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Welcome to the origin story of PULMCRIT!
In this episode, we cover how best to practically monitor the balance between oxygenation, oxygen delivery and oxygen consumption. Controversial to say the least.
Come take a listen, and learn about the pulsatility index, a space we should all be watching for in the future.
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Annnnnnnnd We are back. Sorry, but after Andor has finally finished we have now got time to discuss the old type 1 MI, aka STEMI aka Occlusive Myocardial Infarction. Come listen for all those basics and some nuances around myocardial infarction in critically unwell patients. We talk when to DAPT, who gets full anticoagulation, hemodynamic support, and when to wake our Cardiology friends up in the night.
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Being Dynamic is usally a great thing... but not when youre crushing the only good way out of the left ventrile.
In this episode we cover dynamic obstruction of the LVOT (specifically sub-valvular):
what is it?
who gets it?
What to do about it.
We missed ya'll, so come have alisten and brush up on a rare but important phenomena in our critically ill patients.
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In this beast of a 53 minute podcast, we tackle the approach to prognosticating neurologic function of our patients after cardiac arrest. This is hard! As Dick Cheney taught us, there are lots of known and unknown-unknowns. Read through the chapter, then come listen to all things: nuances around confounders, using structural and functional tests. How imaging can lead us astray. Is there a troponin of the brain? Josh even admits to what he'd take to the proverbial desert island.
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In this episode, we follow up with last week's podcast and explain the drivers of hypocapnia and subsequent respiratoy alkalosis. Come listen to a primer for all things ASA, sepsis, encephalopathy or strait mountain biking - induced panic.
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In this lean and mean episode, we cover the outrageously broad topic of respiratory acidosis. Come listen to help structure your approach to Won't Breathe, Can't Breathe, and Breathing Won't Work. If you remeber nothing else, its that hypercapnia does not always mean BIPAP
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In this episode we cover the rare but important driver of your patients respiratory failure: Pneumocystis Jiroveci Pneumonia. Come listen to why you should always delineate HIV status, how to approach patient workup and treatment via an invasive and non invasive manner, and why heatwaves is just a sick song.
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In this episode, we cover that terrible T... Tamponade. Sit back, and get your learn on while we go beyond Beck's triad, discussing all things pulses paradox, ultrasound assessment, pitfalls, stabilization, and Josh will even melt your mind with low pressure tamponade.
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In this episode, we cover all things "Upper(s)." Come listen to all things critical care level cocaine, meth and bath salts. Organ dysfunction, rapid control, immersive cooling and more!
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In this episode, we cover that scary presentation where your patient goes from seemingly well, to skin melting off and in multi organ failure.
Come take a listen for all things clinical presentation, anti-toxin antibiotics regimes, skin cut downs and surgical debridement.
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We're back... maybe by popular demand? In this episode, we cover those two phenotypes of acute pulmonary edema: the hyper-acute sympathetic crashing acute pulmonary edema (SCAPE) patient, versus that fluid overload sub acute pulmonary edema (FOSPE). Come listen to all things NIV, nitro, and soothing calm clinical approach.
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It has been a hot minute, Josh blames Adam. Adam Blames existential crisis, wildfires and the Rona.
Come listen to this comeback cast: Hepatorenal Syndrome. We talk all things systemic dilation with renal constriction. We talk newish classification, albumin, pressers and more. So leave your Map goal of 60 behind you, and enjoy these pearls.
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In this episode, we cover that variable response to when the lab calls with a culture positive for candida. Lines, blood, Urine. Labs, Anti-fungals, imaging... we got it all.
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In this episode, we aim to arm you with a basic approach to the rhythm that loves to make the monitors go ping: atrial fibrillation. The age old argument: rate vs rhythm control. What rate is acceptable? Who gets all of the drugs? Why do we love amiodorone? When do you dust off old sparky? Come join us for 42 minutes of Josh giggling and educating us all.
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In this episode we cover one of the hallmarks of the poisoned patient, that ECG tracing with a widening QRS. After reading the post, come listen for the nuances around all things hypertonic bicarb for sodium delivery, preventing acidosis with isotonic bicarb, how those sneaky-brilliant toxicologists will use lidocaine, and when to push the "panic button" on intra-lipid.
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In this episode we cover the obvious, and subtleties around Valproic Acid toxicities. We talk everything from cerebral edema, giving that L-Carnitine and when to spin that IHD machine.
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In this episode we summarize the new COVID Chapter (well not so new, but spot on predictions from Jan 26th).
Steroids = Yes. Dose... 6mg and keep going up?
Toci / Bari = maybe
Cocktails / Plasma = Nope
Come take a listen for all things anticoagulation, immune modulation and organ support.
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In this episode we continue on the path of DIC: the scary sub-phenotype that is Purpura Fulminans. When your patient is necrosing everything, you need to act quickly before they start losing organs and digits. Come listen for identification, anticoagulation, protein C and all its goodness, when to give Vitamin K, and why to really be careful about Warfarin.
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