ICU Rounds

Apr 22 2020 97 ep. 27 mins 14.8k

ICU Rounds Podcast artwork

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.

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Splitting a Ventilator: Multipatient Ventilation for COVID?

Apr 22 2020 16 mins

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

Prone Ventilation for ARDS (COVID-19)

Apr 12 2020 19 mins

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.

ARDS and Mechanical Ventilation / COVID-19 Care

Apr 05 2020 33 mins

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.

ICU Care of Coronavirus (COVID-19)

Mar 29 2020 48 mins

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.

Colloids: Details and Myths

Jul 09 2012 18 mins

This episode provide some basic description of colloids as will as some myths.

Random Serum Cortisol Levels are misleading

Mar 12 2012 17 mins

A physiological explanation why random cortisol levels are NOT helpful in evaluating adrenal function

EARLY use of Tranexamic Acid may improve survival from bleeding in trauma

Feb 19 2012 19 mins

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.

Pediatric IVC diameter determination with ultrasound

Feb 09 2012 15 mins

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.

Takotsubo Cardiomyopathy

Jan 31 2012 12 mins

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.

Necrotizing Soft Tissue Infection (NTSI)

Dec 06 2011 26 mins

This episode discusses the pathophysiology, presentation, and treatment of NTSI.