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June 13, 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.
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28 min
June 6, 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).
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20 min
May 30, 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!
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21 min
May 16, 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!
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23 min
May 9, 2019
IBCC Episode 36 - All things Phosphate
In this episode, you get a two-for-one. Come for the hypophosphatemia, stay for the hyperphosphatemia.
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21 min
May 2, 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.
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15 min
April 25, 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!
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27 min
April 19, 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.
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17 min
April 11, 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.
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22 min
April 4, 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.
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27 min
March 30, 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.
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23 min
March 23, 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.
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31 min
March 14, 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.
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18 min
March 7, 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.
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31 min
February 28, 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.
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27 min
February 21, 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.
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29 min
February 17, 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!
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29 min
February 11, 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.
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20 min
January 31, 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.
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26 min
January 27, 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!
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59 min
January 17, 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.
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24 min
January 10, 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. We even have a discussion about HLH!
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23 min
January 3, 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!
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20 min
December 26, 2018
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.
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11 min
December 19, 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!
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33 min
December 12, 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.
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14 min
December 5, 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 TTM Sedation Steroids We've got it all.
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25 min
November 28, 2018
IBCC Episode 13 Meningitis
In this episode we tackle the identification 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.
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25 min
November 21, 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.
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15 min
November 14, 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.
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20 min
November 7, 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).
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25 min
October 31, 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.
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18 min
October 25, 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.
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20 min
October 17, 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.
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25 min
October 10, 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.
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11 min
October 3, 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.
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17 min
September 26, 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.
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34 min
September 19, 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.
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25 min
September 12, 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.
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12 min
September 6, 2018
IBCC Episode 1 - DKA
In this episode, we cover the anatomy of a DKA resuscitation. Check the post out for some juicy pearls.
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22 min
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