Critical Care Scenarios

Critical Care Scenarios


Latest Episodes

Lightning rounds #25: FailureFest! (Why we’re bad and so are you)
February 15, 2023

A candid discussion of our flaws, mistakes, weaknesses, and errors, and a look at why its important to reflect on these things in medicine, acknowledge them, and try to improve. Find us on Patreon he

TIRBO #28: How I set PEEP
February 08, 2023

A review of the methods of PEEP setting, including stress index, PV loops, esophageal manometry, and PEEP tables, and finally my preferred method of driving pressure trials. Find us on Patreon here! B

Episode 56: Resuscitation psychology with Dan Dworkis
February 01, 2023

Discussing the psychology of emergency response, team dynamics, and debriefing with Dan Dworkis, MD, PhD, FACEP. Hes the Chief Medical Officer at the Mission Critical Team Institute, a board-certifie

TIRBO #27: The halo effect
January 25, 2023

An important cognitive bias in medicine, and how the COVID pandemic has shown us that generalizing the assumption of competence is a treacherous pitfall. Find us on Patreon here! Buy your merch here!

Lightning rounds #24: Getting into leadership roles
January 18, 2023

After our recent episodes on publishing papers and giving talks, we close off with a review of leadership and academic rank: sitting on committees, educational roles, faculty appointments, and more. F

TIRBO #26: RadioPEEP discordance
January 11, 2023

On todays TIRBO: A sinister pitfall that may lead you to injuring lungs and worsening outcomes. Find us on Patreon here! Buy your merch here!

Episode 55: Undifferentiated encephalopathy and autoimmune encephalitis, with Casey Albin
January 04, 2023

How to evaluate the patient with unexplained encephalopathy, and a practical approach to diagnosing autoimmune encephalitis with an emphasis on anti-NMDA receptor encephalitiswith Dr. Casey Albin (@C

TIRBO #25: Two things NOT to hear
December 28, 2022

On todays TIRBO: A couple common lines Id rather stop hearing people say in the ICU.

Lightning rounds #23: How we do end-of-life care
December 21, 2022

A general discussion about how we recognize patients are dying, how we steer into discussions regarding goals of care, and the many biases and errors we often bring to the table. Two-part blog post at

TIRBO #24: Two things people need to hear
December 14, 2022

On todays TIRBO, a couple things worth saying when a patient is struck down with unexpected critical illness: its going to take time, and it wasnt anyones fault. Find us on Patreon here! Buy your