Critical Care Time

Returning guest Dr. Sara Crager joins us again on Critical Care Time, this time to tackle one of the most important, and most commonly overcomplicated, topics in critical care: acid–base physiology. Rather than treating acid–base as a collection of equations and compensation formulas, Sara walks us through her practical State → Process → Story framework for rapidly interpreting blood gases and electrolytes at the bedside. We discuss how to distinguish acidemia from acidosis, interpret CO₂ in the context of bicarbonate, use the anion gap and strong ion difference to uncover mixed metabolic disorders, recognize the importance of chloride and albumin, and understand why a “normal” pH—or a “normal” CO₂—may be anything but normal. Along the way, we work through several real-world ICU cases involving chronic hypercapnia, DKA, vomiting, septic shock, renal failure, saline-induced hyperchloremia, and hypoalbuminemia. The goal isn’t more acid–base math. It’s a better mental model and a faster way to understand what your patient’s numbers are actually telling you. Hosted on Acast. See acast.com/privacy for more information.

We've heard you guys and we are ready to deliver! We are proud to bring you guys our first of several episodes on Neurocritical Care! On this episode - our introductory show - we had the pleasure of hosting Dr. Casey Albin a neurologist & neurointensivist who introduces the topic of neurocritical care with a special focus on basic tenets of stroke management. What type of imaging should you order? What do you do with anticoagulation? Who get's seizure prophylaxis? We cover all this and more with Dr. Albin. Please take a listen and let us know what you think and what else you want to hear from us! Hosted on Acast. See acast.com/privacy for more information.

Welcome back to another airway episode! On this episode, Cyrus and Nick are joined by Dr. Jarrod Mosier to discuss advanced concepts of airway management to include a practical and effective approach to awake intubation. We will discuss who is an appropriate candidate for this technique, why and when it should be implemented and cover some important pitfalls and pearls. We hope you guys enjoy this episode and that it motivates you to check out the Difficult Airway Course: Critical Care! If you are interested, make sure you use our discount code CCTIME26 to get $200 off the November course in San Diego! Hosted on Acast. See acast.com/privacy for more information.

Welcome to Season 4 of Critical Care Time! We are excited to be back for another year of exciting content and what better way to kick things off than with a brand new series! This year we're piloting our Back to Basics series where we will do deep dives on fundamental skills, tests, tools and so much more in the ICU. First up is Back to Basics: All Things Art Lines. On this inaugural episode we discuss why arterial blood pressure monitoring is so important in the ICU, how the place these lines, how to interpret the waveforms and cover a bunch of tips and tricks that you can tuck away for your next A-Line in the ICU! Let us know what you think: Send us a message on socials, drop us a comment or reach out via email! Hosted on Acast. See acast.com/privacy for more information.

Join us for this fun and exciting CCT episode where we are joined by the incredible Dr. Sara Crager for an all-expenses paid journey through the world of Ventricular Tachycardia! On this episode we explore the causes and pathophysiology of VT. Building upon that solid foundation, we also discuss different therapeutic approaches using a case-based format that's sure to leave a lasting impression. We hope you listen, learn and leave us a review! And if you feel so inclined, reach out on our socials and let us know what you think! Hosted on Acast. See acast.com/privacy for more information.

This week on Critical Care Time we take a slight departure from our usual content and turn an eye towards sustainability in the ICU. What low-hanging fruit exists in your ICU in the fight against medical waste? Why reach for a nebulizer when HFAs are so much more convenient? We had a great chat with Dr. Stephanie Maximos and Dr. Hari Shankar where we unpack this emerging concept and discuss options to take great care of your patients AND be mindful of waste and excess in your ICU! Listen, learn and let us know what you think!! Hosted on Acast. See acast.com/privacy for more information.

In this episode of Critical Care Time, we tackle one of the most complex and high-stakes corners of critical care: the lung transplant patient in the ICU. From evaluating candidates at the edge of respiratory failure to managing the crashing post-transplant patient, we break down the practical bedside decisions that matter most — including bridge strategies, hemodynamics, immunosuppression, infection, rejection, and the complications that can rapidly spiral if you miss them. Whether you work in a transplant center or occasionally inherit these patients in a general ICU, this episode is built to give you a sharper framework, clearer priorities, and more confidence when the stakes are highest. As is often the case, a heavy lift like this needs some back up and we are grateful to have Dr. Lara Jones, a transplant pulmonologist and her colleague, Dr. Jason Gauthier, a thoracic surgeon on to help us with this one!Thank you to Integration Health for sponsoring this episode. Integration Health is committed to supporting ECMO programs through high-fidelity training, start-up support and dynamic staffing assistance when you need it the most! Check them out at www.Integration.Health! Hosted on Acast. See acast.com/privacy for more information.

On this week, Cyrus & Nick are joined again by intensivist extraordinaire, Dr. Adam Mora, for a long overdue episode on ICU Toxicology! Together, the three of us embark on a case-based journey covering some of the more common ICU toxidromes as well as some of the more unusual, but can't-miss diagnoses. This is a bit of a longer one but it's super high-yield and very practical for anyone who is studying for their boards and/or participating in the care of the critically ill! Thanks to our tag-team of sponsors for this episode: The Difficult Airway Course: Critical Care and our newest sponsor, Integration Health!Integration Health Website: https://bit.ly/IHxCCTLinkedIn: https://www.linkedin.com/company/integration-health/Instagram: https://www.instagram.com/integrationhealth_eclsThe Difficult Airway Course: Critical CareX (Twitter): @theairwaysiteInstagram: @theairwaysiteFacebook: @TheDAC.EMSLinkedIn: Airway Management Education Center (AMEC) Hosted on Acast. See acast.com/privacy for more information.

Buckle up because on this week's episode of Critical Care Time we are treated to a master class on Right Heart Failure with world-class educator Dr. Matt Siuba. We are taking a deep dive on diagnosis, management and of course, sharing our love for the PAC! Make sure you clear your schedule and take notes for this one because as far as we are concerned, this is required listening for anyone who cares for the critically ill! Hosted on Acast. See acast.com/privacy for more information.

On this week’s BONUS episode of Critical Care Time, Cyrus & Nick flip the coin on sleep and discuss the importance of sleep for those of us that have to work nights. We also discuss how to find ways to still get rest even when your whole world is flipped upside down! Be prepared to keep taking excellent care of your patients using some of the tricks we review here. Give it a listen - or a watch and let us know what you think! Hosted on Acast. See acast.com/privacy for more information.

On this episode of Critical Care Time, we tackle the enigma - shrouded in mystery and caped in uncertainty - know as rheumatologic emergencies in the critically ill patient! We sit down with Dr. Marcela Ferrada - a QUADRUPLE boarded intensivist/rheumatologist/ID specialist and internist - who guides us through her approach to rheumatologic emergencies in the sickest of the sick. As we often do, we approach this via a pragmatic, cased-based journey for your listening pleasure. Please check it out, learn all you can, and as always - let us know your thoughts and leave a review!Special thanks to returning sponsor, Seastar Medical for supporting us with this production!  Hosted on Acast. See acast.com/privacy for more information.

This week we drop a journal club extravaganza! Should we do away with the A-Line? Is Bicarb a sure-fire way to treat metabolic acidosis in the setting of AKI? What about selective decontamination and all that capillary refill business!? We tackle all these topics through thoughtful journal discussion, provide our $0.02 and a little witty repartee, of course! Check it out and let us know what you think! Hosted on Acast. See acast.com/privacy for more information.

For those who work in an ICU - or with any patients for that matter -the concepts of burnout and moral injury are no stranger. In order to mitigate the effects of these forces, it’s important to understand them. Join Nick and Cyrus, as they sit down with an incredible guest, Dr. Venktesh Ramnath, with the hopes of doing just that. On this episode we step away from the pressors and central lines and focus on the contributors to burn out and moral injury in the medical field while developing some strategies to combat them. Listen, watch, learn and let us know what you think! Hosted on Acast. See acast.com/privacy for more information.