Critical Care Time

By Critical Care Time PodcastMedicine Health & Fitness Education How To

Favorites
86
Followers
Typical duration
90 min
per episode

Based on Podcast App listening data

Critical Care Time episodes

January 13, 2025 REBOOT Undifferentiated Shock Part 1
In anticipation of some exciting new content where we take deep dives into shock physiology and treatment modalities, we wanted to wet appetites, prime engines and get any of our new listeners up to speed by rebooting some of our heavy hitters from Season 1.

In critical care medicine - it's not just a priority, but it's critical that you know how to identify, assess and stratify shock. Join Nick & Cyrus in Part 1 of a 2-part, deep-dive into undifferentiated shock. On this episode we discuss how we define and assess a patient in shock; laying down the foundation for our shock framework.
Hosted on Acast. See acast.com/privacy for more information.
49 min
January 13, 2025 REBOOT Undifferentiated Shock Part 2
In anticipation of some exciting new content where we take deep dives into shock physiology and treatment modalities, we wanted to wet appetites, prime engines and get any of our new listeners up to speed by rebooting some of our heavy hitters from Season 1.

We've already discussed how to identify shock, or how to assess a patient whom you are worried may be in shock... but what's next? Listen as Nick & Cyrus discuss the Pump, Pipe & Tank framework for determining the type of shock your patient is suffering from. In this episode we discuss the pathophysiology of the different types of shock, the tools you can use to help differentiate one type of shock from another, and scratch the surface on some initial treatment considerations.
Hosted on Acast. See acast.com/privacy for more information.
43 min
December 30, 2024 40. CCT Goes to the Moon with Dr Shawna Pandya
On this end-of-year episode, Nick & Cyrus boldly go where no Critical Care Podcasters have gone before - into space! Join us, as we adventure into the great beyond with astronaut extraordinaire, Dr. Shawna Pandya - the first female Canadian commercial astronaut, who also happens to be a rural emergency medicine physician among SO many other things. We spend an hour with her discussing space physiology, medical applications of space tech, chatting about ICU corollaries, her experiences training for her upcoming mission, and exploring the challenges facing space exploration in 2025 and beyond. Hop aboard and and enjoy this exciting content and let us know what you think. This super accessible episode is loads of fun for ICU junkies and space-nerds alike so kick back, give it a listen, and as always, let us know what you think!
Hosted on Acast. See acast.com/privacy for more information.
1 hr 11 min
December 16, 2024 39. Beneath the Drape with Drs. Alin Gragossian & Paul Wischmeyer
On this week's episode of Critical Care Time, Cyrus & Nick sit down with Dr. Alin Gragossian - intensivist, patient advocate, acclaimed blogger and heart transplant recipient and Dr. Paul Wischmeyer - a prior guest on CCT who is a world-renowned intensive care nutrition expert, tenured professor and no stranger to prolonged bouts with critical illness and life-threatening disease. These two incredible people share their stories and perspectives as physicians who have spent considerable time both behind the drape and beneath the drape: Being on the receiving end of countless procedures and life-saving interventions. They share with us their thoughts on where we are succeeding as a healthcare team, and where we can strive to improve at the bedside. Join us as we embark on this emotional and thoughtful journey with Alin & Paul. We hope you will listen to their stories and come away with a new appreciation for the patient experience and how privileged we are to care for the patients we care for.
Please be sure to check out Alin's blog www.achangeofthe.art and follow her on Instagram (@a_change_of_heart_blog). Give Paul some follows where he's most active on Instagram (@paulwischmeyermd), X (Paul_Wischmeyer) and LinkedIn (Paul Wischmeyer). As always, listen and let us know what you think, and make sure to leave us a 5-star review on your favorite podcast app!
Hosted on Acast. See acast.com/privacy for more information.
1 hr 44 min
December 02, 2024 38. Palliative Care in Critical Illness: Intentional & Compassionate Palliation with Dr. Anand Iyer
On this week's episode of Critical Care Time, Cyrus & Nick are honored to be joined by palliative care expert, Dr. Anand Iyer. Together they explore the intricacies of palliation in the ICU, exploring the challenge and nuances of addressing this critical element of care amongst the sickest patients in the hospital. How do you begin these discussions? How do you ensure your patients and families feel heard? How do you help them realize palliation is part of the care process and not that you are giving up on a loved one? What terms should we avoid using? We cover all of this and more with Dr. Iyer so make sure to give this episode a listen and leave us some feedback!
Hosted on Acast. See acast.com/privacy for more information.
1 hr 24 min
November 18, 2024 37. ARDS: Unpacking Acute Respiratory Distress Syndrome
On this week’s episode, Cyrus & Nick tackle one of their biggest challenges yet: Acute Respiratory Distress Syndrome, more commonly known as ARDS.***WARNING*** this is no shorty! We cover all things ARDS from pathophysiology, diagnosis, treatments and things NOT to do. Dare we say, this is the definitive FOAM-ARDS experience for anyone and everyone who cares for people suffering from ARDS. Give it a listen and as always, send us your feedback!!
Hosted on Acast. See acast.com/privacy for more information.
1 hr 57 min
November 04, 2024 36. Inotropes
Get excited for a new episode jam-packed with Critical Care goodness! Nick & Cyrus deconstruct, demystify and unpack inotropes. These medications are essential in the world of critical care when we have to manage cardiogenic shock. What are the different inotropes? How can you decide which one is right for your patient? And... what's the difference between an Inotropic and an Ionotropic agent? You'll learn all this and so much more on this week's episode of Critical Care Time: The Podcast for Everyone Who Cares for the Critically Ill!
Hosted on Acast. See acast.com/privacy for more information.
1 hr 2 min
October 21, 2024 REBOOT Vasopressors - Part 2
In this REBOOTED episodes of Critical Care Time, Cyrus and Nick go beyond the basics of vasopressor management. This thing is jam-packed with high-yield pearls, where we discuss important topics such as how to titrate vasopressors, what can be done when vasopressors seem to be failing and how to wean patients from vasopressors in order to successfully get them out of the ICU and ultimately home. Sit back, relax, and enjoy this hour long master-class on Vasopressors - Beyond the Basics!
Hosted on Acast. See acast.com/privacy for more information.
1 hr 4 min
October 21, 2024 REBOOT Vasopressors - Part 1
In this REBOOTED episodes of Critical Care Time, Cyrus and Nick explore the basic in’s and out’s of vasopressors, providing a framework for understanding them and recommendations for the who, what, when, where and why as it pertains to their use! If you are new to the ICU or work anywhere that vasopressors may be used to treat your patients, this is the episode for you!
Hosted on Acast. See acast.com/privacy for more information.
1 hr 2 min
October 07, 202435. Pulmonary Embolism Masterclass with Dr. Rich Channick
On this week's release, Cyrus and Nick revisit one of their favorite topics: Pulmonary Embolism! In this episode - a follow up to our two-parter from season 1 - we sit down with Dr. Rick Channick of UCLA to talk about his approach to PE management with a focus on catheter directed therapies & PE response teams. This episode is packed full of expert insights and practical clinical pearls. Give it a listen and let us know what you think!

Risk Stratification Methodologies

What is the landscape of risk stratification in Pulmonary Embolism (PE)?
Broadly, what interventions does each risk category group warrant?

Rule of Thumb: The greater the risk to the patient, the more likely aggressive interventions will be considered.
Most patients with PE are low risk:
Typically treated with systemic anticoagulation
Excellent prognosis
High risk PE patients typically have hemodynamic involvement and can present in shock requiring emergent management :
No contraindications + shock due to PE systemic thrombolysis
Absolute contraindications:
Prior history of ICH
Known cerebrovascular lesion
Known malignant intracranial neoplasm
Non-acute ischemic stroke, within the last 3 months
Suspect aortic dissection
Intermediate risk patients:
Management options exist and are tailored to each specific patient.
Most, but not all, patients with PE deemed to be at intermediate risk will do well with systemic anticoagulation.
Some patients are good candidates for catheter directed therapies such as thrombectomy or thrombolysis.
Who? We don’t really know with a high degree of certainty. Considerations should be made for those with numerous risk factors for poor PE-related outcomes OR those with significant cardiopulmonary reserve / excellent functional status who theoretically could benefit from more brisk reversal of their acute pulmonary hypertension.

See more in depth show notes at criticalcaretime.com
Hosted on Acast. See acast.com/privacy for more information.
1 hr 9 min

About Critical Care Time

From the publisher's feed

Critical Care Time is the podcast for everyone who cares for the critically Ill. Whether you work in an ICU, a Med-Surg unit, an ED, a PACU or the back of…