WhiteBoard Medicine - Emergency And Critical Care

The Shock Index (SI) is one of the simplest but most powerful bedside tools in emergency medicine and critical care. Defined as heart rate divided by systolic blood pressure (HR ÷ SBP), SI often outperforms vital signs alone for detecting occult shock. 📚 MINI COURSES, STUDY GUIDES, PRACTICE QUESTIONS, AD FREE VIDEOS, EDUCATIONAL DISCUSSIONS in our WBM Emergency Critical Care Patreon Community - Join Today!! https://www.patreon.com/c/WhiteBoardMedicine Link To Video Version: https://www.youtube.com/watch?v=0CoHL94ALB4 👉 Subscribe for more emergency & critical care medicine content! 👍Become a WhiteBoard Medicine member for early access and perks! https://www.youtube.com/channel/UCiMhM7xCTT8b5SJRnhpH7Ag/join 👇DON'T MISS OUT - JOIN OUR PATREON COMMUNITY TODAY 👇 https://www.patreon.com/WhiteBoardMedicine DISCLAIMER THIS PODCAST DOES NOT PROVIDE MEDICAL ADVICE. The information, including but not limited to, audio, text, graphics, images and other material contained on this website are for informational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read, watched, or listened to on this video, or any other videos, reports, texts tweets or other sources.

Sepsis and septic shock remain some of the most critical conditions in emergency medicine and critical care. 🦠 In this video, we start with the basics of sepsis and septic shock before moving into more advanced topics: sepsis-induced cardiomyopathy, sepsis pathophysiology, and sepsis phenotypes. Learn how to recognize, understand, and manage sepsis from the ground up. 📚 MINI COURSES, STUDY GUIDES, PRACTICE QUESTIONS, AD FREE VIDEOS, EDUCATIONAL DISCUSSIONS in our WBM Emergency Critical Care Patreon Community - Join Today!! https://www.patreon.com/c/WhiteBoardMedicine Timestamps: 0:00 - 22:01 - Sepsis Basic Concepts 20:02 - 45:44 - Septic Shock Overview 45:45 - 1:03:25 - Septic Shock Advanced Pathophysiology 1:03:26 - 1:25:09 - Sepsis Induced Cardiomyopathy (SICM) 1:25:10 - 1:41:23 - Sepsis Phenotypes Link to YouTube Video: https://www.youtube.com/watch?v=l6eq1MoOUCs DISCLAIMER THIS PODCAST DOES NOT PROVIDE MEDICAL ADVICE. The information, including but not limited to, audio, text, graphics, images and other material contained on this website are for informational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read, watched, or listened to on this video, or any other videos, reports, texts tweets or other sources.

In this episode, we break down how to approach acute hypoxemic respiratory failure at the bedside. You’ll learn step-by-step interpretation of arterial blood gases (ABG), venous blood gases (VBG), alveolar-arterial (Aa) gradient, and using the chest x-ray and ABG to diagnose the cause. We’ll cover the physiology, practical interpretation pearls, and common pitfalls so you can confidently apply this knowledge in the ICU, ED, or wards. Link To YouTube Video: https://www.youtube.com/watch?v=g-6Qn5dmyxU 📚 MINI COURSES, STUDY GUIDES, PRACTICE QUESTIONS, AD FREE VIDEOS, EDUCATIONAL DISCUSSIONS in our WBM Emergency Critical Care Patreon Community - Join Today!! https://www.patreon.com/c/WhiteBoardMedicine Timestamps: 0:00 - 15:02 - Arterial Blood Gas Sampling and Analysis 15:03 - 30:14 - Venous Blood Gas Sampling and Analysis 30:15 - 42:22 - Using, Calculating, and Understanding the Aa Gradient 42:23 - 53:32 - Diagnosing Cause of Hypoxemia Using ABG and CXR DISCLAIMER THIS PODCAST DOES NOT PROVIDE MEDICAL ADVICE. The information, including but not limited to, audio, text, graphics, images and other material contained on this website are for informational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read, watched, or listened to on this video, or any other videos, reports, texts tweets or other sources.

Master the fundamentals of cardiac physiology — from chamber pressures and cardiac output to preload, afterload, contractility, and the Fick equation. 🫀 This episode breaks down complex hemodynamics and devices into simple, high-yield concepts for exams and bedside care. Perfect for medical students, residents, fellows, nurses, physiologists, and clinicians in emergency medicine, critical care, and cardiology. 📚 MINI COURSES, STUDY GUIDES, PRACTICE QUESTIONS, AD FREE VIDEOS, EDUCATIONAL DISCUSSIONS in our WBM Emergency Critical Care Patreon Community - Join Today!! https://www.patreon.com/c/WhiteBoardMedicine Timestamps: 0:00 - 9:46 - Cardiac Chamber Pressures, Pulmonary Artery Catheters, Central Venous Catheters 9:47 - 36:46- Cardiac Output, Heart Rate, Preload, Contractility, Afterload 36:47 - 51:37 - Fick Equation, Explanation, Derivation Link to YouTube Video: https://www.youtube.com/watch?v=YrVITCyZhzk DISCLAIMER THIS PODCAST DOES NOT PROVIDE MEDICAL ADVICE. The information, including but not limited to, audio, text, graphics, images and other material contained on this website are for informational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read, watched, or listened to on this video, or any other videos, reports, texts tweets or other sources.

Master the key pressures in mechanical ventilation: peak inspiratory pressure, plateau pressure, and driving pressure. In this episode, we break down what each pressure means, how to measure them, and why they’re critical for managing patients in the ICU and emergency department. Perfect for medical students, residents, critical care fellows, respiratory therapists, emergency nurses, critical care nurse, and anyone preparing for exams. 🚑🫁 📚 MINI COURSES, STUDY GUIDES, PRACTICE QUESTIONS, AD FREE VIDEOS, EDUCATIONAL DISCUSSIONS in our WBM Emergency Critical Care Patreon Community - Join Today!! https://www.patreon.com/c/WhiteBoardMedicine Timestamps: 0:00 - 12:31 - Defining peak and plateau pressures, how to measure, what is normal 12:32 - 20:37 - High peak/high plateau, high peak/low plateau, comparison, differential diagnosis 20:38 - 22:40 - Waveform analysis, measurement, inspiratory hold 22:41 - 37:40 - Driving pressure, definition, calculation, use, optimization Link To YouTube Video: https://www.youtube.com/watch?v=aXlDUMbSjrY DISCLAIMER THIS VIDEO DOES NOT PROVIDE MEDICAL ADVICE. The information, including but not limited to, text, graphics, images and other material contained on this website are for informational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read, watched, or listened to on this video, or any other videos, reports, texts tweets or other sources.

Mechanical circulatory support (MCS) is a cornerstone of modern critical care, cardiology, and cardiac surgery. In this episode, we review the most important devices — LVADs, intra-aortic balloon pump (IABP), and ECMO — with a focus on when and how they’re used. 📌 What’s covered in this video: Basics of mechanical circulatory support (MCS). LVAD (Left Ventricular Assist Device): how it works, indications, complications, alarms, suction events. IABP (Intra-aortic Balloon Pump): mechanism, timing, clinical pearls. ECMO (Extracorporeal Membrane Oxygenation): types (VA vs VV), patient selection, and troubleshooting. Practical ICU and ED applications. 📖 More Resources Download study guides, infographics, and practice questions here: https://www.patreon.com/collection/1443765 Timestamps: Chapter 1 (0:00 - 33:37) - LVAD Anatomy, Physiology, Indications, Contraindications, Evaluation, Complications Chapter 2 (33:38 - 47:17) - LVAD Alarms Flow, Power, Pulsatility Index Chapter 3 (47:18 - 57:52) - LVAD Suction Events Chapter 4 (57:53 - 01:19:15) - IABP Placement, Waveforms, Hemodynamics, Indications, Complications Chapter 5 (01:19:16 - 01:53:53) - ECMO Principles, Types, Anatomy, Indications, Complications Link to YouTube Video:  👍Become a WhiteBoard Medicine member for early access and perks! https://www.youtube.com/channel/UCiMhM7xCTT8b5SJRnhpH7Ag/join 👇DON'T MISS OUT - JOIN OUR PATREON COMMUNITY TODAY 👇 https://www.patreon.com/WhiteBoardMedicine DISCLAIMER THIS PODCAST DOES NOT PROVIDE MEDICAL ADVICE. The information, including but not limited to, audio, text, graphics, images and other material contained on this website are for informational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read, watched, or listened to on this video, or any other videos, reports, texts tweets or other sources.

In this episode, we break down the four major shock states — hypovolemic, cardiogenic, obstructive, and distributive — and provide a structured approach to evaluating patients in undifferentiated shock. We’ll then take a deeper dive into septic shock, including pathophysiology, diagnosis, and management strategies used in the ICU and emergency department. 📚 MINI COURSES, STUDY GUIDES, PRACTICE QUESTIONS, AD FREE VIDEOS, EDUCATIONAL DISCUSSIONS in our WBM Emergency Critical Care Patreon Community - Join Today!! https://www.patreon.com/c/WhiteBoardMedicine Link To YouTube Video: https://www.youtube.com/watch?v=3nqSQwEBkP0 Timestamps: 0:00 - 11:38 - Framework For Differentiating Undifferentiated Shock 11:39 - 32:32 - Breaking Down The 4 Shock States - Hypovolemic, Distributive, Cardiogenic, Obstructive 32:33 - 56:43 - Deep Dive Into Septic Shock DISCLAIMER THIS PODCAST DOES NOT PROVIDE MEDICAL ADVICE. The information, including but not limited to, audio, text, graphics, images and other material contained on this website are for informational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read, watched, or listened to on this video, or any other videos, reports, texts tweets or other sources.  

End tidal capnography (ETCO₂) is one of the most important tools in emergency medicine, anesthesia, and critical care. In this episode, we break down normal and abnormal capnography waveforms, explain the physiology behind each pattern, and show you how to apply ETCO₂ in real clinical scenarios. 📌 What’s covered in this video: Normal ETCO₂ waveform and interpretation. Obstructive patterns (bronchospasm, airway obstruction). The “curare cleft” and inadequate neuromuscular blockade. Hyperventilation vs hypoventilation on waveform analysis. Capnography in cardiac arrest: ROSC detection & quality of CPR. Clinical pearls for the ED, ICU, and OR. Timestamps: Chapter 1 (0:00 - 19:36) - Normal Capnography Waveform Analysis Chapter 2 (19:37 - 28:31) - Obstruction Capnography Waveform Analysis Chapter 3 (28:32 - 34:20) - Curare Cleft Chapter 4 (34:21 - 42:11) - Hyperventilation, Hypoventilation, And Waveform Analysis Chapter 5 (42:12 - 54:37) - End Tidal Capnography In Cardiac Arrest Link To YouTube Video: https://www.youtube.com/watch?v=eyut072tz5s 📖 More Resources Download study guides, infographics, and practice questions here: https://www.patreon.com/collection/1443765 👍Become a WhiteBoard Medicine member for early access and perks! https://www.youtube.com/channel/UCiMhM7xCTT8b5SJRnhpH7Ag/join 👇DON'T MISS OUT - JOIN OUR PATREON COMMUNITY TODAY 👇 https://www.patreon.com/WhiteBoardMedicine DISCLAIMER THIS PODCAST DOES NOT PROVIDE MEDICAL ADVICE. The information, including but not limited to, audio, text, graphics, images and other material contained on this website are for informational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read, watched, or listened to on this video, or any other videos, reports, texts tweets or other sources.

Calcium channel blocker (CCB) overdose is one of the most dangerous toxicologic emergencies seen in emergency medicine and critical care. 📚 MINI COURSES, STUDY GUIDES, PRACTICE QUESTIONS, AD FREE VIDEOS, EDUCATIONAL DISCUSSIONS in our WBM Emergency Critical Care Patreon Community - Join Today!! https://www.patreon.com/c/WhiteBoardMedicine Timestamps: 0:00 - 6:27 - Introduction, What are CCBs, Dihydropyridines vs Non-dihydropyridines 6:28 - 10:33 - Epidemiology, Mechanism of Toxicity, Effects 10:34 - 13:29 - Clinical Presentation and Diagnostic Work up 13:30 - 22:25 - Stabilization, First Line Therapies, Adjunctive Therapies, Advanced Therapies 22:26 - 29:05 - Monitoring, Prognosis, Bedside Tips, Practice Questions YouTube Video: https://www.youtube.com/watch?v=P19nyRgX5Xw 👉 Subscribe for more emergency & critical care medicine content! 👍Become a WhiteBoard Medicine member for early access and perks! https://www.youtube.com/channel/UCiMhM7xCTT8b5SJRnhpH7Ag/join DISCLAIMER THIS PODCAST DOES NOT PROVIDE MEDICAL ADVICE. The information, including but not limited to, audio, text, graphics, images and other material contained on this website are for informational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read, watched, or listened to on this video, or any other videos, reports, texts tweets or other sources.

Learn everything you need to know about intravascular fluids for the clinical arena. This comprehensive guide covers Normal Saline (NS), Lactated Ringer’s (LR), Dextrose 5% in Water (D5W), PlasmaLyte, and Albumin—including composition, indications, contraindications, pros and cons, clinical pearls, and more. Timestamps: Chapter 1 (0:00 - 14:43) - Normal Saline Chapter 2 (14:44 - 28:03) - Lactated Ringers Chapter 3 (28:04 - 38:46) - Dextrose 5% Water Chapter 4 (38:47 - 52:57) - Plasmalyte Chapter 5 (52:58 - 1:06:00) - Albumin 📖 More Resources Download study guides, infographics, and practice questions here: https://www.patreon.com/collection/1443765 Link to YouTube Video: https://www.youtube.com/watch?v=un2toZNWpa0 👍Become a WhiteBoard Medicine member for early access and perks! https://www.youtube.com/channel/UCiMhM7xCTT8b5SJRnhpH7Ag/join 👇DON'T MISS OUT - JOIN OUR PATREON COMMUNITY TODAY 👇 https://www.patreon.com/WhiteBoardMedicine DISCLAIMER THIS PODCAST DOES NOT PROVIDE MEDICAL ADVICE. The information, including but not limited to, audio, text, graphics, images and other material contained on this website are for informational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read, watched, or listened to on this video, or any other videos, reports, texts tweets or other sources.

Learn how to master Central Venous Pressure (CVP) monitoring with this complete step-by-step guide. In this episode, we cover everything from CVP measurement basics to waveform interpretation and a deep dive into Cannon A waves. Perfect for medical students, residents, critical care fellows, and anyone preparing for exams or working at the bedside. 📚 MINI COURSES, STUDY GUIDES, PRACTICE QUESTIONS, AD FREE VIDEOS, EDUCATIONAL DISCUSSIONS in our WBM Emergency Critical Care Patreon Community - Join Today!! https://www.patreon.com/c/WhiteBoardMedicine 📌 Chapters: 0:00 - 13:56 – Chapter 1: Central Venous Pressure (CVP) Monitoring and Measurement Basics 13:57 - 25:10 – Chapter 2: CVP Waveform and Tracing Basics (A, C, X, V, Y Explained Clearly) 25:11 - 33:29 – Chapter 3: CVP Waveforms and Tracings: Understanding Cannon A Waves Link to YouTube Video: https://www.youtube.com/watch?v=yFRZfneDlVQ DISCLAIMER THIS PODCAST DOES NOT PROVIDE MEDICAL ADVICE. The information, including but not limited to, audio, text, graphics, images and other material contained on this website are for informational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read, watched, or listened to on this video, or any other videos, reports, texts tweets or other sources.

Renal replacement therapy (RRT) is a cornerstone of emergency and critical care medicine, as well as nephrology. In this episode, we provide a complete overview of RRT in the ICU, covering everything you need to know to master this essential therapy. We’ll review: The different types of renal replacement therapy (CRRT, IHD, SLED, PD). Indications for starting RRT in critically ill patients. Continuous vs intermittent RRT: key differences and clinical decision-making. Components of CRRT machines and how they work. Timing of initiation and evidence from landmark trials. Troubleshooting common complications and challenges. Practical tips for ICU physicians, trainees, and nurses. 📌 Timestamps: Chapter 1 (0:00 - 12:03) - Basics Of Renal Replacement Therapy (RRT), Indications, Emergent Needs Chapter 2 (12:04 - 25:26) - Types Of RRT (iHD, CRRT, SLED, PD) Chapter 3 (25:27 - 29:46) - When To Start RRT (Evidence and Trials) Chapter 4 (29:47 - 34:34) - Basics Of Continuous Renal Replacement Therapy (CRRT) Chapter 5 (34:35 - 38:46) - Components of CRRT (Blood Flow, Filter, Dialysate, Etc) Chapter 6 (38:47 - 54:36) - Introduction To Types Of CRRT (CVVH, CVVHD, CVVHDF, SCUF) Chapter 7 (54:37 - 1:13:21) - CRRT Advanced Indications, Blood Flow, Dialysate, Ultrafiltration, Effluent Chapter 8 (1:13:22 - 1:18:43) - Mechanism Of Solute Clearance (Diffusion Vs Convection), Sieving Coefficient, Transmembrane Pressure Link to YouTube Video: https://www.youtube.com/watch?v=-epNrfQG0J8 📖 More Resources Download study guides, infographics, and practice questions here: https://www.patreon.com/collection/1443765 Nephrology🧂 https://youtube.com/playlist?list=PLf5bMa9_tvRgwXdcj18ux70r08Et93idU&si=tbOHFsPfZgFFZxWg 👍Become a WhiteBoard Medicine member for early access and perks! https://www.youtube.com/channel/UCiMhM7xCTT8b5SJRnhpH7Ag/join 👇DON'T MISS OUT - JOIN OUR PATREON COMMUNITY TODAY 👇 https://www.patreon.com/WhiteBoardMedicine DISCLAIMER THIS PODCAST DOES NOT PROVIDE MEDICAL ADVICE. The information, including but not limited to, audio, text, graphics, images and other material contained on this website are for informational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read, watched, or listened to on this video, or any other videos, reports, texts tweets or other sources.

In this episode, we cover everything you need to know about acetaminophen (paracetamol) toxicity — also known as Tylenol overdose. This is one of the most common drug overdoses worldwide and a leading cause of acute liver failure. We’ll review: Safe and toxic dosing thresholds. Mechanism of action and toxic metabolic pathways (NAPQI, glutathione depletion). The four clinical stages of toxicity. Diagnostic workup and interpretation of acetaminophen levels (Rumack–Matthew nomogram). Management strategies, including NAC (N-acetylcysteine). Indications for liver transplant. Prognosis and outcomes. *Apologies for the audio, microphone didn't turn on! Timestamps: 0:00 - 6:24 - What Is Acetaminophen, Normal Dosing, Max Doses, 2 grams/day Vs 4 grams/day. 6:25 - 7:41 - Epidemiology, Risk Factors, Liver Failure. 7:42 - 13:37 - Metabolization, Mechanism Of Toxicity, NAPQI, Glutathione 13:38 - 18:19 - 4 Stages Of Toxicity 18:20 - 26:46 - Management, Stabilization, Key Factors, Rumack Matthew Nomogram, Therapies 26:47 - 28:50 - N-Acetyl-Cysteine (NAC) 28:51 - 30:37 - Monitoring, Special Populations (Co-ingestants, Pregnancy, Etc) 30:38 - 32:14 - Liver Transplant, King's College Criteria, Prognosis 32:15 - 38:51 - Key Points, Review, Practice Questions Link to YouTube Video: https://www.youtube.com/watch?v=hlXF8GwrT98 📚 Related Resources: Download our Tylenol Overdose study guides and practice questions: https://www.patreon.com/collection/1443765 Watch next: Playlist Critical Care Medicine https://youtube.com/playlistlist=PLf5bMa9_tvRiZ85NNUGwk91YpqDWdIGvA&si=jGyrxrOcvQqTldFb 👍Become a WhiteBoard Medicine member for early access and perks! https://www.youtube.com/channel/UCiMhM7xCTT8b5SJRnhpH7Ag/join 👇DON'T MISS OUT - JOIN OUR PATREON COMMUNITY TODAY 👇 https://www.patreon.com/WhiteBoardMedicine DISCLAIMER THIS PODCAST DOES NOT PROVIDE MEDICAL ADVICE. The information, including but not limited to, video, text, graphics, images and other material contained on this website are for informational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read, watched, or listened to on this video, or any other videos, reports, texts tweets or other sources.

In this episode, we provide a step-by-step guide to mastering mechanical ventilation, starting with the fundamentals and progressing to advanced ICU strategies. Perfect for medical students, residents, critical care fellows, and practicing clinicians, this overview covers ventilator modes, settings, troubleshooting, clinical applications, and much more. Timestamps: 0:00 - 27:42 - Terminology, Concepts, and Basics 27:43 - 38:10 - Settings, FiO2, PEEP, TV, RR 38:11 - 1:06:01 - Modes, Parameters, Alarms 1:06:02 - 1:37:12 - Understanding Loops and Waveforms 1:37:13 - 1:53:05 - Volume and Pressure Control Modes 1:53:06 - 2:14:30 - Peak and Plateau Pressures 2:14:31 - 2:28:12 - Driving Pressure 2:28:13 - 2:48:08 - How to Present Mechanical Ventilation on Rounds Link to video: https://www.youtube.com/watch?v=9R8WbPM-fE0 📚 Related Resources: Download our Mechanical Ventilation study guides and practice questions: https://www.patreon.com/collection/1443765 Watch next: Playlist Mechanical Ventilation: https://www.youtube.com/playlist?list=PLf5bMa9_tvRgVjd6EYdHBcLnIiCTgGKD9 👍Become a WhiteBoard Medicine member for early access and perks! https://www.youtube.com/channel/UCiMhM7xCTT8b5SJRnhpH7Ag/join 👇DON'T MISS OUT - JOIN OUR PATREON COMMUNITY TODAY 👇 https://www.patreon.com/WhiteBoardMedicine Critical Care Medicine 🚑 https://youtube.com/playlist?list=PLf5bMa9_tvRiZ85NNUGwk91YpqDWdIGvA&si=jGyrxrOcvQqTldFb DISCLAIMER THIS PODCAST DOES NOT PROVIDE MEDICAL ADVICE. The information, including but not limited to, text, audio, graphics, images and other material contained on this website are for informational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read, watched, or listened to on this video, or any other videos, reports, texts tweets or other sources.

In this episode, we break down three major modes of mechanical ventilation: Volume Control (VC), Pressure Control (PC), and Airway Pressure Release Ventilation (APRV). Whether you’re a medical student, resident, or practicing clinician, this comprehensive overview will help you understand the principles, advantages, and limitations of each mode in the ICU and clinical practice. By the end of this video, you’ll have a clear grasp of how to select and troubleshoot these ventilator modes for critically ill patients. Perfect for exam prep, board review, and bedside learning. Timestamps: 0:00 - 15:58 - Volume Control, Scalars and Waveforms, Settings, Troubleshooting 15:59 - 28:42 - Pressure Control, Scalars and Waveforms, Settings, Troubleshooting 28:43 - 48:13 - APRV, Settings, Indications, Troubleshooting Link to video: https://www.youtube.com/watch?v=AUa25-SlnJ8 📚 Related Resources: Download our Mechanical Ventilation study guides and practice questions: https://www.patreon.com/collection/1443765 Watch next: Playlist Mechanical Ventilation: https://www.youtube.com/playlist?list=PLf5bMa9_tvRgVjd6EYdHBcLnIiCTgGKD9 👍Become a WhiteBoard Medicine member for early access and perks! https://www.youtube.com/channel/UCiMhM7xCTT8b5SJRnhpH7Ag/join 👇DON'T MISS OUT - JOIN OUR PATREON COMMUNITY TODAY 👇 https://www.patreon.com/WhiteBoardMedicine Critical Care Medicine 🚑 https://youtube.com/playlist?list=PLf5bMa9_tvRiZ85NNUGwk91YpqDWdIGvA&si=jGyrxrOcvQqTldFb DISCLAIMER THIS PODCAST DOES NOT PROVIDE MEDICAL ADVICE. The information, including but not limited to, audio, text, graphics, images and other material contained on this website are for informational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read, watched, or listened to on this video, or any other videos, reports, texts tweets or other sources.

Ventilator dyssynchrony is a common challenge in critical care and mechanical ventilation. In this episode, we break down the most important types of patient–ventilator asynchrony: double triggering, reverse triggering, ineffective triggering, flow starvation, and autoPEEP. Understanding these patterns is essential for ICU physicians, respiratory therapists, and critical care trainees to optimize patient outcomes and reduce ventilator-induced lung injury. You’ll learn: What each type of dyssynchrony looks like on ventilator waveforms. Common causes and risk factors in the ICU setting. Practical bedside strategies to identify and troubleshoot each problem. Managing the different dyssynchrony patterns. Timestamps: 0:00 - 11:28 - Flow Starvation 11:29 - 23:59 - Double Triggering 24:00 - 59:37 - AutoPEEP (Breath Stacking) 59:38 -1:17:48 - Double Triggering Vs Reverse Triggering 1:17:49 - 1:33:26 - Ineffective Triggering Link to video: https://studio.youtube.com/video/28lmIBdA-9M/edit 📚 Related Resources: Download our Mechanical Ventilation study guides and practice questions: https://www.patreon.com/collection/1443765 Watch next: Playlist Mechanical Ventilation: https://www.youtube.com/playlist?list=PLf5bMa9_tvRgVjd6EYdHBcLnIiCTgGKD9 👍Become a WhiteBoard Medicine member for early access and perks! https://www.youtube.com/channel/UCiMhM7xCTT8b5SJRnhpH7Ag/join 👇DON'T MISS OUT - JOIN OUR PATREON COMMUNITY TODAY 👇 https://www.patreon.com/WhiteBoardMedicine Critical Care Medicine 🚑 https://youtube.com/playlist?list=PLf5bMa9_tvRiZ85NNUGwk91YpqDWdIGvA&si=jGyrxrOcvQqTldFb DISCLAIMER THIS PODCAST DOES NOT PROVIDE MEDICAL ADVICE. The information, including but not limited to, audio, text, graphics, images and other material contained on this website are for informational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read, watched, or listened to on this video, or any other videos, reports, texts tweets or other sources.

Central Venous Pressure (CVP) is one of the most commonly monitored hemodynamic parameters in critical care — but also one of the most misunderstood. 📚 MINI COURSES, STUDY GUIDES, PRACTICE QUESTIONS, AD FREE VIDEOS, EDUCATIONAL DISCUSSIONS in our WBM Emergency Critical Care Patreon Community - Join Today!! https://www.patreon.com/c/WhiteBoardMedicine In this episode, we cover: What CVP is and what it actually reflects 🧠 Normal CVP range and clinical interpretation 📏 How to measure CVP with a central venous catheter (setup, zeroing, best practices) 🛠️ When CVP can be useful (shock, RV failure, tamponade, cardiorenal syndrome) ✅ When CVP is misleading or unreliable 🚫 Key evidence, including the Marik & Cavallazzi meta-analysis Comparison of CVP with other hemodynamic tools (IVC ultrasound, PLR, PPV) 📊 Complications of CVP monitoring and clinical pearls to avoid pitfalls ⚠️ 5 board-style practice questions 📝. Link to video version: https://www.youtube.com/watch?v=SVAHAascm_A DISCLAIMER THIS PODCAST DOES NOT PROVIDE MEDICAL ADVICE. The information, including but not limited to, audio, text, graphics, images and other material contained on this website are for informational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read, watched, or listened to on this video, or any other videos, reports, texts tweets or other sources.

Acute Respiratory Distress Syndrome (ARDS) is a life-threatening form of respiratory failure that every critical care and emergency medicine provider must recognize. In this comprehensive overview, we break down the pathophysiology, diagnostic criteria, and evidence-based management strategies of ARDS to help clinicians at all levels—from students to attending physicians—master this complex condition. You’ll learn: The Berlin Definition and key diagnostic features of ARDS. Newer Diagnostic Criteria. Common causes and risk factors, including pneumonia, sepsis, trauma, and aspiration. The pathophysiology of impaired gas exchange, hypoxemia, and lung mechanics. Ventilator management strategies: low tidal volume ventilation, plateau pressure limits, and driving pressure. Adjunctive therapies: prone positioning, neuromuscular blockade, ECMO, and fluid management. Prognosis, outcomes, and recent updates in clinical trials and guidelines. Timestamps: 0:00 - 25:41 - Introduction to the Basics 25:42 - 49:37 - Advanced Pathophysiology 49:38 - 1:13:12 - Diagnostic Advances 1:13:13 - 1:31:52 - Management and Evidence- Based Strategies Link to video: https://www.youtube.com/watch?v=Y53cFzOqBc8 👍Become a WhiteBoard Medicine member for early access and perks! https://www.youtube.com/channel/UCiMhM7xCTT8b5SJRnhpH7Ag/join 👇DON'T MISS OUT - JOIN OUR PATREON COMMUNITY TODAY 👇 https://www.patreon.com/WhiteBoardMedicine Critical Care Medicine 🚑 https://youtube.com/playlist?list=PLf5bMa9_tvRiZ85NNUGwk91YpqDWdIGvA&si=jGyrxrOcvQqTldFb DISCLAIMER THIS EPISODE DOES NOT PROVIDE MEDICAL ADVICE. The information, including but not limited to, audio, text, graphics, images and other material contained on this website are for informational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read, watched, or listened to on this video, or any other videos, reports, texts tweets or other sources.

In this comprehensive ICU pharmacology session, we review all major inotropes used in critical care, emergency medicine, and hospital medicine, including: Chapter 1 Dobutamine - 0:00 - 22:43 Chapter 2 Milrinone: 22:44 - 39:08 Chapter 3 Epinephrine: 39:09 - 56:06 Chapter 4 Levosimendan: 56:07 - 1:11:16 Chapter 5 Dopamine: 1:11:17 - 1:26:02 We cover mechanisms of action, receptor targets, dosing, indications, side effects, and key evidence for each inotrope, with a focus on real-world ICU and emergency applications. 📚 Related Resources: Download our Inotropes study guide and practice questions: https://www.patreon.com/collection/1443765 Watch next: Playlist Vasopressors and Inotropes: https://youtube.com/playlist?list=PLf5bMa9_tvRg_nAnm91hsyHhI0y_ahoS1&si=Myz25vHJgHAp4Nvc 👇DON'T MISS OUT - JOIN OUR PATREON COMMUNITY TODAY 👇 https://www.patreon.com/WhiteBoardMedicine DISCLAIMER THIS PODCAST DOES NOT PROVIDE MEDICAL ADVICE. The information, including but not limited to, audio, text, graphics, images and other material contained on this website are for informational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read, watched, or listened to on this video, or any other videos, reports, texts tweets or other sources.

In this comprehensive critical care session, we review all major vasopressors used in the ICU and emergency medicine, including: Chapter 1 Norepinephrine: 0:00 - 18:44 Chapter 2 Vasopressin: 18:45 - 38:40 Chapter 3 Angiotensin II: 38:41 - 55:01 Chapter 4 Midodrine: 55:02 - 1:20:33 Chapter 5 Methylene Blue: 1:20:34 - 1:39:44 Chapter 6 Hydroxocobalamin: 1:39:45 - 1:52:04 Chapter 7 Dopamine: 1:52:05 - 2:06:48 Chapter 8 Epinephrine: 2:06:49 - 2:34:46 Chapter 9 Phenylephrine: 2:34:47 - 2:39:03 We cover mechanisms of action, receptor targets, dosing, clinical indications, side effects, and key evidence for each agent, with a focus on practical, bedside application. Link to video: https://www.youtube.com/watch?v=5EQt016t6-I 📚 Related Resources: Download our Vasopressor study guide and practice questions: https://www.patreon.com/collection/1443765 Watch next: Playlist Vasopressors and Inotropes: https://youtube.com/playlist?list=PLf5bMa9_tvRg_nAnm91hsyHhI0y_ahoS1&si=Myz25vHJgHAp4Nvc 👇DON'T MISS OUT - JOIN OUR PATREON COMMUNITY TODAY 👇 https://www.patreon.com/WhiteBoardMedicine DISCLAIMER THIS PODCAST DOES NOT PROVIDE MEDICAL ADVICE. The information, including but not limited to, audio, text, graphics, images and other material contained on this website are for informational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read, watched, or listened to on this video, or any other videos, reports, texts tweets or other sources.