In this episode, Dr Swapnil Pawar and Dr Madhuri Anupindi work through a case-based viva on acute pulmonary embolism: a 40-year-old with a CTPA-proven saddle PE after a long-haul flight. We cover: – Risk stratification using the 2019 ESC guidelines: sPESI, haemodynamic criteria, and the imaging and biomarker evidence of RV strain – The brand-new 2026 AHA/ACC guidelines and their A–E classification, including respiratory modifiers and SCAI shock stages – Advantages and disadvantages of the new AHA/ACC framework versus the ESC approach — a likely compare-and-contrast question for the upcoming Fellowship exam – Management of intermediate–high risk PE: anticoagulation (and why LMWH beats a heparin infusion), full-dose vs reduced-dose systemic thrombolysis (PEITHO, MOPETT), catheter-directed thrombolysis (HI-PEITHO), suction and surgical embolectomy, RV support strategies, and the role of the PERT team Detailed tables comparing the ESC and AHA/ACC classifications, plus the sPESI criteria, are in the show notes at critcareedu.com.au. Want to go deeper on the new guidelines? We break them down in full on the latest episode of the eCritCare Podcast.

In this episode, Dr Swapnil Pawar and Dr Madhuri Anupindi work through a case-based viva on acute pulmonary embolism: a 40-year-old with a CTPA-proven saddle PE after a long-haul flight. We cover: – Risk stratification using the 2019 ESC guidelines: sPESI, haemodynamic criteria, and the imaging and biomarker evidence of RV strain – The brand-new 2026 AHA/ACC guidelines and their A–E classification, including respiratory modifiers and SCAI shock stages – Advantages and disadvantages of the new AHA/ACC framework versus the ESC approach — a likely compare-and-contrast question for the upcoming Fellowship exam – Management of intermediate–high risk PE: anticoagulation (and why LMWH beats a heparin infusion), full-dose vs reduced-dose systemic thrombolysis (PEITHO, MOPETT), catheter-directed thrombolysis (HI-PEITHO), suction and surgical embolectomy, RV support strategies, and the role of the PERT team Detailed tables comparing the ESC and AHA/ACC classifications, plus the sPESI criteria, are in the show notes at critcareedu.com.au. Want to go deeper on the new guidelines? We break them down in full on the latest episode of the eCritCare Podcast.

In this episode, Dr Swapnil Pawar and Dr Madhuri Anupindi work through a case-based viva on acute pulmonary embolism: a 40-year-old with a CTPA-proven saddle PE after a long-haul flight. We cover: – Risk stratification using the 2019 ESC guidelines: sPESI, haemodynamic criteria, and the imaging and biomarker evidence of RV strain – The brand-new 2026 AHA/ACC guidelines and their A–E classification, including respiratory modifiers and SCAI shock stages – Advantages and disadvantages of the new AHA/ACC framework versus the ESC approach — a likely compare-and-contrast question for the upcoming Fellowship exam – Management of intermediate–high risk PE: anticoagulation (and why LMWH beats a heparin infusion), full-dose vs reduced-dose systemic thrombolysis (PEITHO, MOPETT), catheter-directed thrombolysis (HI-PEITHO), suction and surgical embolectomy, RV support strategies, and the role of the PERT team Detailed tables comparing the ESC and AHA/ACC classifications, plus the sPESI criteria, are in the show notes at critcareedu.com.au. Want to go deeper on the new guidelines? We break them down in full on the latest episode of the eCritCare Podcast.

#Epi 36 - ICU Fellowship Snippet - Pulmonary Embolism: Risk Stratification & the New AHA/ACC Guidelines

In this epsiode, we discuss the clinical presentation and management of a patient with ascending cholangitis.

In this epsiode, we discuss the clinical presentation and management of a patient with ascending cholangitis.

#Epi 30 - Ascending cholangitis with septic shock

In this episode, we discuss the clinical presentation and management of a patient presenting to regional ED with acute subdural haematoma.

In this episode, we discuss the clinical presentation and management of a patient presenting to regional ED with acute subdural haematoma.

# Epi 27 - Acute Subdural haematoma management

In this episode, we discuss the interesting presentation of cardiogenic shock post-MVR due to SAM.

In this episode, we discuss the interesting presentation of cardiogenic shock post-MVR due to SAM.

#Epi 25 - Shock post Cardiac surgery

In this episode, we discuss the clinical presentation and management of a patient presenting with necrotising fasciitis.

In this episode, we discuss the clinical presentation and management of a patient presenting with necrotising fasciitis.

# Epi 24 - ICU Fellowship Snippet - Necrotising fasciitits

In this episode, we discuss the differential diagnosis and management of type 1 respiratory failure in immunocompromised patient.

In this episode, we discuss the differential diagnosis and management of type 1 respiratory failure in immunocompromised patient.

# Epi 23 - ICU Fellowship Snippet - Type 1 respiratory failure in Immunocompramised patient

This episode discusses the management of severe asthma in intensive care.

This episode discusses the management of severe asthma in intensive care.

# Epi 22 - ICU Fellowship Snippet - Asthma Management

In this episode, we discuss the clinical presentation, diagnostic work up and management of organophosphate poisoning.

In this episode, we discuss the clinical presentation, diagnostic work up and management of organophosphate poisoning.

# Epi 21 - ICU Fellowship Snippet - Organophosphate poisoning

In this episode, we discuss characteristics of legionella pneumonia and its management.

In this episode, we discuss characteristics of legionella pneumonia and its management.

# Epi 20 - ICU Fellowship Snippet - Legionella Pneumonia

In this episode, we discuss 3 more CICM fellowship vivas- post-operative neurological deterioration, paediatric burns management and pros/cons of

In this episode, we discuss 3 more CICM fellowship vivas- post-operative neurological deterioration, paediatric burns management and pros/cons of

# Epi 19 - Fellowship Vivas - Peri-operative complications, Paediatric burns, Non-inferiority trials

In this episode, we discuss key 3 vivas - diagnosis and management of Acute cholangitis, Status epilepticus and the role of percutaneous dilatational tracheostomy in ICU patients.

In this episode, we discuss key 3 vivas - diagnosis and management of Acute cholangitis, Status epilepticus and the role of percutaneous dilatational tracheostomy in ICU patients.

# Epi 18 - Fellowship Vivas - Status Epilepticus, Cholangitis and Percutaneous Tracheostomy

In this episode, we discuss three fellowship vivas addressing controversies related to fluid resuscitation in septic shock, renal replacement therapy in AKI and pressure-controlled ventilation mode.

In this episode, we discuss three fellowship vivas addressing controversies related to fluid resuscitation in septic shock, renal replacement therapy in AKI and pressure-controlled ventilation mode.

# Epi 17 - Fellowship Vivas - Fluid resuscitation in Sepsis, Renal replacement therapy, and PCV

Join us in this episode, where we discuss the management of hypoxic patient post bronchoscopy, the determination of brain death and an approach to deal with failed intubation in a hypoxic patient.

Join us in this episode, where we discuss the management of hypoxic patient post bronchoscopy, the determination of brain death and an approach to deal with failed intubation in a hypoxic patient.

# Epi 16 - Fellowship Vivas - Type 1 Respiratory failure, Determination of Brain death and Failed intubation

This podcast series is created for Intensive care trainees who are appearing for their final fellowship exam. The idea is to discuss different vivas asked in previous College of Intensive Care exams. However, this series will be useful for all healthcare professionals working in Intensive care to sharpen their critical thinking.

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