Critical Care

Host: Lee Freedman, MD

Guest: Dale Needham, MD, PhD

What complications in the ICU might lead to a patient experiencing post-traumatic stress disorder after an ICU stay? Is it better to keep ICU patients sedated to prevent pain, or is there an advantage to encouraging movement as soon as possible? Host Dr. Lee Freedman debates this question with Dr. Dale Needham, assistant professor in the division of pulmonary and critical care medicine at Johns Hopkins University. Are certain patients more susceptible than others to developing PTSD after being in the ICU?

Host: Lee Freedman, MD

Guest: Andrew Haas, MD, PhD

Until recently, bronchoscopy has involved using cameras with CT guidance to determine abnormalities along the airway and lymph nodes. How is ultrasound now being used for bronchoscopic needle biopsies? What are other novel therapeutic applications for endobronchial ultrasound-guided transbronchial needle aspiration? Dr. Andrew Haas, assistant professor of medicine in the pulmonary, allergy and critical care division at the University of Pennsylvania Medical Center, discusses the diagnostic and therapeutic uses of ultrasound-guided bronchoscopy. Dr. Lee Freedman hosts.

Host: Shira Johnson, MD

Guest: Peter DeBlieux, MD

Who will benefit most from early intervention and treatment from the 750,000 patients hospitalized with sepsis each year? Dr Peter De Blieux, Pulmonary and Critical Care specialist from the Louisiana State University Health and Science Center, discusses early management and diagnosis including the importance of goal directed therapy. Dr Shira Johnson is the host as Dr De Blieux reviews common mistakes in sepsis management and provides case studies for learning.

Host: Shira Johnson, MD

Guest: Peter DeBlieux, MD

Sepsis kills 210,000 patients each year. Dr. Peter DeBlieux, professor of medicine at Louisiana State University Health Science Center and director of emergency medicine services at the Medical Center of Louisiana, discusses the latest clinical practice guidelines. He is interviewed by Dr. Shira Johnson about how to improve sepsis mortality with new therapies. Learn why early and agressive management is the key .

Host: Maurice Pickard, MD

Guest: Sam Parnia, MD, PhD

We are beginning to understand what happens when a patient in cardiac arrest, with no brain activity, later reports detailed perceptions, suggesting a high level of consciousness. What can we learn from the study of this phenomenon to help us improve resuscitation of the brain during cardiac arrest? What can it tell us about the experience of dying, and at what point consciousness ceases? Dr. Sam Parnia, a fellow in pulmonary and critical care medicine at Weill Cornell Medical Center in New York, and one of the world's leading experts on the scientific study of death, joins host Dr. Maurice Pickard to talk about his research project, AWARE (AWAreness during REsuscitation) at the University of Southampton School of Medicine in the United Kingdom, where Dr. Parnia is an honorary senior research fellow.

Host: Jason Birnholz, MD

Guest: Eyal Herzog, MD, FACC

So small, it is called the ‘pocket ultrasound,' Dr. Eyal Herzog, director of the cardiac care unit at St. Luke's-Roosevelt Hospital Center in New York, discusses with host Dr. Jason Birnholz the results of his research on the handheld portable ultrasound unit in the cardiac care department. Dr. Herzog reports no significant differences in image quality compared to the larger, high-end machine. The portability of the handheld has the capacity to improve care by increasing the speed at which we can assess critically ill patients.

Host: Lee Freedman, MD

Guest: Samir Mehta, MD

Dr. Samir Mehta, chief of orthopedic trauma at the Hospital of the University of Pennsylvania, discusses the role of the orthopedic traumatologist. What does this designation mean? What kind of special care or expertise do these specialists bring to the care of the patient? In what situations might an orthopedic traumatologist be called in for consultation? If you were in an accident, wouldn't you want this specialist called in to assist in your care? Dr. Lee Freedman hosts.

Host: Shira Johnson, MD

Guest: Mitchell Levy, 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.

Host: Shira Johnson, MD

Guest: Mitchell Levy, 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.

Host: John Armstrong, MD

Guest: Col. Leon Moores, MD

Many brain trauma injuries suffered in the current conflicts abroad are unparalleled in severity. At the same time, procedural advances are allowing for unprecedented rates of survival and returns to functional quality of life. Col. Dr. Leon Moores, former chief of neurosurgery at Walter Reed Army Medical Center, joins host Dr. John Armstrong for a fascinating conversation about new techniques to alleviate brain swelling and facilitate subsequent bone reconstruction, as part of our increasingly aggressive approach to care.