Critical Care Scenarios

Latest Episodes
TIRBO #7: Selecting vasopressors
A practical approach to choosing and escalating vasopressors for patients in shock.
Lightning rounds #14: Abdominal compartment syndrome
Brandon and Bryan discuss a practical approach to abdominal compartment syndrome: when to suspect it, confirming the diagnosis with bladder pressure or other monitoring, management, and prognosis. Sor
TIRBO #6: The many varieties of subclavian line
Reviewing the different approaches to placing central venous catheters in the subclavian vein.
Episode 45: Amniotic fluid embolism with Stephanie Martin
We discuss the clinical presentation and management of AFE with guests Dr. Stephanie Martin (Twitter: @OBCriticalCare, Instagram: @criticalcareob), medical director for Clinical Concepts in Obstetrics
Episode 44: Physical therapy with Heidi Engel
A look at rehabilitation and mobility in the critically ill, from the perspective of our skilled therapists—with Heidi Engel, PT, DPT of UC San Francisco, long-term provider of acute care therapy, res
TIRBO #5: Tracheoinnominate fistulas
A quick review of tracheoinnominate fistulas: how they happen, what they look like, and most importantly, what you’ll need to do.
Episode 41: Preventing and managing complications (part 2) with Matt Siuba
Part two of our discussion with fan favorite Matt Siuba (@msiuba), Cleveland Clinic intensivist, on complications in critical care and how to prevent and manage them. Today we focus on respiratory fai
Lightning rounds #10: Physical examination in the ICU
Bryan and Brandon talk about the physical exam: how we apply it in the ICU, its utility and changing role in the setting of modern diagnostic modalities, and its best and most practical use-cases. Ref
Episode 40: Making the diagnosis with André Mansoor
Dr. André Mansoor (@AndreMansoor), associate professor of medicine in Portland, Oregon, author of the excellent Frameworks for Internal Medicine, and contributor to Physical Diagnosis PDX, talks us th
Lightning rounds #9: Notes and documentation
Bryan and Brandon chat about notes: what makes a good one, their many and conflicting purposes, some structures and approaches, system- versus problem-based charting, and more.