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July 9, 2012
This episode provide some basic description of colloids as will as some myths.  
March 12, 2012
A physiological explanation why random cortisol levels are NOT helpful in evaluating adrenal function
February 20, 2012
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.  
February 9, 2012
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.  
January 31, 2012
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.  
December 6, 2011
This episode discusses the pathophysiology, presentation, and treatment of NTSI.
November 26, 2011
This episode will discuss the physiology behind various CO output monitors such as pulmonary artery catheters, PICCO, pulse wave form analysis, and LiDCO.  
November 19, 2011
Now these are the types of lactic acidosis that most people are not familiar.  They can be caused by medications, underlying disease, or inborn errors of metabolism.   
November 12, 2011
This podcast is a description of how lactate is produced and metabolized.  I will discuss the role of lactate in the diagnosis and management of shock.  This podcast will focus on Type A lactic acidosis.
August 3, 2011
A brief description on what to consider when confronted with a patient with an air leak from the ET tube or a patient that self-extubates.
July 28, 2011
A description of the risk factors, diagnosis, and treatment of PE.
July 6, 2011
Smoke Inhalation injuries can be deadly.  This episode explains why smoke can be so deadly, and how to care for those patients with suspected smoke inhalation injuries.
June 5, 2011
Propofol Related Infusion Syndrome is a potentially fatal complication of propofol.  If you use this common ICU drug you need this information.
December 12, 2010
Wedge or PAOP is perhaps the most quoted and poorly understood variable generated by a Swan-Ganz.
December 5, 2010
The most helpful number for me on a Swan is the SvO2.   This is a brief description of how I use this variable in evaluating critically ill and injured patients.  
October 21, 2010
Therapeutic hypothermia after cardiac arrest is part of ACLS and is used by several EMS agencies around the US.  Despite good data and improved patient outcomes, many providers fail to used this modality.  This podcast will focus on a presentation of the data, methods of cooling, and potential complications.
July 23, 2010
This is the third in the series on severe pancreatitis and necrotizing pancreatitis.  This episode reviews the indications for surgery, morbidity and mortality of surgery, and what are the surgical options.  
June 2, 2010
A brief discussion of the considerations of ICU care of the patient with severe pancreatitis, fluid resuscitation, respiratory, renal, and nutrition.
May 25, 2010
This is an initial presentation of the causes and diagnosis of acute pancreatitis.
February 25, 2010
All the recent emphasis on venous catheter infections has been on central lines.   Those peripheral IVs are also dangerous.  
February 15, 2010
Acute Colonic Pseudoobstruction (ACPO) is commonly called Ogilvies Syndrome.  ACPO presents massive dilation in critically ill patients, and might result in invasive procedures to avoid ischemia or perforation of the colon.
January 18, 2010
A brief summary of what are hemoglobin based oxygen carriers (HBOC) and where are they in development.
September 24, 2009
Discussion of what is the difference between a CVC infection and a catheter-related blood stream infection. They are treated differently so it is important to know the difference.
September 17, 2009
A discussion on nosocomial infections and VAP.
August 4, 2009
What horrible things can happen with central lines once they have been inserted.
July 16, 2009
A discussion of the potential problems encountered while inserting central venous catheters.
June 21, 2009
This episode discusses the effects and risks of anesthesia on patients with pulmonary disease as well as the effects of anesthesia on pulmonary physiology.
May 13, 2009
Ingestion of caustic materials can be fatal and difficult to evaluate. These patients are often referred to our burn center.
May 3, 2009
An introduction to the basic science in fluids used to treat hypovolemia.
April 26, 2009
This episode is a discussion about how to approach an arterial blood gas result.
March 30, 2009
Discussion of the technology of the pulse oximeter
March 5, 2009
This is an interview that I did on www.medtalknetwork.com with Dr. Brian Cotton. Dr. Cotton recently left Vanderbilt to take a new position at UT Houston. He is an excellent teacher and his opinions on fluids resuscitation are cutting edge.
February 21, 2009
When and how can providing a starving patient nutrition be potentially deadly.
February 15, 2009
Understanding the root cause of hypoxia will allow for more appropriate treatment.
February 12, 2009
Evaluation and treatment of elevated serum sodium is presented.
February 7, 2009
Hyponatremia or a low serum sodium is a common electrolyte problem that is dangerous if ignored or treated improperly.
February 1, 2009
Review of a recent publication from Annals of Surgery
January 28, 2009
Following the recent crash of the US Airways in the Hudson River, it is an appropriate time to discuss the clinical manifestations and treatment of hypothermia.
January 19, 2009
Peak inspiratory pressure (PIP) the center of a great deal of discussion of ventilator management.   Knowing the factors that increase or decrease PIP are important to those managing critically ill patient.  This podcast is steeped in physiology and perhaps more difficult than my typical podcasts.  PIP=  [Tv/ (Compliance Lung & Thorax)] + (Resistance of airway + flow )
January 12, 2009
Hyperkalemia is a very common and potentially dangerous electrolyte disorder that commonly occurs in ICU patients.
December 29, 2008
A brief discussion regarding some of the commonly used values obtained from a pulmonary artery catheter. 
December 22, 2008
Therapeutic Hypothermia following cardiac arrest has been demonstrated to improve outcomes.  Starting Jan 1, 2009 Ney York City EMS will dorect patients to those hospitals able to delivery such care.
December 12, 2008
The US government last week released a report that the threat of a nuclear device used in an act of terrorism is high in the next couple of years. In this episode we discuss the some concepts of the medical care required to those exposed to radiation as well as blast injuries. I hope this is information that none of you will ever need.
November 20, 2008
This episode explores what is needed to make surgery safer for the patient with cardiovascular disease.
November 17, 2008
Tight glucose control has been widely introduced into critical care. This meta-analysis, recently published in JAMA, critically evaluates the effects of these trials in reduction of sepsis as well as mortality. The results might surprise you.
October 20, 2008
This is the second installment of this topic. In this episode we talk about the role of angioplasty and role of various medications in the treatment of the patient having an MI.
October 19, 2008
It is Sunday 8.31.08 and for hurricane Gustav is bearing down on the city of New Orleans.  This podcast will discuss the basic elements of disaster planning and management. (This was reposted due to some technical problems with the server.)
October 19, 2008
Crush syndrome is a common cause of death following earth quakes, mine and building collapses. Traumatic rhabdomyolysis may also be seen following electrical injury or severe trauma. (This is a reposting due to some previous technical problems with the server.)
September 9, 2008
Myocardial Infaction (Part 1): This episode will discuss the diagnosis of MI, STEMI, and non-STEMI.  We then discuss the indications and types of thrombolytic agents.
August 21, 2008
The management of pain is a key element of the care of all patients-- ICU or not.  Often providers have little understanding of the concepts and medications of pain management. This episode serves as an introduction.
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