SCCMPod-571: Sustaining Critical Care Amid Rising Demands

About this episode

The episode discusses the challenges and solutions in sustaining critical care amidst rising demands in the healthcare system.

Sustaining critical care delivery in today’s healthcare environment requires more than resilience—it also calls for collective solutions to systemic challenges. In this episode of the Society of Critical Care Medicine (SCCM) Podcast, Past President Jose L. Pascual, MD, PhD, FRCS(C), FACS, FCCM, elaborates on the session presented during the 2026 Critical Care Congress, Critical Care Under Pressure: Sustaining the Workforce and Infrastructure Amid Rising Demands. Joined by host Marilyn Bulloch, PharmD, BCPS, FCCM, Dr. Pascual examines the complex forces reshaping critical care, from shrinking ICU capacity and hospital closures to persistent workforce shortages and shifting training pipelines. He highlights concerning trends such as reduced entry into certain critical care pathways, particularly anesthesiology. At the same time, he points to encouraging growth in other pathways, with increasing participation from clinicians in emergency medicine, neurology, and surgery. The conversation underscores disparities in access to care, particularly for rural and community hospitals. Dr. Pascual explores the tension between the regionalization of specialized care and the need to maintain…

People in this episode

Hosts: Marilyn Bulloch, PharmD, BCPS, FCCM, Marilyn Bulloch

Guests: Jose L. Pascual, MD, PhD, FRCS(C), FACS, FCCM, Jose L. Pascual

Topics covered

• critical care
• healthcare challenges
• workforce shortages
• ICU capacity
• equitable access
• leadership in critical care

Keywords

• critical care
• healthcare
• workforce
• ICU
• access to care
• regionalization
• leadership

Mentioned in this episode

Organizations: Society of Critical Care Medicine

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