Critical Care Scenarios
- Episodes
- 247
- Released
- every two weeks
- Latest episode
- Nov 11, 2026
About the podcast
An educational podcast teaching practical critical care. By Brandon Oto, PA-C and Bryan Boling, ACNP. New episodes biweekly.
Episodes 247
Episode 104: Unpacking hyponatremia with Aaron Cook
Aaron Cook, clinical pharmacist in neurocritical care and Associate Professor of Pharmacy Practice & Science at the University of Kentucky, helps us understand the everyday hyponatremia of the neuro ICU. Learn …
Show notes
Aaron Cook, clinical pharmacist in neurocritical care and Associate Professor of Pharmacy Practice & Science at the University of Kentucky, helps us understand the everyday hyponatremia of the neuro ICU. Learn more at the Intensive Care Academy!Lightning rounds 74: Inhaled pulmonary vasodilators, with Matt Siuba
Our favorite guest, Dr. Matt Siuba (Cleveland Clinic intensivist and lover of the right ventricle), shares his thoughts on inhaled pulmonary vasodilators: nitric oxide, epoprostenol, and the occasional use of …
Show notes
Our favorite guest, Dr. Matt Siuba (Cleveland Clinic intensivist and lover of the right ventricle), shares his thoughts on inhaled pulmonary vasodilators: nitric oxide, epoprostenol, and the occasional use of inhaled milrinone and nitroglycerin. Check out the Intensive Care Academy here!Lightning rounds 73: How to use AI in medicine, with Harvey Castro
Harvey Castro, MD, emergency physician and AI enthusiast, shares his thoughts on how we can be using AI tools to support medical care today. Check out the Intensive Care Academy here!
Lightning rounds 72: How to teach POCUS
How to like to teach (and learn) POCUS in the ICU. Check out the Intensive Care Academy here! References Oto B, Baeten R, Chen L, Dalal P, Dancel R, Fox S, Lange Iv CW, Baston C, Bornemann P, Dugar S, Goldsmith …
Show notes
How to like to teach (and learn) POCUS in the ICU. Check out the Intensive Care Academy here! References Oto B, Baeten R, Chen L, Dalal P, Dancel R, Fox S, Lange Iv CW, Baston C, Bornemann P, Dugar S, Goldsmith A, Herbst MK, Kirkpatrick JN, Koratala A, Lanspa MJ, Lobo V, Nomura JT, Pustavoitau … Continue reading "Lightning rounds 72: How to teach POCUS"Academy bites: Is lung POCUS dumb?
Find your Congressional representatives Learn more at the Intensive Care Academy!
Lightning rounds 71: The story of HFOV, with Brian Cuthbertson
Dr. Brian Cuthbertson, anesthesiologist and intensivist and lead author of the OSCAR trial, shares with us the fascinating history of high frequency oscillatory ventilation. Check out the Intensive Care Academy …
Show notes
Dr. Brian Cuthbertson, anesthesiologist and intensivist and lead author of the OSCAR trial, shares with us the fascinating history of high frequency oscillatory ventilation. Check out the Intensive Care Academy here! ReferencesLightning rounds 70: Jumping ship for private industry, with Theresa Human
Theresa Human, former academic clinical pharmacist in neurocritical care and now medical liaison for a large pharmaceutical company, chats about late-career transitions and working for private industry. Check …
Show notes
Theresa Human, former academic clinical pharmacist in neurocritical care and now medical liaison for a large pharmaceutical company, chats about late-career transitions and working for private industry. Check out the Intensive Care Academy here!Lightning rounds 69: Does PRVC suck? with Nick Ghionni
We step into the ring with Nick Ghionni, pulm/crit attending at MedStar Baltimore Hospital, who tries to convince us that the pressure-targeted, volume-titrated vent mode known as “PRVC” actually sucks. Check …
Show notes
We step into the ring with Nick Ghionni, pulm/crit attending at MedStar Baltimore Hospital, who tries to convince us that the pressure-targeted, volume-titrated vent mode known as “PRVC” actually sucks. Check out the Intensive Care Academy here!Lightning rounds 68: Setting PEEP in the obese with Olivia Serigano
EM intensivist Olivia Serigano tells us about their recent publication in Anaesthesia Critical Care & Pain Medicine evaluating the use of two rules (BMI/3 or PEEP 10 in everyone) for setting PEEP in obese …
Show notes
EM intensivist Olivia Serigano tells us about their recent publication in Anaesthesia Critical Care & Pain Medicine evaluating the use of two rules (BMI/3 or PEEP 10 in everyone) for setting PEEP in obese patients on the ventilator. Learn more at the Intensive Care Academy! Takeaway pearlsEpisode 103: Basic intracranial hemorrhage
We review the basic care and workflow of caring for bread-and-butter intraparenchymal hemorrhage. Learn more at the Intensive Care Academy! Takeaway pearls
Episode 102: Tox files #1 with Andrew Sheen and Jerry Snow
We hear a mystery tox case from Jerry Snow, director of the toxicology fellowship at Banner University Medical Center in Phoenix, and one of his med tox fellows Andrew Sheen. Learn more at the Intensive Care …
Show notes
We hear a mystery tox case from Jerry Snow, director of the toxicology fellowship at Banner University Medical Center in Phoenix, and one of his med tox fellows Andrew Sheen. Learn more at the Intensive Care Academy! Takeaway pearls References PATHOPHYSIOLOGY & CLASSIFICATION 1. Lalau JD, Kajbaf F, Protti A, et al. Metformin-associated lactic acidosis … Continue reading "Episode 102: Tox files #1 with Andrew Sheen and Jerry Snow"Lightning rounds 67: IV fluids
We give our general take on IV fluids: when to use them, what to use, when to stop, how to bolus and when to use maintenance fluids, and more. Learn more at the Intensive Care Academy!
Lightning rounds 66: ED vs ICU with Namita Jayaprakash
We discuss the interface between ED and ICU and why we have trouble understanding each other, with Dr. Namita Jayaprakash, dual-trained EM and critical care physician, and medical director of her ED. Learn more …
Show notes
We discuss the interface between ED and ICU and why we have trouble understanding each other, with Dr. Namita Jayaprakash, dual-trained EM and critical care physician, and medical director of her ED. Learn more at the Intensive Care Academy! ReferencesLightning rounds 65: Global health with Kwame Boateng
We learn about how to contribute to underserved communities abroad, with Kwame Akuamoh-Boateng, DNP, ACNP-BC, FCCM. Learn more at the Intensive Care Academy! References
Episode 101: Acalculous cholecystitis with Dennis Kim
Dennis Kim, trauma surgeon and surgical intensivist of the Trauma ICU Rounds podcast, weighs in on the diagnosis and management of acalculous cholecystitis. Learn more at the Intensive Care Academy! Takeaway pearls
Episode 100: Autoimmune encephalitis testing with Tammy Smith
Tammy Smith, assistant professor of neurology at the University of Utah within the division of Neuroimmunology and Autoimmune Neurology, and a clinical consultant at ARUP Laboratories, gives us the inside scoop …
Show notes
Tammy Smith, assistant professor of neurology at the University of Utah within the division of Neuroimmunology and Autoimmune Neurology, and a clinical consultant at ARUP Laboratories, gives us the inside scoop on testing for autoimmune encephalitis syndromes. Learn more at the Intensive Care Academy! CHEST’s Procedural Skills for the Critical Care Clinician, April 23-24 2026 … Continue reading "Episode 100: Autoimmune encephalitis testing with Tammy Smith"Lightning rounds 64: The new Surviving Sepsis guidelines with Hallie Prescott
Hallie Prescott, pulm/crit physician and co-chair of the recent Surviving Sepsis guideline writing committee, gives some insight into the new document, including a few interesting additions and some points of …
Show notes
Hallie Prescott, pulm/crit physician and co-chair of the recent Surviving Sepsis guideline writing committee, gives some insight into the new document, including a few interesting additions and some points of controversy. For more thoughts, especially from an EM perspective, Scott Weingart also interviewed Hallie over at EMcrit. Learn more at the Intensive Care Academy! Takeaway … Continue reading "Lightning rounds 64: The new Surviving Sepsis guidelines with Hallie Prescott"Lightning rounds 63: How to be right, with Scott Weingart
Scott Weingart, ED intensivist and seminal educator from the EMCrit podcast, shares his thoughts on how we should be finding truth nowadays: how to read journals, choose experts, use AI, and resolve …
Show notes
Scott Weingart, ED intensivist and seminal educator from the EMCrit podcast, shares his thoughts on how we should be finding truth nowadays: how to read journals, choose experts, use AI, and resolve disagreement. Learn more at the Intensive Care Academy! Takeaway pearlsEpisode 99: RV failure in the MICU
We chat about managing a complex MICU patient with RV failure in the setting of renal failure and sepsis, with Amos Dodi, nocturnal intensivist at Einstein/Montefiore and author of a recent narrative review on …
Show notes
We chat about managing a complex MICU patient with RV failure in the setting of renal failure and sepsis, with Amos Dodi, nocturnal intensivist at Einstein/Montefiore and author of a recent narrative review on the RV. Learn more at the Intensive Care Academy! CHEST’s Procedural Skills for the Critical Care Clinician, April 23-24 2026 References … Continue reading "Episode 99: RV failure in the MICU"Lightning rounds 61: Credentialing and privileging, with Christopher Newman
We dive into the confusing rabbit hole of medical staffing, credentialing, and privileging, particularly for the critical care APP, with Chris Newman, pediatric critical care PA and Vice Chair for Clinical …
Show notes
We dive into the confusing rabbit hole of medical staffing, credentialing, and privileging, particularly for the critical care APP, with Chris Newman, pediatric critical care PA and Vice Chair for Clinical Performance at the University of Colorado. Check out the REVIVE conference here! Check out the CHEST Procedural Skills for the Critical Care Clinician course … Continue reading "Lightning rounds 61: Credentialing and privileging, with Christopher Newman"Lightning rounds 60: The nuances of insulin, with Melissa Nestor
We chat with Melissa Nestor, clinical pharmacist in neurocritical care, about tho subtleties of glucose and insulin management in the ICU. Learn more at the Intensive Care Academy!
Episode 98: Running rapid responses
We discuss the practicalities of running a rapid response, including crowd management, coordinating with primary services, working outside the ICU, and rapidly obtaining and synthesizing diagnostic data. Learn …
Show notes
We discuss the practicalities of running a rapid response, including crowd management, coordinating with primary services, working outside the ICU, and rapidly obtaining and synthesizing diagnostic data. Learn more at the Intensive Care Academy!Lightning rounds 59: The nuances of nebulizers, with Keith Lamb
We explore the practical intricacies of nebulized medications, including timing, dosing, types of devices, and more, with Keith Lamb (@kdlamb1), RRT, RRT-ACCS, FAARC, FCCM. Learn more at the Intensive Care Academy!
Episode 97: Managing ICP crisis
We explore the practical basics of managing an elevated ICP with impending herniation, including EVD troubleshooting, hyperosmolar therapies, and the role of craniectomy. Learn more at the Intensive Care …
Show notes
We explore the practical basics of managing an elevated ICP with impending herniation, including EVD troubleshooting, hyperosmolar therapies, and the role of craniectomy. Learn more at the Intensive Care Academy! ReferencesEpisode 96: Understanding ammonia, with Prem Kandiah
With Dr. Prem Kandiah, neurointensivist, transplant intensivist, and ammonia enthusiast, we explore the physiology of hyperammonemia, the nuances of its measurement and interpretation, and unpack some …
Show notes
With Dr. Prem Kandiah, neurointensivist, transplant intensivist, and ammonia enthusiast, we explore the physiology of hyperammonemia, the nuances of its measurement and interpretation, and unpack some less-recognized causes, including infection by urease-producing organisms and malnutrition/gastric bypass. Learn more at the Intensive Care Academy! References and resources Acute Liver Failure Overall management of ALF CRRT in … Continue reading "Episode 96: Understanding ammonia, with Prem Kandiah"Lightning rounds 58: Steroids for septic shock with David Janz
We dive into the common dilemma of when to give stress-dose corticosteroids in septic shock, with Dr. David Janz, pulm/crit intensivist with a Masters of Science in Clinical Investigation, former director of …
Show notes
We dive into the common dilemma of when to give stress-dose corticosteroids in septic shock, with Dr. David Janz, pulm/crit intensivist with a Masters of Science in Clinical Investigation, former director of the Clinical Research Unit for the critical care section at LSU, founding member of the Pragmatic Critical Care Research Group, and associate Chief … Continue reading "Lightning rounds 58: Steroids for septic shock with David Janz"Lightning rounds 57: Burn critical care with Clint Leonard
We explore the fascinating intricacies and unique features of the burned critically ill patient, with Clint Leonard, NP in the burn ICU at Vanderbilt and ABLS instructor. Learn more at the Intensive Care …
Show notes
We explore the fascinating intricacies and unique features of the burned critically ill patient, with Clint Leonard, NP in the burn ICU at Vanderbilt and ABLS instructor. Learn more at the Intensive Care Academy! Want to work at the University of Kentucky? UK’s Anesthesia Critical Care department is hosting a hiring webinar on November 20, … Continue reading "Lightning rounds 57: Burn critical care with Clint Leonard"Episode 95: Spontaneous breathing trials with Martin Tobin
We discuss the evidence and practicalities of spontaneous breathing trials and ventilator weaning with Martin Tobin, pulmonologist and intensivist, author of seven textbooks including “Principles and Practice …
Show notes
We discuss the evidence and practicalities of spontaneous breathing trials and ventilator weaning with Martin Tobin, pulmonologist and intensivist, author of seven textbooks including “Principles and Practice of Mechanical Ventilation,” researcher, and pioneer of the entire concept of SBT as well as the RSBI (or “Tobin index”). Learn more at the Intensive Care Academy! References … Continue reading "Episode 95: Spontaneous breathing trials with Martin Tobin"Episode 94: Mastering seizure pharmacology with Tom Bleck
We explore the vagaries and nitty-gritty of drugs for seizure termination, including benzos and ASMs, with the great Tom Bleck, MD MCCM FNCS, neurointensivist, professor, and founding member of the …
Show notes
We explore the vagaries and nitty-gritty of drugs for seizure termination, including benzos and ASMs, with the great Tom Bleck, MD MCCM FNCS, neurointensivist, professor, and founding member of the Neurocritical Care Society. Check out the REVIVE conference here! Learn more at the Intensive Care Academy! More reading Takeaway lessons
These are the latest 40 of 247 episodes. You’ll find older episodes in the podcast’s feed.
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