September 10, 2019
In this episode we explore the controversies in how to classify the hemodynamic effects of pulmonary embolisms. We also cover: -Risk Stratification -Thrombolysis -Anticoagulation -Novel therapies -The crashing & hypoxemic PE patient
August 29, 2019
In this episode, we cover all the big hits for anticoagulant management in your bleeding patients. -Warfarin -DOAC -Anti platelets  -Heparin and LMWH -And More!
August 22, 2019
In this episode, we cover all things you need to know cold when your patient's cells are bursting all over the place.  -Life threatening Hyperkalemia - Purine Nucleotide Management -Rasburicase -Dialysis
August 15, 2019
In this episode, we take a break from controversial subjects and cover all thing magnesium related for critical care.   Come take a listen for diagnosis, identification, and treatment of low and high levels of magnesium.
August 8, 2019
Here it is, a total beast of a podcast. We cover one specific approach to patients in septic shock. We highlight all the must-know aspects: -patient identification and risk stratification -fluids -vasopressors/inotropes -The Metabolic Resuscitation Protocol We even re-leak the CITRIS-ALI trial for you... its going to be an epic Doozy. So make sure you have a proper 60+min to really take it all in.
August 1, 2019
In this episode we cover the simultaneous approach of sorting out the airway from hell, and treating both the histamine and bradykinin induced angioedema. We even snuck some novel use of TXA into the post!
July 31, 2019
In this episode, we follow-up on the very "heated" debate that this post sparked on the interwebs. Come listen to all things ICU level-hyperthermia. We've got the ice baths. The cold fluids. The dry air. We cover it all!
July 25, 2019
In this episode we go over a general approach to your patient with Massive Hemoptysis. When lungs have blood in them, its bad. We give you a targeted approach to stay cool, find the bleed, and stop it in the most efficient manner possible. Come listen for discussions around securing airway, protecting the good lung, CT first, and definitive management.
July 20, 2019
In this episode, we cover the last half of phenobarbital week! This is a long one, but we cover the Farkas manifesto on by phenobarb is superior to standard approaches to alcohol withdrawal management. -Dosing -Indications/Contraindication -Adjuvant therapies & more
July 11, 2019
In this episode, we will cover all those pesky things that can make your patient sick from the RUQ: namely the biliary tract! Ascending cholangitis, Cholecystitis and all the important pearly for imaging, antibiotics and source control options.
July 5, 2019
If your nursing colleagues can smell it, and you can't, fear not! We've got you covered for all things C. Diff on an ICU-level. Also, the audio quality is particularly bad on this episode, we apologize. Just the realities of recording on the road!
June 27, 2019
In this episode, we cover the always vexing crystalloid vs colloid debate. Farkas also brings it to the next level with a new paradigm for using large volume resuscitations to treat your patient's acid-base disturbances. Come take a listen for all things alkalinizing, acidifying and maintaining.
June 20, 2019
In this episode, we've got you covered for all things hypercalcemia. Erase those memory banks that are filled with hyper-hydration and forced diuresis and come fill them back up with appropriate fluid resuscitation, the 1-2-punch for those osteoclasts and all the rest of the pearls for hypercalcemia.
June 13, 2019
Pull those ankle socks up, and get ready for some ankle-clonus-good-times. In this episode, we cover one of those "hot and bothered" presentations of Serotonin Toxicity. Come listen to a summary of the chapter that includes, definition, clinical presentation, treatment and clinical pearls.
June 6, 2019
In this episode, we cover an often overlooked infectious cause of that ICU level patient presenting with all kinds of badness: come listen for a sound education on all things babesiosis, anaplasmosis & ehrlichiosis, and rocky mountain spotted fever (RMSF).
May 30, 2019
Either its a glaringly obvious diagnosis (because your patient is bright yellow and wont wake up) or its apart of a complex presentation, hepatic encephalopathy is one presentation you need to have down! Come listen to consolidate your knowledge around nitrogen reduction, shunts (the good, the bad, the ugly) and all things HE!
May 16, 2019
In this episode, we help you take a more nuanced approach to those patients with "coca-cola urine." When that CK is a climbing and you don't know what to do, remember these pearls!
May 9, 2019
In this episode, you get a two-for-one. Come for the hypophosphatemia, stay for the hyperphosphatemia.
May 2, 2019
Contrast induced nephropathy is the "white walker" of critical care and emergency medicine. Come take a listen as we discuss the potential error in creating a clinically non-meaningful entity, and how we should address this in our daily clinical work.
April 25, 2019
In this episode we cover all those big highlights for infective endocarditis. Come solidify your approach to clinical presentation of both left and right sided disease, approach to imaging, and empiric therapy. We've even got the hot topic of dual coverage down!
April 19, 2019
In this episode we cover the finer points of the high stakes resuscitation of VF / VT "Storm." Come get a solid approach to identification, resuscitation and nuanced management.
April 11, 2019
Have you ever seen that patient with a bicarb of 6 and a lactate of 14, and they are just smiling at you and texting their spouse about taxes? In this episode, we explore the direct, indirect, and obscured role that metformin can play in your critical care patients. Come listen for all things diagnosis, classification and some special discussion around GIK, Methylene Blue and when to spin that dialysis machine.
April 4, 2019
This often mis-understood "penicillin allergy" can have far more dire impacts on the population you would think. Come take a listen and explore the pathophysiology of R1-side chain impact on true allergy, what to do about it, and how it impacts antimicrobial selection and use.
March 30, 2019
In this episode, we've got you covered for this hypertensive emergency that you need to know cold. Come take a listen for all things around diagnosis, risk factors, clinical presentation, labs and treatment. We've got your magnesium. We've got your labetolol. We even have a few new tricks for hemolysis.
March 23, 2019
Just like when you were a kid and that science fair-volcano was spewing badness everywhere... an unchecked perfusion pressure can wreak havoc on your end organs. In this podcast, we cover the true primary emergency that results from too high of perfusion pressure. Come take a listen for all things diagnosis, treatment and even a nice coverage of PRES.
March 14, 2019
In this episode, we cover the often missed "abdominal compartment syndrome." Lace up those shoes, get ready for your commute, and let us review for you the diagnosis and treatment of this critical care quagmire.
March 7, 2019
In this episode we explore this rare but commonly seen entity of NMJ caused weakness. Come listen to review the patient population, identification and management of MG CRISIS.
February 28, 2019
In this episode, we start off with all those familiar aspects of APAP toxicity that you've heard about. Then we kick it up a notch and give you new pearls around Massive ingestions and high dose NAC infusions, when to Dialyze (you read that correctly) and even more great pearls! Come take a listen.
February 21, 2019
In this episode we will cover all the highlights you need to know about hypernatremia. Serum sodium... we see you yawning already! But if you want to level up your critical care skills, you need to pay attention to this often missed cause of serious morbidity in our ICUs.
February 17, 2019
Toxicology is fun. Salicylate overdoses can be intimidating, so come take a listen to get you ready for the next patient you see, so you can keep them out of that death-spiral!
February 11, 2019
In this episode, we cover the diagnosis of this must-not-miss-unicorn. Come take a listen for a lengthy discussion around management, including the controversial use of beta-blockade.
January 31, 2019
In this episode, we've got a great approach to low platelets in the ICU patient population. Come take a listen for approach, management, what not to miss, and all things HITT.
January 27, 2019
Here it is... it took a mythical amount of time to prepare, so we hope you enjoy this long format cast on the broad topic of antibiotics. We cover the highlights of all the usual suspects, beta-lactams, cephalosporins, aminoglycosides, macrolides and all the weird and wonderful. Make sure you read the post before diving into this beast!
January 17, 2019
Every resuscitationist MUST have this basic approach down cold. Come take a listen to the foundation of our specialties in what the French like to say "Reanimation." Approach and treatment for all those SICK looking patients.
January 10, 2019
ICU level Influenza. Very pertinent for this time of year. Come take a listen and explore clinical management pearls, and some bleeding edge discussion for adjuvant therapy on your hardcore viral patients. We even have a discussion about HLH!
January 3, 2019
Come take a listen to keep you regimented towards this must-not-mess-up presentation. We've got classification, management and some juicy pearls. Arm yourself with the knowledge to stop ordering that FeNa!
December 26, 2018
Merry Christmas / Happy Holidays everyone! Here is a little present for you during these cold times. For those of you who have seen this population, they can get sick, fast! However, when you've got your approach and management down, they can get better, just as fast! Come take a listen for the identification, microbiology and treatment or urosepsis.
December 19, 2018
Don't know what immune checkpoint inhibitors are? Don't worry, neither did I until Farkas through some major knowledge on me. Come take a listen about what this class of drugs can do to every organ in your body!
December 12, 2018
In this short podcast, we cover the identification, workup and treatment of that often missed cause of vasodilatory shock: adrenal insufficiency. Come take a listen for all things population, ACTH stim-test and how to manage these patients.
December 5, 2018
These patients can truly be the sickest of the sick. Come take a listen for the summary of a chapter that is bound to be one of your go-to resources. ROSC management TTM Sedation Steroids We've got it all.
November 28, 2018
In this episode we tackle the identification of central nervous system infections, aka badness. You'll be equipped with a standard treatment regime for your patients with meningitis or that brain-melting encephalitis.
November 21, 2018
Do those squiggly lines on the ECG monitor have you patient down in the hypotensive dumps? Don't know what to do? Well we have you covered. Identification, common causes and treatment of TDP can all be found in this one podcast.
November 14, 2018
Whether its your first day seeing patients, or your last, you need to have a solid approach to hyperK.  Come check out the cast for all things hyperkalemic bombs, and a plea to STOP the madness with kayexalate.
November 7, 2018
We've got you covered for identifying, evaluating and treating this all to common (and sometimes missed) syndrome. Take a listen, and go to the post to discuss the controversies of atypical antipsychotics, regular use of melatonin, and the elixir of the gods (dexmedetomidine).
October 31, 2018
Is your patient's low hemoglobin got you down? We've got you covered then. Come take a listen for all things related to diagnosis, transfusion targets and special populations. This one is sure to be a treat for halloween.
October 25, 2018
In this episode, we summarize the sometimes intimidating topic of pancreatitis. We've got your education needs covered when it comes to identification, workup and treatment of this common presentation.
October 17, 2018
Join your regular hosts in exploring all things cardiogenic shock. Warm & Dry to Cold and Wet. We've got an approach strategy for you.
October 10, 2018
Welcome to the 6th podcast, it will not disappoint. Hypoglycemia is something you MUST know cold. So grab a coffee, and give this one a listen.
October 3, 2018
Bradycardia can be scary. Especially when your cardiac output is being pulled down by that slow rate. Take a listen to hone your resuscitation skills in the electrical and medical arms of the bradycardia treatment.
September 26, 2018
Have you been confused with your approach to CAP/HAP/VAP? Here is a stepping stone to the approach from a new perspective: Community onset pneumonia. Here we outline the definition, approach and management including antimicrobial selection, triaging, HFNC and so much more.
September 19, 2018
In this episode we summarize the approach to the patient with a bleeding GI tract. Whether its upper, lower, or anything in between... we've got you covered.
September 12, 2018
In this episode, Josh takes us through how to approach the type 1 versus type 2 acute coronary syndrome in the ICU. In other words, take a listen to find out what to do with that ECG and troponin.
September 6, 2018
In this episode, we cover the anatomy of a DKA resuscitation. Check the post out for some juicy pearls.
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