy a first-time visit from Ann Thompson, MD. She has been called “The Mother of Us All” in the field of pediatric clinical care, and her wisdom is prodigious. Distinguished Service Professor Emerita in Critical Care Medicine and Pediatrics, and the Vice Dean Emerita at the University of Pittsburgh School of Medicine. Throughout her career, she has gained a reputation for her dedication to teamwork, facilitation, collaboration, team building, and ensuring overall team success across departments. This commitment is evident not only in her intensive care work but also in her role in faculty affairs, where she served as Vice Dean for ten years. We hope you enjoy this memorable episode as Dr. Thompson reveals her reflections on what it has taken to continuously build and support teams within this field over the years. We also want to give Dr. Thompson a tip of the cap for her continued support of the Faculty Factory. She was a Patreon supporter for several years of our show in our early years, and this community and its resources wouldn't have the reach they have without the generosity of folks like her. Learn More: https://facultyfactory.org/ 

No one wants to be exposed to air pollution. No one wants to raise their kids breathing in polluted air in their own neighborhoods.But in Austin, Texas, people of color are disproportionately forced to do both.Dr. Sarah Chambliss, a research associate in the Department of Population Health at Dell Medical School at the University of Texas at Austin, led a team that ran a study of who is being affected by air pollution in Austin, neighborhood by neighborhood.They found that while Austin has relatively little of the heavy industry traditionally linked with air pollution, it's got plenty of polluted air. And the people living in the worst affected neighborhoods were far more likely to be Black or Latino(a) than White, they report in the American Journal of Respiratory and Critical Care Medicine.It's not just unpleasant. People living in polluted areas are much more likely to end up in emergency rooms for asthma attacks. That's expensive for everyone because in the United States hospitals must treat people coming to emergency rooms in distress and those costs are passed along to taxpayers as well as to health insurers – who pass along those expenses to customers.Aside from hurting people of color more than others, air pollution is costing everyone –in this case, residents of Austin– a lot of money, Chambliss tells One World, One Health host Maggie Fox. Listen as Chambliss explains what else she and her team found, and what can be done to address the problem.

Steven Loscalzo, MD, FAAP is an Attending Physician in the Division of Pediatric Critical Care Medicine and an Assistant Professor of Anesthesiology, Critical Care, and Pediatrics at the Perelman School of Medicine at the University of Pennsylvania. He completed his residency and chief residency in Pediatrics at St. Christopher's Hospital for Children, followed by a critical care fellowship at the Children's Hospital of Philadelphia. He is now an attending physician in the Division of Critical Care Medicine at Children's Hospital of Philadelphia.Elorm Avakame, MD, MPP recently completed his Pediatric Critical Care Medicine fellowship at New York-Presbyterian Hospital/Columbia University Medical Center. His areas of professional interest include clinical teaching in the ICU and mentoring and professional identity formation. This August, he will begin his faculty career as an attending physician in the Department of Anesthesiology and Critical Care Medicine at Children's Hospital of Philadelphia.Learning Objectives: By the end of this podcast, listeners should be able to:Define “emotional intelligence” and discuss relevant conceptual frameworks.Identify examples of emotional intelligence competencies.Describe existing data supporting the importance of emotional intelligence in clinical practice.Discuss strategies for teaching emotional intelligence competencies in critical care training.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 Show.How 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.

Reference:  Peters MJ, et al. Conservative versus liberal oxygenation targets in critically ill children (Oxy-picu): a UK multicentre, open, parallel-group, randomised clinical trial. Lancet. December 2023 Guest Skeptic:  Dr. Anireddy Reddy is a pediatric intensive care attending physician in the Department of Anesthesiology and Critical Care Medicine at Children's Hospital of Philadelphia. Case: A 3-year-old […] The post SGEM#444: I Need Oxygen…But How Much Oxygen for Critically Ill Children first appeared on The Skeptics Guide to Emergency Medicine.

Ayse Akcan Arikan, MD is a dual trained pediatric intensivist and nephrologist and an Associate Professor of Pediatrics with tenure at Baylor College of Medicine. She is the Associate Chief (Research) of the Division of Critical Care Medicine. Dr Arikan is a clinician-scientist whose research focus is on the recognition and management of acute kidney injury in the critically ill, pharmacokinetics in extracorporeal therapies, management of multiple organ failure, as well as sepsis resuscitation and outcomes. Dr Arikan also serves as the Medical Director of the Critical Care Nephrology and Inpatient Dialysis and the Medical Director of the Extracorporeal Liver Support programs at Texas Children's Hospital. She is an international leader in pediatric extracorporeal renal and liver support. Learning Objectives:By the end of this podcast, listeners should be able to discuss:The rationale for using extracorporeal liver support in patients with acute liver failure.The various modalities of extracorporeal liver support and their advantages and disadvantages.An expert's approach to utilization of extracorporeal liver support in patients with acute liver failure.References:Akcan Arikan, Ayse MD1,2; Srivaths, Poyyapakkam MD1; Himes, Ryan W. MD3; Tufan Pekkucuksen, Naile MD1; Lam, Fong MD2; Nguyen, Trung MD2; Miloh, Tamir MD3; Braun, Michael MD1; Goss, John MD4; Desai, Moreshwar S. MD2. Hybrid Extracorporeal Therapies as a Bridge to Pediatric Liver Transplantation*. Pediatric Critical Care Medicine 19(7):p e342-e349, July 2018. | DOI: 10.1097/PCC.0000000000001546 Mitzner SR. Extracorporeal liver support-albumin dialysis with the Molecular Adsorbent Recirculating System (MARS). Ann Hepatol. 2011 May;10 Suppl 1:S21-8. PMID: 21566251.Support the Show.How 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.

Ayse Akcan Arikan, MD is a dual trained pediatric intensivist and nephrologist and an Associate Professor of Pediatrics with tenure at Baylor College of Medicine. She is the Associate Chief (Research) of the Division of Critical Care Medicine. Dr Arikan is a clinician-scientist whose research focus is on the recognition and management of acute kidney injury in the critically ill, pharmacokinetics in extracorporeal therapies, management of multiple organ failure, as well as sepsis resuscitation and outcomes. Dr Arikan also serves as the Medical Director of the Critical Care Nephrology and Inpatient Dialysis and the Medical Director of the Extracorporeal Liver Support programs at Texas Children's Hospital. She is an international leader in pediatric extracorporeal renal and liver support. Learning Objectives:By the end of this podcast, listeners should be able to discuss:The rationale for using extracorporeal liver support in patients with acute liver failure.The various modalities of extracorporeal liver support and their advantages and disadvantages.An expert's approach to utilization of extracorporeal liver support in patients with acute liver failure.References:Akcan Arikan, Ayse MD1,2; Srivaths, Poyyapakkam MD1; Himes, Ryan W. MD3; Tufan Pekkucuksen, Naile MD1; Lam, Fong MD2; Nguyen, Trung MD2; Miloh, Tamir MD3; Braun, Michael MD1; Goss, John MD4; Desai, Moreshwar S. MD2. Hybrid Extracorporeal Therapies as a Bridge to Pediatric Liver Transplantation*. Pediatric Critical Care Medicine 19(7):p e342-e349, July 2018. | DOI: 10.1097/PCC.0000000000001546 Mitzner SR. Extracorporeal liver support-albumin dialysis with the Molecular Adsorbent Recirculating System (MARS). Ann Hepatol. 2011 May;10 Suppl 1:S21-8. PMID: 21566251.Support the Show.How 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.

Guest: Martin B. Brodsky, Ph.D., Sc.M., CCC-SLP, F-ASHA - In this episode, Michelle is joined by none other than THE Martin B. Brodsky, Ph.D., Sc.M., CCC-SLP, F-ASHA, Section Head for Speech-Language Pathology in the Integrated Surgical Institute at Cleveland Clinic and Adjunct Associate Professor of Physical Medicine and Rehabilitation and Pulmonary and Critical Care Medicine at Johns Hopkins University. Martin opens this hour, sharing his journey into critical care for adults and the role of mentors. Then Martin and Michelle deep dive into ICU delirium, discussing potential etiologies that could trigger it and how it could impact a patient's cognition and deglutition. The hour wraps with a discussion on the speech-language pathologist's role and responsibility to support patients across the life continuum with respect to the ethical timing of intervention. If you are an SLP who treats across the life continuum or are interested in working with adults, this is the episode for you!

We chat about pulmonary/critical care medicine fellowship with recent graduate Nicholas Ghionni (@pulmtoilet), a first-year attending at the MedStar Baltimore Hospital system. He completed PCCM fellowship at MedStar Washington Hospital Center where he also served as chief fellow. Find us on Patreon here! Buy your merch here!