Lightning rounds – Page 4 – Critical Care Scenarios

Lightning rounds #17: Reading chest x-rays

Brandon and Bryan share their approaches to the chest x-ray in the ICU. Plus: Bryan’s an FCCM!

Lightning rounds #16: How we do case-based teaching

Brandon and Bryan talk about how they assemble, implement, and leverage case-based learning, from this podcast to simulation to oral scenarios to internal visualization.

Lightning rounds #15: Night shifts

Podcast: Play in new window | Download

Bryan and Brand talk about night shifts, how to handle them, managing the disruption of your circadian rhythm, and more.

For 20% off the upcoming Resuscitative TEE courses (through July 23, 2022), listen to the show for a promo code for CCS listeners!

Lightning rounds #14: Abdominal compartment syndrome

Podcast: Play in new window | Download

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.

Sorry for the audio on this one!

Lightning rounds #13: What’s the deal with nurses?

Podcast: Play in new window | Download

Brandon and Bryan reflect on the qualities that define good and bad ICU nurses, the challenges they face, and how APPs and physicians can enable them to be their best.

Lightning rounds #12: Co-managing patients in a surgical ICU

Podcast: Play in new window | Download

Brandon and Bryan talk about the practicalities of communication, collaboration, and compromise in a surgical ICU, when the surgical and critical care teams are both involved, one is the “primary” team on paper, but everyone needs to be heard.

Lightning rounds #11: Reflections on two years of the podcast

Podcast: Play in new window | Download

Bryan and Brandon look back on the two-year anniversary of the show and reflect on where it’s been, where it’s going, lessons learned, and other deep thoughts.

Lightning rounds #10: Physical examination in the ICU

Podcast: Play in new window | Download

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.

References

McNamara LC, Kanjee Z. Counterpoint: Routine Daily Physical Exams Add Value for the Hospitalist and Patient. J Hosp Med. 2021 Aug 18. doi: 10.12788/jhm.3671. Epub ahead of print. PMID: 34424193.
Rodman A, Warnock S. Point: Routine Daily Physical Exams in Hospitalized Patients Are a Waste of Time. J Hosp Med. 2021 Aug 18. doi: 10.12788/jhm.3670. Epub ahead of print. PMID: 34424194.

Lightning rounds #9: Notes and documentation

Podcast: Play in new window | Download

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.

Lightning rounds #8: Five things you’re getting wrong

Podcast: Play in new window | Download

Bryan’s off this week, so Brandon flies solo to explain five wrong-headed notions that many people believe without thinking about them.

Are diuretic infusions more effective than intermittent boluses?
Are antipsychotic (neuroleptic) agents a good treatment for ICU delirium?
Is pressure control or volume control a better form of assist control?
Does renal failure cause chronically elevated troponin levels due to impaired troponin clearance?
If a patient squeezes your hand, does that mean they heard and followed your command?