Is there an ideal time to place a tracheostomy? What factors might influence my decision to proceed with an open versus percutaneous tracheostomy? In this episode, we discuss common perioperative considerations influencing our decision to proceed with tracheostomy in critically ill patients requiring prolonged mechanical ventilation. Over the course of rounds, I'll share with you some "tricks of the trade" and review key management principles for safely dealing with potentially life-threatening tracheostomy complications in the postoperative period including unplanned early decannulation and bleeding.

Explore Trauma ICU Rounds:
https://www.traumaicurounds.ca

Follow:
Instagram: https://www.instagram.com/traumaicurounds
TikTok: https://www.tiktok.com/@traumaicurounds
YouTube: https://www.youtube.com/@traumaicurounds

Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols.

What is shock? A clear grasp of this concept is a MUST for any practitioner taking care of patients. Shock is many things. It is dynamic. It is elusive. It is lethal. A high index of suspicion is required to identify patients in shock. While lifesaving therapies are initiated, we must have an organized approach to to shock in order to identify the best diagnostic and therapeutic pathways for our patients. As such, we will review a simple classification system for shock. In a follow-up episode, we'll further examine the clinical presentation and management of patients presenting with hypovolemic, cardiogenic, distributive, or obstructive shock.

Explore Trauma ICU Rounds:
https://www.traumaicurounds.ca

Follow:
Instagram: https://www.instagram.com/traumaicurounds
TikTok: https://www.tiktok.com/@traumaicurounds
YouTube: https://www.youtube.com/@traumaicurounds

Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols.

This episode follows-up on Episode 1 and focuses on the assessment and initial treatment of patients with acute respiratory failure. Through a focused clinical exam, we can identify signs of increased work of breathing which should alert us to the need for support in the form of oxygen and ventilatory therapies. The 3 major types of oxygen delivery systems are also discussed including low- and high-flow, as well as reservoir systems.

Explore Trauma ICU Rounds:
https://www.traumaicurounds.ca

Follow:
Instagram: https://www.instagram.com/traumaicurounds
TikTok: https://www.tiktok.com/@traumaicurounds
YouTube: https://www.youtube.com/@traumaicurounds

Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols.

In this episode we review the "lethal 6" and "hidden 6" chest injuries that comprise the deadly dozen of thoracic trauma. Mechanism of injury together with vital signs and findings from the physical exam should provide us with the data needed to identify life-threatening thoracic injuries on our primary survey. For hidden injuries, the diagnostic adjuncts required to identify these injuries are also discussed.

Explore Trauma ICU Rounds:
https://www.traumaicurounds.ca

Follow:
Instagram: https://www.instagram.com/traumaicurounds
TikTok: https://www.tiktok.com/@traumaicurounds
YouTube: https://www.youtube.com/@traumaicurounds

Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols.

Dr. Matt Martin from Scripps Mercy Hospital in San Diego, CA joins us on Rounds to discuss topics related to the resuscitation of critically injured patients with a focus on endpoints of resuscitation. The basic approach to the assessment of "sick" versus "not sick" patients and utility of early transfusion of whole blood are explored, along with the usefulness of physical exam findings and other adjuncts in guiding our resuscitation efforts.

Explore Trauma ICU Rounds:
https://www.traumaicurounds.ca

Follow:
Instagram: https://www.instagram.com/traumaicurounds
TikTok: https://www.tiktok.com/@traumaicurounds
YouTube: https://www.youtube.com/@traumaicurounds

Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols.

In this episode we review and discuss the core physiologic concepts required to understand basic mechanical ventilation. By examining the respiratory equation of motion or force balance equation, we'll gain insight into the pressures that need to be generated to deliver a positive pressure breath and those pressures that can be monitored during the care of vented patients. This will form the groundwork for Basic Mechanical Ventilation II: Modes of Ventilation.

Explore Trauma ICU Rounds:
https://www.traumaicurounds.ca

Follow:
Instagram: https://www.instagram.com/traumaicurounds
TikTok: https://www.tiktok.com/@traumaicurounds
YouTube: https://www.youtube.com/@traumaicurounds

Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols.

In this episode we explain what rapid sequence intubation or RSI is and the indications for its use in securing a definitive airway. More importantly, we share lessons learned regarding COVID-specific considerations for intubating patients with acute hypoxemic respiratory failure.

Explore Trauma ICU Rounds:
https://www.traumaicurounds.ca

Follow:
Instagram: https://www.instagram.com/traumaicurounds
TikTok: https://www.tiktok.com/@traumaicurounds
YouTube: https://www.youtube.com/@traumaicurounds

Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols.

In this, our inaugural episode, we explore common mechanisms underlying acute hypoxemic and hypercapneic respiratory failure. Concepts discussed include the oxygen delivery equation, differentiating hypoxia from hypoxemia, and a discussion of V/Q mismatch and shunts. In the follow-up episode - Acute Respiratory Failure II: Clinical Management & Oxygen Therapies - we'll apply these concepts to the management of acute respiratory failure and discuss the benefits and harms of oxygen therapy. 

Explore Trauma ICU Rounds:
https://www.traumaicurounds.ca

Follow:
Instagram: https://www.instagram.com/traumaicurounds
TikTok: https://www.tiktok.com/@traumaicurounds
YouTube: https://www.youtube.com/@traumaicurounds

Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols.

Look. Listen. Feel. In this trailer for the Trauma ICU Rounds podcast, I outline the objectives of this medical education series. Key topics that will be addressed span the spectrum of surgical critical care, acute care and emergency general surgery, as well as trauma. We'll also explore issues related to professional development and highlight the results of influential and novel research studies. In addition to auditory learning, visit the website http://www.traumaicurounds.ca. for additional learning materials in the form of blogs, vlogs, vidcasts, and surgical procedural videos. 

Explore Trauma ICU Rounds:
https://www.traumaicurounds.ca

Follow:
Instagram: https://www.instagram.com/traumaicurounds
TikTok: https://www.tiktok.com/@traumaicurounds
YouTube: https://www.youtube.com/@traumaicurounds

Trauma ICU Rounds is intended for healthcare education. It does not replace clinical judgment, individualized patient care or local protocols.