Critical Care Scenarios
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Critical Care Scenarios
An educational podcast presenting practical critical care scenarios. By Brandon Oto, PA-C and Bryan Boling, ACNP. New episodes weekly.
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Episode 94: Mastering seizure pharmacology with Tom Bleck
We explore the vagaries and nitty-gritty of drugs for seizure termination, including benzos and ASMs, with the great Tom Bleck, MD MCCM FNCS, neuroint...
Episode 93: Fluid in sepsis and the FloPatch, with Jon-Emile Kenny
We dive into fluid resuscitation in sepsis, with Dr. Jon-Emile Kenny, pulmonary and critical care physician, author of the physiology textbook Heart-l...
Episode 92: PRIS and propylene glycol toxicity, with Jerry Snow
We discuss propofol infusion syndrome (PRIS) and propylene glycol toxicity from lorazepam infusions, with medical toxicologist Dr. Jerry Snow, directo...
Episode 91: A simulated goals of care conversation
Brandon and Bryan mock up a goals of care discussion for a critically ill patient, and reflect on the right and wrong ways to execute this complex pro...
Episode 90: Sugammadex in the ICU, with Sara J Hyland
We chat about neuromuscular blockade, monitoring, and reversal in the ICU, including why sugammadex isn’t more widely used, with Sara J Hyland, PharmD...
Lightning rounds 56: The CHEST Critical Care APP cert, with Leeah Sloan
We chat with Leeah Sloan, PA-C, co-chair of the Critical Care APP Steering Committee for the American College of CHEST Physicians (CHEST), about the n...
Special announcement: ICA 1-year anniversary
Learn more at the Intensive Care Academy!
Academy bites: Specialization is breadth, not depth
Learn more at the Intensive Care Academy!
Lightning rounds 55: APP fellowships with Melissa Bridges
Melissa Bridges, director of PA fellowships at Atrium Health and president of the Association of Post-graduate PA Programs (APPAP), chats with us (Bry...
Lightning rounds 54: Medical musicians with Andrew Schulman
Andrew Schulman, medical musician, former ICU patient, and president of the Medical Musician Initiative, tells us how music can help the critically il...
Lightning rounds 53: GI Q&A with Elliot Tapper
From constipation to hepatorenal syndrome. Fan favorite Elliot Tapper (@ebtapper, @ebtapper), gastroenterologist, transplant hepatologist, academic ch...
Lightning rounds 52: Echo tips with Michael Lanspa
We chat with Dr. Michael Lanspa, intensivist and director of the Intermountain Critical Care Echocardiography Core Lab, about common pitfalls among be...
Episode 89: Thrombectomy for stroke, with Justin Fraser
We explore the world of thrombectomy for acute ischemic stroke with Justin F. Fraser (@doctorjfred), MD, FAANS, FAHA, Professor and Vice-Chair of Neur...
Episode 87: Maternal-fetal monitoring with Stephanie Martin
We learn about the basics of fetal monitoring in the critically ill pregnant woman and how to integrate them into our ICU workflows, with Stephanie Ma...
Academy bites: The power of disagreeing
Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here!
Episode 86: EEGs in the ICU with Carolina Maciel
We discuss the basics of EEG in the ICU, including when to do it, selecting the appropriate study, and the basics of bedside interpretation, with Caro...
Lightning rounds 51: Hemodynamic interfaces with Philippe Rola
Philippe Rola, intensivist, master of the VEXUS scan, and founder of the Hospitalist and Resuscitationist conference, shares his recent model of four...
Episode 88: ICU Liberation SCCM Congress 2025
A roundup from members of the SCCM’s ICU Liberation committee, recorded at SCCM Congress 2025. Included:
Lightning rounds 50: Mastering PA catheter placement with Matt Siuba
We learn the vanishing art of placing the PA (Swan-Ganz) catheter, with intensivist and friend of the podcast Matt Siuba (@msiuba). Learn more at the...
Lightning rounds 49: The Vortex approach with Nicholas Chrimes
We learn about the Vortex approach to airway management, as well as airway algorithms and mental models in general, with Vortex creator and anesthesio...
Episode 85: Tracheostomy basics with Vinciya Pandian
We discuss the basics of evaluation for tracheostomy placement, periprocedural care, and post-procedure complications with Vinciya Pandian, PhD, ACNP,...
Academy bites: You were here when we were not
Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here!
Episode 84: Acute liver failure with Sergio Navarrete
We discuss assessment, monitoring, medical stabilization, and when to consider transplant of the patient with acute liver failure. We are joined by Dr...
Episode 83: Cardiac arrest with Scott Weingart
We talk about the nitty-gritty details of a well-run cardiac arrest, with Scott Weingart of Emcrit (@emcrit), ED intensivist. Learn more at the Intens...
Lightning rounds 48: Complete airway closure with Thomas Piraino
We talk about the phenomenon of airway closure during mechanical ventilation, with Thomas Piraino, RRT, FCSRT, FAARC, adjunct lecturer for the Departm...
Episode 82: When it goes wrong
Our approach to common problems and troubleshooting: Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here!
Lightning rounds 47: Post-op care transitions
We chat about the post-op transition of care from the OR to the ICU, including questions to ask, workflows, and pitfalls. Check out the Intensive Care...
Episode 81: Bacterial meningitis with Casey Albin
We talk about diagnosis, treatment, and subsequent care of the patient with bacterial meningitis, with Emory neurointensivist Casey Albin, MD (@caseya...
Lightning rounds 46: Nick Ghionni on combating cognitive bias
We chat with Nick Ghionni, pulm/crit attending at MedStar Baltimore Hospital, about identifying and combating cognitive biases in our clinical decisio...
Episode 80: Implementing the A-F bundle with Kali Dayton
We discuss the practical barriers to implementing the A-F ICU liberation bundle, with Kali Dayton, ACNP-BC (@daytonicu), host of the Walking Home from...
Lightning rounds 45: Noelia Bischoff on transitioning nursing roles
We chat with Noelia Bischoff, recently off orientation in the medical ICU at Johns Hopkins as a nurse practitioner, about the transition from her role...
Episode 79: Transfusion reactions with Joe Chaffin
We discuss transfusion reactions, risks, and management, including infection, consent, TRALI, TACO, and hemolytic reactions—with Dr. Joe Chaffin (@blo...
Lightning rounds 44: Post-intubation sedation roundup
Experts in critical care share their approach to post-intubation sedation. Contributors: Check out the Intensive Care Academy here! Find us on Patreon...
Episode 78: Echoing the RV with Matt Siuba
We talk the nitty-gritty of assessing the right heart using echocardiography, with our friend Matt Siuba (@msiuba), intensivist at the Cleveland Clini...
Lightning rounds 43: AI in medicine, with Nawar Shara
We explore the fascinating world of artificial intelligence and its role in medicine, with Nawar Shara (@NawarShara), PhD, Chief of Research Data Scie...
Special episode: The Intensive Care Academy
We share our grand new project, the Intensive Care Academy, an online, video-based, subscriber-only educational platform. Check it out at icu101.com!
Episode 77: Mastering APRV with Rory Spiegel
We discuss the practicalities of using airway pressure release ventilation (APRV) with Dr. Rory Spiegel (@EMnerd_), emergency physician and intensivis...
Lightning rounds 42: Hospital chaplains, with Christine V. Davies
We learn about the training, role, and benefits of hospital chaplains, with Christine V. Davies, MDiv, MSW, Director of Chaplaincy at Robert Wood John...
Episode 76: Rehabilitation psychology, with Megan Hosey
We discuss the field of rehabilitation psychology, and how it can help patients with persistent critical illness, with Dr. Megan Hosey (@DrMeganHoseyP...