Podcasts about Intensive care medicine

In this piece we discuss the intricacies of right heart failure, the differences between the right and left ventricles, and the challenges of early detection and monitoring. With a focus upon research we discuss the Swan-Ganz IQ pulmonary artery catheter, with the FastCCO algorithm, from BD Advanced Patient Monitoring. We cover its innovative capabilities, explore its impact on patient care and look particularly at high-risk patients like those with pulmonary hypertension and LVADs. The episode highlights the importance of new monitoring techniques, future research directions, and the promise of continuous data in improving right ventricular function diagnosis and treatment. Presented by Kate Leslie with her guest Joerg Ender, Director of the Department for Anesthesiology and Intensive Care Medicine, Heart Center, Leipzig, Germany. He is second president of the German Society of Anesthesiology and Intensive Care Medicine and former Secretary General of the European Association of Cardiothoracic Anaesthesiologists (EACTA).

Our guest, Chiara Robba, delves into her work on cerebral autoregulation in relation to critical illness. We explore the mechanisms of cerebral autoregulation in healthy and brain-injured patients, the potential of new monitoring technologies, and the importance of personalized patient care. The discussion also touches on the broader implications for managing blood pressure in various clinical scenarios, including sepsis and shoulder surgery. Presented by Kate Leslie and Monty Mythen with their guest, Chiara Robba who is Professor of Anaesthesia and Intensive Care, IRCSS Policlinico San Martino, Genova, Italy; and Past Chair of the Neurointensive Care Section of European Society of Intensive Care Medicine.

The AtlanTec Festival 2025 is officially underway, celebrating innovation and technology in the west of Ireland. With a strong focus on AI and cybersecurity, the AtlanTec Festival Conference at the University of Galway will take place on Thursday, May 29th, and is set to attract over 400 delegates, including international speakers and representatives from leading technology companies. Now in its 11th year, the festival is led by the non-profit association itag (Innovation Technology AtlanTec Gateway) with the support of its sponsors, members and the technology community. This year the packed programme of events - spanning more than two weeks - centres on the theme of 'Shaping the Future of Technology Innovation'. Conference speakers, Johnathan McCrea of Whipsmart Media and Newstalk, Bronagh Riordan of EY, and Dr Bairbre McNicholas, Senior Lecturer at the University of Galway and Consultant in Intensive Care Medicine at Galway University Hospitals, will discuss the role of AI and cybersecurity in their work. Short-form talks and use cases - ways in which a user interacts with a system or product, will follow from Fidelity, Cisco, Datavant, Accenture and CURIOSS. AI conference sessions will be led by Professor Michael Madden from the School of Computer Science at University of Galway and will feature a keynote from Gary Short of Darach AI, an AI/Machine Learning modelling company that allows you to make better business decisions by predicting the future. Cybersecurity conference sessions will be led by Seán Morris of Galway-based cybersecurity company TitanHQ and will feature keynotes from Mark Power of Immersive Labs, a company helping the world's largest organisations to be ready for the future of cyber threats, and Dr Mamoona Asghar from the School of Computer Science. Professor Lokesh Joshi, Vice-President for Research and Innovation at the University of Galway, said: "The festival enriches our collective expertise and allows us to engage with the vibrant technology community in our region, sparking valuable new connections. In addition, it highlights the West of Ireland as a major hub for excellence in innovation, technology, data and AI." Caroline Cawley, CEO of itag, said: "Now celebrating its 11th year, AtlanTec continues to drive innovation, fostering collaboration that advances the technology sector across the region. It is more than just a festival - it builds community by connecting professionals, businesses, and visionaries, significantly enhancing talent development throughout the region." During the conference, the recent winners of the AtlanTec AI Challenge hackathon will present their AI-driven solution to challenges in the healthcare domain. It aims to create AI solutions to address real-world challenges. The two-week festival is anticipated to attract over 1,000 delegates from regional and national technology companies across Ireland. It serves as a platform for networking, knowledge exchange, and exploring collaborative opportunities between academia and industry. The conference is brought to campus by the University of Galway Innovation Office, which is supported under the KT Boost Programme co-funded by the Government of Ireland and the European Union through the Northern and Western Regional Programme 2021-2027. For more information and to register for events, visit www.atlantec.ie.

Welcome back to another episode of The Case.Report! This month we're shaking things up a little as NCHDs Callum and Johnny work hard stabilising not just one patient, but an entire planetary ecosystem. Planet Earth has come to TCR resus in a critical condition and there's no time to waste. With toxic levels of air pollution, rising global temperatures, escalating extreme weather events, threats to global food and water security, and a rapidly closing window to act - this is a health emergency beyond any doubt. Our adult in the room this month is the outstanding Professor Hugh Montgomery - Professor of Intensive Care Medicine at University College London, Consultant in Cardiology and General Internal Medicine, Co-chair of The Lancet Countdown on Health and Climate Change. Listen now on ⁠Spotify⁠, ⁠Apple Podcasts⁠ or wherever you get your podcasts, and as always check out our Bluesky⁠,  ⁠Instagram⁠,  ⁠Facebook⁠ and ⁠X⁠ to keep updated with all things TCR.

In this special podcast episode, produced jointly with the Royal College of Anaesthetists and the Faculty of Intensive Care Medicine, Dr Danny Bryden, Dr Dale Gardiner and Dr Ian Thomas discuss when and how to diagnose death for the purposes of organ donation, and the implications of recent changes to guidance issued by the Academy of Medical Royal Colleges for anaesthetists and intensivists. Related information: 2025 Code of Practice for the diagnosis and confirmation of death  

In this episode of the Saving Lives Podcast, we discuss a study from Intensive Care Medicine that explores whether baseline serum chloride and pH affect outcomes with balanced fluids versus saline. The findings from the PLUS trial show no significant interaction, but intriguing trends suggest that hyperchloremic patients may benefit more from balanced fluids. The Vasopressor & Inotrope HandbookI have written "The Vasopressor & Inotrope Handbook: A Practical Guide for Healthcare Professionals," a must-read for anyone caring for critically ill patients (check out the reviews)! You have several options to get a physical copy. Amazon: ⁠⁠⁠⁠⁠⁠⁠https://amzn.to/47qJZe1⁠⁠⁠⁠⁠⁠⁠ (Affiliate Link)My Store: ⁠⁠⁠⁠⁠⁠⁠https://eddyjoemd.myshopify.com/products/the-vasopressor-inotrope-handbook⁠⁠⁠⁠⁠⁠⁠ (Use "podcast" to save 10%)Citation: Ramanan M, Hammond N, Billot L, Delaney A, Devaux A, Finfer S, Li Q, Micallef S, Venkatesh B, Young PJ, Myburgh J; PLUS Investigators. Serum chloride concentration and outcomes in adults receiving intravenous fluid therapy with a balanced crystalloid solution or 0.9% sodium chloride. Intensive Care Med. 2025 Feb;51(2):249-258. doi: 10.1007/s00134-024-07764-2. Epub 2025 Feb 10. PMID: 39928118.

What form of renal replacement therapy should clinicians use for patients in the intensive care unit (ICU)? New research has connected the renal replacement therapy choice with mortality end points and renal replacement therapy dependency in patients with acute kidney injury. In this podcast episode, experts discuss their research in this area. Ron Wald, MDCM, MHP, professor of medicine at the University of Toronto, discusses his article, “Initiation of Continuous Renal Replacement Therapy Versus Intermittent Hemodialysis in Critically Ill Patients With Severe Acute Kidney Injury: A Secondary Analysis of STARRT-AKI Trial,” published in the November 2023 issue of Intensive Care Medicine. Jay Koyner, MD, professor of medicine and director of the nephrology intensive care unit at the University of Chicago, discuss his article, “Initial Renal Replacement Therapy (RRT) Modality Associates With 90-Day Postdischarge RRT Dependence in Critically Ill AKI Survivors,” published in the August 2024 issue of Journal of Critical Care. This podcast is sponsored by Vantive U.S. Healthcare. Vantive supports true patient-focused treatments with industry-leading CRRT technology and is a partner dedicated to optimizing your clinical success in treating patients with acute kidney injury. Our commitment to you starts with education and provides complete support every step of the way. Visit us at vantive.com.

Welcome to the FICM Learning Podcast, where we explore key topics shaping Intensive Care Medicine. This episode, recorded in Summer 2024, features an update from the Professional Affairs and Safety Committee on their ongoing workstreams. Joining us are:

This piece discusses significant advancements and ongoing challenges in anesthesia and perioperative medicine. Our guest shares his journey from his training days at the University of Basel to his influential work in patient safety across Europe; including pioneering efforts with incident reporting and simulation training inspired by collaborations with NASA. The conversation delves into the evolution of safety practices, the emphasis on human factors over technological advancements, and the complexities of teamwork and communication in the operating room. They explore the importance of standardized procedures, the necessity of adaptability in unstandardized situations, and the role of interdisciplinary collaboration in enhancing patient outcomes. We mention the Helsinki Decleration on Patient Safety in Anasethesiology (link below) and touch on the dissemination and integration of safety principles, the financial implications of quality and safety issues in hospitals, and the future direction of patient safety initiatives, emphasizing the need for continued investment in training and teamwork. Presented by Desiree Chappell with her guest, Sven Stander,  Senior leading physician in Intensive Care Medicine; Clinical Research, Intensive Care, Anesthesiology at The University Hospital Zurich. Link to the Helsinki Declaration on Patient Safey in Anaesthesiology is here: https://esaic.org/patient-safety/helsinki-declaration-on-patient-safety-in-anaesthesiology/

Send us a textProf. Dr. Niels Riedemann, MD, Ph.D. is Chief Executive Officer and Founder of InflaRx ( https://www.inflarx.de/Home/About-Inflarx/Team~Niels-C.-Riedemann~.html ), a biopharmaceutical company focused on applying its proprietary anti-C5a and C5aR inhibitors to the treatment of life-threatening or debilitating inflammatory diseases with high unmet medical need. Prof. Dr. Riedemann has over 15 years of experience in the biotech industry and drug development, as well as over 20 years of experience in complement immunology research. He founded InflaRx in 2007 and has served as Chief Executive Officer since inception of the company. He has been instrumental in and led numerous private and public financing rounds of the company and has been the responsible lead for its Nasdaq IPO in 2017. He is named inventor on several internationally granted core patents of InflaRx. As physician, Prof. Dr. Riedemann was appointed Vice Director (“Leitender Oberarzt”) of Intensive Care Medicine, and led a 50-bed University ICU unit for over 6 years at Friedrich Schiller University, Jena, Germany until 2015. Before that, he received his board certification as General Surgeon upon completion of his surgical fellowship at MHH (Hannover Medical School, Germany) in 2007 where he also received his habilitation (equivalent to Ph.D.) and where he still holds an Adjunct Professorship (APL Professor). He spent three years as postdoctoral research fellow at the University of Michigan, USA until 2003. He received his medical training at Albert Ludwig University (ALU), Freiburg, Germany, and Stanford University, USA and graduated as Dr. med. (equivalent to M.D.) from ALU in 1998. Prof. Dr. Riedemann's research has been awarded with several national and international awards. He has received extensive extra-mural funding and published over 60 peer reviewed scientific publications in highly ranked journals. He has served as a member on a Board of Directors and a Scientific Advisory Board of two large scientific governmental funded programs. He currently serves as Co-Chair of the Health Politics working group of Bio-Deutschland and he serves as member of the board of trustees for the German Sepsis Foundation.#NielsRiedemann #InflaRx #Inflammation #ComplementComponent5a  #Sepsis #AcuteRespiratoryDistressSyndrome #Covid #ARDS #GOHIBIC #Vilobelimab #PyodermaGangrenosum #ChronicSpontaneousUrticaria #HidradenitisSuppurativa #Preparedness #BARDA #ProgressPotentialAndPossibilities #IraPastor #Podcast #Podcaster #ViralPodcast #STEM #Innovation #Technology #Science #ResearchSupport the show

EPISODE SUMMARY Join scientist and mindset & high-performance coach Claudia Garbutt and human performance & longevity expert Dr. Guénolé Addor, as they talk about all things that keep you healthy & happy for longer.   In this episode, we talk about: - Exciting breakthroughs in longevity medicine - Favorite biohacks for improving energy & focus - Building cutting-edge longevity clinics   EPISODE NOTES Dr. Addor is an established figure in the world of Anti-Aging and Longevity Medicine. With roots deeply anchored in Anesthesiology and Intensive Care Medicine, Dr. Addor has successfully made the leap from a traditional medical background to become a leading consultant in longevity and regenerative medicine.  Currently based in Switzerland, he is dedicating his expertise to consulting, concierge medicine, and the establishment of cutting-edge longevity clinics. Educated at the University of Lausanne, Dr. Addor then worked as a medical doctor in the university hospital of CHUV, Lausanne. Here, he specialized in Anesthesiology and Intensive Care, contributing significantly to the field as a Senior Fellow and also leading the Transfusion Commission for Patient Blood Management. His dedication to medical innovation didn't stop there. Dr. Addor further honed his expertise by earning a certificate in Precision & Anti-Aging Medicine from the American Academy of Anti-Aging Medicine in 2022. Beyond his formal training and roles, Dr. Addor is a man of multifaceted talents and interests. An avid adventurer, his feats include the ascent of Himlung Himal in Nepal and sailing across the Atlantic Ocean.  Whether it's skiing down the slopes or kite surfing over the waves, Dr. Addor is just as comfortable in athletic gear as he is in a lab coat. A musician at heart, he also finds time to indulge his love for classical piano and jazz. Driven by an insatiable curiosity and a relentless pursuit for innovation, Dr. Addor continually seeks to integrate the latest advances in biohacking and regenerative medicine into his work. Now focused on consulting and concierge medicine, he is channeling his extensive knowledge and experience into building the next generation of longevity clinics.   Links: https://xlongevity.com https://www.linkedin.com/in/guenoleaddor/ https://www.instagram.com/draddormd/   ------------- Special THANKS to the episode sponsor Pulsetto!   Looking for a quick & easy way to activate your parasympathetic nervous system so that you can be more relaxed & fall asleep faster? Try Pulsetto!   Get a special 10% discount when you use my affiliate link: https://pulsetto.myshopify.com/wiredforsuccess  ---------   ------------ Click this link to listen on your favorite podcast player and if you enjoy the show, please leave a rating & review: https://linktr.ee/wiredforsuccess     ------------------   Music credit: Vittoro by Blue Dot Sessions (www.sessions.blue)   -----------------   Disclaimer: Podcast Episodes might contain sponsored content.    

This medical and educational podcast was supported by Edwards Lifesciences and is intended for healthcare professionals. In this final episode, we learn about how Interventional Cardiologist can play a key role in improving the referral pathway of TAVI patients Moderator Jonathan Sackier - EMJ Speakers:   Derk Frank – Interventional Cardiologist, Professor of internal medicine, critical care, and cardiology and Director of the Department for Internal Medicine III (Cardiology, Angiology and Intensive Care Medicine,) at the University Hospital Schleswig-Holstein in Kiel, Germany and the German Centre for Cardiovascular Research   Sagar Doshi – Consultant Interventional Cardiologist and Director of the Transcatheter Aortic Valve Implantation (TAVI) programme at the Queen Elizabeth Hospital Birmingham. and Professor of Cardiology Honorary Associate Clinical Professor at the University of Birmingham, and an Honorary Professor at University College Birmingham, in the UK.

Neste episódio, conversamos sobre Sepse e a importância do antibótico. Salientamos pontos importantes, fatores de risco e dicas para escolha da terapia correta, principalmente no contexto de gram negativos MDR. Este é o terceiro episódio da nossa série especial realizada em parceria com a Pfizer, em que trazemos discussões que conectam ciência e prática clínica para enfrentar desafios no combate às infecções.

In this episode, Dr. Sergio Zanotti discusses rational fluid therapy. He is joined by Dr. Adrian Wong, a practicing intensive care medicine and anesthesia physician. Dr. Wong is a consultant and clinical lead at King's College Hospital, London. He also serves as a committee member for the Intensive Care Society FUSIC, examiner for the European Diploma of Intensive Care Medicine, on the executive committee of the International Fluid Academy. Additional resources: Intravenous fluid therapy in the perioperative and critical care setting” Executive summary of the International Fluid Academy (IFA). Malbrain ML, et al. Ann. Intensive Care 2020: https://pubmed.ncbi.nlm.nih.gov/32449147/ Multidisciplinary expert panel report on fluid stewardship: perspectives and practice. Malbrain ML, et al. Annals of Intensive Care 2023: https://pubmed.ncbi.nlm.nih.gov/37747558/ The emerging concept of fluid tolerance: A position paper. Kattan E, et al. Journal of Critical Care 2022: https://pubmed.ncbi.nlm.nih.gov/35660844/ Everything you need to know about derescuscitation. Malbrain ML, et al. Intensive Care Med 2022: https://pubmed.ncbi.nlm.nih.gov/35932335/ Start with Why. TED Talk presented by Simon Sinek: https://simonsinek.com/videos/ted-talks/ Books mentioned in this episode: Thinking Fast and Slow. By Daniel Kahneman: https://amzn.to/4hicUoj Start with Why: How Great Leaders Inspire Everybody to Take Action. By Simon Sinek: https://bit.ly/42hzt8n

Le Dr Sarah Benghanem, Réanimatrice dans le service de Médecine Intensive Réanimation de l'hôpital de Cochin à Paris, nous parle de la neuropronostication après un arrêt cardiorespiratoire autour de 3 questions : Qu'est-ce que la neuropronostication ? Pourquoi est-elle essentielle après un arrêt cardiorespiratoire ? Chez quel malade et dans -quels délais doit-elle être réalisée ? Quels sont les outils à notre disposition en 2024 et quelle est la place de chacun d'eux ? Quelles sont les nouvelles pistes pour améliorer la neuropronostication dans les années à venir ? Aucun conflit n'est déclaré. Références : Nolan et al, European Resuscitation Council and European Society of Intensive Care Medicine guidelines 2021: post-resuscitation care, Intensive Care Medicine and Resuscitation 2021, DOI: 10.1007/s00134-021-06368-4 Sandroni et al, Prediction of poor neurological outcome in comatose survivors of cardiac arrest: a systematic review, Intensive Care Medicine 2020, DOI: 10.1007/s00134-020-06198-w Sandroni et al, Prediction of good neurological outcome in comatose survivors of cardiac arrest: a systematic review, Intensive Care Medicine 2022, DOI: 10.1007/s00134-022-06618-z Benghanem et al, Prognostication after cardiac arrest: how EEG and evoked potentials may improve the challenge, Annals of intensive care 2022, DOI: 10.1186/s13613-022-01083-9

The latest guidelines released from the European Society of Intensive Care Medicine (ESICM) are about end-of-life (EOL) and palliative care for critically ill adults! This comprehensive work, developed by an international, multi-disciplinary team of clinical experts, a methodologist, and patient and family representatives, is now accessible to all clinicians. We had the privilege of interviewing Prof. Kesecioglu, who led this remarkable project. Listen to this interview and explore the rationale and methodology behind the guidelines and hear the initial feedback following their release.

We've reviewed several papers in the past that suggest there might be an advantage to using IV access compared to IO access for medications in cardiac arrest. Is that really a thing? Wouldn't it be great if we had some randomized controlled trials to help answer the questions?  Funny you should mention RCTs. Dr Jarvis reviews three (THREE!) new RCTs that compare IV to IO access in out of hospital cardiac arrest to try to shed some of that bright light of science on this question!Citations:1. Vallentin MF, Granfeldt A, Klitgaard TL, Mikkelsen S, Folke F, Christensen HC, Povlsen AL, Petersen AH, Winther S, Frilund LW, et al.: Intraosseous or Intravenous Vascular Access for Out-of-Hospital Cardiac Arrest. N Engl J Med.2. Smida T, Crowe R, Jarvis J, Ratcliff T, Goebel M: A retrospective comparison of upper and lower extremity intraosseous access during out-of-hospital cardiac arrest resuscitation. Prehospital Emergency Care. 2024;28(6):1–23.3. Nielsen N: The Way to a Patient's Heart — Vascular Access in Cardiac Arrest. N Engl J Med. doi: 10.1056/NEJMe2412901 (Epub ahead of print).4. Ko Y-C, Lin H-Y, Huang EP-C, Lee A-F, Hsieh M-J, Yang C-W, Lee B-C, Wang Y-C, Yang W-S, Chien Y-C, et al.: Intraosseous versus intravenous vascular access in upper extremity among adults with out-of-hospital cardiac arrest: cluster randomised clinical trial (VICTOR trial). BMJ. doi: 10.1136/bmj-2024-079878 (Epub ahead of print).5. Kudenchuk PJ, Brown SP, Daya M, Rea T, Nichol G, Morrison LJ, Leroux B, Vaillancourt C, Wittwer L, Callaway CW, et al.: Amiodarone, Lidocaine, or Placebo in Out-of-Hospital Cardiac Arrest. N Engl J Med. 2016;May 5;374(18):1711–22.6.Daya MR, Leroux BG, Dorian P, Rea TD, Newgard CD, Morrison LJ, Lupton JR, Menegazzi JJ, Ornato JP, Sopko G, et al.: Survival After Intravenous Versus Intraosseous Amiodarone, Lidocaine, or Placebo in Out-of-Hospital Shock-Refractory Cardiac Arrest. Circulation. 2020;January 21;141(3):188–98.7. Nolan JP, Deakin CD, Ji C, Gates S, Rosser A, Lall R, Perkins GD: Intraosseous versus intravenous administration of adrenaline in patients with out-of-hospital cardiac arrest: a secondary analysis of the PARAMEDIC2 placebo-controlled trial. Intensive Care Medicine. doi: 10.1007/s00134-019-05920-7 (Epub ahead of print).

Transfusion strategy for patients with acute brain injury, telehealth care, acute kidney injury after cardiac surgery, and weaning ventilatory support are the topics of 4 trials published in JAMA and presented at the 2024 European Society of Intensive Care Medicine meeting. JAMA Associate Editor Christopher Seymour, MD, MSc, joins Editor in Chief Kirsten Bibbins-Domingo, PhD, MD, MAS, to discuss. Related Content: Shifting Balance of the Risk-Benefit of Restrictive Transfusion Strategies in Neurocritically Ill Patients—Is Less Still More? Evaluating Complex Technological Innovations in Critical Care—Current Challenges and Future Directions Impact of Adsorptive Blood Purification on Kidney Outcomes Ventilator Weaning Strategies—Managing Interaction Between Randomized Treatments Restrictive vs Liberal Transfusion Strategy in Patients With Acute Brain Injury Effect of Tele-ICU on Clinical Outcomes of Critically Ill Patients Extracorporeal Blood Purification and Acute Kidney Injury in Cardiac Surgery Frequency of Screening and Spontaneous Breathing Trial Techniques

More from this year's coverage of the European Society of Anesthesiology and Intensive Care (ESAIC). This piece focuses on perioperative and intensive care medicine, the importance of evidence-based guidelines over expert opinion. Why do we need a European perioperative database? How important is mentorship in medicine? How do we take the lead with leadership? Presented by Desiree Chappell and Kate Leslie with their guests Wolfgang Buhre, President of the European Society of Anaesthesiology and Intensive Care Medicine and Carolina Romero Garcia, Research Mentorship Programme Leader for the European Society of Anesthesiology and Intensive Care (ESAIC), Consultant Anesthesiologist, Consorcio Hospital General Universitario de Valencia.

In this episode, Eddy Joe delves into the intensive care management of brain-dead donors, based on a recent article from Intensive Care Medicine. Learn about hemodynamic support, endocrine treatment, and respiratory management strategies to optimize organ procurement. Tune in for an in-depth discussion on improving donor organ viability while maintaining the dignity of the deceased. The Vasopressor & Inotrope Handbook I have written "The Vasopressor & Inotrope Handbook: A Practical Guide for Healthcare Professionals," a must-read for anyone caring for critically ill patients (check out the reviews)! You have several options to get a physical copy while supporting my endeavors. If you're in the US, you can order ⁠⁠⁠A SIGNED & PERSONALIZED COPY for $29.99⁠⁠⁠ or via ⁠⁠⁠AMAZON⁠⁠⁠ (for orders outside the US). Ebook versions: ⁠⁠⁠AMAZON KINDLE for $9.9⁠⁠⁠⁠⁠⁠9⁠⁠⁠. ⁠⁠⁠APPLE BOOKS⁠⁠⁠ and ⁠⁠⁠GOOGLE PLAY⁠⁠⁠.  ¡Excelentes noticias! Mi libro ha sido traducido al español y las versiones electrónicas están disponibles para su compra for solo $9.99 en ⁠⁠⁠AMAZON KINDLE⁠⁠⁠, ⁠⁠⁠APPLE BOOKS⁠⁠⁠ y ⁠⁠⁠GOOGLE PLAY⁠⁠⁠. When you use these affiliate links, I earn an additional commission at no extra cost to you, which is a great way to support my work. Citation: Gunst J, Souter MJ. Management of the brain-dead donor in the intensive care unit. Intensive Care Med. 2024 Jun;50(6):964-967. doi: 10.1007/s00134-024-07409-4. Epub 2024 Apr 10. PMID: 38598128. --- Support this podcast: https://podcasters.spotify.com/pod/show/eddyjoemd/support

"TopMedTalk Down Under" continues 'as live' coverage of the 2024 Australian and New Zealand College of Anaesthetists (ANZCA) and Faculty of Pain Medicine's Annual Scientific Meeting. This piece sees us ascend into the world of early human flight and the use of oxygen. Presented by Andy Cumpstey, Clinical lecturer, University Hospital Southampton NHS Foundation Trust and the University of Southampton, England, and Kate Leslie, Professor, Specialist Anaesthetist and Head of Research at the Royal Melbourne Hospital and the University of Melbourne with their guests Christine Ball, Honorary Curator at Geoffrey Kaye Museum; Anaesthetist, Alfred Hospital; Adjunct Associate Professor, Monash University and Dan Martin, OBE, Professor of Perioperative and Intensive Care Medicine, University of Plymouth, Consultant in anaesthesia and intensive care medicine, Derriford hospital. You can find out more about ANZCA here: https://www.anzca.edu.au/ Dan has previously appeared on TopMedTalk and we highly reccomend this piece here if you want more: https://topmedtalk.libsyn.com/asa-life-at-the-extremes-trials-on-everest-adapting-to-hypoxia

In this conversation with Luca Carenzo, we delve into the complexities and challenges surrounding Exercise Associated Collapse (EAC). Drawing from a recent publication in the Journal of Science and Medicine in Sport titled "An Unusual Case of Marathon-related Exercise-associated Collapse: Case Report and Some Considerations for Medical Care at Endurance Mass Participation Events," we unravel a fascinating case that sheds light on the importance of a thorough diagnostic approach and multi-disciplinary collaboration in EAC management. Luca, an esteemed Anaesthetic and Critical Care consultant from Milan, Italy, shares his insights on empirically proven treatments for EAC and how this unique case has reshaped his perspective on the differential diagnoses in EAC. We explore the significance of patient-focused research, the power of intra-specialty collaboration, and the potential for EAC collated databases to advance our understanding of this complex condition. With a rich background working at The Royal London Hospital Adult Critical Care Unit, participating in mission work with Doctors without Borders, and serving as a faculty member at World Extreme Medicine, Luca brings a wealth of expertise to the discussion. Currently, he works at the Instituto Clinico Humanitas, Department of Anaesthesia and Intensive Care Medicine in Milan, and serves as a consultant for iHelp, an Italian critical care company dedicated to mass event medical care. Join us for an enlightening exploration of EAC that will challenge your assumptions and inspire a more comprehensive approach to patient care in endurance events. This paper is also mentioned in the episode: Sudden cardiac arrest in a marathon runner: a case report Please note: this episode was originally aired on ⁠The Pre-Hospital Care Podcast.⁠ World Extreme Medicine was given permission by the podcast host to share this episode.

Episode 35! In this episode we talk about extubation practices with "Effect of aggressive vs conservative screening and confirmatory test on time to extubation among patients at low or intermediate risk: a randomized clinical trial" published in Intensive Care Medicine by Hernandez et al. We then talk about an observation study by Zarrabian et al published in the Blue Journal "Liberation from Invasive Mechanical Ventilation with Continued Receipt of Vasopressor Infusions".SPEED UP: https://pubmed.ncbi.nlm.nih.gov/38353714/Extubation on Pressors: https://pubmed.ncbi.nlm.nih.gov/35107416/If you enjoy the show be sure to like and subscribe, leave that 5 star review! Be sure to follow us on the social @icucast for the associated figures, comments, and other content not available in the audio format! Email us at icuedandtoddcast@gmail.com with any questions or suggestions! Thank you Mike Gannon for the intro and exit music!

Our coverage of the 18th World Congress of Anaesthesiologists (WCA 2024) continues. This conversation focuses upon The National Audit Projects, https://www.rcoa.ac.uk/research/research-projects/national-audit-projects-naps Patient safety and event reporting in healthcare. Anesthesia trends and patient outcomes in the UK. Cardiac arrest causes and preparedness in medical departments. Cardiac arrest outcomes and quality of care. Anesthesia patient safety and risk management. Presented by Desiree Chappell and Mike Grocott with their guest, Tim Cook, Consultant in Anaesthesia and Intensive Care Medicine, Royal United Hospital, Bath, Honorary Professor of Anaesthesia University of Bristol and Director of National Audit Projects.

This time is always busy for our trainees with interview preparation so Leah took the opportunity to sit down with Dr Andrew Neill, consultant in Emergency and Intensive Care Medicine in the Mater Hospital to discuss the controversial topic of REBOA. They discuss the UK-REBOA trial and the evidence behind the technique and why we should be cautious about it's used in the Irish trauma system in particular. As always, don't forget to follow us on socials on ⁠⁠⁠instagram⁠⁠⁠, ⁠⁠⁠twitter ⁠⁠⁠and ⁠⁠⁠facebook ⁠⁠⁠to keep updated with all things TCR. Coffee in hand? Right then, let's get to it!

Episode 31! This episode we talk first about invasive vs non-invasive blood pressures from an observational paper titled "Accuracy of Noninvasive Blood Pressure Monitoring in Critically Ill Adults" published in journal of Intensive Care Medicine by Haber et al and then for our old trial we further the discussion of blood pressure by talking about the 65 trial!Non-invasive vs invasive blood pressure: https://pubmed.ncbi.nlm.nih.gov/38215002/65 Trial: https://pubmed.ncbi.nlm.nih.gov/32049269/If you enjoy the show be sure to like and subscribe, leave that 5 star review! Be sure to follow us on the social @icucast for the associated figures, comments, and other content not available in the audio format! Email us at icuedandtoddcast@gmail.com with any questions or suggestions! Thank you Mike Gannon for the intro and exit music!

Dr. Casey Clements spent two hours breaking down the history and influences in sepsis care over the past three decades and going through the best practices in today's emergency medicine. Do you know how Sepsis is defined currently? What is the difference between SEP - 1 and surviving sepsis campaign? What is the role of steroids or vitamin C? Can you resuscitate these patients with albumin? These and so many more questions will be answered in this two part series. So join Venk like vancomycin, and Alex (aka Zosyn) and Casey "not-cidal" Clements in these amazing episodes.   CONTACTS X - @AlwaysOnEM; @VenkBellamkonda YouTube - @AlwaysOnEM; @VenkBellamkonda Instagram – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch Email - AlwaysOnEM@gmail.com REFERENCES & LINKS SOFA Score: Vincent JL, MOreno R, Takala J, et al. The SOFA (Sepsis-related organ failure assessment) score to describe organ dysfunction / failure. On Behalf of the working group on Sepsis-Related Problems of the European Society of Intensive Care Medicine. Intensive Care Med. 1996 Jul;22(7):707-10 Vincent JL, de Mendonca A, Cantraine F, et al. Use of the SOFA score to assess the incidence of organ dysfunction / failure in intensive care units: results of a multicenter, prospective study. Working group on ‘sepsis-related problems' of the European Society of Intensive Care Medicine. Crit Care Med. 1998;26(11):1793-1800 Ferreira FL, Bota DP, Bross A, Merlot C, Vincent JL. Serial evaluation of the SOFA score to predict outcomes in critically ill patients. JAMA. 2001 Oct 10;286(14):1754-8 Cardenas-Turanzas M, Ensor J, Wakefield C, Zhang K, Wallace SK, Price KJ, Nates JL. Cross-validation of a sequential organ failure assessment score-based model to predict mortality in patients with cancer admitted to the intensive care unit. J Crit Care. 2012 Dec;27(6):673-80 qSOFA score Seymour CW, Liu VX, Iwashyna TJ, et al. Assessment of clinical criteria for sepsis: for the Third International Consensus Definitions for sepsis and septic shock (Sepsis-3). JAMA. 2016;315(8):762-774 Shankar-Hari M, Phillips GS, Levy ML, et al. Developing a new definition and assessing new clinical criteria for septic shock: For the Third International Consensus Definitions for Sepsis and SEptic Shock (Sepsis-3). JAMA. 2016;315(8):775-787 Freund Y, Lemachatti N, Krastinova E, et al. Prognostic accuracy of Sepsis-3 Criteria for in-hospital mortality among patients with suspected infection presenting to the emergency department. JAMA. 2017;317(3):301-308 Raith EP, Udy AA, Bailey M, et al. Prognostic accuracy of the SOFA score, SIRS criteria, and qSOFA score for in-hospital mortality among adults with suspected infection admitted to the intensive care unit. JAMA. 2017;317(3):290-300 Comparing Prognostic scores Henning DJ, Puskarich MA, Self WH, Howell MD, Donnino MW, Yealy DM, Jones AE, Shapiro NI. An Emergency Department validation of the SEP-3 Sepsis and Septic Shock definitions and comparison with 1992 consensus definitions. Ann Emerg Med. 2017 Oct;70(4):544-552 IDSA concern Rhee C, Chiotos K, Cosgrove SE, Heil EL, Kadri SS, Kalil AC, Gilbert DN, Masur H, Septimus EJ, Sweeney DA, Strich JR, Winslow DL, Klompas M. Infectious diseases society of america position paper: Recommended revisions to the National Severe Sepsis and Septic Shock early management bundle (SEP-1) Sepsis Quality Measure. Clin Infect Dis. 2021 Feb 16;72(4):541-552 About Barcelona Declaration Slade E, Tamber PS, Vincent JL. The Surviving Sepsis Campaign: raising awareness to reduce mortality. Crit Care. 2003;7:1-2 1- hour surviving sepsis bundle guidance Freund Y, Khoury A, Mockel M, et al. European Society of Emergency Medicine position paper on the 1-hour sepsis bundle of the Surviving Sepsis Campaign: expression of concern. Eur J Emerg Med. 2019 Aug;26(4):232-233 Early Goal Directed Therapy Rivers E, Nguyen B, Havstad S, et al. Early goal-directed therapy in the treatment of severe sepsis and septic shock. NEJM. 2001 Nov 8;345(19):1368-77 SEP - 1 Quality Measure National Quality Forum Measure submission and evaluation worksheet 5.0 for NQF #0500 Severe Sepsis and Septic Shock: Management Bundle, last updated Date: Oct 05, 2012. Website link Accessed 01-31-2024: https://www.qualityforum.org/Projects/i-m/Infectious_Disease_Endorsement_Maintenance_2012/0500.aspx  National Quality Forum: NQF Revises Sepsis Measure. Website link accessed 01-31-2024: https://www.qualityforum.org/NQF_Revises_Sepsis_Measure.aspx  Faust JS, Weingart SD. The Past, Present, and Future of the Centers for Medicare and Medicaid Services Quality Measure SEP-1 - the early management bundle for severe sepsis / septic shock. Emerg Med Clin N Am. 2017; 35:219-231 Affordable care act Patient Protection and Affordable Care Act, Public Law 148, U.S. Statutes at Large 124 (2010):119-1024. Website link accessed 01-31-2024: https://www.govinfo.gov/app/details/STATUTE-124/STATUTE-124-Pg119/summary.  Fluids for sepsis in concerning populations Pence M, Tran QK, Shesser R, Payette C, Pourmand A. Outcomes of CMS-mandated fluid administration among fluid-overloaded patients with sepsis: A systematic review and meta-analysis. Am J Emerg Med. 2022 May:55:157-166 Zadeh AV, Wong A, Crawford AC, Collado E, Larned JM. Guideline-based and restricted fluid resuscitation strategy in sepsis patients with heart failure: A systematic review and meta-analysis. Am J Emerg Med. 2023 Nov:73:34-39   WANT TO WORK AT MAYO? EM Physicians: https://jobs.mayoclinic.org/emergencymedicine EM NP PAs: https://jobs.mayoclinic.org/em-nppa-jobs   Nursing/Techs/PAC: https://jobs.mayoclinic.org/Nursing-Emergency-Medicine EMTs/Paramedics: https://jobs.mayoclinic.org/ambulanceservice All groups above combined into one link: https://jobs.mayoclinic.org/EM-Jobs  

Dr Francois Lamontagne joins Rob Mac Sweeney to discuss the harmonised REMAP-CAP / LOVIT-COVID vitamin C trial. The trial was presented at the European Society of Intensive Care Medicine annual congress and simultaneously published in the New England Journal of Medicine.

In this episode of The Saving Lives Podcast, "Integrating Palliative Care in the ICU: Enhancing Quality of Life," host EddyJoe discusses the article 'Palliative Care in Intensive Care' from 'Intensive Care Medicine.' The episode examines how palliative care improves patient quality of life and reduces ICU stays, highlighting its role beyond end-of-life care. It emphasizes the need for training and changing perceptions among healthcare professionals. Essential for medical practitioners, this episode offers insights into incorporating palliative care into ICU practices for better patient outcomes. The Vasopressor & Inotrope Handbook: ⁠⁠Amazon Affiliate Link⁠⁠ (I will earn an extra small commission) and ⁠⁠Signed Copies⁠⁠. TrueLearn Link: ⁠⁠⁠⁠⁠⁠⁠⁠https://truelearn.referralrock.com/l/EDDYJOEMD25/⁠⁠⁠⁠⁠⁠⁠⁠ Discount code: EDDYJOEMD25 Citation: Neukirchen M, Metaxa V, Schaefer MS. Palliative care in intensive care. Intensive Care Med. 2023 Dec;49(12):1538-1540. doi: 10.1007/s00134-023-07260-z. Epub 2023 Nov 27. PMID: 38010381; PMCID: PMC10709230. --- Support this podcast: https://podcasters.spotify.com/pod/show/eddyjoemd/support

In this conversation, we will explore some of the nuances and challenges of Exercise Associated Collapse (EAC) with Luca Carenzo. The basis of this interview was the recent publication in the Journal of Science and Medicine in Sport of An Unusual Case of Marathon-related Exercise-associated Collapse: Case Report and Some Considerations for Medical Care at Endurance Mass Participation Events. We will explore the case and some empirically proven treatments that form the mainstay of treatment within EAC. We will also visit some of the reflections on the case and how it has changed Luca's thinking on the list of differentials within EAC. We also examine patient-focused research, intra-speciality collaboration and EAC collated databases. To do this I have Luca Carenzo with me. Luca is an Anaesthetic and Critical Care consultant from Milan, Italy. He previously worked at The Royal London Hospital Adult Critical Care Unit and has taken part in some mission work with Doctors without Borders. He is also a World Extreme Medicine faculty member. He currently works in the Istituto Clinico Humanitas IRCCS Humanitas · Department of Anaesthesia and Intensive Care Medicine in Milan. He also works for i-Help, a critical care mass gathering provider. The paper in the episode can be found here: An unusual case of Marathon-related exercise-associated collapse: Case report and some considerations for medical care at endurance mass participation eventshttps://pubmed.ncbi.nlm.nih.gov/37919145/#:~:text=This%20article%20presents%20a%20unique,immediately%20with%20CPR%20and%20AED. This paper is also mentioned in the episode: Sudden cardiac arrest in a marathon runner. A case report https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3484937/

In this conversation, we will examine whether point-of-care ultrasound is a reliable predictor of outcome during Traumatic Cardiac Arrest (TCA). We will dig into the recently published systematic review on the topic with Tim Harris, who is one of the authors of the paper. We will examine why the authors decided to look at TCA and POCUS, the number of studies and patients examined, the type of Mechanism Of Injury (MOI) leading to TCA, what the results showed, and how this is relevant to practice. We also look at the other adjunctive markers in the pre-hospital domain to inform the Termination Of Resuscitation (TOR) based on the results found in this paper. We will also dig into another recently published paper related to the diagnostic performance of POCUS in resuscitative outcomes published in April of this year on a systematic review and meta-analysis of 3265 patients and outcomes with POCUS.     To do this I have Tim Harris with me. Tim is a Professor of Emergency Medicine and Programme Director for the Emergency and Resuscitation Medicine programme at the Blizard Institute, Queen Mary University of London. He has trained extensively overseas, training in Emergency Medicine and Intensive Care Medicine in the UK, Australia, Africa, India and Samoa. The papers we examine include: Is point-of-care ultrasound a reliable predictor of outcome during traumatic cardiac arrest? A systematic review and meta-analysis from the SHoC investigators:https://www.sciencedirect.com/science/article/abs/pii/S0300957221003270 Diagnostic performance of point-of-use ultrasound of resuscitation outcomes: A systematic review and meta-analysis of 3265 patients:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10129265/ My thanks to Tim for an engaging and insightful interview.

Looking this week at one of the highlights of Anesthesiology 2022 for us here on TopMedTalk; Desiree Chappell and Monty Mythen in conversation with the always interesting Bernd Saugel, Professor and Vice Chair of the Department of Anesthesiology, Center of Anesthesiology and Intensive Care Medicine at the University Medical Center Hamburg-Eppendorf, Germany. The study is here: https://pubmed.ncbi.nlm.nih.gov/37265355/ Bernd is a popular figure here on TopMedTalk, we featured him recently during our coverage of The Euroanesthesia 2023 conference: https://topmedtalk.libsyn.com/topmedtalks-to-bernd-saugel-and-thomas-scheeren-esaic-2023 We also reference an earlier appearance in the conversation here: https://topmedtalk.libsyn.com/bernd-saugel-at-euroanesthesia-2022-topmedtalk The original unedited conversation is here:https://topmedtalk.libsyn.com/the-detect-study-anesthesiology-2022

Entre os dias 21 e 25 de outubro aconteceu em Milão, na Itália, o European Society of Intensive Care Medicine – ESICM 2023, congresso que abordou diversos temas sobre a área da medicina intensiva com os maiores especialistas do mundo. Neste episódio, Yuri Albuquerque, intensivista e conteudista do Portal, reúne as principais discussões sobre medicina intensiva abordadas no evento, que deu ênfase à monitorização hemodinâmica, à ventilação mecânica e à sepse. Confira agora dando o play! Confira esse e outros posts no Portal PEBMED e siga nossas redes sociais! Facebook Instagram Linkedin Twitter

When writing about health and fitness, I often weave hormones into the discussion. I'm asked more about hormones than most other topics, as well. But there's another crucial category of communicators that deserves equal attention: neurotransmitters. These chemicals have a massive influence on how you feel, think, and even how you perform. They're often overlooked in mainstream health discussions, but understanding them can be a game-changer for your well-being. In this guide, we will dig deep into neurotransmitters: what they are, how they're different from hormones, and why you should care about them for your overall health. The Difference Between Hormones and Neurotransmitters Hormones are like the body's long-distance messengers. Produced by glands in the endocrine system, they travel through the bloodstream to deliver signals to various tissues and organs.Marieb, E. N., & Hoehn, K. (2018). Human Anatomy & Physiology (11th ed.). Pearson. They're behind a lot of what happens in your body, from controlling your metabolism to regulating your sleep cycles. Neurotransmitters, on the other hand, are more like local couriers. They operate mainly in the brain, helping neurons communicate with each other.Kandel, E. R., Schwartz, J. H., & Jessell, T. M. (2000). Principles of Neural Science (4th ed.). McGraw-Hill. Unlike hormones, they don't travel long distances. They make their impact in the tiny spaces between neurons, called synapses, and their effects are often immediate. Key Differences Speed of Action: Neurotransmitters work fast, almost instantly. Hormones usually take more time to show their effects. Range of Influence: Hormones can affect multiple systems throughout the body. Neurotransmitters usually have a more localized impact, especially within the brain. Regulatory Mechanisms: Hormones are typically regulated by feedback loops involving multiple organs. Neurotransmitters are primarily regulated within the nervous system. How Neurotransmitters Impact Your Health Physical Health Dopamine and norepinephrine aren't just about feeling good; they're about energy optimization. These neurotransmitters act in the brain's arousal system, influencing both wakefulness and alertness. Low levels can lead to symptoms akin to chronic fatigue syndrome, affecting not just your mood but also your physical stamina.Tumilty, S., et al. (2018). The effects of norepinephrine on hemodynamics and oxygen metabolism in hyperdynamic sepsis. Journal of Intensive Care Medicine, 33(6), 357-364. Physical Performance Acetylcholine is a neurotransmitter that you might not have heard of, but it's crucial for anyone interested in physical performance. It acts as the messenger between your nerves and muscles, facilitating the contraction that allows for movement. A deficiency in acetylcholine can lead to muscle weakness and decreased athletic performance.Deschenes, M. R., & Wilson, M. H. (2003). Age-related differences in synaptic plasticity following muscle unloading. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 58(8), B678-B687. Mental Health When it comes to mood regulation, serotonin and dopamine are the big players. An imbalance in serotonin levels has been directly linked to mood disorders like depression and anxiety. Dopamine also plays a role in how we perceive pleasure and reward, which impacts our emotional well-being.Wise, R. A. (2004). Dopamine, learning and motivation. Nature Reviews Neuroscience, 5(6), 483-494. Acetylcholine doesn't just affect your muscles; it's also vital for your brain. It plays a significant role in attention, learning, and memory. Studies have found that decreased acetylcholine levels are associated with cognitive impairments, including those seen in Alzheimer's disease.Schliebs, R., & Arendt, T. (2011). The cholinergic system in aging and neuronal degeneration. Behavioural Brain Research, 221(2), 555-563.

An undergoing revolution is taking place at the CC7 Intensive Care Unit of Charité University Hospital, one of the best ranked hospitals in the world and one of the largest anesthesiologic and intensive care (ICU) centers in Europe with over 65,000 anesthesiologic procedures performed per year and over 120 intensive care beds. Learn from Alawi Lütz, German Professor for Anesthesiology and Intensive Care Medicine as well as Professor of Health Management, how by joining interdisciplinary forces with medical professionals, tech, and healthcare management experts, the Parametric Spatial Design concept is improving the recovery of intensive care patients. A fascinating interview in which the healing power of light and color will leave you in awe as you find out about how a new human-centered perspective on Intensive Care Medicine is already giving astonishing positive results. * Circadian Rhythm of ICU Patients is the cycle of physical, mental, and behavior changes that the body goes through in a 24-hour cycle.

#027 - In this next episode, I was honored to be joined by M. George DeBusk, MD, MSc, FACS, FCCP. He's a trauma surgeon and critical care physician specialized in trauma and emergency surgery. What makes him a fantastic resource for security practitioners like us is that he's made a career out of educating, training, and providing medical oversight for security providers, first responders, law enforcement, and even special operations groups.Dr. DeBusk holds dual certification from the American Board of Surgery in General Surgery and Surgical Critical Care and specializes in Trauma Surgery and Intensive Care Medicine. “Doc” completed a General Surgery residency at Harvard Medical School's, Beth Israel Deaconess Medical Center and completed a Post-Doctoral Fellowship at MIT during his residency. He is a Fellow of the American College of Surgeons (ACS) and College of Chest Physicians. He is an elected member of the American Association for the Surgery of Trauma and has held the position of State Vice Chair of the ACS Committee on Trauma in the States of Massachusetts and New Hampshire. Dr. DeBusk also holds full medical licensure to practice in multiple U.S. states and abroad where he provides concierge medical care for private clients worldwide. Topics that we focused on included: what type of medical training curriculum is most appropriate for security or executive protection professionals, how we can evaluate training providers, what the advantages are of having a physician like him supporting your team, and what deliverables you can expect to get from a medical director. And so much more!-- Support the podcast and future content creation projects -- Become a member or donate: https://www.buymeacoffee.com/securitystudent-- -- If you'd like to get the resources and show notes mentioned in this episode --https://thesecuritystudent.com/shownotes

In this episode, we will discuss prone position ventilation in adult respiratory distress syndrome (ARDS). Despite clinical trials demonstrating a benefit on mortality, the adoption of prone position ventilation has been challenging. We will discuss the impact the COVID-19 pandemic had on the use of prone position ventilation and lessons learned that can help increase the proper use of this treatment modality moving forward. Our guest is Dr. Chad Hochberg, a member of the Division of Pulmonary and Critical Care Medicine, Department of Medicine, at John Hopkins University Medical School in Baltimore, Maryland. Additional Resources Factors Influencing the Implementation of Prone Positioning during the COVID-19 Pandemic. Hochberg C, et al. Ann Am Thorac Soc, 2023; https://pubmed.ncbi.nlm.nih.gov/35947776/ Declining Use of Prone Positioning After High Initial Uptake in COVID-19 Adult Respiratory Distress Syndrome. Hochberg C, et al. Crit Care Med 2023: https://pubmed.ncbi.nlm.nih.gov/37294144/ ESICM Guidelines on ARDS 2023. Intensive Care Medicine 2023: https://link.springer.com/article/10.1007/s00134-023-07050-7 ATS/ESICM/SCCM Clinical Practice Guideline: Mechanical Ventilation in Adult Patients with Acute Respiratory Distress Syndrome: https://www.atsjournals.org/doi/10.1164/rccm.201703-0548S Prone Position for Acute Respiratory Distress Syndrome: A Systematic Review and Meta-Analysis. Munshi L, et al. Ann Am Thorac Soc 2017: https://pubmed.ncbi.nlm.nih.gov/29068269/ Prone Positioning in Severe Acute Respiratory Distress Syndrome. Guerin C. Et al. PROSEVA Trial. New Eng J Med 2013: https://www.nejm.org/doi/full/10.1056/nejmoa1214103 Books Mentioned in this Episodes The Omnivore's Dilemma: A Natural History of Four Meals, By Michael Pollan: https://bit.ly/42FpndS

Our coverage of Euroanesthesia 2023 continues; The European Society of Anaesthesiology and Intensive Care (ESAIC) is the leading European Organisation for Anaesthesia, Intensive Care, Pain and Perioperative Medicine. TopMedTalk is proud to bring you 'as live' coverage of their annual conference. For more information on the work ESIAC do check out their website here https://euroanaesthesia.org/ Monty Mythen and Desiree Chappell speak with Thomas Scheeren, Senior Director of Medical Affairs Critial Care and Vascular, Europe, Edwards Lifesciences and Bernd Saugel, Professor and Vice Chair of the Department of Anesthesiology, Center of Anesthesiology and Intensive Care Medicine at the University Medical Center Hamburg-Eppendorf, Germany about two important pieces of work: "Intraoperative hypotension when using hypotension prediction index software during major noncardiac surgery: a European multicentre prospective observational registry (EU HYPROTECT)" https://www.bjaopen.org/article/S2772-6096(23)00019-9/fulltext -- "Continuous finger-cuff versus intermittent oscillometric arterial pressure monitoring and hypotension during induction of anesthesia and non-cardiac surgery: The DETECT randomized trial" https://pubmed.ncbi.nlm.nih.gov/37265355/ -- Like this, want more? Try these: https://www.topmedtalk.com/euroanaes2019-thomas-scheeren/ https://topmedtalk.libsyn.com/bernd-saugel-at-euroanesthesia-2022-topmedtalk    

Our coverage of Euroanesthesia 2023 continues; The European Society of Anaesthesiology and Intensive Care (ESAIC) is the leading European Organisation for Anaesthesia, Intensive Care, Pain and Perioperative Medicine. TopMedTalk is proud to bring you 'as live' coverage of their annual conference. For more information on the work ESIAC do check out their website here https://euroanaesthesia.org/ Desiree Chappell, Monty Mythen and Andy Cumpstey, join Rupert Pearse, Professor of Intensive Care Medicine at Queen Mary, University of London. Last year's conversation with our guest gets mentioned in the piece, if you want to check it out go here: https://topmedtalk.libsyn.com/rupert-pearse-from-the-university-of-london-at-euroanesthesia-2022-topmedtalk We also highly praise the OPtimisation of Peri-operaTive CardIovascular Management to Improve Surgical outcomE II (OPTIMISE II) trial and its website: https://optimiseii.org/  

In this episode we are joined by Dr Rosie Baruah who is an NHS Consultant in Intensive Care Medicine and Anesthesia in Scotland. Rosie has spoken publicly recently in a BBC Interview about her midlife discovery at 46, and her identity as a Late Discovered Autistic Female Doctor. Rosie is determined to further educate and advocate for autistic doctors, widen perceptions about 'what' an autistic doctor looks like, shining a light on the prejudice and challenges they face, and the benefits that autistic doctors bring to their work. We also talk about *that* ADHD documentary aired in the UK in May 2023, intersectional identities, viewing ourselves through the lens of difference (not deficit) autistic joy, deconstructing the 'Rain Man' stereotype, self-disclosure, and the impact the Autistic Doctor Mary Doherty, who is the Founder of Autistic Doctors International and author Holly Smale as well as other autistic advocates have made to Rosie's autistic discovery, and the importance of having a voice and giving narrative to our experiences. Follow Dr Rosie Baruah on ⁠⁠⁠Twitter 3 ways you can support the podcast and the work we do... Become a ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠member⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Buy us a ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠coffee.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Rate & review⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ the show A BIG shoutout to our Community Champions who are supporting the work we do: Helen Hillman Kay Mathiesen The Late Discovered Club is hosted by Catherine Asta and edited by Caty Ava - visit our ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Contact ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Catherine Asta⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Music by⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Allora⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow us on Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Catherine Asta ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠The Late Discovered Club⁠⁠⁠⁠⁠⁠ ⁠⁠⁠Join our next Group Circle⁠⁠

Noninvasive respiratory support is an important modality utilized in the pediatric critical care setting to treat respiratory failure without the use of an artificial airway. On today's discussion, pediatric critical care fellow, Dr. John-David Bruce joins pediatric hospitalist, Dr. Brynn Ehlers and Dr. Gene Fisher who is a pediatric intensivist that serves as the division chief of Pediatric Critical Care unit at the Children's Hospital of Georgia. After listening to this podcast, learners should be able to:  1. Recognize different types of noninvasive respiratory support 2. Have an understanding of basic settings involved in the different modes of noninvasive respiratory support 3. Discuss conditions that are most ideal for noninvasive respiratory support  4. Recognize when it is necessary to escalate to a higher mode of respiratory support 5. Common complications of noninvasive respiratory support and how do you treat them. FREE CME Credit (requires free sign-up):  https://mcg.cloud-cme.com/course/courseoverview?P=0&EID=19507  References: Amin, R, & Arca, MJ. Feasibility of non-invasive neurally adjusted ventilator assist after congenital diaphragmatic hernia repair. Journal of Pediatric Surgery, 2019;54(3):434-438. Coletti, KD, Bagdure, DN, Walker, LK, Remy, KE, & Custer, JW. High-flow nasal cannula utilization in pediatric critical care. Respiratory Care, 2017;62(8):1023-1029. Desai, JP, & Moustarah, F. Pulmonary Compliance. StatPearls Publishing. 2021.  https://www.ncbi.nlm.nih.gov/books/NBK538324/ Fedor, KL. Noninvasive respiratory support in infants and children. Respiratory Care, 2017;62(6):699-717. Franklin, D, Babl, FE, & Schlapbach, LJ, et al. A randomized trial of high-flow oxygen therapy in infants with bronchiolitis. The New England Journal of Medicine, 2018;378:1121-1131. Intagliata, S, Rizzo, A, & Gossman, WG. Physiology, Lung Dead Space. StatPearls Publishing. 2020. https://www.ncbi.nlm.nih.gov/books/NBK482501/ Morrison, WE, Nelson McMillan, KL, & Shaffner, DH. (Eds.). Roger's Handbook of Pediatric Intensive Care (5th ed.). 2017. Wolters Kluwer. Najaf-Zadeh A, & Leclerc F. Noninvasive positive pressure ventilation for acute respiratory failure in children: a concise review. Ann Intensive Care. 2011;1(1):15. doi:10.1186/2110-5820-1-15 Oymar, K, & Bardsen, K. Continuous positive airway pressure for bronchiolitis in a general paediatric ward; a feasibility study. BMC Pediatrics. 2014;14:122. Pope, JF, & Birnkrant, DJ. Noninvasive ventilation to facilitate extubation in a pediatric intensive care unit. Journal of Intensive Care Medicine. 2000;15(2):99-103.  Storre, JH, Bohm, P, Dreher, M, & Windisch, W. Clinical impact of leak compensation during non-invasive ventilation. Respiratory Medicine. 2009;103(10):1477-1483.  Silver AH, Nazif JM. Bronchiolitis. Pediatr Rev. 2019;40(11):568-576. doi:10.1542/pir.2018-0260

Genius doctor, innovative scientist, researcher and inventor Dr. Todd Ovokaitys joins us for a mind-blowing conversation on his laser biophysics research and stem cell protocol using electromagnetic frequency to reverse biological age at the DNA level. By using vibrational frequency and no chemistry whatsoever, he has developed technology that can activate, upregulate and direct stem cells to enhance life force in a system, reducing viral loads and healing disease. He shares his fascinating journey and passion that lies beyond life extension into exploring full human potential. Besides the physical, how does his tech help resolve emotional conflict and enhance consciousness to engineer a new kind of human? With renewed physical vigor and extra biological time, the question then becomes are you up-leveling mentally, emotionally and spiritually? Continuing his work with frequency Dr. Todd created a movement known as Pineal Tones - a system of sounds based on ancient ways of knowing that are designed to assist with human balance, health and expansion of awareness. We also explore how his technology extends to animals and plants with major implications for farming and agriculture, and its potential for producing more high quality and nutrient-dense food. About Dr. Ovokaitys: Dr. Todd was first in his class in High School and at Northwestern University and was accepted only after 2 years of college to the premiere program at Johns Hopkins Medical School. He then did further training at Georgetown in Internal Medicine and Pulmonary and Intensive Care Medicine. He has become a leader in laser biophysics research and has developed a stem cell protocol that has reversed biological age at the DNA level more than any other method in medical history. He has been granted multiple patents in stem cells, nutraceuticals, pharmaceuticals, and even agriculture. Dr. Todd also composes chorale and instrumental symphonic pieces. The transcendental choirs he has created and produced all around the world, with up to 900+ choristers, rejuvenate the body while immensely boosting personal vibrational and awareness sates. The combination of the biomedical and esoteric reflect his passion for the full exploration and expansion of the human potential. Dr. Todd's inventions are bringing a new way of thinking about aging and medicine, based on the body's nutritional needs rather than pure chemical attempts to heal symptoms and issues. His contributions to the science of aging, advanced nutrition, and to solving issues of human disease, are outstanding. Learn More & Connect: drtoddo.com drtoddo.com/ageless qigenix.com pinealtones.com

MedLink Neurology Podcast is delighted to feature selected episodes from BrainWaves, courtesy of James E Siegler MD, its originator and host. BrainWaves is an academic audio podcast whose mission is to educate medical providers through clinical cases and topical reviews in neurology, medicine, and the humanities, and episodes originally aired from 2016 to 2021.Originally released: April 25, 2019 For patients who survive cardiopulmonary arrest but do not wake up, neurologists are called to the bedside to prognosticate. And the question of “How much will this patient recover?” is not unlike “What is the benefit of aggressive therapy to await possible recovery?” In that way, you might consider neurologists to be the actuaries of hospital medicine. In this week's program, we review the clinical and diagnostic data that neurologists incorporate into their model for outcome prediction following anoxic brain injury. Produced by James E Siegler. Music courtesy of Swelling, Soft and Furious, Rafael Archangel, Lovira, and Dark Room. Sound effects by Mike Koenig and Daniel Simion. BrainWaves' podcasts and online content are intended for medical education only and should not be used for clinical decision-making. Be sure to follow us on Twitter @brainwavesaudio for the latest updates to the podcast. REFERENCES Booth CM, Boone RH, Tomlinson G, Detsky AS. Is this patient dead, vegetative, or severely neurologically impaired? Assessing outcome for comatose survivors of cardiac arrest. JAMA 2004;291(7):870-9. PMID 390099PMID: 14970067 Callaway CW, Donnino MW, Fink EL, et al. Part 8: Post-Cardiac Arrest Care: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2015;132(18 Suppl 2):S465-82. Erratum in: Circulation 2017;136(10 ):e197. PMID 390099PMID: 26472996 Jorgensen EO, Holm S. The natural course of neurological recovery following cardiopulmonary resuscitation. Resuscitation 1998;36(2):111-22. PMID 9571727 Nielsen N, Wetterslev J, Cronberg T, et al. Targeted temperature management at 33°C versus 36°C after cardiac arrest. N Engl J Med 2013;369(23):2197-206. PMID 24237006 Sandroni C, D'Arrigo S. Neurologic prognostication: neurologic examination and current guidelines. Semin Neurol 2017;37(1):40-7. PMID 28147417 Sandroni C, Cariou A, Cavallaro F, et al. Prognostication in comatose survivors of cardiac arrest: an advisory statement from the European Resuscitation Council and the European Society of Intensive Care Medicine. Resuscitation 2014;85(12):1779-89. PMID 25438253 Seder DB. Management of comatose survivors of cardiac arrest. Continuum (Minneap Minn) 2018;24(6):1732-52. PMID 30516603 Seder DB, Sunde K, Rubertsson S, et al. Neurologic outcomes and postresuscitation care of patients with myoclonus following cardiac arrest. Crit Care Med 2015;43(5):965-72. PMID 25654176 Young GB. Clinical practice. Neurologic prognosis after cardiac arrest. N Engl J Med 2009;361(6):605-11. PMID 19657124We believe that the principles expressed or implied in the podcast remain valid, but certain details may be superseded by evolving knowledge since the episode's original release date.

Karen qualified in Medicine in 2004 from St Bartholomew's & The Royal London School of Medicine. As her training had been sponsored by the British Army, she spent the two years following her intern year posted to 1 Close Support Medical Regiment in Germany, where she underwent exercises in Poland, Canada and an operational tour in Iraq. On completion of her deployment she began training in Anaesthesia; Intensive Care Medicine; eventually obtained the Fellowship of the Royal College of Anaesthesia. In 2016 Karen emigrated to Townsville, Australia; spent two years working for Lifeflight in Retrieval Medicine, undertaking tasks with both the Royal Flying Doctor Service and Queensland Government Air Rescue Helicopter. She then undertook a training program in Remote and Rural Medicine, incorporating Acute and Emergency Medicine and General Practice. She was working as GP registrar when the C_OV_ID-19 va_c_cine mandates were implemented. She decided against having the vaccine and to take that opportunity to pursue her long-term passion of natural medicine. Karen is now working as a Health Coach and as a Natural Health Practitioner offering numerous alternative therapies. Dr Karen Martin Watch in Full Here: https://evolvenetwork.tv/channel/dr-karen-martin Due to extreme censorship and shadow banning, we have created a platform challenging the mainstream paradigm, to create a space to share vision and views, to create long term sustainable health solutions. To express without censorship and restriction. To allow freedom of speech and interest in ideas that will allow humanity to Evolve… Become part of the solution. We hope you've enjoyed this podcast - if you'd like to listen to more, please visit the Evolve Network I'd love to know your thoughts and experiences - join the conversation on my Facebook page - www.facebook.com/evolvenetworktv Instagram @evolvenetworktv instagram.com/evolvenetworktv Follow Pete Evans accounts here campsite.bio/peteevans

In this “Breathe Easy Critical Perspective” podcast, Dr. Dominique Pepper interviews Drs. Vincenzo Russotto and John Laffey. The authors discuss their 2022 Blue Journal publication that investigated peri-intubation cardiovascular collapse in the critically ill. Dr. Russotto is a Consultant in Anesthesia and Intensive Care at University Hospital San Gerardo, Monza Italy. Dr. Laffey is a Professor of Anaesthesia and Intensive Care Medicine at the School of Medicine of the National University of Ireland, Galway Ireland.

Originally entitled “The Future of Training” this talk evaluates four key concepts in anaesthesia training. It was originally presented as part of the hugely successful Evidence Based Perioperative Medicine (EBPOM) Dingle conference. If you would like to know more about when and where their next conference is please go now to the EBPOM website: www.ebpom.org Presented by George Shorten, Professor of Anaesthesia and Intensive Care Medicine and Foundation Director of the ASSERT Centre at University College Cork, Ireland

In this episode of the podcast, we will discuss the first hour of clinical care post return of spontaneous circulation in cardiac arrest survivors. Our guest is Dr. Haney Mallemat a critical care intensivist and emergency medicine clinician at Cooper University Health. He is also an associate professor of medicine and of emergency medicine at Cooper Medical School of Rowan University, in Camden, New Jersey. Additional Recources: Critical Care Now: A site for intensivists and resuscitationists.: https://criticalcarenow.com/ RESUS-X: The ultimate resuscitation educational experience: https://www.resusx.com/ https://pubmed.ncbi.nlm.nih.gov/25599355/ European Resuscitation Council and European Society of Intensive Care Medicine guidelines 2021: post-resuscitation care: https://link.springer.com/article/10.1007/s00134-021-06368-4 Oxygen Targets in Comatose Survivors of Cardiac Arrest. BOX Trial: https://www.nejm.org/doi/full/10.1056/NEJMoa2208686 Blood-Pressure Targets in Comatose Survivors of Cardiac Arrest. BOX Trial: https://www.nejm.org/doi/full/10.1056/NEJMoa2208687 Books Mentioned in this Episode: SmartLess. One of Haney's favorite podcasts: https://podcasts.apple.com/us/podcast/smartless/id1521578868 How to win Friends & Influence People. By Dale Carnegie: bit.ly/3VVlTRQ EMRAP. A leading educational platform recommended by Haney: https://www.emrap.org/

Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists. This piece is presented by Desiree Chappell and Monty Mythen with their guest Bernd Saugel, Professor and Vice Chair of the Department of Anesthesiology, Center of Anesthesiology and Intensive Care Medicine at the University Medical Center Hamburg-Eppendorf, Germany. Bernd has previously appeared on TopMedTalk here: https://www.topmedtalk.com/bernd-saugel-at-euroanesthesia-2022-topmedtalk/ TopMedTalk is very proud to be partnered with the American Society of Anesthesiologists® at ANESTHESIOLOGY® 2022. Now in our fifth year TopMedTalk is bringing you our most comprehensive and extensive coverage of the largest gathering of anesthesiologists in the world! This audio is presented to you "as live" - if you'd like to see our coverage as it happens go now to: https://live.topmedtalk.com/ TopMedTalk is provided to you for free; if you want to help support our work and help give these conversations a wider audience please like and subscribe (if and where possible) before sharing it on your social media. TopMedTalk can be found on YouTube here: https://www.youtube.com/channel/UC-HYQmeIwcFCYO1hoQ8jShQ We are on Twitter here: https://twitter.com/topmedtalk We are on LinkedIn here: https://www.linkedin.com/company/topmedtalk We are on Facebook here: https://www.facebook.com/TopMedTalk1/

Today I am speaking with Dr. Todd Ovokaitys. We discuss all things stem cells, from what stem cells are to the different types of stem cells, how the procedure works, and all of the potential benefits. Learn more about Dr. Todd here: https://drtoddo.com About Dr. Todd Dr. Todd did his undergraduate studies at Northwestern University in Evanston, Illinois. After 2 years he was at the top of his class with a 4.0 GPA (out of 4.0). He was one of 26 students in America accepted to an accelerated medical training program at the prestigious Johns Hopkins University Medical School in Baltimore, Maryland. In the course of this work, he was elected to Phi Beta Kappa at this institution. During this time Dr. Todd also studied voice and classical guitar at the Peabody Institute. He received both BA and MD degrees from Johns Hopkins University. Dr. Todd's subsequent training included an Internship and Residency at Georgetown University Hospital in Washington, DC. He was invited to be a Chief Medical Resident in the Georgetown University system, responsible for the teaching program of medical students, interns, and residents. This honorary position was followed by the completion of a two-year Fellowship in Pulmonary and Intensive Care Medicine, also at Georgetown University Hospital. While at Georgetown, Dr. Todd experienced a deep insight into an elegant method for matching the vibrational states of biological molecules to neutralize toxins and enhance human biochemical functions. Pursuing this insight, he moved to Southern California and constructed a platform with the assistance of Scottish physicist Scott Strachan. This colleague had won the Enterprise Scotland Award from Prince Charles for laser measurement devices. Scott Strachan also contributed to the creation of real time ultrasound, the technology that uses sound waves to view internal organs with precision. Since 2005, Dr. Ovokaitys has been an Associate Professor of Medicine at Louisiana State University. This appointment has been for developing research into metabolic mechanisms for improving the condition of persons with HIV infection. Dr. Ovokaitys is also a high level consultant for anti-aging and regeneration medicine. His realm of expertise includes the best of conventional and complementary, metabolic and nutritional medicine.

"And the good news is that we may or may not have an answer to this fluid debate that's been running now for 25 years..." The Great Fluid Debate is a popular fixture at Evidence Based Perioperative Medicine (EBPOM) and this year that was once again the case. Are we genuinely starting to see evidence based practice emerging and finally knocking "eminence based" notions off the shelf? Presented by Monty Mythen and starting with a short presentation from Professor John A Myburgh, Intensive Care Medicine, University of New South Wales; Director of the Division of Critical Care and Trauma at the George Institute for Global Health and Senior Intensive Care Physician at the St George Hospital, Sydney. He holds honorary Professorial appointments at the University of Sydney and Monash University School of Public Health and Preventive Medicine. This piece is then complimented by a debate and discussion featuring Desiree Chappell, Certified Registered Nurse Anesthetist (CRNA) and Vice President of Clinical Quality for NorthStar Anesthesia and Andy Shaw, Chairman, Department of Intensive Care and Resuscitation at The Cleveland Clinic, Cleveland, Ohio. With further questions from the audience.