In this episode, I discuss one of the most important practical skills for medical students during the surgery clerkship: how to pre-round efficiently and deliver a concise, clinically useful patient presentation on rounds. Topics include: <ul data-start="1240" data-end="1530"> <li data-section-id="19lnlfb" data-start="1240" data-end="1289"> what surgeons actually care about during rounds</li> <li data-section-id="2mrfcc" data-start="1290" data-end="1334">how to identify important overnight events</li> <li data-section-id="1ey6or4" data-start="1335" data-end="1385"> recognizing trends in vital signs and physiology</li> <li data-section-id="o2hihh" data-start="1386" data-end="1426"> organizing a 60–90 second presentation</li> <li data-section-id="12buz2h" data-start="1427" data-end="1466"> common mistakes medical students make</li> <li data-section-id="6pbgli" data-start="1467" data-end="1530">how residents and attendings think differently about patients</li> </ul> This episode focuses on helping students move beyond simply reporting data and begin developing the clinical reasoning and prioritization skills that define effective surgical thinking.

In this episode, I discuss one of the most important practical skills for medical students during the surgery clerkship: how to pre-round efficiently and deliver a concise, clinically useful patient presentation on rounds. Topics include: what surgeons actually care about during rounds how to identify important overnight events recognizing trends in vital signs and physiology organizing a 60–90 second presentation common mistakes medical students make how residents and attendings think differently about patients This episode focuses on helping students move beyond simply reporting data and begin developing the clinical reasoning and prioritization skills that define effective surgical thinking.

In this episode, I discuss one of the most important practical skills for medical students during the surgery clerkship: how to pre-round efficiently and deliver a concise, clinically useful patient presentation on rounds. Topics include: <ul> <li> what surgeons actually care about during rounds</li> <li>how to identify important overnight events</li> <li> recognizing trends in vital signs and physiology</li> <li> organizing a 60–90 second presentation</li> <li> common mistakes medical students make</li> <li>how residents and attendings think differently about patients</li> </ul> This episode focuses on helping students move beyond simply reporting data and begin developing the clinical reasoning and prioritization skills that define effective surgical thinking.

Starting Surgery Rotation: How to Pre-Round and Present on Rounds

We continue our discussion of the Surviving Sepsis Campaign (SSC). This includes fluids types, steroids, rhAPC (Xigris), and blood sugar control.

Surviving Sepsis Campaign (part 2)

The Surviving Sepsis Campaign (SSC) is concensus document that attempts to provide the best evidence to assist in the care of the septic patient. All providers who provide care to the septic patient should be aware of the contents of the SSC.

Surviving Sepsis Campaign (part 1)

In this week's Journal of the American Medical Association a meta-analysis was published that concluded that use of hemoglobin based blood substitutes result in an increased morbidity and mortality. Included in the same journal is an editorial critical of the method the research has been regulated by the US FDA.

In this week's Journal of the American Medical Association a meta-analysis was published that concluded that use of hemoglobin based blood substitutes result in an increased morbidity and mortality. Included in the same journal is an editorial critical of the method the research has been regulated by the US FDA.

Hemoglobin Based Blood Substitutes: Increased Morbidity and Mortality

There is a large emphasis on intensive control of blood glucose in the ICU, but how accurate are the monitors we use to follow glucose? This episode reviews someof the limitations of deploying an instrument designed for control of outpatient diabetes management to tight control of blood glucose in the ICU.

Glucometers in the ICU: how accurate are they?

Clostridium difficile colitis is a problematic complication of antibiotic theraoy in hospitalized and critically ill patients. It is increasing in frequency and can be lethal.

Clostridium difficile Colitis

Fluid resuscitation done poorly can result in significant complications to the patient. This episode will present some of the newer considerations in fluid resuscitation in traumatic shock.

Traumatic Shock and Fluid Resuscitation

Patients are often admitted to the ICU with an entire list of home medications. In this episode I talk about the implications and dangers of polypharmacy.

Polypharmacy in the Elderly

Prolonged QT is the most common reason why medications are restricted or removed from the US market. This episode will explain what it is and why you should look for it in your ICU patients.

Prolonged QT is the most common reason why medications are restricted or removed from the US market. This episode will explain what it is and why you should look for it in your ICU patients.

Drug-induced QT prolongation

The results of the CORTICUS trial are discussed.

Do Steroid Improve Survivial in Sepsis? CORTICUS Trial

Atrial fibrillation is a common problem in ICU patients, but it is a problem with many potential causes, and not always a well defined treatment.

Atrial Fibrillation

A podcast dedicated to the teaching of critical care.  The focus audience is physicians, residents, medical students, nurses, therapists, and paramedics.  These are topics that arise while on teaching rounds in the Burn ICU at Vanderbilt Medical Center.  A broad scope of critical care and prehospital topics are presented as well as recent journal articles and medical news.

Medicine

Health & Fitness

A podcast dedicated to the teaching of critical care. The focus audience is physicians, residents, medical students, nurses, therapists, and paramedics. These are topics that arise while on teaching rounds in the Burn ICU at Vanderbilt Medical Center. A broad scope of critical care and prehospital topics are presented as well as recent journal articles and medical news.

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