ICU Rounds
ICU Rounds
Jeffrey S. Guy, MD, FACS
A podcast dedicated to the teaching of critical care. The focus audience is physicians, residents, medical students, nurses, therapists, and paramedics. These are topics that arise while on teaching rounds in the Burn ICU at Vanderbilt Medical Center. A broad scope of critical care and prehospital topics are presented as well as recent journal articles and medical news.
Splitting a Ventilator: Multipatient Ventilation for COVID?
Throughout the pandemic, there has been considerable discussion about the possibility of running our of ventilators. One potential solution that was brought forward was putting multiple patients on a single ventilator. This is a lot harder than merely attaching a plastic splitter on a ventilator. In this episode, we explain safety and physiological considerations. Also, we briefly discuss specific patient care issues and ventilator settings if your circumstance requires you to adopt this approach.
Apr 22, 2020
16 min
Prone Ventilation for ARDS (COVID-19)
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.
Apr 12, 2020
19 min
ARDS and Mechanical Ventilation / COVID-19 Care
Today we discuss the approach to oxygenating and mechanically ventilating a patient suffering from ARDS. We will cover elements relevant and essential in the management of COVID patients and all others with ARDS.
Apr 5, 2020
33 min
ICU Care of Coronavirus (COVID-19)
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.
Mar 29, 2020
48 min
Colloids: Details and Myths
This episode provide some basic description of colloids as will as some myths.  
Jul 9, 2012
18 min
Random Serum Cortisol Levels are misleading
A physiological explanation why random cortisol levels are NOT helpful in evaluating adrenal function
Mar 12, 2012
17 min
EARLY use of Tranexamic Acid may improve survival from bleeding in trauma
In this episode we talk about the results of the CRASH-2 trial published in Lancet.  This trial showed that the EARLY use of Tranexamic acid may improve survivial, but delayed use may be associated with an increased mortality.  
Feb 19, 2012
19 min
Pediatric IVC diameter determination with ultrasound
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.  
Feb 9, 2012
15 min
Takotsubo Cardiomyopathy
This is a condition that mimics acute coronary syndrome (ACS) that may be caused by acute emotional or physical stress.  Patient's may appear to have profound cardiogenic shock, but these patients have a very high survivial rate with little more than supportive care.  
Jan 31, 2012
12 min
Necrotizing Soft Tissue Infection (NTSI)
This episode discusses the pathophysiology, presentation, and treatment of NTSI.
Dec 6, 2011
26 min
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