Podcasts about medical intensive care unit

With over 700 modes of mechanical ventilation available today, it can be overwhelming to find the best application of technology at the bedside. Focused on goal-directed mechanical ventilation, this discussion covers the taxonomy of mechanical ventilation modes and provides a framework for a rational approach at the bedside. Dr. Zanotti is joined by Dr. Eduardo Mireles-Cabodevila, Director of the Medical Intensive Care Unit and the Simulation and Advanced Skills Center at the Cleveland Clinic. In addition, Dr. Mireles-Cabodevila is the Vice-Chair of the Division of Critical Care Medicine, Department of Pulmonary and Critical Care, within the Integrated Hospital-Care Institute at the Cleveland Clinic. Additional Resources: How do I ventilate patients with ARDS: Goal-directed mode selection. E. Mireles-Cabodevila. Med Intensiva 2022: https://pubmed.ncbi.nlm.nih.gov/36220727/ A Rational Framework for Selecting Modes of Ventilation. E. Mireles-Cabodevila, et al. Respir Care 2013: https://pubmed.ncbi.nlm.nih.gov/22710796/ Closing the Gap in Patient-Ventilator Discordance Recognition. A. Liendo and E. Mireles-Cabodevila. Respir Care 2024: https://pubmed.ncbi.nlm.nih.gov/38267228/ Standardized Education for Ventilatory Assistance (SEVA) resources page; https://my.clevelandclinic.org/departments/respiratory/medical-professionals/seva#seva-resources-tab Mechanical Ventilation Mode Taxonomy App: iPhone: https://apps.apple.com/us/app/ventilator-mode-map/id1508307955 Android: https://play.google.com/store/apps/details?id=org.ccf.vmm&hl=en_US Books mentioned in this episode: Solito: A Memoir. By Javier Zamora: https://bit.ly/4b6hPG8

In this "Breathe Easy Critical Perspective" podcast, Dr. Dominique Pepper interviews Dr. Nida Qadir and Dr. Sareena Sahetya. They discuss their recent Blue journal publication on updated management guidelines for adults with ARDS. Dr. Qadir is an Associate Professor of Medicine and Associate Director of the Medical Intensive Care Unit at Ronald Reagan UCLA Medical Center. D. Sahetya is an Associate Professor of Medicine at Johns Hopkins.

Eduardo Mireles, MD, director of the Medical Intensive Care Unit and vice-chair of the Department of Critical Care Medicine at Cleveland Clinic, discusses the current gap between ventilator technology, with its multiple options, and the education needed for providers who monitor patients. He reviews the course he developed to address this gap, the Standardized Education on Ventilatory Assistance (SEVA), as well as where AI and the detection algorithms used in mechanical ventilation will take healthcare in the future.

In this conversation we will examine the latest in non-invasive ventilation via the helmet interface. Recent empirical research has shown that ventilation via helmet can mean faster recovery time, shortening an ICU stay, reduces the need to intubate, lowers ICU mortality, and can result in minimal or no sedation of the patient.  Aurika Savickaite is a registered based in Chicago and was involved in the successful testing of the helmet ventilator in the ICU at the University of Chicago during a three-year trial study. Aurika has worked as a registered nurse and patient care manager at the University of Chicago Medical Centre, Medical Intensive Care Unit, and as a staff nurse at Vilnius University Hospital, in the intensive care unit. She earned a Bachelor of Rehabilitation and Nursing at Vilnius University Faculty of Medicine in 2001. Aurika is a recognized expert in noninvasive ventilation via the helmet interface and has garnered widespread respect within the medical community for her passionate work in this area. She was involved in a successful three-year trial study at the University of Chicago Medical Center that tested the effectiveness of helmet-based ventilation in the ICU. Drawing on this experience, Aurika founded HelmetBasedVentilation.com, a website that has become a valuable resource for medical professionals seeking to learn more about the benefits of helmets and their use in treating patients with respiratory distress. In the episode we cover: The story of exploration into NIV for Aurika and what did the covid pandemic reinforce?  The benefits of NIV in general. What are the benefits of helmet ventilation over NIV mask ventilation (greater alveolar recruitment).  The study - Effect of Non-invasive Ventilation Delivered by Helmet vs Face Mask on the Rate of Endotracheal Intubation in Patients with Acute Respiratory Distress Syndrome - A Randomized Clinical Trial. Commonly seen pathologies that benefit from NIV and the onward benefit.   What are some of the pre-hospital benefits in transport and retrieval. The indications and contraindications of NIV. What the masters program taught Aurika (level of critical analysis)  The paper that Aurika refers to in the interview can be found here: https://jamanetwork.com/journals/jama/fullarticle/2522693

Dr. John P. Kress is a Professor of Medicine and Director of the Medical Intensive Care Unit at the University of Chicago Medicine. He presents a lecture entitled "Optimal Sedation Protocols in Mechanically Ventilated Patients" as part of the DC5 lecture series.

David Northrop Hager, M.D., Ph.D., Associate Professor of Medicine, Director of the Medical Intensive Care Unit, and Director of the Medical Intermediate Care Unit at Johns Hopkins SOM/Medicine presents our Critical Care Curriculum with a lecture entitled, "A Better Understanding of Intermediate Care." 

On this UVA Speaks podcast, learn about the difference between a heart attack and a cardiac arrest and the importance of prompt intervention to increase the chances of survival from these emergency conditions. Dr. Taison Bell, Assistant Professor of Medicine in the Divisions of Infectious Diseases and International Health and Pulmonary and Critical Care Medicine at UVA Health, explains the importance of learning CPR, the bystander algorithm, and the use of defibrillators to restart the heart. Dr. Bell also highlights the disparities in rates of CPR delivery in black and brown communities and the need to increase awareness and education in these communities. Transcripts of the audio broadcast can be found here. Taison Bell, MD, is an Assistant Professor of Medicine in the Divisions of Infectious Diseases and International Health and Pulmonary and Critical Care Medicine at UVA Health and Director of the Medical Intensive Care Unit and the UVA Summer Medical Leadership Program. Dr. Bell's interests include improving inpatient healthcare delivery through quality improvement initiatives and increasing workforce diversity. He is involved in quality improvement efforts on the national level and sits on the Centers for Medicare & Medicaid Services Committee, developing healthcare payment reform initiatives.

Non-invasive positive pressure ventilation or NIPPV is ventilatory assistance without an invasive artificial airway like an endotracheal tube. The oxygen is delivered to a spontaneously breathing patient through a tight-fitting mask or in this case a helmet. Helmet based ventilation is a modern solution to an outdated method. The most popular choice in providing NIPPV is the cpap, a tightly fitted mask over the nose and mouth. The biggest problem with cpap is comfort and inconsistency associated with interruption for patient care. The helmet based approach provides a more efficient and effective way to deliver pressure and oxygen. In this episode, we welcome our guest, Aurika Savickaite. She is a registered nurse and patient care manager at the University of Chicago Medical Center's Medical Intensive Care Unit and was part of the successful testing of the helmet ventilator in the ICU at the University of Chicago during a three-year trial study. Catch more of Aurika as we learn more about helmet ventilation and empowering nurses in this exciting episode of Cup of Nurses.

Dr. Michael Benninghoff, Chief of Medical Critical Care, and Nurse MAnager Carol Ritter discussed their work during the pandemic, not only caring for their 'sickest of the sick' patients with chronic or acute illnesses, but also those most affected by COVID.  ChristianaCare's Medical Intensive Care Unit not only made it through the worst of the COVID months, they were recognized for an unprecedented  fifth time for exceptional care, they discuss their game plan and how they prepared for the unthinkable.

Samantha Soto is a Registered Nurse in the Medical Intensive Care Unit in Southern Arizona only Level 1 Trauma Center. Born and raised in Douglas, Arizona, Samantha graduated from Cochise College and transferred to Arizona State University for her Bachelor of Science in Nursing. Samantha has been working on a holistic nursing journal encouraging nurses to utilize journaling as a technique for burnout prevention, increase awareness for self-discovery, and increase wellbeing by creating solutions through creativity. Samantha hopes to create community of nurses who are willing to live intentionally and support one another to not only excel in their professional roles but also in their personal lives by giving oneself permission to dream big. ____________________ Connect With Jacent Text “FREEDOM” to 702 829 5260 IG: @jacentsgems IG: @wealthandwellnessuniversity FB Page: @SixFigureMoneyMindsetCoach FB Group: From $90k in Debt to $90k in The Bank: Building Wealth & Wellness Twitter: @jacentsgems LinkedIn: jacent-wamala-m-s-lmft-aa8baa194 Wamala Wellness Youtube: Jacent at Wamala Wellness Therapy Wealth & Wellness University Youtube: Jacent at Wealth & Wellness University Website: www.wamalawellness.com Join Wealth & Wellness University: https://my.wealthandwellnessuniversity.com/fb-group-a-2101 --- Support this podcast: https://anchor.fm/jacentsgems/support

Little is known about the long-term impact of COVID-19, and some individuals infected with the virus are experiencing long-term symptoms, or "long COVID".  In this episode, Steve is joined by two guests: Shelby Hedgecock, who despite her pre-pandemic good health and active lifestyle, continues to experience health impacts of the infection nearly two years after the initial positive test; and Dr. Isabel Pedraza, Director of the Medical Intensive Care Unit at Cedars Sinai Medical Center, who shares what she has learned about long COVID including the most common symptoms, treatments, and what we can do to keep ourselves and our loved ones healthy.   Coping with stress during the COVID-19 pandemic? The Department of Mental Health has online resources to help.   Follow our department across all social media platforms @lapublichealth.

Research shows the rates of mental illness and suicide are up among physicians. Dr. Ronald Epstein and colleagues are exploring how mental illness affects health care practitioners and the barriers to getting treatment. We discuss the research and talk about how the pandemic has increased rates of burnout among medical professionals. Our guests: Ronald Epstein, M.D. , professor in Family Medicine, Psychiatry & Oncology at the University of Rochester Medical Center Chris Burleigh, R.N., nurse manager in the Medical Intensive Care Unit at Strong Memorial Hospital Jefferson Svengsouk, M.D. , professor in the Department of Emergency Medicine at the University of Rochester Medical Center

Late-term pregnancy loss. It's a subject that so many understand and yet, aren't sure how to navigate. One in four pregnancies results in loss, and while this statistic seems glaring when you first encounter it, we never think it will happen to us. But there's a chance. And if that chance does happen, how do we get through it? What physical and emotional toll will it take? Will it be impossible to overcome? Take a breath because nothing is impossible. Ashley Derderian Sousa, RN, IBCLC, shares her experiences being right alongside mothers during such a difficult, and for some, unexpected time. Ashley truly believes that a loss is a loss, and no one should undermine the impact it has, nor the time it takes to heal from it. Her insight and personal attachment to this subject expose the anxiety, isolation, and physical toll losing a child can have. No one should tell you how to mourn, and Ashley is here to remind everyone who has or is currently experiencing a loss that you are not alone. Meet Ashley Derderian Sousa Ashley Derderian Sousa, RN, IBCLC, is a registered nurse and a board-certified lactation consultant with 12 years of experience, spending the past 8 of those years providing care as a labor, delivery, and postpartum nurse and lactation consultant. The first four years of her career were spent in the Medical Intensive Care Unit, which provides Ashley with a wide range of medical experience. Her compassionate and caring personality offers the ability to foster connection with the women, men, and families she works with. She has a passion for learning and sharing her knowledge with others and is the proud owner of gansettgal. The Gansett Gal is a business catered towards educating and empowering mamas everywhere by providing fun education, private nurse consultations, postpartum support, lactation services, and more. Raised and now living in Rhode Island, Ashley is a world traveler and previously lived and worked in New York City. She is also an avid runner, lover of the beach, and foodie! Most importantly, she is the lucky momma to a perfect little lady, Grace. Topics covered in this episode 3:10 | Physical effects after loss 14:18 | Advice for women experiencing loss 19:19 | Impact of delivery during covid 21:55 | Suggestions around labor/delivery 26:08 | Questions to ask 30:39 | The effect on your partner 40:26 | Personable loss 46:57 | About postpartum

Eduardo Mireles-Cabodevila, MD, is an internationally renowned "Guru of Mechanical Ventilation and Neuromuscular Disease." He is also a fearless leader in the ICU. In this episode, he shares his journey into medicine and how he developed the “10 commandments” of fellowship research. Intro :00 Mireles, thank you for joining me today :19 The interview 1:07 In your own words, tell me about your journey … How did this start? 1:13 How many years is med school in Mexico? 4:45 And you did internal medicine residency after that? 5:43 So, you did you 2 years of training there and then moved to the U.S.? 6:36 I have heard that you had tried to call the secretary back in the day at the Cleveland Clinic and you were not getting to the person … and then eventually you became the boss of the same secretary. 9:43 You just briefly touched on the value that your wife played in your life. Can you tell me a little bit more about your family? 11:23 Were the initial few years hard in the U.S.? 12:40 What other challenges did you navigate? 15:03 How did you become so fearless? 18:26 How did you get into these different roles? 23:29 Tell me a little bit about how, after almost a decade of this leadership position that you have, how do you prevent burnout? 32:13 Where are some of the favorite places you have traveled? 37:43 Do you read a lot apart from the books that you need to double up your expertise beyond what everyone does? 39:53 You're known as the “ventilator guru,” and that's how you're educating the world, not just the Cleveland Clinic. How did you get better at it? 41:45 I remember being told a story that you were working on a research project, and you didn't find anything meaningful there and you turned that disappointment into the 10 commandments. Can you share with me what that was? 46:25 What's your most important advice to the listener? 49:38 Thank you so much for your time, Dr. Mireles 50:23 Eduardo Mireles-Cabodevila, MD, is the director of the Medical Intensive Care Unit and medical director of the Simulation and Advanced Skills Center at the Cleveland Clinic. We'd love to hear from you! Send your comments/questions to Dr. Bhardwaj at podcast@healio.com. Follow us on Twitter @HealioPulm @abhi_bhardwaj99. Disclosures: Bhardwaj and Mireles-Cabodevila report no relevant financial disclosures.

Nearly 1.8 million people globally die of lung cancer each year, more than the second and third most deadly cancers combined (colorectal and stomach cancer, respectively) because it is often detected and treated too late. Dr. Avrum "Avi" Spira, MD, MSc, Global Head of the Lung Cancer Initiative (LCI) at Johnson & Johnson, a renowned pulmonologist and lung cancer researcher, wants to make lung cancer a disease of the past. He discusses why early detection with lung cancer is key, what recent advancements in imaging, robotics and artificial intelligence have unlocked in new ways to screen for and access cancer, and how LCI is working to develop solutions to prevent, intercept and cure lung cancer. #LungCancer #LungCancerInitiative Avrum “Avi” Spira, MD, MSC, is the Global Head of the Lung Cancer Initiative (LCI) at Johnson & Johnson, which is developing solutions to prevent, intercept and cure lung cancer. Practicing medicine for more than 20 years, Dr. Spira leads a team of dedicated industry leaders and medical professionals focused on developing novel technologies and approaches that support earlier lung cancer detection and treatment. In addition to leading the Lung Cancer Initiative at Johnson & Johnson, Dr. Spira is an attending physician in the Medical Intensive Care Unit at Boston University-Boston Medical Center (BMC) and is a Professor of Medicine, Bioinformatics and Pathology at Boston University. He also serves as the Alexander Graham Bell Professor in Health Care Entrepreneurship at Boston University. Prior to joining Johnson & Johnson, he was the Director of the Boston University-BMC Cancer Center, and was the founding Chief of the Division of Computational Biomedicine at Boston University.

Months after the winter surge, hope was still hard to come by for many of the healthcare workers in the MICU. The new normal of the unit under COVID-19 was pushing even some of the most veteran staff to their limits. Charge Christy Mulder turns to her faith to help her through until she received the first dose of the COVID vaccine in the state. The first shot would bolster the unit and give a new sense of hope while bringing them closer to one another. See new images from inside the Medical Intensive Care Unit during the shift change in Dark's multimedia piece Keep Breathing.

Months after the winter surge, hope was still hard to come by for many of the healthcare workers in the MICU. The new normal of the unit under COVID-19 was pushing even some of the most veteran staff to their limits. Charge Christy Mulder turns to her faith to help her through until she received the first dose of the COVID vaccine in the state. The first shot would bolster the unit and give a new sense of hope while bringing them closer to one another. See new images from inside the Medical Intensive Care Unit during the shift change in Dark's multimedia piece

Join Raluca (ICU Nurse) and Chris (ICU Consultant) in looking after Mary, a (hypothetical) patient who has been in ICU for a week following a cardiac arrest. We are looking at reducing sedation and assessing Mary's neurology. Join us in discussion: Sedation? What is this and what medications we may use? Pain relief: what and why? How to assess neurology: GCS, RASS and CAM-ICU Delirium and its management. We mention research around GCS: Glasgow Coma Scale: Teasdale, G. and Jennett, B. (1974) 'Assessment of coma and impaired consciousness', The Lancet, 2 (7872), pp.81-84. Green, S.M. (2011) ‘Cheerio, Laddie! Bidding Farewell to the Glasgow Coma Scale', Annals of Emergency Services, 58(5), pp. 427-430. Reith FC, Synnot A, van den Brande R, Gruen RL, Maas AI (2017) ‘Factors Influencing the Reliability of the Glasgow Coma Scale: A Systematic Review.', Neurosurgery, 1;80(6), pp: 829-839. doi: 10.1093/neuros/nyw178. Ramazani, J. and Hosseinei, M. (2019) ‘Comparison of Full Outline of Unresponsiveness Score and Glasgow Coma Scale in Medical Intensive Care Unit', Annals of Cardiac Anaesthesia, 22(2), pp. 143-148, Wolf, C., Wijdicks, E., Bamlet, W., McLelland, R. (2007) ‘Further validation of the FOUR score coma scale by intensive care nurses' in Mayo Clinic Proceedings, 82(4) pp.435-438 Main debate: how useful do you find these assessment tools? Drop us a message… Don't miss our three takeaway messages and please send us yours! Enjoy the episode! Raluca Vagner- Intensive Care Nurse @RalucaVagner Chris Gough- Intensive Care Consultant @GoughC --- Send in a voice message: https://anchor.fm/hla-listen/message

Ultrasound has become an indispensable tool while caring for critically ill patients. Increasing availability at bedside and the role that it plays in the diagnosis and management of patients had made that clinicians incorporate ultrasound as a part of their bedside clinical examination. Some colleagues argue that it can be a good hemodynamic tool too, however, others disagree. Speakers: Dr Laura GALARZA. Intensivist at the University General Hospital in Castellon, Spain and Deputy Chair of the ESICM NEXT committee. Prof Xavier MONNET. Professor of Intensive Care at the Paris-South University, working in the Medical Intensive Care Unit of the Bicêtre Hospital. Prof. Monnet's main fields of research are acute circulatory failure and its treatment, haemodynamic monitoring and heart-lung interactions. He is the Chair of the ESICM cardiovascular dynamics section. 

During our visit to the MICU, the strain and struggle against an increasingly mortal virus was painfully apparent. During the Winter surge of 2020, nurses and frontline workers faced death in a volume that few had experienced before; whether accompanying relatives and patients in their final moments over video call or the long trip to the morgue. Even so, MICU staff found optimism in one another and in the promise of a vaccine on the horizon. See new images from inside the Medical Intensive Care Unit during the shift change in Dark's multimedia piece Keep Breathing.

During our visit to the MICU, the strain and struggle against an increasingly mortal virus was painfully apparent. During the Winter surge of 2020, nurses and frontline workers faced death in a volume that few had experienced before; whether accompanying relatives and patients in their final moments over video call or the long trip to the morgue. Even so, MICU staff found optimism in one another and in the promise of a vaccine on the horizon. See new images from inside the Medical Intensive Care Unit during the shift change in Dark's multimedia piece

By December of 2020, the winter surge of COVID-19 patients had finally arrived in Utah and frontline workers at University Hospital were bearing the brunt of a new wave of critically ill patients. Producers Stephen Dark and Mitch Sears visited the MICU during an early morning shift change on December 10th, to see firsthand how staff were coping with the increased pressure on both veteran caregivers and one young nurse whose first full-time nursing position since graduation was at the MICU in the teeth of the pandemic. See new images from inside the Medical Intensive Care Unit during the shift change in Dark's multimedia piece Keep Breathing.

By December of 2020, the winter surge of COVID-19 patients had finally arrived in Utah and frontline workers at University Hospital were bearing the brunt of a new wave of critically ill patients. Producers Stephen Dark and Mitch Sears visited the MICU during an early morning shift change on December 10th, to see firsthand how staff were coping with the increased pressure on both veteran caregivers and one young nurse whose first full-time nursing position since graduation was at the MICU in the teeth of the pandemic. See new images from inside the Medical Intensive Care Unit during the shift change in Dark's multimedia piece

At the one year mark of the pandemic, there are signs of progress but we are far from out of the woods. For those on the front lines, the exhaustion and emotional toll of the last year are hard to quantify. Even as we see a glimpse of light at the end of the tunnel, they must remain focused on each day, each patient, each family that is touched by this virus. In this episode, Brian Lucas interviews Dr. Thanh Neville, a physician and researcher at UCLA Health. Dr. Neville works in the Medical Intensive Care Unit. She is also the medical director of UCLA Health’s Three Wishes Program, which works to implement the final wishes for patients who are dying.

Kathleen Bailey, a nurse practitioner in the Medical Intensive Care Unit at Johns Hopkins Hospital, is caring for people with some of the most severe cases of COVID-19. She stated in a interview, that 'It's busy, the patients are sick, but most of them are getting better so I think that is sort of what keeps us going," Bailey said. Bailey has been a nurse since 2004 and a nurse practitioner since 2014. Helping others has been her dream since she was a child. "My aunt is a nurse, and I just saw the impact she had on people and how she helped people, and I knew that was in my blood and what I wanted to do," she said. Guests: Kathleen Bailey, Johns Hopkins, Intensive Care Unit @KatBaileyNP Host: Dr. Anita Gupta, https://anitagupta.com/about Connect on Twitter @DocAnitaGupta, YouTube, Spotify, Apple Podcasts Official Hashtag: #PostCall Website: https://www.thepostcall.com

In today's episode of Critical Matters, we will discuss the use of Extracorporeal Life Support (ECLS) in the form of extracorporeal membrane oxygenation (ECMO) for the treatment of the sickest patients with COVID-19 induced ARDS. Our guest is Dr. Jenelle Badulak. Dr. Badulak is an emergency physician and intensivist caring for patients in the Emergency Department, Cardiothoracic Intensive Care Unit, Medical Intensive Care Unit and Trauma Intensive Care Unit at the University of Washington Medical Center and Harborview Medical Center. She is a clinician-educator who specializes in curriculum development and assessment with a focus on graduate medical education and Extracorporeal Life Support/Extracorporeal Membrane Oxygenation (ECMO). Additional Resources: Extracorporeal Membrane Oxygenation Support in COVID-19: An International Cohort Study of the Extracorporeal Life Support Organization Registry: https://www.thelancet.com/article/S0140-6736(20)32008-0/fulltext Extracorporeal Life Support Organization(ELSO) COVID-19 Dashboard and Website: https://www.elso.org/Registry/FullCOVID19RegistryDashboard.aspx Extracorporeal Membrane Oxygenation for Severe Acute Respiratory Distress Syndrome Associated with COVID-19: A Retrospective Cohort Study: https://www.thelancet.com/journals/lanres/article/PIIS2213-2600(20)30328-3/fulltext Extracorporeal Membrane Oxygenation for Severe Acute Respiratory Distress Syndrome: https://www.nejm.org/doi/full/10.1056/NEJMoa1800385 Books Mentioned in this Episode: Extracorporeal Life Support: The ELSO Red Book: https://www.elso.org/Publications/RedBook5thEdition.aspx

In this episode of Critical Matters, we will discuss mechanical ventilation. Our guest is Dr. Eduardo Mireles-Cabodevila, a practicing pulmonary critical care physician and Director of the Medical Intensive Care Unit at the Cleveland Clinic. His areas of clinical interest are critical care medicine, application of mechanical ventilation, acute and chronic respiratory failure, and extracorporeal life support. Our conversation covers general concepts related to liberation from mechanical ventilation, weaning from mechanical ventilation, and also examines how these concepts may apply to COVID-19 patients. Additional Resources: Liberation From Mechanical Ventilation in Critically Ill Adults: An Official American College of Chest Physicians/American Thoracic Society Clinical Practice Guideline: Inspiratory Pressure Augmentation During Spontaneous Breathing Trials, Protocols Minimizing Sedation, and Noninvasive Ventilation Immediately After Extubation: https://pubmed.ncbi.nlm.nih.gov/27818331/ An Official American Thoracic Society/American College of Chest Physicians Clinical Practice Guideline: Liberation from Mechanical Ventilation in Critically Ill Adults. Rehabilitation Protocols, Ventilator Liberation Protocols, and Cuff Leak Tests: https://pubmed.ncbi.nlm.nih.gov/27762595/ Tracheostomy in the COVID-19 Era: Global and Multidisciplinary Guidance: https://pubmed.ncbi.nlm.nih.gov/32422180/ Lung Ultrasound Allows the Diagnosis of Weaning-Induced Pulmonary Edema: https://pubmed.ncbi.nlm.nih.gov/30863935/ Previous episode of Critical Matters on Prolonged Mechanical Ventilation: https://critical-matters/outliers-and-super-users:-targeting-prolonged-use-of-mv-in-the-icu Books Mentioned in this Episode: William Osler: A Life in Medicine by Michael Bliss: https://www.amazon.com/William-Osler

Mississippi's health care system reaches the brink as COVID cases and hospitalizations reach new highs in the state.Then, a new report from the Trust for America's Health examines the impact of the pandemic on communities facing food insecurities.Segment 1:Hospital beds in Mississippi are filling up with coronavirus patients, and emergency rooms are giving up space to assist with the high demand for advanced medical care. Yesterday was a new record day for COVID-19 cases in the state as the Department of Health reported over twelve hundred new confirmed infections. Over the past eight days, COVID-related hospitalizations have continued to climb to a record 855. Dr. Andy Willhelm is Director of the Medical Intensive Care Unit at the University of Mississippi Medical Center. He tells MPB's Kobee Vance the novelty and severity of the disease presents a series of challenges.Segment 2:School closures, coupled with the economic pressures of the COVID-19 crisis, are causing children to experience food insecurity at unprecedented rates. A new report, released yesterday by Trust for America's Health, examines policies and recommendations that are being implemented by local, state, and federal officials, as well as school systems, to protect against child hunger during the ongoing pandemic. Adam Lustig is with Trust for America's Heath. He tells shares more about the report with us. See acast.com/privacy for privacy and opt-out information.

This week we talk to Jodean Chisholm and Kendall Barger. Kendall is a nurse in UVA’s Medical Intensive Care Unit and Jodean is a Nurse Manager on 3 Central. They’re both working on the frontline and have treated some of those in our community who have been hospitalized with COVID-19. Stay tuned to catch up with Charlottesville Tomorrow and hear from a lawyer representing folks who have been detained by ICE in our area and are especially vulnerable to COVID 19.

Sarah's Story: I am a mother of two boys. I am from Rochester, NY. I have a BS in Nursing, and have worked in a Medical Intensive Care Unit as well as Community Health. About 5 years ago, I was extremely overweight and sick with borderline high blood pressure, the beginning stages of fatty liver disease, among other things. I struggled for years trying to lose weight and exhausted just about every weight loss option that I could find. I managed to lose some weight but continued to feel sick. I read a book called The China Study, and changed my life forever. I began eating plant based and within weeks dropped weight and cured my fatty liver disease and everything else that ailed me. In 2015, I also completed The Campbell Plan. I have lost a total of 156 lbs since then. I have since began working on my certification in plant-based nutrition through the T. Colin Campbell Center for Nutrition Studies at Cornell University. I have become a runner, and enjoy participating in races. This lifestyle has changed my life in so many incredible ways, and I feel it's necessary to help others improve their health and quality of life. My goal is to educate others on the benefits of a whole food plant-based diet, and to provide the convenience and ease of having your meals prepared and delivered right to your door. https://www.kitchen-verde.com/

Sometimes words and terms have been around for so long that we take them for granted. Fortunately, a nurse manager took notice of one particularly harmful term on a medical device and did something about it. Tracey Lam shares the story of how an individual voice is creating a wave of positive change. Guests include: • Gina Hawley, Dr.P.H., vice president, Professional and Support Services • David Quitmeyer, M.H.A., R.R.T., director, Respiratory Care Services • Adrienne McDougal, M.N., R.N., nurse manager, Medical Intensive Care Unit and Critical Care Float Pool

Dr. Dery and Doc Griggs talk with Dr. Nathan Nielsen, director of the Medical Intensive Care Unit at University Medical Center - New Orleans.

This conversation reflects a discussion at the Perioperative Quality Inititative (POQI). It originally ran under the title, "Intervascular volume and fluid responsiveness" but, as this conversation explains, it was renamed "Fluid Responsiveness and venous capacitance". With a genuinely multidisciplinary approach on display here this piece gives you a glimpse at the inner workings of the POQI process. How does macro circulation interlock with micro circulation and cellular function? How do people on the ground measure stroke volumes? What do you do when passive leg raising is not appropriate? How do we address hypovolemia? How do you define fluid responsiveness at the bedside? Presented by Desiree Chappell and Mike Grocott with their guests David Kaufman Associate Professor, Director, Medical Intensive Care Unit at NYU School of Medicine, NYU-Langone Medical Center and Dr Greg Martin Director, Research Network, GaCTSA; Director, Predictive Health Institute; Research Director, Emory Critical Care Center.

Sarah Goodenough is a mother of two boys. She is from Rochester, NY and has a BS in Nursing, a BS in Biochemistry, and a Plant Based Nutrition Certification. She has worked in a Medical Intensive Care Unit as well as Community Health as a registered nurse. About 8 years ago, Sarah was extremely overweight and sick with borderline high blood pressure, the beginning stages of fatty liver disease, among other things. She struggled for years trying to lose weight and exhausted just about every weight loss option that she could find. Sarah managed to lose some weight but continued to feel sick. She then read a book called The China Study which changed her life forever. Sarah began eating plant based and within weeks dropped weight and cured her fatty liver disease, depression, and asthma. In 2015, she also completed The Campbell Plan. She has lost a total of 165 lbs since then. Sarah has become a long distance runner, and enjoys participating in races that really tests her limits. She just recently completed the Leadville Heavy Half in Colorado, which is a race up a mountain at 13,000 ft altitude. This lifestyle has changed Sarah’s life in so many incredible ways, and she feels it's necessary to help others improve their health and quality of life. Her goal is to educate others on the benefits of a whole food plant-based diet and to provide the convenience and ease of having delicious meals, prepared for you fresh, and delivered to your door. What you'll learn in this episode: How overcoming a serious weight problem and potentially fatal diseases led Sarah to create Kitchen Verde, a vegan food delivery service that provides plant-based foods to help people lose wait and stay healthy Sarah's struggles with weight and happiness and how others can learn from her experiences and learn how to respond to their weight in healthy ways The research that links meat-based proteins with various health issues in medical studies, and how switching to plant-based foods removed those issues The problems with how certain foods (like dairy products) are marketed as necessary parts of a diet, although not all research backs this up – and some even says the opposite The latest information on carcinogens in our environment and the what we are learning about new potential dangers How weight issues, overeating, and similar problems are often linked to emotions, depression, and other core causes that must be treated (and that diet is also a key part of that treatment) How building a 21-day is useful for many life improvements, including practicing a new diet when you really don't feel like it Why it's important to understand how the bacteria in our bodies react to different types of food The fun, geeky ways you can research plants and find which plants will help provide solutions for health issues or energy problems that you might be suffering Ways to contact Sarah: Website: www.kitchen-verde.com LinkedIn: www.linkedin.com/in/sarah-goodenough-092499126

Harrison "Hap" Farber, MD discusses ways Team PHenomenal Hope seeks to build community with those suffering from PH including the #LetMeBeYourLungs program. Dr. Farber is the Vice President of Team PHenomenal Hope. Dr. Farber is considered an opinion leader and internationally recognized expert in the field of pulmonary hypertension. He is a Professor in the Department of Medicine and attends in the Medical Intensive Care Unit and on the Pulmonary Consultation Service at Boston Medical Center. He also oversees the care of all patients with Pulmonary Hypertension at Boston Medical Center.  Learn more about pulmonary hypertension at www.phaware365.global. Never miss an episode with the phaware® podcast app. Follow us @phaware on facebook, twitter, instagram, youtube & linkedin Engage for a cure: www.phaware.global/donate #phaware #phawareMD

This conversation reflects a discussion had at the Perioperative Quality Inititative (POQI). It originally ran under the title, "Intervascular volume and fluid responsiveness" but, as this conversation explains, it was renamed "Fluid Responsiveness and venous capacitance". With a genuinely multidisciplinary approach on display here this piece gives you a glimpse at the inner workings of the POQI process. How does macro circulation interlock with micro circulation and cellular function? How do people on the ground measure stroke volumes? What do you do when passive leg raising is not appropriate? How do we address hypovolemia? How do you define fluid responsiveness at the bedside? Presented by Desiree Chappell and Mike Grocott with their guests David Kaufman Associate Professor, Director, Medical Intensive Care Unit at NYU School of Medicine, NYU-Langone Medical Center and Dr Greg Martin Director, Research Network, GaCTSA; Director, Predictive Health Institute; Research Director, Emory Critical Care Center.

Harrison "Hap" Farber, MD discusses this importance of poster sessions. Dr. Farber is considered an opinion leader and internationally recognized expert in the field of pulmonary hypertension. He is a Professor in the Department of Medicine and attends in the Medical Intensive Care Unit and on the Pulmonary Consultation Service at Boston Medical Center. He also oversees the care of all patients with Pulmonary Hypertension at Boston Medical Center.  Learn more about pulmonary hypertension at www.phaware365.global. Never miss an episode with the phaware® podcast app. Follow us @phaware on facebook, twitter, instagram, youtube & linkedin Engage for a cure: www.phaware.global/donate #phaware #phawareMD

Harrison "Hap" Farber, MD discusses PAH associated with HIV infection. Dr. Farber is considered an opinion leader and internationally recognized expert in the field of pulmonary hypertension. He is a Professor in the Department of Medicine and attends in the Medical Intensive Care Unit and on the Pulmonary Consultation Service at Boston Medical Center. He also oversees the care of all patients with Pulmonary Hypertension at Boston Medical Center.   Learn more about pulmonary hypertension at phaware365.global. Never miss an episode with the phaware® podcast app. Follow us on facebook, twitter, instagram, youtube & linkedin @phaware #phaware #phawareMD

Harrison "Hap" Farber, MD discusses inhaled iNO and oxygen therapy as an add-on therapy for patients with pulmonary hypertension. Dr. Farber is considered an opinion leader and internationally recognized expert in the field of pulmonary hypertension. He is a Professor in the Department of Medicine and attends in the Medical Intensive Care Unit and on the Pulmonary Consultation Service at Boston Medical Center. He also oversees the care of all patients with Pulmonary Hypertension at Boston Medical Center.   Learn more about pulmonary hypertension at phaware365.global. Never miss an episode with the phaware® podcast app. Follow us on facebook, twitter, instagram, youtube & linkedin @phaware #phaware #phawareMD

You can find the full episode description, show notes, and links at https://edgeofcomfort.com/eocp8/   "Just because you don't know and aren't familiar with it, doesn't mean you should fear it...Try to understand how it's different and what's going on, because it's normal to someone else." - Sophia Iaquinta While you met Sophia in Part 1 or our conversation, you didn't learn much about her background. Thus, we start by discussing more on Sophia's story and insights from her travels. After working as a nurse in a hospital Medical Intensive Care Unit for two years, she looked for other alternatives. Particularly, alternatives that combined her passions for traveling and helping others. This led her to apply for and accept a role with the Peace Corps in Guatemala starting February 2018. Creating a window for four-months to travel before her start date, she packed her bags and began a solo trip around Asia.   In Part 2, some of the things we discuss include: Packing light and efficiently for months on the road Ensuring safety and diverting unwanted attention Trying to understand your fears Creating your own experiences Readapting into your home culture and so much more.   Head to https://edgeofcomfort.com/eocp8/ for the full episode description, show notes, and links.  

Carl Shanholtz, MD is medical director of the Medical Intensive Care Unit at the University of Maryland Medical Center. After a fellowship in critical care medicine at Johns Hopkins University he did further training in Hematology and Oncology at the University of Maryland Medical Center. He specializes in the care of hematologic ...

Guest: Mitchell Levy, MD Host: Shira Johnson, MD Who delivers the best critical care, the critical care specialist or the physician without those credentials? Dr. Mitchell Levy, Professor of Medicine at Brown Medical School and Medical Director of the Medical Intensive Care Unit at Rhode Island Hospital discusses his recent study on the association between critical care management and patient mortality in the ICU. The answer may surpise you! Join host Shira Johnson.

Guest: Mitchell Levy, MD Host: Shira Johnson, MD What is the impact of re-education on outcomes in sepsis in an ICU? Host, Dr. Shira Johnson is joined by Dr. Mitchell Levy, professor of medicine at Brown Medical School and Medical Director of the Medical Intensive Care Unit at Rhode Island Hospital, who discusses the "Surviving Sepsis Campaign." Re-education of physicians and nurses in this global study had a remarkable impact on reducing mortality and morbidity. Dr. Levy explains why outcomes were so dramatically affected.