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Critical Care Scenarios

An educational podcast presenting practical critical care scenarios. By Brandon Oto, PA-C and Bryan Boling, ACNP. New episodes weekly.

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An educational podcast presenting practical critical care scenarios. By Brandon Oto, PA-C and Bryan Boling, ACNP. New episodes weekly.

TIRBO #23: Cultivating clinical calm

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Much is made of “staying cool” during emergencies, but what does this really mean? What is calm, what role does it play in a clinical environment, when is it appropriate, and how do we learn it? This and more on today’s TIRBO. Find us on Patreon here! Buy your merch here!

Nov 30 2022

19mins

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Lightning rounds #22: Our drugs of choice

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Bryan and Brandon go through their default, go-to drugs for common clinical indications in the ICU: stress ulcer prophylaxis, empiric antibiotics, hypertension, and more.

Nov 23 2022

57mins

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TIRBO #22: Understanding “weak” trainees

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You have a trainee, orientee, intern/resident/fellow, student, or other learner who just seems slower than the rest. What should that mean to you? A perspective on this week’s TIRBO.

Nov 16 2022

18mins

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Episode 53: Documentation and coding with Robert Oubre

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An exploration of clinical documentation and billing/coding with Dr. Robert Oubre (@Dr_Oubre), full-time hospitalist and CDI Medical Director for a community hospital in southern Louisiana. Takeaway lessons References

Nov 09 2022

1hr 9mins

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TIRBO #21: Locating, securing, and dressing lines

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How to locate, secure, and dress your lines so they’ll stay put and stay clean.

Nov 02 2022

19mins

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Lightning rounds #21: CME, merch, Patreon, and other podcast updates

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Updates on the podcast, including how to claim credit for continuing education, how to support us by becoming a patron or buying merchandise, and our general perspective on making money through free medical education. Find us on Patreon here! Buy your merch here!

Oct 26 2022

26mins

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TIRBO #20: Understanding the needle

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Understanding the various needles in your central line kit, how to get really, really good at ultrasound guidance, what to do when your view stinks, and more needle-related tips.

Oct 19 2022

35mins

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Episode 52: Pleural effusions in the ICU with Emily Fridenmaker

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Discussing pleural effusions in the critically ill, including how and when to drain them, methods of drainage, interpreting laboratory studies, and managing complications, with Dr. Emily Fridenmaker (@emily_fri), pulmonologist and intensivist at Charleston Area Medical Center in West Virginia. Continuing education for this episode CME credit provided courtesy of Academic CME. To claim your CME … Continue reading "Episode 52: Pleural effusions in the ICU with Emily Fridenmaker"

Oct 12 2022

44mins

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TIRBO #19: Guidewire safety

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Ensuring patient and operator safety with Seldinger guidewires, with considerations such as losing wires, transecting them, and perforating vessels.

Oct 05 2022

19mins

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Lightning rounds #20: Being efficient

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Brandon and Bryan chat about tricks and methods of increasing efficiency and getting things done at work.

Sep 25 2022

53mins

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TIRBO #18: Mastering dilation

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A deep dive into dilation during Seldinger techniques, such as central line placement: tips, pitfalls, and pearls.

Sep 18 2022

26mins

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Episode 51: Resuscitating and deresuscitating with hypertonic saline, with Sean Barnett

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We explore the controversial area of using hypertonic saline to support hemodynamics, protect the kidneys, and facilitate diuresis in the critically ill patient. Our guest is Dr. Sean Barnett, hypertonic aficionado and nephrologist with a focus in critical care. Takeaway lessons The furosemide stress test in the shocked patient is a useful means to assess … Continue reading "Episode 51: Resuscitating and deresuscitating with hypertonic saline, with Sean Barnett"

Sep 11 2022

43mins

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TIRBO #17: Being cool is a privilege

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Ruminations on nursing post-nominals, understated wealth, and how it’s easiest to not show your power when you already plenty of it.

Sep 04 2022

12mins

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Lightning rounds #19: How to write a journal article

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Continuing the discussion from last Lightning Rounds about presenting at conferences, Brandon and Bryan chat about writing for peer-reviewed journals: why, how, and the process from choosing co-authors to choosing journals to navigating the submission.

Aug 28 2022

53mins

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TIRBO #16: Are PAs as good as doctors?

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How do PAs and other APPs compare with physicians in the clinical context?

Aug 21 2022

31mins

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Episode 50: Rib fractures and surgical plating with Ron Barbosa

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We look at the rib fracture patient requiring ICU admission, including a discussion of surgical repair, with Dr. Ron Barbosa (@rbarbosa91), Portland trauma surgeon and SICU director at Legacy Emmanual Medical Center. Takeaway lessons Algorithms and protocols for admitting disposition exist but are generally poorly predictive. ICU admission in rib fracture patients is still most … Continue reading "Episode 50: Rib fractures and surgical plating with Ron Barbosa"

Aug 14 2022

50mins

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TIRBO #15: Reviewing ultrasound modes

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Aug 07 2022

20mins

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Lightning rounds #18: How to give a conference presentation

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Brandon and Bryan chat about academic presentations… how to prepare and submit them, selecting the right venue, giving a good talk, and the elephant in the room: why to do it at all.

Jul 31 2022

1hr 5mins

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TIRBO #14: Trajectories of illness and critical care

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How the arc of disease peaks and falls, and how the curve of our care should match it to avoid under- or over-treatment.

Jul 24 2022

14mins

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Episode 49: Invasive pulmonary aspergillosis with Shmuel Shoham

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We discuss invasive aspergillosis, with a focus on when to consider and how to make this difficult diagnosis in the general ICU population—with Dr. Shmuel Shoham (@ShohamTxID), Associate Professor of Medicine at Johns Hopkins, transplant infectious disease physician, and an extensively published expert in invasive fungal infections as well as host of the Transplant ID … Continue reading "Episode 49: Invasive pulmonary aspergillosis with Shmuel Shoham"

Jul 17 2022

44mins

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iTunes Ratings

16 Ratings
Average Ratings
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Excellent podcast

By Christifulli - Jan 02 2020
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Really enjoy the style and excellent sound quality! Keep it up!

Quality

By reepk16 - Dec 18 2019
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I know these guys from Twitter and they are top notch.