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IBCC Episode 111- Purpura Fulminans
In this episode we continue on the path of DIC: the scary sub-phenotype that is Purpura Fulminans. When your patient is necrosing everything, you need to act quickly before they start losing organs and digits. Come listen for identification, anticoagulation, protein C and all its goodness, when to give Vitamin K, and why to really be careful about Warfarin.
|Feb 19, 2021|
IBCC Episode 110 - Disseminated Intravascular Coagulation
In this episode, we cover disseminated intravascular coagulation. It sounds bad, because it is. Come listen and refresh your skills around supporting the bleed-bleedy versus the cloth-clotty, how to differentiate DIC and chronic liver failure and a few more juicy clinical pearls.
|Jan 18, 2021|
IBCC Episode 109 - Lithium Toxicity
In this episode, we cover the spectrum of lithium toxicity, from the acute ingestion, to the patient with saturated brain tissue. Come take a listen to explore the nuances around volume repletion, when or should you reach for dialysis, what SILENT is or does it exist.
|Jan 14, 2021|
IBCC Episode 108 - Toxic Shock Syndrome
In this episode we cover those super antigens that cause all the trouble with staph and strep infections. Come take a listen around pathophysiology, identification, antimicrobials and all things IVIG.
|Dec 23, 2020|
IBCC Episode 107 - BRASH Syndrome
In this episode, we cover the OG-Farkas description of the age-old interplay between bradycardia / renal failure / AV nodal blocking agent / Shock / and Hyperkalemia. Don't just try and snipe one off at a time, carpet bomb them all at once.
|Dec 15, 2020|
IBCC Episode 106 - Massive Transfusion Protocol
In this episode we cover the crucial approach to what drives hemorrhagic shock: lots of bleeding. Come take a listen for the nuances around an organized approach to 1:1:1 and may we be as bold to say... 1:1:1:1 (fibrinogen, YAY). All things hypocalcemia, hypothermia, acidosis and what lines to use.
|Dec 11, 2020|
IBCC COVID-19 Update #7
We were actively trying to fill your life with non-covid things... but we just had to talk about these big new things. Come take a listen of aerosol transmission, why Remdesivir just doesn't work in the real world, why not to make the same mistake with the -mab du jour, and a few other tid bits.
|Dec 04, 2020|
IBCC Episode 105 - Ventilator Associated Pneumonia
In this episode, we cover that daily issue: Is this a VAP? Come take listen to level up beyond leukocytosis, inflammation, consolidation, worsening oxygenation and positive cultures.
Viva la Piptazo - Linezolid/Vanco diad.
|Dec 01, 2020|
IBCC Episode 104 - Hemophagocytic LymphoHistiocytosis (HLH)
In this episode, we cover another great white whale in critical care: Hemophagocytic LymphoHistiocytosis (HLH). When your macrophages turn into paceman and start chomping your own cells, you're in trouble. Com listen about genetic predisposition to unchecked immune response, and a conversation around immunomodulation.
|Nov 28, 2020|
IBCC Episode 103 - Gastrointestinal hypomotility in critical care
In this episode we cover the big picture view of ileus, gastroparesis and colonic pseudo-obstruction. Come take a listen so summarize these issues you will encounter on the daily.
|Nov 16, 2020|
IBCC Episode 102 - Cerebral Venous Thrombosis
In this episode, we cover the DVT of the Brain... Cerebral Venous Thrombosis. Lace up your shoes, start washing those dishes, do whatever you need to do while we remind you about presentation, workup and most of all, treatment. As 1% of all strokes and the most common cause of stroke in young patients, you'll want to know this one cold.
|Oct 23, 2020|
IBCC Episode 101 - Stress Hyperglycemia in the ICU
In this episode we cover the often overlooked topic of glycemic control in the ICU. What blood sugar should we be targeting? Is that hyperglycaemia a stress response? Insulin resistance? Iatrogenic? All of the above. Come listen to our discussion, and Josh's attempt at clearing up a confused evidence base.
|Oct 19, 2020|
IBCC Episode 100 - Wernicke encephalopathy
We've reached a milestone, 100 episodes! In this podcast, we cover ICU level thiamine deficiency, not just your white-whale of Wernicke encephalopathy. Come take a listen for dosing, clinical features and complications.
|Oct 16, 2020|
IBCC Episode 99 - Hypertriglyceridemic Pancreatitis
In this episode, we cover the approach to the not-so-rare cause of ICU level pancreatitis: hypertriglyceridemia. Come take a listen for nuances around insulin management, and second thoughts around using heparin and plasmapheresis.
|Oct 13, 2020|
IBCC Episode 98 - Antifungal Agents
In this episode we simplify the approach to covering your invasive fungal infections in critically unwell patients.
Yeast vs Mold vs Endemic Mycoses
Azoles vs Echinocandins vs Amphotericin
|Sep 14, 2020|
IBCC Episode 97 - Nausea & antiemetics
Its the rare occasion you go one complete day without treating Nausea and vomiting in the ICU. In this episode, we cover the ddx you can't miss, and the multiple receptors to target in your patients.
|Sep 12, 2020|
IBCC Episode 96 - Analgesia for the critically ill patient
In this episode, we cover the essentials of analgesia for your critically ill patients. Spoiler alert, multimodal approaches are the way to go. If your MAR only has opiates on it, there may be a problem.
Come listen for a new twist on the ladder approach, all things ketamine / precedes and lidocaine... with much much more.
|Aug 28, 2020|
IBCC Episode 95 - Inhaled Pulmonary Vasodilators
In this episode we cover the widely use, but poorly supported inhaled pulmonary vasodilators:
-Nitroglycerin / Nitric Oxide
|Aug 08, 2020|
IBCC Episode 94 - Hyperosmolar Hyperglycemic State
In this episode, we cover the more sinister twin of DKA... HONK aka HHS (Hyperosmolar Hyperglycemic State).
Come listen to how not to blow up your patients brain in the tug-of-war between glucose and sodium.
|Aug 06, 2020|
IBCC Episode 93 - Guillain-Barre Syndrome
In this episode we cover Guillain-Barre Syndrome. Everything from presentation, to why you should stop checking negative inspiratory pressure and just stick with FVC. Read the post then come take a listen.
|Jul 28, 2020|
IBCC Episode 92 - Intracranial hemorrhage
In this episode we cover one of the most fatal and moribund conditions we see regularly, Intracranial hemorrhage.
Etiology, diagnosis and treatment (of course we spend time on BP goals).
|Jul 23, 2020|
IBCC Episode 91 - Catastrophic Antiphospholipid Syndrome
In this episode we cover Catastrophic Antiphospholipid Syndrome. A very rare and often missed diagnosis. Come take a listen to brush up on high risk patient population, clinical diagnosis, labs, steroids / anticoagulation and more treatment options.
|Jul 22, 2020|
IBCC Episode 90 - Fever
In this episode we talk about fever... fever in the ICU... ICU acquired fever. It is not all VTE or VAPS, Chole or CLABSI. We cover a thoughtful approach to not just sending pan culture, and adding piptazo-vanco.
|Jul 18, 2020|
IBCC Episode 89 - CAUTI
In this episode, we cover the sasquatch of ICU derived fever: catheter associated urinary track infection. Farkas is on the fence whether it is clinically relevent:
Come listen for those pearls: IDSA diagnostic criteria. Treatment coverage. Purple bag syndrome, and more!
|Jul 10, 2020|
IBCC Episode 88 - Sickle Cell Acute Chest Syndrome
In this episode we cover a major cause of mortality for our sickle cell patients: Acute Chest Syndrome. This is a very serious entity you must keep a low clinical threshold for working up and treating.
Pain Control, Volume Resuscitation
Exchange transfusions and more
|Jul 08, 2020|
IBCC Episode 87 - Epiglottitis
In this episode, we cover the rare but life threatening Epiglottitis.
Presentation not as you learned in medical school
Vast majority do not need intubation, but for those that due it can be catastrophic
Nasolaryngoscopy, Steroids, broad spectrum antibiotics and early airway plans are the way to go
|Jul 02, 2020|
IBCC Episode 86 - PJP Pneumonia
In this episode, we cover ICU level Pneumocystic Jirovicii Pneumonia (previously known as Pneumocystic Carinii Pneumonia).
HIV +(ve) vs HIV -(ve)
Invasive vs Non invasive diagnostic strategy
Treatment w. Septra vs other line therapies
|Jun 29, 2020|
IBCC Episode 85 - Vocal Cord Dysfunction
In this episode, we cover the lesser of evil stridor aetiologies: Vocal cord dysfunction, a.k.a paradoxical vocal cord motion, a.k.a Paradoxical Vocal Fold Movement. Read the post, then listen to review approach, diagnostic modalities (fibre-optic visualization, CT scan to rule out other entities) and treatment.
|Jun 22, 2020|
IBCC Episode 84 - Invasive pulmonary aspergillosis
In this episode we cover that not so friendly-Fingi: Aspergillus
Come get acquinted with the two forms: angioinvasive (think neutropenia) vs bronchoinvasive (the not so immunosuppressed). Don't forget to add this to your Ddx for nosocomial post-influenza & COVID-19.
|Jun 15, 2020|
IBCC Episode 83 - Refeeding Syndrome
In this episode we cover the often overlooked entity that is re-feeding syndrome.
High Risk populations
Signs & Symptoms
Insulin mediated edema, and more
|Jun 08, 2020|
IBCC Episode 82 - Takotsubo Cardiomyopathy
In this episode, we cover the presentation, clinical signs / symptoms and workup of takotsubo cardiomyopathy. Come take a listen so you'll never miss that octopus-trap of a clinical confounder, with juicy pearls around LVOT obstruction.
|Jun 01, 2020|
IBCC Episode 81 - Unfractionated heparin (UFH), LMWH, fondaparinux, argatroban, and bivalirudin
In this episode we cover the work horses we use daily in critical care patients: anticoagulants: Unfractionated heparin (UFH), LMWH, fondaparinux, argatroban, and bivalirudin. We also cover BID dosing of LMWH prophylaxis and the essential section here is on heparin resistance. Enjoy!
|May 26, 2020|
IBCC Episode 80 - Acute Exacerbation of COPD
In this episode, we cover that bread and butter presentation, chronic obstructive pulmonary disease.
Approach to ventilation and extubation
|May 19, 2020|
IBCC COVID-19 Update #6
In this episode we update therapeutics: Kaletra is back. Before/after for Steroids. Anakinra is here. We also delve into coagulopathy and super spreaders.
|May 17, 2020|
IBCC COVID-19 Update #5
In this Episode:
We update new understandings from NYC, Lung pathology (AFOP), Cowboys Vs Ivory Towers, Remdesivir and COVID-19 Phenotypes.
|May 06, 2020|
IBCC COVID-19 Update #4
In this update:
The Fall of Remdesivir?
HCQ no so bueno?
Learning from Tobin, Gattinoni, and our patients physiology
|Apr 21, 2020|
IBCC COVID-19 Update #3
In our 3rd installment of correcting things we've said that were wrong 🤓, here we cover COVID-19 coagulopathy, respiratory pathophysiology, immune modulation and APRV.
|Apr 13, 2020|
IBCC COVID-19 Update #2
In this episode, we right some wrongs. As we said in the beginning, given the fast pace we were bound to be wrong, and will be again.
1) New paradigm for COVID-19 patients
2) Procalcitonin: not as good as we thought
3) Malignant atelectasis and the crashing hypoxemia
4)SARS-COV-2 & DIC
5) Awake Proning / CPAP / Vent Splitting / Extubation
6) Ethical dilemmas
|Mar 30, 2020|
IBCC COVID-19 Update # 1
In this episode, we update you on:
The fall of Kaletra
Come take a listen. Know that we are all in this together.
|Mar 22, 2020|
IBCC Episode 79 - COVID-19
There is a lot of attention to this growing global health concern. Come listen for what will be a continuing update for all thing clinically pertaining to COVID-19.
|Mar 11, 2020|
IBCC Episode 78 - Vasoactive Agents
In this episode, we cover a core component of any resuscitationists tool kit: vasoactive agents.
We've got your vasopressors, your inodilators, your inopressors, you oral cheat code and some hail merry approaches. Come listen for all things pressure and flow.
|Feb 20, 2020|
IBCC Episode 77 - Anaphylaxis
In this episode, we cover one of those cardinal causes of vasodilatory shock; anaphylaxis.
Come listen to solidify your clinical diagnosis, and domination of all things epinephrine.
|Feb 17, 2020|
IBCC Episode 76 - Status Epilepticus
In this episode we cover that rapidly progressive, big stakes entity that is Status epilepticus - the unrelenting seizure. Definition, Big Benzoes and where to go after that first line. Come listen for all things Keppra, Propofol and Ketamine.
|Feb 10, 2020|
IBCC Episode 75 - Hypocalcemia
In this episode we cover the last common electrolyte derangement you'll face in the ICU; hypocalcemia. From tetany to hypotension, we've got you covered for an approach to recognition and treatment.
|Jan 31, 2020|
IBCC Episode 74 - Toxic Alcohols
In this episode we cover that rather bothersome component of your AGMA... toxic alcohols. Who is high risk, when and how to screen, and of course a tight approach to treatment. Don't forget... always call your local friendly toxicologist.
|Jan 27, 2020|
IBCC Episode 73 - Line Infection
In this episode, we cover that daily discussion point... can this line, possibly, be infected? Come refresh yourself on diagnosis, microbiology and treatment.
|Jan 14, 2020|
IBCC Episode 72 - Dominating the Diuresis
In this hallmark episode (we just hit 500k in downloads!), we cover an approach to dominating the diuresis. We cover all the major points:
-Loop diuretics and how not to screw them up
-Using thiazides to maximize ongoing diuresis
-When to add spironolactone
-How not to always just cheat and start the CRRT machine
|Jan 09, 2020|
IBCC Episode 71 - Myxedema Coma
Welcome to 2020, everyone! In this fresh new podcast we cover all things severe hypothyroidism; AKA Myxedema Coma.
Diagnosis. Treatment. Whats the deal with T4 vs T3. Who gets the roids. Come listen to it all!
|Jan 02, 2020|
IBCC Episode 70 - Non-Invasive Respiratory Support
Happy Holidays everyone! In this episode we cover the general support of those patients that are working hard to breathe. Come listen about NIPPV (BiPAP and High Flow Nasal Cannula).
|Dec 28, 2019|
IBCC Episode 69 - Acute Promyelocytic Leukemia
In this episode, we cover that rapidly progressive, easy to miss, relatively better survived leukemia: acute promyelocytic leukemia.
Come read about pathophysiology, and then listen to the summary that covers when to suspect clinical APL, the use of ATRA, and that scary hyperfibrinolysis (DIC but worse). Just to leave you with more, we cover Differentiation syndrome (aka retinoic acid syndrome).
|Dec 19, 2019|
IBCC Episode 68 - Hyponatremia
In this episode, we cover all things ICU level hyponatremia. From a mild inconvenience to a refractory seizing patient, we've got you covered for diagnosis, treatment and risk stratification.
|Dec 12, 2019|
IBCC Episode 67 - Hypokalemia
In this episode we cover that low serum potassium, aka Hypokalemia. From the minor repletion to the immediate resuscitation of a patient with VF arrest secondary to severe hypokalemia, we have you covered. So read the post, then come take a listen to review all things hypo K!
|Dec 05, 2019|
IBCC Episode 66 - Brain Death
In this episode we cover the definition and concrete way how to identify and correctly diagnose brain death. This is something we need to get right, so grab a coffee and come take a listen.
|Nov 28, 2019|
IBCC Episode 65 - Hypothermia
In this episode we cover both accidental and non-accidental hypothermia. Come listen for a good review on:
PS: Many apologies to cardiac anesthesiologists and perfusionists: core after-drop is a thing, but we don't want to cloud the issue of priorities in rewarming.
|Nov 21, 2019|
IBCC Episode 64 - Bupropion Toxicity
In this episode, we cover the 2019 version of a TCA overdose: Bupropion. AKA: Wellbutrin / Illbutrin (Shoutout to Tox & The Hound).
Read the post then get an audio summary of the clinical diagnosis, risk stratification, Activated charcoal, whole-bowel irrigation and finally all things VA-ECMO for the extreme toxicities.
|Nov 14, 2019|
IBCC Episode 63 - Acalculus Cholecystitis
In this episode, we cover that sneaky presentation of acalculus cholecystitis. When that ALP/GGT start climbing, or your chronically critically ill patient gets septic again, you need to know about this!
|Nov 12, 2019|
IBCC Episode 62 - Carbon Monoxide Poisoning
In this episode, we cover that pesky Carbon monoxide. From minor exposure to critically ill, we have you covered for:
-Bleeding Edge Therapies
|Nov 10, 2019|
IBCC Episode 61 - Post MI Complications
Just when you thought your post MI patient has made it through the woods... they start to crump! In this episode we cover the Ddx and approach to post myocardial infarction complications. Come listen to review all the greatest hits.
|Oct 24, 2019|
IBCC EP 60 - Methemoglobinemia
In this episode we cover that rare but fun element to your cyanosed patient Ddx. When your hemoglobin gets oxidized to Fe3+, badness can ensure. Enjoy this quick refresher.
|Oct 15, 2019|
IBCC EP 59 Diffuse Alveolar Hemorrhage & Pulmonary Vasculitis
In this episode, we cover one check box on your bilateral airspace opacification differential diagnosis. Come take a listen for Diffuse alveolar hemorrhage and pulmonary vasculitis in the ICU.
-What labs to order (you can't just write "vasculitis work up")
|Oct 10, 2019|
IBCC Episode 58 - Asthma
We know you all have been waiting for it! Here is one of the foundational chapters for the IBCC. All things asthma. We've got everything from physiology, to bleeding edge sedation approaches.
Come take a (longer) listen to solidify everything you read in the post:
-Presentation / patient phenotypes
-Escalation to salvage treatments
-Vent Management & ECMO
|Oct 08, 2019|
IBCC Episode 57 - Metabolic Alkalosis
In this episode, we further explore the acid-base-palooza with Metabolic Alkalosis.
We give you 10 things to treat said event with, however, sometimes its best to let sleeping dragons lie. Josh even snuck in some acid infusion!
|Sep 26, 2019|
IBCC Episode 56 - NAGMA
In this episode we have a quick little refresher on Non-Anion-Gap Metabolic Acidosis for you! Enjoy!!!
|Sep 19, 2019|
IBCC Episode 55 - AGMA
Continuing on with metabolic-palooza:
Here is the core approach to Anion-Gap Metabolic Acidosis. We've got the KULT, we've got the labs/treatment and everything in between.
|Sep 17, 2019|
IBCC Episode 54 - Approach to Acid Base Disorders
In this episode, we cover the foundations to every day clinical medicine in the ICU: Acid base. As our patients are either often too sick to regulate their own homeostasis, or what we are doing to them prevents their lungs or kidneys from doing so, we give you the approach to recognizing Acid Base disorders.
Step 1: Calculate the Anion Gap
Step 2: Look at the Bicarbonate level
Step 3: Compare the change in Anion Gap to the Change in Bicarbonate
|Sep 12, 2019|
IBCC Episode 53 - Submassive & Massive Pulmonary Embolism
In this episode we explore the controversies in how to classify the hemodynamic effects of pulmonary embolisms.
We also cover:
-The crashing & hypoxemic PE patient
|Sep 10, 2019|
IBCC Episode 52 Anticoagulation Reversal
In this episode, we cover all the big hits for anticoagulant management in your bleeding patients.
-Heparin and LMWH
|Aug 29, 2019|
IBCC Episode 51 - Tumor Lysis Syndrome
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
|Aug 22, 2019|
IBCC Episode 50 - Hyper and Hypomagnesemia
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.
|Aug 15, 2019|
IBCC Episode 49 - Septic Shock
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
-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.
|Aug 08, 2019|
IBCC Episode 48 Angioedema
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!
|Aug 01, 2019|
IBCC Episode 47 Hyperthermia
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!
|Jul 31, 2019|
IBCC Episode 46 - Massive Hemoptysis
In this episode we go over a general approach to your patient with Massive Hemoptysis. When lungs have blood in them = badness. 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.
|Jul 25, 2019|
IBCC Episode 45 ETOH Withdrawal
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.
-Adjuvant therapies & more
|Jul 20, 2019|
IBCC Episode 44 - Community Acquired Biliary Sepsis
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.
|Jul 11, 2019|
IBCC Episode 43 Clostridium Difficile
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!
|Jul 05, 2019|
IBCC Episode 42 Fluid Selection & pH Guided Resuscitation
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.
|Jun 27, 2019|
IBCC Episode 41 - Hypercalcemia
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.
|Jun 20, 2019|
IBCC Episode 40 - Serotonin Syndrome / Toxicity
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.
|Jun 13, 2019|
IBCC Episode 39 - TickBorne Illness
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).
|Jun 06, 2019|
IBCC Episode 38 - Hepatic Encephalopathy
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 30, 2019|
IBCC Episode 37 - Rhabdomyolysis
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 16, 2019|
IBCC Episode 36 - All things Phosphate
In this episode, you get a two-for-one. Come for the hypophosphatemia, stay for the hyperphosphatemia.
|May 09, 2019|
IBCC Episode 35 - Contrast Induced Nephropathy
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.
|May 02, 2019|
IBCC Episode 34 - Endocarditis
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!
|Apr 25, 2019|
IBCC Episode 33 - VF/VT Storm
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.
|Apr 19, 2019|
IBCC Episode 32 - Metformin Toxicity
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.
|Apr 11, 2019|
IBCC Episode 31 - Penicillin Allergy
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.
|Apr 04, 2019|
IBCC Episode 30 - Pre-Eclampsia
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.
|Mar 30, 2019|
IBCC Episode 29 - Hypertensive Emergency
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.
|Mar 23, 2019|
IBCC Episode 28 - Abdominal Compartment Syndrome
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.
|Mar 14, 2019|
IBCC Episode 27 - Myasthenia Gravis Crisis
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.
|Mar 07, 2019|
IBCC Episode 26 - Acetaminophen Toxicity
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.
|Feb 28, 2019|
IBCC Episode 25 - Hypernatremia
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.
|Feb 21, 2019|
IBCC Episode 24 - Salicylate intoxication
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!
|Feb 17, 2019|
IBCC Episode 23 - Thyroid Storm
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.
|Feb 11, 2019|
IBCC Episode 22 - Thrombocytopenia
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.
|Jan 31, 2019|
IBCC Episode 21 - Antibiotics
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!
|Jan 27, 2019|
IBCC Episode 20 - Shock
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.
|Jan 17, 2019|
IBCC Episode 19 - Severe Influenza
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.
|Jan 10, 2019|