Critical Care Scenarios

Join us as we talk through clinical cases in the ICU setting, illustrating important points of diagnosis, treatment, and management of the critically ill patient, all in a casual, "talk through" verbal scenario format.

Episode 92: PRIS and propylene glycol toxicity, with Jerry Snow

We discuss propofol infusion syndrome (PRIS) and propylene glycol toxicity from lorazepam infusions, with medical toxicologist Dr. Jerry Snow, director of the toxicology fellowship at Banner University Medical Center in Phoenix. Learn more at the Intensive Care Academy! Takeaway lessons

09-16
37:33

Episode 91: A simulated goals of care conversation

Brandon and Bryan mock up a goals of care discussion for a critically ill patient, and reflect on the right and wrong ways to execute this complex procedure. Learn more at the Intensive Care Academy! Resources Center to Advance Palliative Care The Conversation Project

09-03
01:06:19

Episode 90: Sugammadex in the ICU, with Sara J Hyland

We chat about neuromuscular blockade, monitoring, and reversal in the ICU, including why sugammadex isn’t more widely used, with Sara J Hyland, PharmD, BCCCP, FCCP, researcher and clinical pharmacist in perioperative and emergency medicine. Learn more at the Intensive Care Academy! Takeaway lessons References

08-20
01:05:22

Lightning rounds 56: The CHEST Critical Care APP cert, with Leeah Sloan

We chat with Leeah Sloan, PA-C, co-chair of the Critical Care APP Steering Committee for the American College of CHEST Physicians (CHEST), about the newly available CHEST critical care certification for APPs. The Vandalia CAMC Charleston APP critical care fellowship Learn more at the Intensive Care Academy!

08-06
54:32

Special announcement: ICA 1-year anniversary

Learn more at the Intensive Care Academy!

07-30
07:23

Academy bites: Specialization is breadth, not depth

Learn more at the Intensive Care Academy!

07-23
14:33

Lightning rounds 55: APP fellowships with Melissa Bridges

Melissa Bridges, director of PA fellowships at Atrium Health and president of the Association of Post-graduate PA Programs (APPAP), chats with us (Bryan is president of APGAP, the Association of Post Graduate APRN programs) about PA/NP residencies/fellowships in critical care. Learn more at the Intensive Care Academy!

07-09
54:30

Lightning rounds 54: Medical musicians with Andrew Schulman

Andrew Schulman, medical musician, former ICU patient, and president of the Medical Musician Initiative, tells us how music can help the critically ill. Learn more at the Intensive Care Academy!

06-25
44:31

Lightning rounds 53: GI Q&A with Elliot Tapper

From constipation to hepatorenal syndrome. Fan favorite Elliot Tapper (@ebtapper, @ebtapper), gastroenterologist, transplant hepatologist, academic chief of hepatology, and director of the cirrhosis program at the University of Michigan, returns to answer a grab-bag of GI questions. Learn more at the Intensive Care Academy! Takeaway lessons

06-11
46:25

Special announcement: Academy CME accreditation

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06-01
01:18

Lightning rounds 52: Echo tips with Michael Lanspa

We chat with Dr. Michael Lanspa, intensivist and director of the Intermountain Critical Care Echocardiography Core Lab, about common pitfalls among bedside POCUS users and tricks for doing it better. Learn more at the Intensive Care Academy! Find us on Patreon here! Takeaway lessons

05-28
59:47

Episode 89: Thrombectomy for stroke, with Justin Fraser

We explore the world of thrombectomy for acute ischemic stroke with Justin F. Fraser (@doctorjfred), MD, FAANS, FAHA, Professor and Vice-Chair of Neurological Surgery and Director of Cerebrovascular Surgery and Neuro-interventional Radiology at University of Kentucky, where he specializes in cerebrovascular, endovascular, skull base, and endoscopic transsphenoidal surgery. Learn more at the Intensive Care Academy! Find us on Patreon here! Buy … Continue reading "Episode 89: Thrombectomy for stroke, with Justin Fraser"

05-14
59:55

Episode 87: Maternal-fetal monitoring with Stephanie Martin

We learn about the basics of fetal monitoring in the critically ill pregnant woman and how to integrate them into our ICU workflows, with Stephanie Martin, MFM obstetrician and host of the Critical Care Obstetrics podcast and teacher at the Critical Care Obstretrics Academy. Learn more at the Intensive Care Academy! Find us on Patreon … Continue reading "Episode 87: Maternal-fetal monitoring with Stephanie Martin"

04-30
51:42

Academy bites: The power of disagreeing

Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here!

04-23
08:36

Episode 86: EEGs in the ICU with Carolina Maciel

We discuss the basics of EEG in the ICU, including when to do it, selecting the appropriate study, and the basics of bedside interpretation, with Carolina B Maciel, MD, MSCR, FAAN, triple boarded in neurology, neurocritical care, and critical care EEG. Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your … Continue reading "Episode 86: EEGs in the ICU with Carolina Maciel"

04-16
01:02:31

Lightning rounds 51: Hemodynamic interfaces with Philippe Rola

Philippe Rola, intensivist, master of the VEXUS scan, and founder of the Hospitalist and Resuscitationist conference, shares his recent model of four hemodynamic interfaces to describe the entire circulatory system. Register for the H&R conference (May 22-23 2025) here with the discount code provided in the show. (No, we’re not sponsored, just a cool event.) … Continue reading "Lightning rounds 51: Hemodynamic interfaces with Philippe Rola"

04-02
43:43

Episode 88: ICU Liberation SCCM Congress 2025

A roundup from members of the SCCM’s ICU Liberation committee, recorded at SCCM Congress 2025. Included:

03-19
13:55

Lightning rounds 50: Mastering PA catheter placement with Matt Siuba

We learn the vanishing art of placing the PA (Swan-Ganz) catheter, with intensivist and friend of the podcast Matt Siuba (@msiuba). Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here! Takeaway points References Insertion video Wedge distance How measurement technique affects diagnosis Thermo in TR review POCUS for … Continue reading "Lightning rounds 50: Mastering PA catheter placement with Matt Siuba"

03-05
01:04:28

Lightning rounds 49: The Vortex approach with Nicholas Chrimes

We learn about the Vortex approach to airway management, as well as airway algorithms and mental models in general, with Vortex creator and anesthesiologist Dr. Nicholas Chrimes, anaesthetist and cofounder of the Safe Airway Society. Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here! References

02-19
01:07:13

Episode 85: Tracheostomy basics with Vinciya Pandian

We discuss the basics of evaluation for tracheostomy placement, periprocedural care, and post-procedure complications with Vinciya Pandian, PhD, ACNP, FCCM, tracheostomy nurse practitioner and researcher. Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here!

02-05
46:01

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