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Rank #200 in Medicine category

Health & Fitness
Medicine

ICU Rounds

Updated 13 days ago

Rank #200 in Medicine category

Health & Fitness
Medicine
Read more

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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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.

iTunes Ratings

615 Ratings
Average Ratings
557
20
9
10
19

Welcome back

By juhnior jayjay - Mar 31 2020
Read more
Very happy to have you back.

Welcome back!

By BrianFP-C - Mar 30 2020
Read more
So glad to have you back Dr. Guy!!

iTunes Ratings

615 Ratings
Average Ratings
557
20
9
10
19

Welcome back

By juhnior jayjay - Mar 31 2020
Read more
Very happy to have you back.

Welcome back!

By BrianFP-C - Mar 30 2020
Read more
So glad to have you back Dr. Guy!!
Cover image of ICU Rounds

ICU Rounds

Latest release on Apr 23, 2020

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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.

Rank #1: Metabolic Acidosis in the ICU

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A common problem in the ill or injured patient is a metabolic acidosis.   In this episode we will review the common etiology of a metabolic acidosis as well as some lesser known causes.

Jul 26 2007

36mins

Play

Rank #2: Oxygenation & PEEP

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A discussion of ventilation, oxygenation, and the role of PEEP.

May 13 2007

26mins

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Rank #3: Arterial Blood Gases

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This episode is a discussion about how to approach an arterial blood gas result.

Apr 26 2009

36mins

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Rank #4: Acute RenalFailure

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Acute renal failure is a dreaded complication in the ICU.  This podcast will review the various types of acute renal failure, the etiology, as well as acute management.

May 22 2007

42mins

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Rank #5: Atrial Fibrillation

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Atrial fibrillation is a common problem in ICU patients, but it is a problem with many potential causes, and not always a well defined treatment.

Feb 20 2008

38mins

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Rank #6: Sepsis - Part 1

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Sepsis is a common cause of death in the intensive care unit.  In this episode I present some of the statistics on septic deaths, introduce the definitions, and present the basic science.  Part 2 will cover fluid and drug therapy for septic shock.

Dec 11 2007

34mins

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Rank #7: Antibiotic Considerations in the ICU

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Why do we choose the antibiotics that we do?   How long do we continue the course of therapy?   Should we use some antibiotics together?  These topics are covered in the episode.

Sep 14 2007

54mins

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Rank #8: Surviving Sepsis Campaign (part 1)

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The Surviving Sepsis Campaign (SSC) is concensus document that attempts to provide the best evidence to assist in the care of the septic patient.  All providers who provide care to the septic patient should be aware of the contents of the SSC.

May 12 2008

31mins

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Rank #9: Myocardial Infarction: Diagnosis and Thrombolytics

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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.

Sep 09 2008

28mins

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Rank #10: Lactate Acidosis - Type A

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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.

Nov 12 2011

22mins

Play

Rank #11: IV Fluids (Part 1)

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An introduction to the basic science in fluids used to treat hypovolemia.

May 03 2009

36mins

Play

Rank #12: Hyperkalemia

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Hyperkalemia is a very common and potentially dangerous electrolyte disorder that commonly occurs in ICU patients.

Jan 12 2009

28mins

Play

Rank #13: Hypercalcemia

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A potentiallylife-threatening electrolyte problem that commonly finds its way into the ICU as well as on exams.

Aug 14 2008

21mins

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Rank #14: Sepsis - Part 2

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In this episode we discuss that ICU care of the patient with sepsis.  This includes an introduction to various vasopressors.

Feb 01 2008

33mins

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Rank #15: Hyponatremia: common but dangerous

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Hyponatremia or a low serum sodium is a common electrolyte problem that is dangerous if ignored or treated improperly.

Feb 07 2009

23mins

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Rank #16: Pulmonary Embolus

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A description of the risk factors, diagnosis, and treatment of PE.

Jul 28 2011

33mins

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Rank #17: Pharmacology of Shock

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This is a basic introduction of some of the drugs used in various forms of shock.

Feb 08 2008

38mins

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Rank #18: Surviving Sepsis Campaign (part 2)

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We continue our discussion of the Surviving Sepsis Campaign (SSC).  This includes fluids types, steroids, rhAPC (Xigris), and blood sugar control.

May 15 2008

34mins

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Rank #19: Pulmonary Physiology and General Anesthesia

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This episode discusses the effects and risks of anesthesia on patients with pulmonary disease as well as the effects of anesthesia on pulmonary physiology.

Jun 21 2009

30mins

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Rank #20: Patient-Ventilator Interactions and ventilator discontinuation

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Getting patients comfortable on the ventilator is not an easy task.  This podcasts focuses on methods to make patients synchronize with the ventilator as well as a discussion of spontaneous breathing and awake trials

Aug 07 2008

19mins

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Splitting a Ventilator: Multipatient Ventilation for COVID?

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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 discuss specific patient care issues and ventilator settings if your circumstance requires you to adopt this approach.

Apr 23 2020

16mins

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Prone Ventilation for ARDS (COVID-19)

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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.

Apr 12 2020

19mins

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ARDS and Mechanical Ventilation / COVID-19 Care

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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.

Apr 05 2020

33mins

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ICU Care of Coronavirus (COVID-19)

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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.

Mar 29 2020

48mins

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Colloids: Details and Myths

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

Jul 09 2012

18mins

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Random Serum Cortisol Levels are misleading

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

Mar 12 2012

17mins

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

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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.  

Feb 20 2012

19mins

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Pediatric IVC diameter determination with ultrasound

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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.  

Feb 09 2012

15mins

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Takotsubo Cardiomyopathy

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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.  

Jan 31 2012

12mins

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Necrotizing Soft Tissue Infection (NTSI)

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

Dec 06 2011

26mins

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Different Cardiac Output Monitors & Physiology

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This episode will discuss the physiology behind various CO output monitors such as pulmonary artery catheters, PICCO, pulse wave form analysis, and LiDCO.  

Nov 26 2011

31mins

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Lactic Acidosis - Type B

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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.   

Nov 19 2011

16mins

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Lactate Acidosis - Type A

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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.

Nov 12 2011

22mins

Play

Endotracheal tube cuff leaks and self-extubations

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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.

Aug 03 2011

24mins

Play

Pulmonary Embolus

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A description of the risk factors, diagnosis, and treatment of PE.

Jul 28 2011

33mins

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Smoke Inhalation Injury

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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.

Jul 06 2011

30mins

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Propofol Related Infusion Syndrome

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Propofol Related Infusion Syndrome is a potentially fatal complication of propofol.  If you use this common ICU drug you need this information.

Jun 05 2011

24mins

Play

Wedge: Everyone elses favorite Swan number

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Wedge or PAOP is perhaps the most quoted and poorly understood variable generated by a Swan-Ganz.

Dec 12 2010

25mins

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SVO2 My favorite Swan Number

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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.  

Dec 05 2010

18mins

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Therapeutic Hypothermia After Cardiac Arrest

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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.

Oct 21 2010

34mins

Play

iTunes Ratings

615 Ratings
Average Ratings
557
20
9
10
19

Welcome back

By juhnior jayjay - Mar 31 2020
Read more
Very happy to have you back.

Welcome back!

By BrianFP-C - Mar 30 2020
Read more
So glad to have you back Dr. Guy!!