Podcasts about sicu

Welcome to FractureLine: the official weekly news feed from the Chest Wall Injury Society, where we will listen to all the bottom-line CWIS updates, shout-outs, fun facts, and weekly banter! This week's episode welcomes Drs. Jeffry Nahmias, MD & Sebastian Schubl, MD FACS (Trauma & Critical Care Surgery, University of California Irvine [UCI]). Dr. Nahmias is the director of the SICU for UCI & Dr. Schubl is the director of medical operations for UCI and a CWIS Stalwart. These two have been working on and recently published their article in Injury (9/23/24), "Effects of post rib plating tube thoracostomy output on the need for thoracic re-intervention: Does the volume matter?" This article is an excellent resource for the ever-present question: is there a magic number for chest tube output before it is pulled that helps prevent the need for replacement or re-intervention?! The answer may very well surprise you! We were joined by SarahAnn Whitbeck, Dr. White, Dr. Kryskow, & Dr. Bauman joined us. Come dive in!

In this podcast episode we want to introduce you to our BCEN Friend, Adam Sorenson. Graduating in 2012 with his BSN, Adam Sorenson began his career as a pediatric nurse before transitioning to a role as a pediatric intensive care nurse. After a few years in the PICU, Adam shifted to working in an adult surgical intensive care unit (SICU) at a Level 1 trauma center, where he continues to work today. Adam's professional development includes advanced training, starting with Trauma Nursing Core Course (TNCC) and Advanced Trauma Care Nursing (ATCN) to obtaining his certification as a Trauma Certified Registered Nurse (TCRN). In 2014, during the Ebola outbreak in Central and West Africa, Adam joined the Highly Infectious Treatment Team (HITeam) at Denver Health Hospital, an all-voluntary group established to handle such crises. Denver Health was designated as an Ebola regional treatment center in 2015. In 2021, Adam took on a part-time role as a Biocontainment Unit Nurse Educator, focusing on training, education, and preparedness for viral hemorrhagic fevers, rare respiratory viruses, and novel viruses. Additionally, Adam has served as a nurse in the Air Force Reserves for the past five years. Come along as Michael Dexter and Hollye Briggs talk with Adam about his nursing career from pediatrics to trauma care to biocontainment. This episode is called, “Hero Dirt: Collaboration on Emerging Special Pathogens.” Adam can be reached on the Denver Health website at https://www.denverhealth.org/services/regional-emerging-special-pathogen-treatment-center and also recommends resources through the NETEC website at https://netec.org/ BCEN & Friends Podcast is presented by the Board of Certification for Emergency Nursing. We invite you to visit us online at https://bcen.org for additional information about emergency nursing certification, education, and much more.

In this 281st episode I welcome our SICU pharmacist, Traci Grucz, to the show to discuss glycemic management of critical ill patients. Our Sponsors:* Check out Neurohacker: neurohacker.com/ACCRACAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

The Fellowship of the Snow kept it interesting this year…both on and off the slopes!  On this episode, Patrick Georgoff discusses the Western Trauma Association's updated resuscitative thoracotomy algorithm with Ron Tesoriero, the results of a WTA multicenter trial exploring chest tube irrigation for the prevention of retained hemothorax with Thomas Carver, and prehospital blood administration with Juan Duchesne.   ** Algorithms and papers are pending final review and are therefore not available to link to this episode.   Ron Tesoriero, MD: Associate Professor of Surgery, Director of the Acute Care Surgery Fellowship, and Co-Director of the SICU at UCSF. Thomas Carver, MD: Associate Professor of Surgery, Director of the Acute Care Surgery Fellowship, and Senior Medical Director of Critical Care Services at the Medical College of Wisconsin.   Juan Duchesne, MD: Professor of Surgery and Chief of Trauma and Acute Care Surgery at Tulane university.    Resuscitative Thoracotomy: The Who (Episode 475): https://app.behindtheknife.org/podcast/big-t-trauma-series-ep-14-ed-thoracotomy-the-who  Resuscitative Thoracotomy: The How (Episode 476): https://app.behindtheknife.org/podcast/big-t-trauma-series-ep-15-ed-thoracotomy-the-how Innovation Lifeflow (Episode 642): https://app.behindtheknife.org/podcast/innovations-in-surgery-lifeflow We now have over 725 episodes!  The easiest way to find specific topics or episodes is on our website https://app.behindtheknife.org/home or on our new Apple/Android app.  You can search or browse by topic, podcast series, etc., making it much easier to navigate than podcast players.   iOS: https://apps.apple.com/us/app/behind-the-knife/id1672420049 Android: https://play.google.com/store/apps/details?id=com.btk.app PREMIUM BUNDLE: https://app.behindtheknife.org/bundle/95 Please email hello@behindtheknife.org to learn more about our premium bundle and institutional discounts.  Premium Bundle Includes: General Surgery Oral Board Audio Review Trauma Surgery Video Atlas Colorectal Surgery Oral Board Audio Review Surgical Oncology Surgery Oral Board Audio Review Vascular Surgery Surgery Oral Board Audio Review Cardiothoracic Surgery Surgery Oral Board Audio Review

@theoneleggedmom               Instagram 32.7k   TikTok 1M    YouTube ___   Twitter ____ LaunchHad her entire leg amputated up to her hip joint, and she also had the muscles and tendons cut out of her arm - Had 28 surgeries during the nearly 2 months she spent in the hospital - 4th person in US to have this, and the only one to survive Review – text line – Mike from the East CoastI've listened since 2020 and I always learn something new on the profit shows.  Thanks for taking the time and effort you put into every show. “Go Hawks”Josie WendelWhere are they from, what do they farmHow's the family - do they farm with family?Josie Wendel - Mom of 3 - Farm Wife - 31What are they up to today? – Mom night out?AmputeeIn 2015 was diagnosed with a rare strand of necrotizing fasciitis and become an amputee after less than 24 hrs of feeling sickWoke up at 3am on April 3, 2015, with aches and a feverAssumed she had contracted a late-season flu and called off work while their 10-year old son went with his babysitterAt noon she developed painful muscles spasms that lasted hoursSpent 6 hours taking hot showers because it was the only thing that made her feel betterWhen her husband arrived home at 6pm, she made the decision to go to the ERWaited in the emergency room as it was full at the timeHer parents got the hospital around 9:30 pm Found a football sized bruise on her left shin after ripping the blankets off of her leg (wasn't there 4 hours ago)Life flighted to another hospital around midnight 1st surgery she had a 5% chance of coming back out Amputated below her knee with goal of preserving her quality of lifeEnded up needed at hi disarticulation, an amputation where the entire leg all the way up to the hip joint is removed2 day after surgery displayed symptoms of necrotizing fasciitis in her forearm - rushed to surgery then Took out all the muscles and tendons from the top of her arm to clean it outPut a skin graft on top of her armWhen her husband wasn't at the hospital with her he was home making adjustments to it to make it handicap accessibleShe was in the SICU for 3 weeks before being moved to the burn unit for 2 more weekSpend last weeks in the rehab unitSent home on May 21, 2015Only saw her son twice in the hospitalHad her entire leg amputated up to her hip joint, and she also had the muscles and tendons cut out of her armHad 28 surgeries during the nearly 2 months she spent in the hospital4th person in US to have this, and the only one to survive    Today:Works on the farm Running the tractorCattle choresPlaying with her kids  Word association - Take the word we share and say the first thing thing that comes to mind connecting it to agricultureCoffee                                     Kids                                         Bacon  Steak                                       Cattle                                       SchoolVodka                                      Traffic                                      CircleChapter                                   Text                                         SweatSentiment                                Houseplant                              HarvestPumpkin                                  Museum                                  Laughing  What's next for them?What can our listeners do to help?What can we do to help? What does she like most about farmers? 

Many anesthesia rotations have you work in different parts of the hospital, to get a glimpse of what perioperative medicine truly means. This includes Preop, Acute Pain Service, optimization clinic, SICU, PACU, and of course, the OR. The episode describes what you will be doing in each and how to thrive.

Vascular emergencies refer to any time-sensitive condition where perfusion is prevented secondary to bleeding or occlusion of a vessel. These can include, but is not limited to, the superior mesenteric artery (SMA) and aorta. And depending on the severity of the aneurysm or embolism/thrombus, downstream ischemia can significantly impact a patient's quality of life. How do we identify these conditions? When are they classified as a true emergency? And how do we treat patients with the notion that strict hemodynamic parameters are indicated? Join us for a clinical heavy podcast episode where we focus on ischemic leg, SMA ischemia/dead gut, and thoracic/AAA. Get CE hours for our podcast episodes HERE! -------------------------------------------- Twitter @heavyhelmet Facebook @heavyliesthehelmet Instagram @heavyliesthehelmet Website heavyliesthehelmet.com Email contact@heavyliesthehelmet.com Disclaimer: The views, information, or opinions expressed on the Heavy Lies the Helmet podcast are solely those of the individuals involved and do not necessarily represent those of their employers and their employees. Heavy Lies the Helmet, LLC is not responsible for the accuracy of any information available for listening on this platform. The primary purpose of this series is to educate and inform, but it is not a substitute for your local laws, medical direction, or sound judgment. --------------------------------------------  Crystals VIP by From The Dust | https://soundcloud.com/ftdmusic Music promoted by https://www.free-stock-music.com

Pat Hirsch, a nurse who has a depth of experience in critical care and PACU units, describes some of the common types of liability in this setting and how PACU personnel handle them. The possibility of falling always looms large in a PACU. Patients may be disoriented, have pre-existing cognitive issues, visual disturbances, language barriers, and other issues. Where Pat works, low-, medium-, and high-risk patients are pre-identified. High-risk patients are given yellow socks and wrist bands, and other precautions are set into place. Breathing issues may be common for those with COPD, lung restrictive conditions, and sleep apnea. CO2 levels must be monitored. Many simple physical techniques, like having a conscious patient cough, can resolve the issues, but sometimes more complex maneuvers are required. Being sure that pulse ox monitors are working correctly is an important part of the equation. PACU personnel need to be particularly aware of the possibility of internal bleeding by recognizing its signs. This serious condition may sometimes require a return to surgery. Be sure to listen to or read this valuable and instructive podcast. Not only will it help you in analyzing PACU cases, but the life you save may be your own. Join me in this episode of Liability and Safety in PACU: Insights from an LNC with Pat Hirsch What classifies a post-anesthesia patient as a fall risk? What measures can prevent falls in the postoperative care unit (PACU)? How do PACU personnel handle breathing issues? What particular guidelines apply for the pulse ox readings? How do PACU personnel recognize and deal with internal bleeding? Listen to our podcasts or watch them using our app, Expert.edu, available at legalnursebusiness.com/expertedu. https://youtu.be/z6a4pqNcJMY You can still order the recordings for our 7th Virtual Conference! LNC Success™ is a Virtual Conference 3-day event designed for legal nurse consultants just like you! Pat Iyer and Barbara Levin put together THE first Legal Nurse Consulting Virtual Conference in July 2020. They are back with their 7th all-new conference based on what attendees said they'd find most valuable. This new implementation and networking event is designed for LNCs at any stage in their career. Build your expertise, attract higher-paying attorney clients, and take your business to the next level. After the LNC Success™ Virtual Conference, you will leave with clarity, confidence, and an effective step-by-step action plan that you can immediately implement in your business. Your Presenter of Liability and Safety in PACU: Insights from an LNC with Pat Hirsch My name is Patricia Hirsch and I'm from Cincinnati, OH. I've been an active bedside nurse for almost 39 years. My nursing experience includes Med-Surg, Telemetry, CCU, ICU, MICU, SICU, ED, Pre op and PACU. I've been working in a PACU for the past 16 years, along with pre op in the past 10 years. My clinical experience in Critical Care and PeriOp nursing has fostered my knowledge of the nursing process and standards of care in nursing.I also worked in many different hospital settings and worked for a nursing agency for 10 years. This broadened my knowledge in how different healthcare systems operate.I am also proficient in EPIC, and know how to navigate the EMR. This comes in handy when teaching clients how to understand the EMR! Connect with Pat https://www.linkedin.com/in/patricia-hirsch-67712153

This week we have a chat to Dr David Convissar, Cardiac Anesthesiologist, SICU & CTICU Intensivist, clinical instructor at Harvard Medical and creator of 'Count Backwards From 10'.  We go through some common cardiovascular terms such as blood pressure, mean arterial pressure, preload, afterload and contractility before talking about cardiogenic shock. This is often a forgotten and misunderstood shocked state, so Dr Convissar gives us the step by step on what it is, its clinical presentation and treatments.  DISCLAIMER: All of the opinions of each individual on 'The Student Paramedic Podcast' are their own.See omnystudio.com/listener for privacy information.

On episode 390 of The Nurse Keith Show nursing and healthcare career podcast, Keith interviews Deanna Gillingham, RN, CCM, the CEO of The Case Management Institute (CMI). For Deanna's third appearance on the podcast, Keith and Deanna discuss Case Management Week, nurse case management as a solid career move for nurses, and how this burgeoning nursing specialty is truly coming into it own. Central to the conversation are the results of the Case Management Institute's Salary and Trends Survey created in collaboration with the Case Management Society of America. Deanna Cooper Gillingham is an RN, Certified Case Manager, Author, and Entrepreneur. She has extensive clinical and case management experience including complex case management, transplant case management, Med Surg, Dialysis, Oncology, Hospice, SICU, LDRP, L&D, and Ambulatory Care. She has also worked as a travel nurse, agency nurse, and patient service representative. Deanna is the author of CCM Certification Made Easy: Your Guide to Passing the Certified Case Manager Exam now in its 3rd edition and Foundations of Case Management: A Practical Guide for RNs Transitioning from Nurse to Case Manager. She is the developer of several courses for nurses and case managers.  Deanna is passionate about developing the case management workforce. As co-founder and CEO of the Case Management Institute, she is dedicated to decreasing barriers to entry into this profession and developing case managers into leaders. She is also the leader and co-founder of the Case Managers Community, a Facebook group of over 22,000 case managers.  She is currently living her dream life in Puerto Aventuras, Mexico. From there she is writing her next book or course from her patio overlooking the beautiful Caribbean Sea. Unless that is, she is traveling the world with her friends and family. Connect with Deanna Gillingham and Case Management Institute: Case Management Institute Case Management Study Guide Facebook LinkedIn Nurse Keith is a holistic career coach for nurses, professional podcaster, published author, award-winning blogger, inspiring keynote speaker, and successful nurse entrepreneur. Connect with Nurse Keith at NurseKeith.com, and on Twitter, Facebook, LinkedIn, and Instagram. The Nurse Keith Show is a proud member of The Health Podcast Network, one of the largest and fastest-growing collections of authoritative, high-quality podcasts taking on the tough topics in health and care with empathy, expertise, and a commitment to excellence. The podcast is adroitly produced by Rob Johnston of 520R Podcasting, and Mark Capispisan is our stalwart social media manager and newsletter wrangler.

My next guest is an RN and Founder of Next Level Nursing, Jenney Floyd! She is a Registered Nurse with 10 years of experience in SICU and ER. She's been a charge nurse, team lead, and preceptor. She's a great nurse… actually, she's a fantastic nurse.  But she spent the last year hating her job. She LOVED being a nurse, just hated her job.  So she made some changes and she learned some things along the way. She made a solid decision that she was not going to spend another second unhappy in her career. Now, she's laser focused on the next level of her nursing career. Jenney Floyd is the founder of Next Level Nursing which is an organization that elevates, educates, and empowers nurses to be the best that they can be at the bedside. She holds conferences for nurses that are designed to not only educate, but also to CELEBRATE nurses. In fact, she has one coming up October 14-15th and the lineup is amazing. ALSO—if you want to attend the Next Level Nursing Conference, they are doing a drawing to give away a companion pass if you register by September 16th. So, jump on it!  This conference is $129.00 for two full days of eating, drinking, and learning on the San Antonio River Walk. That's a great weekend on tap!  To learn more about Jenney Floyd and Next Level Nursing you can find her here: Website:  https://www.nextlevelrn.com Instagram:  https://www.instagram.com/nxtlvlrn/ Facebook:  https://www.facebook.com/NxtLvlRN  

We look at the rib fracture patient requiring ICU admission, including a discussion of surgical repair, with Dr. Ron Barbosa (@rbarbosa91), Portland trauma surgeon and SICU director at Legacy Emmanual Medical Center. Takeaway lessons Algorithms and protocols for admitting disposition exist but are generally poorly predictive. ICU admission in rib fracture patients is still most … Continue reading "Episode 50: Rib fractures and surgical plating with Ron Barbosa"

Sicu szerintem túlzás nélkül a legenergikusabb, legpörgősebb énekesnő itthon. Kicsit annak jártunk utána, hogy találkozott a zenével, miért kezdett énekelni, illetve hogy mi újság a Vasmacska körül? Vendégem: - Weiszné Koós Ilona Mónika Vasmacska a Facebookon: https://www.facebook.com/Vasmacskazenekar Sicu Band a Facebookon: https://www.facebook.com/band.sicu Dáma Lárma a Facebookon: https://www.facebook.com/DamaLarma Ric$ a Facebookon: https://facebook.com/szenegetorichard Ric$ blogja: https://ricsandgreen.hu Ha bármi észrevétel, hozzáfűznivaló, témaötlet van, azt a rics@ricsandgreen.hu címre küldhetitek! Ha szeretnéd, hogy több Ric$Cast készüljön, akkor támogasd az adást a patreon.com/ricscast oldalon, válaszd a csatornatagságot, használd a "köszönet" gombot, vagy egy pólós csomag megvásárlásával a Facebook oldalamon! Köszönöm! Felvétel, mastering: Faragó Sztivi István - Carver Recording https://facebook.com/CarverRecording Intro zene: Fellegi Ádám Intro hangok: Lukács László, Fejes Tamás, Sidi, Big Daddy L, Nomad Marci, Paddy

Listen along for my experience in the Surgical ICU! I share what a day in the life looks like, what to expect, my take on critical care as well as some of the interesting cases I had the opportunity to see/manage. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app Support this podcast: https://anchor.fm/lifeonthepharmpod/support

BONUS EPISODE and it's not even a mini!! We talk about basic saint Michelle Herndon and the asshole that took her life under the guise of helping her, then hopping across the world to evade capture.Remember to RATE, REVIEW, SUBSCRIBE, and SHARE PLEASE!Follow us on Instagram @medimesspod and join our Facebook group MediMess: A True Crime Podcast.Send us a Gmail at medimesspod@gmail.comLicense to Kill - OxygenOliver O'Quinn: How Florida nurse injected his crush with 4 lethal doses of anesthetic for 'putting him down' | MEAWWOliver O'Quinn Guilty In Propofol Murder Of Michelle Herndon | Crime News (oxygen.com)Obsession (nbcnews.com)Ex-Shands nurse O'Quinn gets life without parole - News - Gainesville Sun - Gainesville, FLEx-Nurse Sentenced In Injection Slaying - News - The Ledger - Lakeland, FLForensic Files - Needle in a Haystack

On this episode, we dove into the world of anesthesia and what it means to be a CRNA. Special guest, Blaise Sims MSN MBA, CRNA, joined us to talk about his CRNA career, outline common misconceptions about CRNA, share tips and advice for new CRNAs, and more.We Discuss(0:00) Introduction(2:07) Did Blaise Always Know He Wanted to Be a CRNA?(3:40) What is CRNA School Like(9:10) Imposter Syndrome When Starting Out(13:00) CRNA School Prerequisites(14:18) Common Misconceptions About CRNA(22:13) What Assessments Do You Have During Surgery(27:55) How Much Variety Do You See in Your Day(33:11) Most Difficult CRNA Procedures(44:05) Logistics of Being a CRNA(49:17) 24hr Shifts as a CRNA(52:10) Difference Between 1099 vs W2 Nurses(57:03) Tips & Advice for New CRNAsAbout Blaise Sims MSN, MBA, CRNABlaise is a CRNA currently working as site chief in the Houston Gulf Coast region, nine years into his anesthesia practice. Before anesthesia, he worked as an ER tech and RN intern, then as an RN he worked in a trauma neuro ICU full time and worked PRN in the MICU, SICU, CICU, and ER. His previous anesthesia experience includes working at the Debakey Heart and Vascular Institute where he performed Heart, Lung, and Kidney transplants as well as all major aorta and vascular procedures. In December of 2020, Blaise graduated from LSUS with a Master's in Business Administration (MBA). He chose to pursue his MBA to educate himself for future leadership opportunities and obtain a more comprehensive understanding of the business side of healthcare and anesthesia. He gives back to the nursing community by mentoring young RNs new to their career, providing guidance and advice. He also has a charity that performs service trips in areas of need abroad. These service trips provide critical access to surgeries otherwise not available. They also provide amazing learning opportunities for the volunteer RNs that participate. When not working, Blaise is married with two children. His wife and kiddos are the reason behind everything he does. Where to Find Blaise OnlineInstagramLinkedInHis Charity's WebsiteAbout the ShowProducer – Jonathan Cary Assistant Producer – Katie SchraubenAssistant Producer – Sam MacKay Powered by American Mobile

This episode of BCEN and Friends lets you meet our friend Allen Wolfe. Allen was born in Mobile, Alabama and currently resides in Minneapolis. Allen is currently the Senior Director of Education at Life Link III an Air Medical Transport Company. For fun Allen likes to travel. He's been to all 50 states and loves to travel outside the US, but, for now, Covid has put a damper on that. Allen also loves college sports and has been to the NCAA Men's basketball games every year since 1998. His new love is watching Women's College gymnastics – it's just amazing. Allen a Critical Care Nurse who worked in the hospital for about 7 years in the CVICU, SICU and ED. Allen completed his Masters in Critical Care Clinical Specialist from Marymount University in VA. Allen started as a Flight nurse in 1990 and has had some really amazing career highlights that hopefully he will tell us about during this podcast!  Allen has won every major award (5) in the industry except safety award. Allen is the chair elect for BCEN BOD Janie Schumaker and Mark Eggers talk with Allen, about his career and his current role as Senior Director of Education at Life Link, along with what he likes to do for fun. Listen to Allen's highlights of amazing stories that he has been a part of. This episode is called, Meet Our BCEN Celebrity. Allen Wolfe can be found on LinkedIn

Are you wondering what the difference between the medical and surgical ICUs is? Then watch this. I'm going to make a quick comparison between the MICU and SICU to help you figure out which nursing job you should pick. Some links mentioned below are affiliate links.

Amy is a critical care nurse and charge nurse in a SICU in New Orleans. As the initial pandemic response started in 2020, she was identified within her organization because of her leadership, commitment, and expertise to lead and manage the COVID ICU. Amy shares her story about her journey to nursing, her work in the ICU and her experience leading a team during the initial COVID response. Amy and I talked about many things and we got to share a few laughs. One of my favorite things she shared was her opportunity to participate in a Dear World story when Dear world & AACN collaborated to share stories from the front line of the pandemic. Check out Dearworld.com for their story sharing work and the American Association of Critical Care Nurses project at HearUsOut.com --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app Support this podcast: https://anchor.fm/narrativenurse/support

Dr. Joel Topf joins us on Rounds to discuss and review key concepts in the recognition and management of acute kidney injury (AKI) in the SICU. AKI is a common and morbid complication among hospitalized patients. Further, trauma and surgical patients, in particular, are at an increased risk for AKI due to the myriad of pre-, intra-, and postrenal insults that commonly occur at the time of injury, during resuscitation, surgery,, as well as from iatrogenic insults including IV contrast, NSAIDs, antibiotics (aminoglycosides and the infamous Pip/Tazo/Vanco ice cream sandwich). From the use of a DDAVP clamp in patients with severe hyponatremia to the use of balanced solutions in critically ill patients, kidney_boy breaks it down for us as only a true salt whisperer can!

CardioNerds (Amit Goyal & Daniel Ambinder) join Johns Hopkins Hospital cardiology fellows (Rick Vakil, Pranoti Hiremath, and Vasanth Sathiyakumar) for some gelato by the bay in Baltimore, Maryland! They discuss a challenging case of RV failure & shock after placement of an AV graft. Dr. Monica Mukherjee provides the E-CPR and program director Dr. Steven Schulman provides a message for applicants. Episode notes were developed by Johns Hopkins internal medicine resident Colin Blumenthal with mentorship from University of Maryland cardiology fellow Karan Desai.   Jump to: Patient summary - Case media - Case teaching - References Episode graphic by Dr. Carine Hamo The CardioNerds Cardiology Case Reports series shines light on the hidden curriculum of medical storytelling. We learn together while discussing fascinating cases in this fun, engaging, and educational format. Each episode ends with an “Expert CardioNerd Perspectives & Review” (E-CPR) for a nuanced teaching from a content expert. We truly believe that hearing about a patient is the singular theme that unifies everyone at every level, from the student to the professor emeritus. We are teaming up with the ACC FIT Section to use the #CNCR episodes to showcase CV education across the country in the era of virtual recruitment. As part of the recruitment series, each episode features fellows from a given program discussing and teaching about an interesting case as well as sharing what makes their hearts flutter about their fellowship training. The case discussion is followed by both an E-CPR segment and a message from the program director. CardioNerds Case Reports PageCardioNerds Episode PageCardioNerds AcademySubscribe to our newsletter- The HeartbeatSupport our educational mission by becoming a Patron!Cardiology Programs Twitter Group created by Dr. Nosheen Reza Patient Summary A man in his early 40s, with a history of type 1 diabetes and prior failed renal and pancreatic transplants currently on iHD, was referred to Johns Hopkins Hospital for dialysis access. A left groin AV loop graft was pursued due to multiple access point failures in the past secondary to severe peripheral artery disease. Pre-op evaluation included risk stratification with RHC which was consistent with WHO Group 2 pulmonary HTN and diffuse atherosclerosis in the RCA on LHC. Intra-op, patient had an episode of significant hypotension after administration of protamine that required phenylephrine and ephedrine. In the PACU, his BPs continued to be low (70s/40s mmHg), requiring admission to the SICU where cardiology was consulted.  In the SICU, patient had ongoing hypotension despite pressors and fluids. Exam demonstrated a systolic murmur consistent with TR and elevated JVP. Labs were notable for a mild elevation in liver enzymes, elevated troponin, high NT-proBNP and elevated lactate. TTE demonstrated a moderately dilated and hypokinetic RV, elevated RVSP and evidence of pressure/volume overload. CTA abdomen/pelvis demonstrated extensive mesenteric atherosclerosis and signs of gastric ischemia. Patient was treated for RV failure with norepinephrine, inhaled epoprostenol, and CVVHD for volume removal. He became febrile and was treated empirically with broad spectrum antibiotics. Due to concern for the new loop graft causing high output heart failure vs RV failure, it was temporarily occluded for testing and then permanently ligated by vascular surgery with significant improvement in his BPs and RV function on repeat TTE.  Case Media ABCDEClick to Enlarge A. Plato's allegory of the cave by Jan Saenredam, according to Cornelis van Haarlem, 1604, Albertina, ViennaB-C. Anesthesia flow sheets D. CXR: Pulmonary vascular congestion, bibasilar atelectasisE. ECG: Sinus tachycardia to 110, RAD, RBBB, similar to prior TTE: LVEF 60-65%, mild to moderate concentric hypertrophy, trace effusion TTE: Flattened septum in systole and diastole c/f RV pressur...

On today's episode, I catch up with the beloved and infamous Critical Care Nurse Practitioner Cameron "Cam" Wright. He discusses candidly how his working environment changed overnight from a SICU to a Covid ICU and the implications that had on him and his family. We talk shop about how working in critical care leaves its "collateral damage," Plus, we discuss the importance of creating a cohesive team. Don't worry, we round it out with some funny nursing stories. Cam was an absolute delight to have on and he made sure to take full advantage of our 'E" for explicit rating. You won't want to miss this episode! Nicole

TIME-ly Projects from the Medical Educator Certificate Program Lindsay M. Griffin, MD Assistant Professor of Radiology (Pediatric Radiology and Cardiovascular Imaging) "Using adult learning theory to develop case-based independent study" Raj Jain, MD Instructor of Pediatrics and Medicine (General Internal Medicine and Geriatrics) "Novel Injection Curriculum in FM Residency" Joseph A. Posluszny, Jr., MD Assistant Professor of Surgery (Trauma and Critical Care) "Fellow-led SICU morbidity and mortality conferences address patient safety, quality improvement, interprofessional cooperation and ACGME milestones" Allison B. Kessler Vear, MD, MSc Assistant Professor of Physical Medicine and Rehabilitation "Interprofessional Education in the Inpatient Rehabilitation Setting: An Interprofessional Simulated Team Conference"

Dr. Mayur Narayan associate professor of surgery at Weill Cornell Medical Center, describes his early experience managing a SICU full of COVID-19 + positive patients.  Dr. Patrick Georgoff, critical care fellow, and frequent Behind The Knife contributor joins us to help break down the critical care aspects of COVID-19.  Resources SCCM Covid guidelines: http://www.med.umich.edu/surgery/mcccn/documents/SSC-COVID19-Critical-Care-Guidelines.pdf DOD Covid guidelines: http://www.med.umich.edu/surgery/mcccn/documents/DoD-COVID-19-Practice-Management-Guide-V10 JAMA treatment synopsis: https://jamanetwork.com/journals/jama/fullarticle/2763879?guestAccessKey=8e645e9d-64dc-436c-8f59-d0dd83afb7d9&utm_content=weekly_highlights&utm_term=032820&utm_source=silverchair&utm_campaign=jama_network&cmp=1&utm_medium=email Michigan Critical Care Collaborative Network: http://www.med.umich.edu/surgery/mcccn/ MGH Treatment Guide: http://www.med.umich.edu/surgery/mcccn/documents/MGH-Guide-for-COVID-Patients.JPG

In this EAST Careercast, Dr. Zaffer Qasim explores the evolving role of Emergency Medicine-Surgical Critical Care Specialists.  Dr. Qasim interviews Dr. Tiffany Osborn, the first full female Professor of Surgery and EM at Barnes Jewish Hospital in Saint Louis, Missouri and Dr. Zac Ginsberg, Medical Director of the SICU and Emergency Physician at Kettering Medical Center, Cincinnati, Ohio.  Both discuss their respective paths from fellowship to job search and career advancement.  Drs. Osborn and Ginsberg provide important points as to why EM-SCC physicians form a unique and important part of the health system. In the podcast, Dr. Osborn references the following resources related to career and mentoring:Mentorship: Through the Looking Glass Into Our Future by Tiffany Medlin Osborn, MD Ann Emerg Med August 1999;34:285-289. Get the Job You Really Want by James Caan - Goodreads

Look, and See Their Past Lives By Catherine Heimbecher Memorial Health Care System Chattanooga, Tennessee Catherine attended a youth mass at Our Lady of Perpetual Help Church before her 7:00 p.m. shift in SICU. The priest’s challenge to the youth was to visit nursing homes in the area and get to know the residents. He encouraged […] The post 1st Edition | Look, and See Their Past Lives appeared first on Mission Network.

Heather Hart, Nurse Practitioner at Vanderbilt University Medical Center, comes on to talk about her journey through Nursing and Nurse Practitioner school, what her education from Nursing and Nurse Practitioner entailed, the similarities and differences between these 2 programs,  some of the troubling issues currently facing nursing education, where she sees the future of nursing/ nurse practitioner education moving towards, her take on "work/life balance", characteristics of successful nursing educators, and more! Biography: Heather Hart received her BSN from Belmont University in 2009 and began her nursing career at Skyline Medical Center on the Cardiology Step-Down floor. There she advanced to a charge nurse position where she developed a love for critical care nursing. She accepted a position at the Vanderbilt Surgical ICU in 2012 where she also worked as a charge nurse and later took on the role of Clinical Staff Leader.  She has chaired several committees at Vanderbilt including the SICU Performance Improvement Committee, SICU Quality Subcommittee, and Nurse Champion Subcommittee for the Organ Donation Advisory Council at Vanderbilt. During her tenure in the SICU she was awarded the Rosamund Gabrielsson VUMC Staff Nurse of the Year in May 2016. Heather has lead various published projects including "Inter-professional Implementation of the CPOT in Surgical and Medical Intensive Care Units" for the Society of Critical Care Medicine.  Heather recently completed the AGACNP Program at the University of Alabama at Birmingham and joined the Level 1 Trauma Center at Vanderbilt as a new member of the ICU team of Nurse Practitioners just this month.   Heather's Facebook Page: https://www.facebook.com/heather.mcmurray.505  Heather's Twitter Page: https://twitter.com/heathermcmurray  Heather's Instagram Page: https://www.instagram.com/heatherannehart/ 

In this episode, episode 57, I welcome back Rachel Kruer, our amazing SICU pharmacist and we complete our two part series on bugs and drugs in the ICU.  We discuss different infections that are commonly seen in ICUs and how to treat them.

Most night shift nurses will tell you that post-shift breakfast with their team is a cathartic, often-necessary experience - an opportunity to decompress, vent a little, fill your empty belly before heading home. With the right crew, it can be the best part of the work week. The MRC crew talks about what Nightshift Breakfast means to them and why it's such a right of passage for 3rd shifters. Adrianne explains to Andrew that "gravy was never sexy", there's talk of pop songs, snorting antilipemics, and then it all crashes to an end with a tale of Adrianne's first SICU float. Listen, like, subscribe and share!We love you all.Happy Nursing, folks.http://www.medroomchronicles.comLISTEN:Spreaker: http://bit.ly/MRCSPREiTunes: https://bit.ly/MRCITUNGoogle Play Music: http://bit.ly/MRCGOOGStitcher: http://bit.ly/MRCSTITIHeartRadio: http://bit.ly/MRCIHEARTSOCIAL MEDIAFacebook: http://bit.ly/MRCFACEIG:  http://bit.ly/MRCINSTTumblr: http://bit.ly/MRCTUMBTwitter: http://bit.ly/MRCTWIT

In this EAST Traumacast, the state of Early Goal Directed Therapy is discussed with two dynamic speakers, Dr. Donald Yealy who is the lead author on the PROCESS trial , and Dr. Ruby Skinner who is a busy SICU director.  This and two other studies prompted changes in the Surviving Sepsis Campaign Guidelines.  Drs. Yealy and Skinner give insight into how early goal directed therapy has changed since the original studies and how the changes have impacted their patient care.  The discussion is moderated by Dr. Kevin Pei and Dr. Matt Martin.