ICU Rounds

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.

This week we have a brief conversation about prone mechanical ventilation for ARDS. Does it provide a benefit? When should we use it, and why does it work? I hope this is helpful as prone ventilation has been reported to provide benefit to patients with ARDS secondary to Coronavirus (COVID-19) infection.

I'm back. I plan on providing you with some useful information when caring for patients infected with COVID-19 (Coronavirus). In this episode, I will provide you an overview of the current evidence and best practices with some explanation and commentary from the recent Surviving Sepsis COVID-19 guidance.

A physiological explanation why random cortisol levels are NOT helpful in evaluating adrenal function

If you are using ultrasound to evaluate IVC diamter in children, what is considered a normal IVC diameter? You can determine the IVC/Ao ratio or correct the IVC diamter based on the child's body surface area.

This episode discusses the pathophysiology, presentation, and treatment of NTSI.

Now these are the types of lactic acidosis that most people are not familiar. They can be caused by medications, underlying disease, or inborn errors of metabolism.

A brief description on what to consider when confronted with a patient with an air leak from the ET tube or a patient that self-extubates.

Smoke Inhalation injuries can be deadly. This episode explains why smoke can be so deadly, and how to care for those patients with suspected smoke inhalation injuries.

Wedge or PAOP is perhaps the most quoted and poorly understood variable generated by a Swan-Ganz.

Therapeutic hypothermia after cardiac arrest is part of ACLS and is used by several EMS agencies around the US. Despite good data and improved patient outcomes, many providers fail to used this modality. This podcast will focus on a presentation of the data, methods of cooling, and potential complications.

A brief discussion of the considerations of ICU care of the patient with severe pancreatitis, fluid resuscitation, respiratory, renal, and nutrition.

All the recent emphasis on venous catheter infections has been on central lines. Those peripheral IVs are also dangerous.