The Internet Book of Critical Care Podcast

By Adam Thomas & Josh Farkas

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Brought to you by a partnership that transcends the 49th parallel. Join Adam Thomas and Josh Farkas in the podcast that accompanies The Internet Book of Critical Care. The IBCC podcast will explore key points in each chapter. Initially the release of podcasts may lag a bit behind the chapters for logistic reasons. However, our goal is to eventually have a podcast for each chapter. Subsequently, the podcast will discuss updates to the IBCC based on new evidence.

Episode Date
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).

Suggested approach:

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.

Clinical Features

Respiratory support


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.


Stay Healthy!

May 06, 2020
IBCC COVID-19 Update #4

In this update:

The Fall of Remdesivir?

HCQ no so bueno?

Fluid status

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


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.



Respiratory support

ARDS management



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:

  1. Clinical Clues
  2. Passive and Active re-warming
  3. Modification of standard ACLS approach
  4. Complications of hypothermia
  5. and much much more...

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.

-Rupturing things


-Access issues


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.

-Imaging findings


-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

-Initial management

-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:

-Risk Stratification



-Novel therapies

-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.



-Anti platelets 

-Heparin and LMWH

-And More!

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
IBCC Episode 18 - Acute Kidney Injury

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!

Jan 03, 2019
IBCC Episode 17 - Community Acquired Urosepsis

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.

Dec 26, 2018
IBCC Episode 16 - Immune Checkpoint Inhibitors

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!

Dec 19, 2018
IBCC Episode 15 Adrenal Crisis

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.

Dec 12, 2018
IBCC Episode 14 Post Cardiac Arrest Management

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




We've got it all.

Dec 05, 2018
IBCC Episode 13 Meningitis

In this episode we tackle the identification & treatment 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. 

Nov 28, 2018
IBCC Episode 12 - Torsades De Pointes

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.

Nov 21, 2018
IBCC Episode 11 Hyperkalemia

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.

Nov 14, 2018
IBCC Episode 10 - Delirium

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).

Nov 07, 2018
IBCC Episode 9 - Anemia

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.

Oct 31, 2018
IBCC Episode 8 - Pancreatitis

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.

Oct 25, 2018
IBCC Episode 7 - Cardiogenic Shock & Severe LV Dysfunction

Join your regular hosts in exploring all things cardiogenic shock. Warm & Dry to Cold and Wet. We've got an approach strategy for you.

Oct 17, 2018
IBCC Episode 6 - Hypoglycemia

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.

Oct 10, 2018
IBCC Episode 5 - Bradycardia

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.

Oct 03, 2018
IBCC Episode 4 - Community Onset Pneumonia

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.

Sep 26, 2018
IBCC Episode 3 - Approach to the GI Bleed

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.

Sep 19, 2018
IBCC Episode 2 - Ischemic Evaluation in the Non-Cardiac Patient

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.

Sep 12, 2018
IBCC Episode 1 - DKA

In this episode, we cover the anatomy of a DKA resuscitation. Check the post out for some juicy pearls.

As always, the pitfalls:

  • Missing an underlying cause of DKA, especially sepsis.  The primary cause of death among patients admitted with DKA isn't the DKA itself, but rather associated conditions (mostly sepsis).
  • Bolusing large volumes of normal saline will make the patient more acidotic.  This is generally not a major problem, but it can be for the patient who starts out severely acidotic at baseline.



Sep 06, 2018