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Posts by Critical Concepts

Episode 100: Autoimmune encephalitis testing with Tammy Smith – Critical Care Scenarios

If you've ever been mystified while sending one of those send-out antibody panels for autoimmune encephalitis, Tammy Smith is here to shed a little light from ARUP

icuscenarios.com/episode-100-...

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3 days ago 2 0 0 0
Lightning rounds 64: The new Surviving Sepsis guidelines with Hallie Prescott – Critical Care Scenarios

We explore the latest Surviving Sepsis guidelines with lead author Hallie Prescott, including the controversies pertinent to US-based practice

icuscenarios.com/lightning-ro...

#medsky #emimcc

3 weeks ago 2 2 0 0
Lightning rounds 63: How to be right, with Scott Weingart – Critical Care Scenarios

One of the most important questions of our time... how should we learn medicine in 2026? Does anyone still read papers? When everybody sounds convincing, how do we decide which experts are right? What do we do with AI? Scott Weingart weighs in

icuscenarios.com/lightning-ro...

#medsky #emimcc

3 weeks ago 0 0 0 1
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Procedural Skills for the Critical Care Clinician | American College of Chest Physicians

I'll be teaching with CHEST at a cool new procedural course Chicago in April. If you want to master central lines, art lines, chest tubes, paracentesis, thoracentesis, LPs, IOs, and more, check it out! High instructor ratios and it should be awesome. www.chestnet.org/store/produc...

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2 months ago 2 0 0 0
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The basics of liver, kidney, and pancreas transplants and their post-ICU care. Now at icu101.com.

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2 months ago 1 1 0 0
Episode 98: Running rapid responses – Critical Care Scenarios

Do you attend rapid responses? Aka the most chaotic place you're likely to experience outside of a natural disaster? We share some tips for organizing the scene, the case, and the team.

icuscenarios.com/episode-98-r...

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2 months ago 6 1 0 0
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I’ll be speaking about the history of the HEARTSafe Communities program in the US and potential international applications in Dubai next week. See you all there!

#medsky #emimcc

3 months ago 1 0 0 0
Lightning rounds 59: The nuances of nebulizers, with Keith Lamb – Critical Care Scenarios

We chat with Keith Lamb about the nuances of nebulizer therapies.

icuscenarios.com/lightning-ro...

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3 months ago 3 1 0 0
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Episode 97: Managing ICP crisis – Critical Care Scenarios

How do we handle ICP crisis in the neuro ICU? icuscenarios.com/episode-97-m...

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3 months ago 3 1 0 0
Video

How to approach a toxicology case - now in the MICU course at ICU101.com.

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3 months ago 4 1 0 0
Episode 96: Understanding ammonia, with Prem Kandiah – Critical Care Scenarios

Gastric bypass can cause steatosis and severe hyperammonemia. So can rituximab. Your joint effusion patient may have ureaplasma. Did you know all this? Prem teaches us all in the latest episode icuscenarios.com/episode-96-u...

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3 months ago 1 0 0 0

probably to detect hypercarbic encephalopathy

3 months ago 0 0 0 0

So I'm looking for a better affirmation. How do I acknowledge without elevating myself above them?

#medsky #emimcc #pulmcrit #criticalcare

4 months ago 1 0 2 0

After a difficult shift or resus I will often thank a nurse for their help, or tell them they did well. But I now realize this creates a power dynamic of sorts; who am I to judge their work, and who says they were trying to help me?

4 months ago 0 0 1 0

Instead, point out what they actually did (especially if it involved hard work). This highlights their efforts, and requires no judgment, only noticing, which everyone appreciates.

I now realize this should probably apply at work.

4 months ago 1 0 1 0

One interesting lesson I learned as a parent: don't constantly praise your kid. It not only cheapens the words, it conveys a message of judgment and emphasis on success—I am the arbiter of worth and I deem your efforts worthy.

4 months ago 1 0 1 0
Lightning rounds 57: Burn critical care with Clint Leonard – Critical Care Scenarios

Clint Leonard gives us the scoop on the odd, sweaty place that is the burn ICU. icuscenarios.com/lightning-ro... #medsky #emimcc

5 months ago 1 0 0 0

After some hemming and hawing on this, I think I agree. VL with Mac is a more versatile skill and helps teach DL. But if you want a single skill for someone who will probably never move beyond a basic skillset, and who can trust always having VL available, hyperangulated is probably easier.

5 months ago 2 0 0 0
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We dive into the subtle art of placing, understanding, and interpreting the PA (Swan Ganz) catheter, on a new lesson at icu101.com.

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5 months ago 7 2 0 0

either result would seem hard to rationally apply, from a Bayesian perspective

5 months ago 4 0 0 0

Agreed… this is some skinny love

5 months ago 2 0 0 0

Bad reason to place: patient is in shock
Good reason to place: shock is labile

5 months ago 4 0 1 0
Episode 95: Spontaneous breathing trials with Martin Tobin – Critical Care Scenarios

No more PSV trials! RSBI is not a weaning parameter! Respiratory muscle fatigue is a myth! And more hot takes from the great Martin Tobin, this week on the show.

icuscenarios.com/episode-95-s...

#medsky #emimcc #intensivecare

5 months ago 7 1 0 1
There and Back Again Help Bridgeport Hospital spread the word about BH CME Conference!

Connecticut humans (also a remote option): I will be speaking at the Bridgeport Hospital CME conference on November 8 with a deep dive into shock. Check it out if interested!

e.givesmart.com/events/KFO/

#emimcc #medsky

6 months ago 1 0 0 0
Episode 94: Mastering seizure pharmacology with Tom Bleck – Critical Care Scenarios

The great Tom Bleck shares his insights on treating seizures. Which benzo? When do you load an ASM, and which one? What drug to intubate, which drip? What's the ketamine deal? And more.

icuscenarios.com/episode-94-m...

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6 months ago 4 1 0 0
Video

New lesson on Pacemakers at the Intensive Care Academy - TCP, TVP, epicardial, PPMs, and more, including management in critical illness, the problem of false capture, and more.

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6 months ago 5 2 2 0

buddy I am with you x.com/critconcepts...

I had two minds to write a letter to the editor on the obvious physiologic error, but ran out of motivation

6 months ago 2 0 1 0
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Episode 93: Fluid in sepsis and the FloPatch, with Jon-Emile Kenny – Critical Care Scenarios

This week on the podcast, Jon-Emile Kenny on fluid resuscitation and his wireless doppler device for predicting responsiveness

icuscenarios.com/episode-93-f...

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6 months ago 0 1 0 0

Prophylaxis is growing on me. Nothing worse than withdrawal developing in someone admitted to the ICU for another reason

6 months ago 2 0 0 0
Episode 92: PRIS and propylene glycol toxicity, with Jerry Snow – Critical Care Scenarios

We explore the rare but scary phenomena of propofol infusion syndrome (PRIS) and propylene glycol toxicity, with our favorite toxicologist Jerry Snow.

icuscenarios.com/episode-92-p...

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7 months ago 3 0 0 0