Critical Care Scenarios

Critical Care Scenarios


Latest Episodes

Episode 54: The critically ill patient with pulmonary hypertension, with Ray Foley
December 07, 2022

We look at the patient with known pulmonary hypertension admitted for new issues like sepsis and pneumonia, and how they differ from our usual bread and butter, with help from Dr. Raymond Foley, direc

TIRBO #23: Cultivating clinical calm
November 30, 2022

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

Lightning rounds #22: Our drugs of choice
November 23, 2022

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.

TIRBO #22: Understanding “weak” trainees
November 16, 2022

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 weeks TIRBO.

Episode 53: Documentation and coding with Robert Oubre
November 09, 2022

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 l

TIRBO #21: Locating, securing, and dressing lines
November 02, 2022

How to locate, secure, and dress your lines so theyll stay put and stay clean.

Lightning rounds #21: CME, merch, Patreon, and other podcast updates
October 26, 2022

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 m

TIRBO #20: Understanding the needle
October 19, 2022

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.

Episode 52: Pleural effusions in the ICU with Emily Fridenmaker
October 12, 2022

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 (

TIRBO #19: Guidewire safety
October 05, 2022

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